|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$271.00 |
$271.00 |
$294.60 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$93.50 |
$93.50 |
$228.60 |
$136.00
|
|
Injection treatment of eye
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$2,665.60
|
|
Inject/treat eye socket
|
$548.50 |
$548.50 |
$548.50 |
$670.02
|
|
Inj epidural sgl cerv-thor without img
|
$1,683.00 |
$1,683.00 |
$1,683.00 |
$1,311.74
|
|
Inj epidural sgl lumb-sacral without img
|
$1,938.00 |
$1,938.00 |
$1,938.00 |
$1,415.50
|
|
Inj for ext venography
|
$1,271.50 |
$1,271.50 |
$1,271.50 |
$654.00
|
|
Inj for mammo ductogram
|
$1,562.50 |
$1,562.50 |
$1,562.50 |
$397.80
|
|
Inj gemcitabine hcl (accord)
|
$355.93 |
$355.93 |
$355.93 |
$130.65
|
|
Inj. herceptin hylecta, 10mg
|
$18,373.70 |
$18,373.70 |
$18,373.70 |
$7,690.59
|
|
Inj herzuma 10 mg
|
$12,002.62 |
$12,002.62 |
$12,002.62 |
$7,775.46
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,969.00 |
$1,969.00 |
$1,969.00 |
$1,818.15
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,969.00 |
$1,969.00 |
$1,969.00 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$1,856.00 |
$1,856.00 |
$1,856.00 |
$1,146.36
|
|
Inj hrt cath w/s&i sel right vent
|
$1,856.00 |
$1,856.00 |
$1,856.00 |
$947.65
|
|
Inj hydroxocobalamin IV 25mg
|
$3,930.00 |
$3,930.00 |
$3,930.00 |
$2,452.32
|
|
Inj intralesional <= 7 lsn(s)
|
$223.00 |
$223.00 |
$223.00 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$349.50 |
$349.50 |
$349.50 |
$235.13
|
|
Inj, invega hafyera/trinza
|
$40,152.94 |
$40,152.94 |
$40,152.94 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$28,779.00 |
$28,779.00 |
$28,779.00 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$2,449.05 |
$2,449.05 |
$2,449.05 |
$923.69
|
|
Inj levocarnitine per 1 gm
|
$249.58 |
$249.58 |
$249.58 |
$136.62
|
|
Inj, levothyroxine, freskabi
|
$3,558.67 |
$3,558.67 |
$3,558.67 |
$320.80
|
|
Inj, lidocaine w epinephrine
|
$82.31 |
$82.31 |
$82.31 |
$45.14
|
|
Inj mepivacaine hcl/10 ml
|
$24.00 |
$24.00 |
$24.00 |
$33.86
|
|
Inj meropenem (wg crit care)
|
$211.22 |
$211.22 |
$211.22 |
$77.97
|
|
Inj multihance
|
$188.74 |
$188.74 |
$188.74 |
$70.54
|
|
Inj. mycophenolate mofetil
|
$179.52 |
$179.52 |
$179.52 |
$252.66
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$1,413.35
|
|
Inj, nithiodote, 3mg / 125mg
|
$2,118.60 |
$2,118.60 |
$2,118.60 |
$472.76
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$4,175.00 |
$4,175.00 |
$4,175.00 |
$2,484.00
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$4,175.00 |
$4,175.00 |
$4,175.00 |
$2,373.55
|
|
Inj octafluoropropane mic,ml
|
$192.35 |
$192.35 |
$192.35 |
$211.40
|
|
Inj ogivri 10 mg
|
$10,316.45 |
$10,316.45 |
$10,316.45 |
$4,492.28
|
|
Inj peritoneal venous shunt
|
$601.50 |
$601.50 |
$601.50 |
$413.70
|
|
Inj proc ankle arthr
|
$399.00 |
$399.00 |
$399.00 |
$405.60
|
|
Inj proc elbow arthro
|
$393.00 |
$393.00 |
$399.00 |
$434.00
|
|
Inj proc for lymphang
|
$532.50 |
$532.50 |
$532.50 |
$742.40
|
|
Inj proc lumbr disk ea lvl
|
$370.20 |
$370.20 |
$2,678.50 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$1,323.50 |
$1,323.50 |
$1,323.50 |
$843.84
|
|
Inj proc sialogram
|
$399.00 |
$399.00 |
$399.00 |
$380.00
|
|
Inj, releuko 1 mcg
|
$954.00 |
$954.00 |
$954.00 |
$461.20
|
|
Inj retro urethrocysto
|
$574.20 |
$574.20 |
$1,256.00 |
$450.00
|
|
Inj scleros sol mult veins
|
$767.50 |
$767.50 |
$767.50 |
$687.96
|
|
Inj scleros sol sgl vein
|
$614.00 |
$614.00 |
$614.00 |
$561.88
|
|
Inj, spesolimab-sbzo, 1 mg
|
$167,419.67 |
$167,419.67 |
$167,419.67 |
$83,709.85
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$620.00 |
$620.00 |
$620.00 |
$436.80
|
|
Inj sulf hexa lipid microsph
|
$1,168.06 |
$1,168.06 |
$1,168.06 |
$256.14
|
|
Inj testosterone cypionate
|
$38.18 |
$38.18 |
$38.18 |
$64.80
|
|
Inj, tyenne, 1 mg
|
$7,344.00 |
$7,344.00 |
$7,344.00 |
$3,525.12
|
|
Inj vancomycin (xellia) 10mg
|
$179.76 |
$179.76 |
$179.76 |
$76.59
|
|
Inj vasopressin (am reg) 1 u
|
$24.00 |
$24.00 |
$24.00 |
$40.24
|
|
Inj, vasopressin (baxter)
|
$481.50 |
$481.50 |
$481.50 |
$228.24
|
|
Inj vocal cord bulking agent
|
$3,173.00 |
$3,173.00 |
$3,173.00 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$531.50 |
$531.50 |
$531.50 |
$504.40
|
|
Ins cath ren art 1st bi
|
$7,993.00 |
$7,993.00 |
$7,993.00 |
$5,855.00
|
|
Ins cath ren art 1st uni
|
$7,015.00 |
$7,015.00 |
$7,015.00 |
$4,667.63
|
|
Ins cath ren art 2nd+ bi
|
$6,108.50 |
$6,108.50 |
$6,108.50 |
$5,475.60
|
|
Ins cath ren art 2nd+ uni
|
$6,108.50 |
$6,108.50 |
$6,108.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$668.50 |
$668.50 |
$668.50 |
$484.90
|
|
Insert abdomen-venous drain
|
$1,970.00 |
$1,970.00 |
$1,970.00 |
$3,699.70
|
|
Insert and remove bone pin
|
$2,568.50 |
$2,568.50 |
$4,135.80 |
$4,421.00
|
|
Insert cath pleura with image
|
$1,285.20 |
$1,285.20 |
$2,363.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,298.00 |
$1,298.00 |
$2,419.80 |
$2,056.00
|
|
Insert drug delivery implant
|
$1,057.00 |
$1,057.00 |
$1,057.00 |
$283.20
|
|
Insert hepatic shunt (tips)
|
$3,335.50 |
$3,335.50 |
$3,335.50 |
$7,571.20
|
|
Insert intrauterine device iud
|
$221.00 |
$221.00 |
$1,161.60 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$165.60 |
$165.60 |
$172.50 |
$205.80
|
|
Insertion catheter bladder temporary simple
|
$58.80 |
$58.80 |
$158.50 |
$235.20
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,552.50 |
$3,552.50 |
$3,552.50 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$5,989.50 |
$5,989.50 |
$5,989.50 |
$2,565.36
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$12,378.00 |
$12,378.00 |
$12,378.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,127.00 |
$2,127.00 |
$2,161.00 |
$2,511.00
|
|
Insertion of catheter vein
|
$419.00 |
$419.00 |
$419.00 |
$1,657.32
|
|
Insertion of catheter vein
|
$1,975.50 |
$1,975.50 |
$1,975.50 |
$836.25
|
|
Insertion of heart electrode 33211
|
$5,098.50 |
$5,098.50 |
$5,098.50 |
$7,048.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$11,684.50 |
$11,684.50 |
$11,684.50 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$9,452.50 |
$9,452.50 |
$9,452.50 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$8,029.50 |
$8,029.50 |
$8,029.50 |
$10,285.70
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,984.80 |
$1,984.80 |
$2,161.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,055.50 |
$3,055.50 |
$3,829.20 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$21,348.00 |
$21,348.00 |
$21,348.00 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,098.50 |
$5,098.50 |
$6,328.20 |
$7,216.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$8,012.00 |
$8,012.00 |
$8,012.00 |
$7,388.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,397.00 |
$6,397.00 |
$6,397.00 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,549.50 |
$3,549.50 |
$14,155.34 |
$5,236.80
|
|
Insert pessary/other device
|
$238.50 |
$238.50 |
$238.50 |
$278.90
|
|
Insert picvad cath
|
$3,121.00 |
$3,121.00 |
$3,121.00 |
$4,201.80
|
|
Insert pm/icd lead dual
|
$8,265.00 |
$8,265.00 |
$8,265.00 |
$7,221.50
|
|
Insert/repl sq defib w/eltrd
|
$61,891.00 |
$61,891.00 |
$61,891.00 |
$32,052.60
|
|
Insert spine infusion device 62360
|
$9,894.50 |
$9,894.50 |
$9,894.50 |
$15,920.80
|
|
Insert sq defib electrode
|
$4,891.00 |
$4,891.00 |
$4,891.00 |
$7,792.26
|
|
Insert swan-ganz cath
|
$1,619.00 |
$1,619.00 |
$1,619.00 |
$2,346.51
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,139.00 |
$5,139.00 |
$5,139.00 |
$5,018.25
|
|
Insert tunneled cv cath
|
$2,955.50 |
$2,955.50 |
$2,955.50 |
$4,627.00
|
|
Insert tunneled cv cath
|
$8,522.00 |
$8,522.00 |
$8,522.00 |
$6,028.07
|
|
Insert uteri tandem/ovoids
|
$2,354.50 |
$2,354.50 |
$2,354.50 |
$3,940.00
|
|
Insert vad art access left hrt arterial access
|
$5,989.50 |
$5,989.50 |
$5,989.50 |
$4,504.50
|
|
Insert vad art access left hrt art & vein access
|
$5,989.50 |
$5,989.50 |
$5,989.50 |
$3,677.40
|
