|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,382.00 |
$2,382.00 |
$2,382.00 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,297.00 |
$2,297.00 |
$2,297.00 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$2,135.00 |
$2,135.00 |
$2,135.00 |
$472.76
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$828.00 |
$828.00 |
$828.00 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$828.00 |
$828.00 |
$828.00 |
$632.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$357.00 |
$357.00 |
$357.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$291.00 |
$291.00 |
$291.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$603.00 |
$603.00 |
$603.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$388.50 |
$388.50 |
$388.50 |
$135.60
|
|
Injection treatment of eye
|
$2,834.50 |
$2,834.50 |
$2,834.50 |
$2,665.60
|
|
Injection treatment of nerve
|
$2,359.50 |
$2,359.50 |
$2,359.50 |
$3,219.20
|
|
Inject sacroiliac joint
|
$2,585.00 |
$2,585.00 |
$2,585.00 |
$1,028.95
|
|
Inject/treat eye socket
|
$312.50 |
$312.50 |
$312.50 |
$381.13
|
|
Inject/treat eye socket
|
$348.00 |
$348.00 |
$348.00 |
$670.02
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$73.50 |
$73.50 |
$73.50 |
$32,176.93
|
|
Inj epidural sgl lumb-sacral without img
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$1,415.50
|
|
Inj, epinephrine (belcher)
|
$18.09 |
$18.09 |
$18.09 |
$6.55
|
|
Inj., eravacycline, 1 mg
|
$3.50 |
$3.50 |
$3.50 |
$206.64
|
|
Inj, faricimab-svoa, 0.1mg
|
$88.50 |
$88.50 |
$88.50 |
$4,103.29
|
|
Inj. fe derisomaltose 10 mg
|
$6,564.20 |
$6,564.20 |
$6,564.20 |
$3,221.52
|
|
Inj intralesional <= 7 lsn(s)
|
$237.00 |
$237.00 |
$237.00 |
$235.13
|
|
Inj, invega hafyera/trinza
|
$28.50 |
$28.50 |
$28.50 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$6,570.00 |
$6,570.00 |
$6,570.00 |
$6,967.29
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$936.50 |
$936.50 |
$936.50 |
$784.00
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$118.50 |
$118.50 |
$118.50 |
$1,496.55
|
|
Inj naloxone hydrochloride
|
$21.15 |
$21.15 |
$21.15 |
$83.16
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,368.50 |
$1,368.50 |
$1,368.50 |
$2,837.09
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,368.50 |
$1,368.50 |
$1,368.50 |
$2,609.38
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$101.00 |
$101.00 |
$101.00 |
$66,582.27
|
|
Inj pantoprazole(hikma) 40mg
|
$26.34 |
$26.34 |
$26.34 |
$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 lumbr disk ea lvl
|
$743.50 |
$743.50 |
$743.50 |
$1,106.93
|
|
Inj proc sialogram
|
$2,762.50 |
$2,762.50 |
$2,762.50 |
$373.00
|
|
Inj prohance multipack
|
$57.02 |
$57.02 |
$57.02 |
$9.59
|
|
Inj retacrit esrd on dialysi
|
$2.50 |
$2.50 |
$2.50 |
$349.45
|
|
Inj, rimabotulinumtoxinb
|
$13.00 |
$13.00 |
$13.00 |
$746.79
|
|
Inj scleros sol mult veins
|
$464.00 |
$464.00 |
$464.00 |
$675.00
|
|
Inj scleros sol sgl vein
|
$628.50 |
$628.50 |
$628.50 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$518.00 |
$518.00 |
$518.00 |
$436.80
|
|
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
|
$5.25 |
$5.25 |
$5.25 |
$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
|
$3,093.71 |
$3,093.71 |
$3,093.71 |
$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 (mylan)
|
$40.31 |
$40.31 |
$40.31 |
$76.59
|
|
Inj w/fluor eval cv device
|
$389.50 |
$389.50 |
$389.50 |
$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 cerv dilator (sep proc)
|
$172.00 |
$172.00 |
$172.00 |
$480.28
|
|
Insert and remove bone pin
|
$3,981.50 |
$3,981.50 |
$3,981.50 |
$4,410.60
|
|
Insert cath pleura with image
|
$257.00 |
$257.00 |
$257.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,306.00 |
$3,306.00 |
$3,306.00 |
$2,073.18
|
|
Insert drug delivery implant
|
$181.50 |
$181.50 |
$181.50 |
$280.00
|
|
Insert epicardial lead open 33202
|
$9,790.00 |
$9,790.00 |
$9,790.00 |
$3,775.20
|
|
Insert intrauterine device iud
|
$143.00 |
$143.00 |
$143.00 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$154.00 |
$154.00 |
$154.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$154.00 |
$154.00 |
$154.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$4,782.00
|
|
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
|
$4,943.50 |
$4,943.50 |
$4,943.50 |
$12,384.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,079.50 |
$2,079.50 |
$2,079.50 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,713.00 |
$1,713.00 |
$1,713.00 |
$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
|
$4,071.00 |
$4,071.00 |
$4,071.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,143.50 |
$3,143.50 |
$3,143.50 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$13,601.00 |
$13,601.00 |
$13,601.00 |
$5,223.20
|
|
Insert nasal septal button
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$1,783.50
|
|
Insert pessary/other device
|
$263.00 |
$263.00 |
$263.00 |
$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
|
|
In situ hybridization per specimen each additional single probe stain
|
$194.50 |
$194.50 |
$194.50 |
$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
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$2,572.70
|
|
Ins lv lead exist pm/icd
|
$4,988.50 |
$4,988.50 |
$4,988.50 |
$12,384.25
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$10,061.00 |
$10,061.00 |
$10,061.00 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$7,041.67 |
$7,041.67 |
$7,041.67 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$4,988.50 |
$4,988.50 |
$4,988.50 |
$11,005.50
|
|
Ins/rpl prph sac/gstr npg/r
|
$4,225.50 |
$4,225.50 |
$4,225.50 |
$21,857.50
|
|
Inst fibrinolysis agent ini day
|
$759.50 |
$759.50 |
$759.50 |
$1,036.05
|
|
Instillation anticarcinogenic agent bladder
|
$1,041.50 |
$1,041.50 |
$1,041.50 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$4,922.00 |
$4,922.00 |
$4,922.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,856.50 |
$2,856.50 |
$2,856.50 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$759.50 |
$759.50 |
$759.50 |
$1,065.00
|
|
Insulin total
|
$73.00 |
$73.00 |
$73.00 |
$66.64
|
|
Ins vag brachytx device
|
$383.50 |
$383.50 |
$383.50 |
$935.50
|
|
Integra meshed bil wound mat
|
$1,071.50 |
$1,071.50 |
$1,071.50 |
$9,924.16
|
|
Intens behave ther cardio dx
|
$36.00 |
$36.00 |
$36.00 |
$47.60
|
|
Interdental fixation
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$2,133.48
|
|
Interdental wirg oth/thn fx
|
$1,856.50 |
$1,856.50 |
$1,856.50 |
$1,944.80
|
|
Interfyl, 1 mg
|
$2,680.75 |
$2,680.75 |
$2,680.75 |
$4,656.80
|
|
Intermediate visual field xm
|
$83.00 |
$83.00 |
$83.00 |
$112.80
|
|
Interrogate subq defib
|
$46.50 |
$46.50 |
$46.50 |
$119.60
|
