|
Inj nephrosto/ureterogram w/img exstng access
|
$1,235.00 |
$1,235.00 |
$1,235.00 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,642.00 |
$1,642.00 |
$1,642.00 |
$2,837.09
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,642.00 |
$1,642.00 |
$1,642.00 |
$2,609.38
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$101.00 |
$101.00 |
$101.00 |
$66,582.27
|
|
Inj pantoprazole(hikma) 40mg
|
$2.79 |
$2.79 |
$2.79 |
$34.67
|
|
Inj, pegcetacoplan, 1mg
|
$338.50 |
$338.50 |
$338.50 |
$3,662.96
|
|
Inj., perseris, 0.5 mg
|
$25.00 |
$25.00 |
$25.00 |
$5,146.85
|
|
Inj proc elbow arthro
|
$457.50 |
$457.50 |
$457.50 |
$419.60
|
|
Inj proc myelogram lumbar
|
$854.00 |
$854.00 |
$854.00 |
$830.50
|
|
Inj proc sialogram
|
$332.50 |
$332.50 |
$332.50 |
$373.00
|
|
Inj prohance multipack
|
$60.00 |
$60.00 |
$60.00 |
$9.59
|
|
Inj retacrit esrd on dialysi
|
$2.50 |
$2.50 |
$2.50 |
$349.45
|
|
Inj retro urethrocysto
|
$276.00 |
$276.00 |
$276.00 |
$443.50
|
|
Inj, rimabotulinumtoxinb
|
$13.00 |
$13.00 |
$13.00 |
$746.79
|
|
Inj scleros sol mult veins
|
$644.50 |
$644.50 |
$644.50 |
$675.00
|
|
Inj, susvimo 0.1 mg
|
$180.00 |
$180.00 |
$180.00 |
$2,598.44
|
|
Inj. teprotumumab-trbw 10 mg
|
$811.00 |
$811.00 |
$811.00 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$0.50 |
$0.50 |
$0.50 |
$123.24
|
|
Inj testosterone cypionate
|
$18.00 |
$18.00 |
$18.00 |
$64.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$1,152.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$818.00 |
$818.00 |
$818.00 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$2,497.77 |
$2,497.77 |
$2,497.77 |
$1,090.75
|
|
Inj, trivisc 1 mg
|
$37.50 |
$37.50 |
$37.50 |
$6.67
|
|
Inj, uzedy, 1 mg
|
$50.50 |
$50.50 |
$50.50 |
$11,475.96
|
|
Inj, vancomycin hcl (xellia)
|
$82.35 |
$82.35 |
$82.35 |
$85.20
|
|
Inj vancomycin (xellia) 10mg
|
$91.35 |
$91.35 |
$91.35 |
$76.59
|
|
Inj w/fluor eval cv device
|
$226.00 |
$226.00 |
$226.00 |
$503.92
|
|
Inj xipere 1 mg
|
$93.00 |
$93.00 |
$93.00 |
$93.00
|
|
Inj., yutiq, 0.01 mg
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
$14,458.60
|
|
Ins cath ren art 1st bi
|
$4,115.50 |
$4,115.50 |
$4,115.50 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$4,922.00 |
$4,922.00 |
$4,922.00 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$460.00 |
$460.00 |
$460.00 |
$480.28
|
|
Insert and remove bone pin
|
$5,733.50 |
$5,733.50 |
$5,733.50 |
$4,410.60
|
|
Insert cath pleura with image
|
$4,089.50 |
$4,089.50 |
$4,089.50 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,771.50 |
$3,771.50 |
$3,771.50 |
$2,073.18
|
|
Insert drug delivery implant
|
$183.00 |
$183.00 |
$183.00 |
$280.00
|
|
Insert epicardial lead open 33202
|
$9,790.00 |
$9,790.00 |
$9,790.00 |
$3,775.20
|
|
Insert intrauterine device iud
|
$399.67 |
$399.67 |
$399.67 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$268.00 |
$268.00 |
$268.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$104.50 |
$104.50 |
$104.50 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$2,207.00 |
$2,207.00 |
$2,207.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,298.50 |
$1,298.50 |
$1,298.50 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$3,923.00 |
$3,923.00 |
$3,923.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$2,505.60
|
|
Insertion of heart electrode 33211
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$6,903.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$5,623.50 |
$5,623.50 |
$5,623.50 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$4,708.00 |
$4,708.00 |
$4,708.00 |
$12,384.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,867.50 |
$2,867.50 |
$2,867.50 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,048.50 |
$2,048.50 |
$2,048.50 |
$2,419.65
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,082.50 |
$3,082.50 |
$3,082.50 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$5,906.00 |
$5,906.00 |
$5,906.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,112.00 |
$5,112.00 |
$5,112.00 |
$5,223.20
|
|
Insert nasal septal button
|
$2,623.50 |
$2,623.50 |
$2,623.50 |
$1,783.50
|
|
Insert pessary/other device
|
$280.50 |
$280.50 |
$280.50 |
$278.50
|
|
Insert pm/icd lead dual
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$10,482.00 |
$10,482.00 |
$10,482.00 |
$32,800.04
|
|
Insert sq defib electrode
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$8,167.68
|
|
Insitu hybridization (fish)
|
$82.00 |
$82.00 |
$82.00 |
$481.60
|
|
Insitu hybridization manual
|
$228.50 |
$228.50 |
$228.50 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$558.00 |
$558.00 |
$558.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$263.00 |
$263.00 |
$263.00 |
$331.69
|
|
Insj rx elut implt lac canal
|
$2,891.00 |
$2,891.00 |
$2,891.00 |
$2,572.70
|
|
Insj stablj dev without dcmprn
|
$7,416.00 |
$7,416.00 |
$7,416.00 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$11,723.00 |
$11,723.00 |
$11,723.00 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$4,988.50 |
$4,988.50 |
$4,988.50 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$3,985.20
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$10,061.00 |
$10,061.00 |
$10,061.00 |
$14,685.79
|
|
Ins/rpl pm gen exist dual lead
|
$5,238.00 |
$5,238.00 |
$5,238.00 |
$11,005.50
|
|
Ins/rpl prph sac/gstr npg/r
|
$21,857.50 |
$21,857.50 |
$21,857.50 |
$21,857.50
|
|
Inst fibrinolysis agent ini day
|
$1,093.50 |
$1,093.50 |
$1,093.50 |
$1,036.05
|
|
Instillation anticarcinogenic agent bladder
|
$409.50 |
$409.50 |
$409.50 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$4,922.00 |
$4,922.00 |
$4,922.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,865.00 |
$2,865.00 |
$2,865.00 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$1,093.50 |
$1,093.50 |
$1,093.50 |
$1,065.00
|
|
Insulin total
|
$138.00 |
$138.00 |
$138.00 |
$66.64
|
|
Ins vag brachytx device
|
$533.50 |
$533.50 |
$533.50 |
$935.50
|
|
Integra meshed bil wound mat
|
$3,496.45 |
$3,496.45 |
$3,496.45 |
$9,924.16
|
|
Intens behave ther cardio dx
|
$38.50 |
$38.50 |
$38.50 |
$47.60
|
|
Interdental fixation
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$2,673.50 |
$2,673.50 |
$2,673.50 |
$1,944.80
|
|
Interfyl, 1 mg
|
$2,680.75 |
$2,680.75 |
$2,680.75 |
$4,656.80
|
|
Interrogate subq defib
|
$70.00 |
$70.00 |
$70.00 |
$119.60
|
|
Interrogation vad in person
|
$76.50 |
$76.50 |
$76.50 |
$296.40
|
|
Interrog dev eval icpms ip
|
$69.50 |
$69.50 |
$69.50 |
$103.50
|
|
Interrog dev eval scrms ip
|
$109.50 |
$109.50 |
$109.50 |
$124.80
|
|
Interrog device eval heart
|
$107.00 |
$107.00 |
$107.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$112.50 |
$112.50 |
$112.50 |
$124.80
|
|
Interrog without prgrmg ipnss
|
$131.50 |
$131.50 |
$131.50 |
$147.00
|
|
Int hrhc lig 2+hroid without img
|
$3,792.50 |
$3,792.50 |
$3,792.50 |
$3,245.23
|
|
Intracranial complete study
|
$465.00 |
$465.00 |
$465.00 |
$874.99
|
|
Intracranial limited study
|
$627.00 |
$627.00 |
$627.00 |
$465.01
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,577.50 |
$1,577.50 |
$1,577.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$4,732.50 |
$4,732.50 |
$4,732.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$9,571.00 |
$9,571.00 |
$9,571.00 |
$16,262.40
|
|
Intro catheter aorta
|
$854.00 |
$854.00 |
$854.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$535.50 |
$535.50 |
$535.50 |
$1,323.27
|
