|
Inj, bupivacaine liposome
|
$807.35 |
$807.35 |
$807.35 |
$699.38
|
|
Inj cefazolin sodium, baxter
|
$20.93 |
$20.93 |
$20.93 |
$27.38
|
|
Inj, cefiderocol, 10 mg
|
$2,887.17 |
$2,887.17 |
$2,887.17 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$18.50 |
$18.50 |
$18.50 |
$380.80
|
|
Inj, clevidipine butyrate
|
$346.73 |
$346.73 |
$346.73 |
$4.86
|
|
Inj cntr knee arthro incl ct/mri
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$436.80
|
|
Inj daptomycin (xellia)
|
$52.87 |
$52.87 |
$52.87 |
$56.04
|
|
Inj. denosumab-bbdz, 1 mg
|
$3,223.11 |
$3,223.11 |
$3,223.11 |
$4,615.43
|
|
Inj disk cerv-thor ea lev
|
$550.50 |
$550.50 |
$550.50 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$6,260.94 |
$6,260.94 |
$6,260.94 |
$1,233.44
|
|
Inj dupuytren cord w/enzyme
|
$392.00 |
$392.00 |
$392.00 |
$416.00
|
|
Inj, durolane 1 mg
|
$4,608.50 |
$4,608.50 |
$4,608.50 |
$1,950.93
|
|
Inj dx for sinogram
|
$1,117.50 |
$1,117.50 |
$1,117.50 |
$422.59
|
|
Inject for sacroiliac joint
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$1,025.77
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$3,004.00 |
$3,004.00 |
$3,004.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$7,129.50 |
$7,129.50 |
$7,129.50 |
$450.72
|
|
Injection, casimersen, 10 mg
|
$271.50 |
$271.50 |
$271.50 |
$2,598.44
|
|
Injection, daratumumab 10 mg
|
$17,559.60 |
$17,559.60 |
$17,559.60 |
$5,239.24
|
|
Injection during cath supravalvular aortography
|
$2,677.00 |
$2,677.00 |
$2,677.00 |
$952.66
|
|
Injection epidural blood patch or clot
|
$1,034.50 |
$1,034.50 |
$1,034.50 |
$1,156.80
|
|
Injection eye drug
|
$5,607.50 |
$5,607.50 |
$5,607.50 |
$644.50
|
|
Injection for arthrography wrist (both sides)
|
$667.00 |
$667.00 |
$667.00 |
$428.40
|
|
Injection for bladder x-ray
|
$5,084.50 |
$5,084.50 |
$5,084.50 |
$459.20
|
|
Injection for hip x-ray
|
$25,139.00 |
$25,139.00 |
$25,139.00 |
$710.00
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$564.00 |
$564.00 |
$564.00 |
$494.65
|
|
Injection for spleen x-ray
|
$2,861.00 |
$2,861.00 |
$2,861.00 |
$529.57
|
|
Injection for tear sac x-ray
|
$145.50 |
$145.50 |
$145.50 |
$225.20
|
|
Injection for ureter x-ray
|
$134.50 |
$134.50 |
$134.50 |
$427.70
|
|
Injection for ureter x-ray
|
$437.00 |
$437.00 |
$437.00 |
$515.21
|
|
Injection, fulvestrant
|
$217.04 |
$217.04 |
$217.04 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$7,628.41 |
$7,628.41 |
$7,628.41 |
$6,679.35
|
|
Injection into brain canal
|
$454.50 |
$454.50 |
$454.50 |
$836.40
|
|
Injection into vocal cord
|
$499.50 |
$499.50 |
$499.50 |
$499.50
|
|
Injection jugular
|
$213.00 |
$213.00 |
$213.00 |
$790.00
|
|
Injection of sinus tract
|
$1,990.50 |
$1,990.50 |
$1,990.50 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$3,230.00 |
$3,230.00 |
$3,230.00 |
$2,277.65
|
|
Injection, pentamidine iseth
|
$321.94 |
$321.94 |
$321.94 |
$429.92
|
|
Injection px peyronie ds
|
$319.50 |
$319.50 |
$319.50 |
$409.34
|
|
Injection radioactive tracer sentinel node (both sides)
|
$8,327.76 |
$8,327.76 |
$8,327.76 |
$670.64
|
|
Injection, renflexis
|
$8,985.87 |
$8,985.87 |
$8,985.87 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,527.00 |
$2,527.00 |
$2,527.00 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$6,151.00 |
$6,151.00 |
$6,151.00 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$2,792.00 |
$2,792.00 |
$2,792.00 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,626.00 |
$3,626.00 |
$3,626.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$3,815.00 |
$3,815.00 |
$3,815.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$6,916.00 |
$6,916.00 |
$6,916.00 |
$1,814.40
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$3,387.00 |
$3,387.00 |
$3,387.00 |
$1,017.90
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,332.00 |
$3,332.00 |
$3,332.00 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,784.50 |
$2,784.50 |
$2,784.50 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,226.50 |
$2,226.50 |
$2,226.50 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$4,155.83 |
$4,155.83 |
$4,155.83 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$3,022.00 |
$3,022.00 |
$3,022.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$849.00 |
$849.00 |
$849.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$417.00 |
$417.00 |
$417.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$301.50 |
$301.50 |
$301.50 |
$135.60
|
|
Injection treatment of eye
|
$2,947.50 |
$2,947.50 |
$2,947.50 |
$2,698.92
|
|
Injection treatment of eye
|
$5,072.50 |
$5,072.50 |
$5,072.50 |
$2,665.60
|
|
Injection treatment of nerve
|
$6,176.00 |
$6,176.00 |
$6,176.00 |
$3,219.20
|
|
Injection treatment of nerve
|
$9,861.00 |
$9,861.00 |
$9,861.00 |
$4,350.00
|
|
Injection treatment of nerve
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$2,025.45
|
|
Inject sacroiliac joint
|
$2,163.00 |
$2,163.00 |
$2,163.00 |
$1,028.95
|
|
Inject/treat eye socket
|
$1,658.58 |
$1,658.58 |
$1,658.58 |
$381.13
|
|
Inject/treat eye socket
|
$2,412.17 |
$2,412.17 |
$2,412.17 |
$670.02
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$73.50 |
$73.50 |
$73.50 |
$32,176.93
|
|
Inj., emicizumab-kxwh 0.5 mg
|
$52,895.68 |
$52,895.68 |
$52,895.68 |
$54,322.53
|
|
Inj epidural sgl cerv-thor without img
|
$901.50 |
$901.50 |
$901.50 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$1,424.00 |
$1,424.00 |
$1,424.00 |
$1,415.50
|
|
Inj, epinephrine (belcher)
|
$675.00 |
$675.00 |
$675.00 |
$6.55
|
|
Inj., eravacycline, 1 mg
|
$3.50 |
$3.50 |
$3.50 |
$206.64
|
|
Inj, erzofri, 1 mg
|
$7,046.94 |
$7,046.94 |
$7,046.94 |
$10,213.70
|
|
Inj, eteplirsen, 10 mg
|
$13,440.00 |
$13,440.00 |
$13,440.00 |
$2,598.44
|
|
Inj, evinacumab-dgnb, 5mg
|
$51,679.69 |
$51,679.69 |
$51,679.69 |
$20,751.13
|
|
Inj., evomela, 1 mg
|
$24,414.50 |
$24,414.50 |
$24,414.50 |
$17.37
|
|
Inj, faricimab-svoa, 0.1mg
|
$10,080.00 |
$10,080.00 |
$10,080.00 |
$4,103.29
|
|
Inj. fe derisomaltose 10 mg
|
$7,099.83 |
$7,099.83 |
$7,099.83 |
$3,221.52
|
|
Inj for ext venography
|
$2,468.00 |
$2,468.00 |
$2,468.00 |
$649.95
|
|
Inj for mammo ductogram
|
$88.50 |
$88.50 |
$88.50 |
$399.60
|
|
Inj, fulvestrant (fresenius)
|
$2,067.08 |
$2,067.08 |
$2,067.08 |
$1,043.05
|
|
Inj, gadopiclenol, 1 ml
|
$87.00 |
$87.00 |
$87.00 |
$37.63
|
|
Inj givosiran 0.5 mg
|
$79,201.84 |
$79,201.84 |
$79,201.84 |
$76,708.80
|
|
Inj glofitamab gxbm, 2.5 mg
|
$55,259.14 |
$55,259.14 |
$55,259.14 |
$4,760.67
|
|
Inj., guselkumab, 1 mg
|
$27,745.60 |
$27,745.60 |
$27,745.60 |
$29,130.83
|
|
Inj heparin, pfizer, 1000u
|
$3.23 |
$3.23 |
$3.23 |
$26.26
|
|
Inj. herceptin hylecta, 10mg
|
$10,519.29 |
$10,519.29 |
$10,519.29 |
$7,690.59
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$1,439.90
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,805.50 |
$2,805.50 |
$2,805.50 |
$1,827.74
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$1,045.80
|
|
Inj hrt cath w/s&i sel left vent
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$2,619.00 |
$2,619.00 |
$2,619.00 |
$965.33
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$1,204.00 |
$1,204.00 |
$1,204.00 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$1,636.75 |
$1,636.75 |
$1,636.75 |
$235.13
|
|
Inj intralesional > 7 lsns
|
$257.00 |
$257.00 |
$257.00 |
$234.00
|
|
Inj, invega hafyera/trinza
|
$28.50 |
$28.50 |
$28.50 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$10,950.00 |
$10,950.00 |
$10,950.00 |
$6,967.29
|
|
Inj, kovaltry, 1 i.u
|
$18,258.40 |
$18,258.40 |
$18,258.40 |
$5.07
|
|
Inj, lanreotide, (cipla) 1mg
|
$11,228.36 |
$11,228.36 |
$11,228.36 |
$11,648.70
|
|
Inj, lecanemab-irmb, 1 mg
|
$4,299.89 |
$4,299.89 |
$4,299.89 |
$1,174.88
|
