|
Inj, rimabotulinumtoxinb
|
$19.50 |
$19.50 |
$19.50 |
$746.79
|
|
Inj scleros sol mult veins
|
$80.50 |
$80.50 |
$80.50 |
$675.00
|
|
Inj scleros sol sgl vein
|
$41.00 |
$41.00 |
$41.00 |
$558.97
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$59.00 |
$59.00 |
$59.00 |
$436.80
|
|
Inj, susvimo 0.1 mg
|
$86.00 |
$86.00 |
$86.00 |
$2,598.44
|
|
Inj. teprotumumab-trbw 10 mg
|
$83,432.87 |
$83,432.87 |
$83,432.87 |
$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
|
$77.50 |
$77.50 |
$77.50 |
$1,152.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$698.00 |
$698.00 |
$698.00 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$32.50 |
$32.50 |
$32.50 |
$1,090.75
|
|
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 w/fluor eval cv device
|
$491.50 |
$491.50 |
$491.50 |
$503.92
|
|
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 consultation
|
$73.00 |
$73.00 |
$73.00 |
$73.80
|
|
Inpatient telehealth pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy
|
$45.00 |
$45.00 |
$45.00 |
$54.24
|
|
Inpt/ed teleconsult30
|
$96.00 |
$96.00 |
$96.00 |
$164.40
|
|
Inpt/ed teleconsult50
|
$135.00 |
$135.00 |
$135.00 |
$223.80
|
|
Inpt/ed teleconsult70
|
$192.00 |
$192.00 |
$192.00 |
$330.60
|
|
Inpt/tele follow up 15
|
$42.50 |
$42.50 |
$42.50 |
$64.80
|
|
Inpt/tele follow up 25
|
$75.00 |
$75.00 |
$75.00 |
$118.80
|
|
Inpt/tele follow up 35
|
$108.00 |
$108.00 |
$108.00 |
$171.60
|
|
Ins cath ren art 1st bi
|
$377.50 |
$377.50 |
$377.50 |
$5,753.10
|
|
Ins cath ren art 2nd+ bi
|
$441.50 |
$441.50 |
$441.50 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$365.50 |
$365.50 |
$365.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$73.50 |
$73.50 |
$73.50 |
$480.28
|
|
Insert cannula vein-to-vein hemodialysis
|
$125.00 |
$125.00 |
$125.00 |
$7,279.50
|
|
Insert cath pleura with image
|
$1,615.00 |
$1,615.00 |
$1,615.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,340.50 |
$2,340.50 |
$2,340.50 |
$2,073.18
|
|
Insert drug delivery implant
|
$173.00 |
$173.00 |
$173.00 |
$280.00
|
|
Insert epicardial lead open 33202
|
$8,770.00 |
$8,770.00 |
$8,770.00 |
$3,775.20
|
|
Insert intrauterine device iud
|
$138.50 |
$138.50 |
$138.50 |
$347.10
|
|
Insertion catheter artery nfs ther chemotx 36640
|
$120.00 |
$120.00 |
$120.00 |
$3,706.68
|
|
Insertion catheter bladder non indwelling
|
$129.00 |
$129.00 |
$129.00 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$229.00 |
$229.00 |
$229.00 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$212.00 |
$212.00 |
$212.00 |
$4,782.00
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$229.50 |
$229.50 |
$229.50 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,511.00 |
$2,511.00 |
$2,511.00 |
$2,505.60
|
|
Insertion of cannula
|
$198.50 |
$198.50 |
$198.50 |
$4,341.66
|
|
Insertion of cannula(s)
|
$1,510.50 |
$1,510.50 |
$1,510.50 |
$1,989.39
|
|
Insertion of heart electrode 33211
|
$2,690.50 |
$2,690.50 |
$2,690.50 |
$6,903.60
|
|
Insertion of infusion pump
|
$703.00 |
$703.00 |
$703.00 |
$5,907.78
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$543.50 |
$543.50 |
$543.50 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$503.00 |
$503.00 |
$503.00 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$488.00 |
$488.00 |
$488.00 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$2,419.65
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,710.00 |
$2,710.00 |
$2,710.00 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$2,690.50 |
$2,690.50 |
$2,690.50 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,619.50 |
$2,619.50 |
$2,619.50 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$6,867.50 |
$6,867.50 |
$6,867.50 |
$5,223.20
|
|
Insertion ureth cath
|
$514.50 |
$514.50 |
$514.50 |
$2,412.45
|
|
Insert lens prosthesis
|
$765.50 |
$765.50 |
$765.50 |
$3,173.34
|
|
Insert multi-comp penis pros
|
$845.00 |
$845.00 |
$845.00 |
$21,998.10
|
|
Insert pessary/other device
|
$203.00 |
$203.00 |
$203.00 |
$278.50
|
|
Insert pm/icd lead dual
|
$2,690.50 |
$2,690.50 |
$2,690.50 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$9,390.50 |
$9,390.50 |
$9,390.50 |
$32,800.04
|
|
Insert sq defib electrode
|
$2,690.50 |
$2,690.50 |
$2,690.50 |
$8,167.68
|
|
Insitu hybridization auto
|
$33.00 |
$33.00 |
$33.00 |
$377.37
|
|
Insitu hybridization manual
|
$176.50 |
$176.50 |
$176.50 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$155.50 |
$155.50 |
$155.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$159.50 |
$159.50 |
$159.50 |
$331.69
|
|
Insj biomechanical device 22853
|
$281.00 |
$281.00 |
$281.00 |
$622.40
|
|
Ins lv lead exist pm/icd
|
$4,469.00 |
$4,469.00 |
$4,469.00 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$328.50 |
$328.50 |
$328.50 |
$3,985.20
|
|
Ins pm gen w/exist mlt leads
|
$373.50 |
$373.50 |
$373.50 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$207.50 |
$207.50 |
$207.50 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$359.00 |
$359.00 |
$359.00 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$4,469.00 |
$4,469.00 |
$4,469.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$339.50 |
$339.50 |
$339.50 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$475.50 |
$475.50 |
$475.50 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$3,785.50 |
$3,785.50 |
$3,785.50 |
$21,857.50
|
|
Instillation anticarcinogenic agent bladder
|
$46.50 |
$46.50 |
$46.50 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$2,387.50 |
$2,387.50 |
$2,387.50 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$80.00 |
$80.00 |
$80.00 |
$1,065.00
|
|
Insulin total
|
$62.00 |
$62.00 |
$62.00 |
$66.64
|
|
Intens behave ther cardio dx
|
$37.00 |
$37.00 |
$37.00 |
$47.60
|
|
Intermediate visual field xm
|
$20.50 |
$20.50 |
$20.50 |
$112.80
|
|
Internal nerve revision 64727
|
$183.50 |
$183.50 |
$183.50 |
$806.00
|
|
Interrogate subq defib
|
$38.00 |
$38.00 |
$38.00 |
$119.60
|
|
Interrog dev eval scrms ip
|
$18.00 |
$18.00 |
$18.00 |
$124.80
|
|
Interrog evl pm/ldls pm ip
|
$20.50 |
$20.50 |
$20.50 |
$124.80
|
|
Int hrhc lig 1 hroid without img
|
$350.50 |
$350.50 |
$350.50 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$391.50 |
$391.50 |
$391.50 |
$3,245.23
|
|
Intraop colon lavage add-on
|
$184.00 |
$184.00 |
$184.00 |
$416.80
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$63.15
|
|
Intrm oph exam est patient
|
$50.50 |
$50.50 |
$50.50 |
$161.25
|
|
Intro cath dialysis circuit w/pta
|
$249.50 |
$249.50 |
$249.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$329.50 |
$329.50 |
$329.50 |
$16,262.40
|
|
Intro cath svc/ivc
|
$113.50 |
$113.50 |
$113.50 |
$1,323.27
|
|
Intro long gi tube
|
$20.00 |
$20.00 |
$20.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$26.50 |
$26.50 |
$26.50 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$94.50 |
$94.50 |
$94.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$75.00 |
$75.00 |
$75.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$350.50 |
$350.50 |
$350.50 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$4,786.50 |
$4,786.50 |
$4,786.50 |
$371.18
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$53.85 |
$53.85 |
$53.85 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$27.78 |
$27.78 |
$27.78 |
$288.11
|
