|
Inj avacincaptad pegol 0.1mg
|
$236.50 |
$236.50 |
$236.50 |
$3,409.64
|
|
Inj., benralizumab, 1 mg
|
$10,349.28 |
$10,349.28 |
$10,349.28 |
$11,239.97
|
|
Inj, bezlotoxumab, 10 mg
|
$103.00 |
$103.00 |
$103.00 |
$7,612.43
|
|
Inj bimatoprost itc imp1mcg
|
$456.00 |
$456.00 |
$456.00 |
$3,287.96
|
|
Inj, bupivacaine liposome
|
$3.00 |
$3.00 |
$3.00 |
$699.38
|
|
Inj cefazolin sodium, hikma
|
$10.64 |
$10.64 |
$10.64 |
$28.08
|
|
Inj cefazolin (wg crit care)
|
$6.90 |
$6.90 |
$6.90 |
$18.05
|
|
Inj ceftolozane tazobactam
|
$18.50 |
$18.50 |
$18.50 |
$381.60
|
|
Inj, clevidipine butyrate
|
$346.73 |
$346.73 |
$346.73 |
$4.86
|
|
Inj, clindamycin (baxter)
|
$11.03 |
$11.03 |
$11.03 |
$48.96
|
|
Inj cntr knee arthro incl ct/mri
|
$492.50 |
$492.50 |
$492.50 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$300.50 |
$300.50 |
$300.50 |
$875.28
|
|
Inj, donanemab-azbt, 2 mg
|
$3,130.47 |
$3,130.47 |
$3,130.47 |
$1,233.44
|
|
Inj, durolane 1 mg
|
$42.00 |
$42.00 |
$42.00 |
$1,950.93
|
|
Inject for sacroiliac joint
|
$1,100.50 |
$1,100.50 |
$1,100.50 |
$1,025.77
|
|
Injection arthrography hip without anesthesia (both sides)
|
$494.50 |
$494.50 |
$494.50 |
$495.84
|
|
Injection carpal tunnel therapeutic (both sides)
|
$332.00 |
$332.00 |
$332.00 |
$453.58
|
|
Injection, casimersen, 10 mg
|
$271.50 |
$271.50 |
$271.50 |
$2,598.44
|
|
Injection, daratumumab 10 mg
|
$23,412.80 |
$23,412.80 |
$23,412.80 |
$5,239.24
|
|
Injection during cath supravalvular aortography
|
$2,995.50 |
$2,995.50 |
$2,995.50 |
$952.66
|
|
Injection epidural blood patch or clot
|
$779.00 |
$779.00 |
$779.00 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$529.50 |
$529.50 |
$529.50 |
$428.40
|
|
Injection for bladder x-ray
|
$227.00 |
$227.00 |
$227.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$529.50 |
$529.50 |
$529.50 |
$494.65
|
|
Injection, fulvestrant
|
$617.09 |
$617.09 |
$617.09 |
$1,817.65
|
|
Injection, inclisiran, 1 mg
|
$7,608.20 |
$7,608.20 |
$7,608.20 |
$6,679.35
|
|
Injection,onabotulinumtoxina
|
$1,938.00 |
$1,938.00 |
$1,938.00 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$2,656.00 |
$2,656.00 |
$2,656.00 |
$670.64
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,891.00 |
$2,891.00 |
$2,891.00 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$4,031.25 |
$4,031.25 |
$4,031.25 |
$1,348.56
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$1,186.50 |
$1,186.50 |
$1,186.50 |
$1,023.50
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$3,459.00 |
$3,459.00 |
$3,459.00 |
$1,952.40
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,774.00 |
$1,774.00 |
$1,774.00 |
$1,029.45
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$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
|
$5,421.00 |
$5,421.00 |
$5,421.00 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$779.00 |
$779.00 |
$779.00 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,474.50 |
$1,474.50 |
$1,474.50 |
$1,681.24
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$332.00 |
$332.00 |
$332.00 |
$468.98
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$570.50 |
$570.50 |
$570.50 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$332.00 |
$332.00 |
$332.00 |
$629.99
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$244.00 |
$244.00 |
$244.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$372.00 |
$372.00 |
$372.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$286.00 |
$286.00 |
$286.00 |
$249.32
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$244.00 |
$244.00 |
$244.00 |
$135.60
|
|
Injection treatment of nerve
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$4,350.00
|
|
Injection treatment of nerve
|
$1,001.50 |
$1,001.50 |
$1,001.50 |
$2,025.45
|
|
Inject sacroiliac joint
|
$811.50 |
$811.50 |
$811.50 |
$1,028.95
|
|
Inject/treat eye socket
|
$339.00 |
$339.00 |
$339.00 |
$381.13
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$31,546.00 |
$31,546.00 |
$31,546.00 |
$32,176.93
|
|
Inj epidural sgl cerv-thor without img
|
$779.00 |
$779.00 |
$779.00 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$1,136.50 |
$1,136.50 |
$1,136.50 |
$1,415.50
|
|
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
|
$7,099.83 |
$7,099.83 |
$7,099.83 |
$3,221.52
|
|
Inj for ext venography
|
$173.00 |
$173.00 |
$173.00 |
$649.95
|
|
Inj., guselkumab, 1 mg
|
$27,745.60 |
$27,745.60 |
$27,745.60 |
$29,130.83
|
|
Inj intralesional <= 7 lsn(s)
|
$119.00 |
$119.00 |
$119.00 |
$235.13
|
|
Inj, invega hafyera/trinza
|
$28.50 |
$28.50 |
$28.50 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$9,855.00 |
$9,855.00 |
$9,855.00 |
$6,967.29
|
|
Inj, lecanemab-irmb, 1 mg
|
$2,866.59 |
$2,866.59 |
$2,866.59 |
$1,174.88
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$875.00 |
$875.00 |
$875.00 |
$784.00
|
|
Inj, meropenem (b. braun)
|
$37.24 |
$37.24 |
$37.24 |
$71.14
|
|
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 nephrosto/ureterogram w/img exstng access
|
$1,343.00 |
$1,343.00 |
$1,343.00 |
$1,413.35
|
|
Inj, nithiodote, 3mg / 125mg
|
$443.21 |
$443.21 |
$443.21 |
$452.89
|
|
Inj nivolumab 2 mg hyaluron
|
$31,772.32 |
$31,772.32 |
$31,772.32 |
$15,599.68
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$1,485.50 |
$1,485.50 |
$1,485.50 |
$2,837.09
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$1,485.50 |
$1,485.50 |
$1,485.50 |
$2,609.38
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$101.00 |
$101.00 |
$101.00 |
$66,582.27
|
|
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
|
$529.50 |
$529.50 |
$529.50 |
$419.60
|
|
Inj proc lumbr disk ea lvl
|
$515.00 |
$515.00 |
$515.00 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$740.50 |
$740.50 |
$740.50 |
$830.50
|
|
Inj retacrit esrd on dialysi
|
$89.18 |
$89.18 |
$89.18 |
$349.45
|
|
Inj, rimabotulinumtoxinb
|
$13.00 |
$13.00 |
$13.00 |
$746.79
|
|
Inj, susvimo 0.1 mg
|
$180.00 |
$180.00 |
$180.00 |
$2,598.44
|
|
Inj teclistamab cqyv 0.5 mg
|
$13,397.60 |
$13,397.60 |
$13,397.60 |
$17,517.56
|
|
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
|
$41.07 |
$41.07 |
$41.07 |
$64.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$976.00 |
$976.00 |
$976.00 |
$1,152.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$779.00 |
$779.00 |
$779.00 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$48.50 |
$48.50 |
$48.50 |
$1,090.75
|
|
Inj, trivisc 1 mg
|
$37.50 |
$37.50 |
$37.50 |
$6.67
|
|
Inj ustekinumab-kfce, 1 mg
|
$2,564.94 |
$2,564.94 |
$2,564.94 |
$5,244.37
|
|
Inj, uzedy, 1 mg
|
$50.50 |
$50.50 |
$50.50 |
$11,475.96
|
|
Inj w/fluor eval cv device
|
$244.50 |
$244.50 |
$244.50 |
$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)
|
$311.00 |
$311.00 |
$311.00 |
$480.28
|
|
Insert cath pleura with image
|
$1,809.50 |
$1,809.50 |
$1,809.50 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,306.00 |
$3,306.00 |
$3,306.00 |
$2,073.18
|
|
Insert drug delivery implant
|
$2,335.67 |
$2,335.67 |
$2,335.67 |
$280.00
|
|
Insert epicardial lead open 33202
|
$9,790.00 |
$9,790.00 |
$9,790.00 |
$3,775.20
|
|
Insert intrauterine device iud
|
$9,887.00 |
$9,887.00 |
$9,887.00 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$273.50 |
$273.50 |
$273.50 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$500.50 |
$500.50 |
$500.50 |
$232.25
|
