|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$90.50 |
$90.50 |
$90.50 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$261.00 |
$261.00 |
$261.00 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$67.00 |
$67.00 |
$67.00 |
$135.20
|
|
Inject sacroiliac joint
|
$110.50 |
$110.50 |
$110.50 |
$963.00
|
|
Inject/treat eye socket
|
$62.50 |
$62.50 |
$62.50 |
$381.13
|
|
Inject/treat eye socket
|
$304.50 |
$304.50 |
$304.50 |
$670.02
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$49.00 |
$49.00 |
$49.00 |
$32,176.93
|
|
Inj epidural sgl cerv-thor without img
|
$676.50 |
$676.50 |
$676.50 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$885.00 |
$885.00 |
$885.00 |
$1,415.50
|
|
Inj., eravacycline, 1 mg
|
$2.50 |
$2.50 |
$2.50 |
$206.64
|
|
Inj, faricimab-svoa, 0.1mg
|
$36.00 |
$36.00 |
$36.00 |
$4,103.29
|
|
Inj intralesional <= 7 lsn(s)
|
$27.50 |
$27.50 |
$27.50 |
$235.13
|
|
Inj, invega hafyera/trinza
|
$19.00 |
$19.00 |
$19.00 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$55.00 |
$55.00 |
$55.00 |
$6,967.29
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$729.00 |
$729.00 |
$729.00 |
$783.50
|
|
Inj, mirikizumab-mrkz, 1 mg
|
$79.00 |
$79.00 |
$79.00 |
$1,496.55
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$67.50 |
$67.50 |
$67.50 |
$66,582.27
|
|
Inj, pegcetacoplan, 1mg
|
$226.00 |
$226.00 |
$226.00 |
$3,944.73
|
|
Inj., perseris, 0.5 mg
|
$17.00 |
$17.00 |
$17.00 |
$5,372.48
|
|
Inj proc lumbr disk ea lvl
|
$619.00 |
$619.00 |
$619.00 |
$1,139.40
|
|
Inj retacrit esrd on dialysi
|
$1.50 |
$1.50 |
$1.50 |
$352.22
|
|
Inj, rimabotulinumtoxinb
|
$19.50 |
$19.50 |
$19.50 |
$714.24
|
|
Inj scleros sol mult veins
|
$80.00 |
$80.00 |
$80.00 |
$602.50
|
|
Inj scleros sol sgl vein
|
$40.50 |
$40.50 |
$40.50 |
$534.40
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$54.50 |
$54.50 |
$54.50 |
$436.80
|
|
Inj, susvimo 0.1 mg
|
$86.00 |
$86.00 |
$86.00 |
$2,598.44
|
|
Inj. teprotumumab-trbw 10 mg
|
$541.00 |
$541.00 |
$541.00 |
$36,385.12
|
|
Inj testostero enanthate 1mg
|
$0.50 |
$0.50 |
$0.50 |
$157.81
|
|
Inj testosterone cypionate
|
$0.50 |
$0.50 |
$0.50 |
$62.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$79.00 |
$79.00 |
$79.00 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$688.00 |
$688.00 |
$688.00 |
$818.00
|
|
Inj triamcinolone ace X-ray 1mg
|
$32.50 |
$32.50 |
$32.50 |
$1,132.35
|
|
Inj, trivisc 1 mg
|
$25.00 |
$25.00 |
$25.00 |
$6.67
|
|
Inj, uzedy, 1 mg
|
$34.00 |
$34.00 |
$34.00 |
$11,475.96
|
|
Inj xipere 1 mg
|
$62.00 |
$62.00 |
$62.00 |
$93.00
|
|
Inj., yutiq, 0.01 mg
|
$772.50 |
$772.50 |
$772.50 |
$14,458.60
|
|
Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
|
$45.50 |
$45.50 |
$45.50 |
$54.24
|
|
Inpt/ed teleconsult30
|
$97.50 |
$97.50 |
$97.50 |
$164.40
|
|
Inpt/ed teleconsult50
|
$134.50 |
$134.50 |
$134.50 |
$223.80
|
|
Inpt/ed teleconsult70
|
$193.00 |
$193.00 |
$193.00 |
$330.60
|
|
Inpt/tele follow up 15
|
$41.50 |
$41.50 |
$41.50 |
$64.80
|
|
Inpt/tele follow up 25
|
$73.00 |
$73.00 |
$73.00 |
$118.80
|
|
Inpt/tele follow up 35
|
$107.00 |
$107.00 |
$107.00 |
$171.60
|
|
Ins cerv dilator (sep proc)
|
$501.00 |
$501.00 |
$501.00 |
$488.35
|
|
Insert cath pleura with image
|
$151.00 |
$151.00 |
$151.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$3,361.00 |
$3,361.00 |
$3,361.00 |
$2,019.00
|
|
Insert drug delivery implant
|
$127.50 |
$127.50 |
$127.50 |
$280.00
|
|
Insert epicardial lead open 33202
|
$8,158.00 |
$8,158.00 |
$8,158.00 |
$3,775.20
|
|
Insert intrauterine device iud
|
$173.00 |
$173.00 |
$173.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$127.50 |
$127.50 |
$127.50 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$229.50 |
$229.50 |
$229.50 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$2,511.00
|
|
Insertion of heart electrode 33211
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$7,392.84
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$102.00 |
$102.00 |
$102.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$169.00 |
$169.00 |
$169.00 |
$7,513.67
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,628.00 |
$2,628.00 |
$2,628.00 |
$7,342.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,619.50 |
$2,619.50 |
$2,619.50 |
$9,397.50
|
|
Insert pessary/other device
|
$194.00 |
$194.00 |
$194.00 |
$273.54
|
|
Insert pm/icd lead dual
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$7,388.80
|
|
Insert/repl sq defib w/eltrd
|
$8,735.00 |
$8,735.00 |
$8,735.00 |
$33,297.72
|
|
Insert sq defib electrode
|
$2,502.50 |
$2,502.50 |
$2,502.50 |
$8,167.68
|
|
Insitu hybridization auto
|
$34.50 |
$34.50 |
$34.50 |
$371.00
|
|
Insitu hybridization manual
|
$187.50 |
$187.50 |
$187.50 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$35.00 |
$35.00 |
$35.00 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$35.00 |
$35.00 |
$35.00 |
$326.04
|
|
Ins lv lead exist pm/icd
|
$4,157.00 |
$4,157.00 |
$4,157.00 |
$12,087.24
|
|
Ins/rplc spi npg/rcvr pocket
|
$4,998.00 |
$4,998.00 |
$4,998.00 |
$23,746.69
|
|
Ins/rpl pm gen exist dual lead
|
$4,157.00 |
$4,157.00 |
$4,157.00 |
$11,408.40
|
|
Ins tun cv cath wo subq prt/pm
|
$2,388.00 |
$2,388.00 |
$2,388.00 |
$4,202.70
|
|
Insulin total
|
$62.50 |
$62.50 |
$62.50 |
$66.64
|
|
Intens behave ther cardio dx
|
$30.00 |
$30.00 |
$30.00 |
$48.00
|
|
Intermediate visual field xm
|
$22.50 |
$22.50 |
$22.50 |
$112.80
|
|
Interrogate subq defib
|
$39.50 |
$39.50 |
$39.50 |
$125.76
|
|
Interrog dev eval scrms ip
|
$19.50 |
$19.50 |
$19.50 |
$124.80
|
|
Interrog device eval heart
|
$111.50 |
$111.50 |
$111.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$36.00 |
$36.00 |
$36.00 |
$124.80
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$66.60
|
|
Intrm oph exam est patient
|
$46.50 |
$46.50 |
$46.50 |
$152.50
|
|
Intro long gi tube
|
$19.00 |
$19.00 |
$19.00 |
$990.00
|
|
Intubation endotracheal emergency procedure
|
$805.00 |
$805.00 |
$805.00 |
$589.60
|
|
Ip/obs cnsltj new/est low 45
|
$111.00 |
$111.00 |
$111.00 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$154.00 |
$154.00 |
$154.00 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$208.00 |
$208.00 |
$208.00 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$79.00 |
$79.00 |
$79.00 |
$134.46
|
|
Ipratropium bromide non-comp
|
$1.50 |
$1.50 |
$1.50 |
$3.75
|
|
Iron
|
$54.00 |
$54.00 |
$54.00 |
$74.40
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.50 |
$0.50 |
$0.50 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$112.00 |
$112.00 |
$112.00 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$123.50 |
$123.50 |
$123.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$43.00 |
$43.00 |
$43.00 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$175.00 |
$175.00 |
$175.00 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$394.00 |
$394.00 |
$394.00 |
$439.56
|
|
Jak2 targeted sequence analysis
|
$140.00 |
$140.00 |
$140.00 |
$379.87
|
|
Keratoprosthesis
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$10,936.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$39.50 |
$39.50 |
$39.50 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$23.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$440.50 |
$440.50 |
$440.50 |
$666.00
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$374.61
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,237.50 |
$1,237.50 |
$1,237.50 |
$1,543.50
|
