|
Inj cefazolin sodium, hikma
|
$16.21 |
$16.21 |
$16.21 |
$29.10
|
|
Inj ceftolozane tazobactam
|
$558.33 |
$558.33 |
$558.33 |
$408.00
|
|
Inj cntr knee arthro incl ct/mri
|
$460.00 |
$460.00 |
$460.00 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$945.00
|
|
Inj dx for sinogram
|
$380.00 |
$380.00 |
$380.00 |
$413.82
|
|
Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides)
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,214.78
|
|
Injection arthrography hip without anesthesia (both sides)
|
$460.00 |
$460.00 |
$460.00 |
$500.50
|
|
Injection, cangrelor
|
$64.00 |
$64.00 |
$64.00 |
$1,889.78
|
|
Injection carpal tunnel therapeutic (both sides)
|
$815.00 |
$815.00 |
$815.00 |
$504.90
|
|
Injection epidural blood patch or clot
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$1,156.80
|
|
Injection for arthrography wrist (both sides)
|
$460.00 |
$460.00 |
$460.00 |
$441.12
|
|
Injection for bladder x-ray
|
$380.00 |
$380.00 |
$380.00 |
$459.20
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$460.00 |
$460.00 |
$460.00 |
$494.65
|
|
Injection for ureter x-ray
|
$640.00 |
$640.00 |
$640.00 |
$515.21
|
|
Injection jugular
|
$790.00 |
$790.00 |
$790.00 |
$790.00
|
|
Injection of sinus tract
|
$500.00 |
$500.00 |
$500.00 |
$1,627.60
|
|
Injection,onabotulinumtoxina
|
$22.36 |
$22.36 |
$22.36 |
$2,241.61
|
|
Injection radioactive tracer sentinel node (both sides)
|
$257.50 |
$257.50 |
$257.50 |
$683.28
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$515.00 |
$515.00 |
$515.00 |
$1,045.65
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$580.00 |
$580.00 |
$580.00 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$895.00 |
$895.00 |
$895.00 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$625.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$90.00 |
$90.00 |
$90.00 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$90.00 |
$90.00 |
$90.00 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$90.00 |
$90.00 |
$90.00 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$55.00 |
$55.00 |
$55.00 |
$135.20
|
|
Injection treatment of nerve
|
$1,290.00 |
$1,290.00 |
$1,290.00 |
$2,054.00
|
|
Inject sacroiliac joint
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$963.00
|
|
Inj for ext venography
|
$610.00 |
$610.00 |
$610.00 |
$654.00
|
|
Inj for mammo ductogram
|
$172.50 |
$172.50 |
$172.50 |
$433.50
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$650.00 |
$650.00 |
$650.00 |
$783.50
|
|
Inj, moxifloxacin 100 mg
|
$51.41 |
$51.41 |
$51.41 |
$107.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$925.00 |
$925.00 |
$925.00 |
$1,414.40
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$975.00 |
$975.00 |
$975.00 |
$2,485.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$885.00 |
$885.00 |
$885.00 |
$2,431.74
|
|
Inj octafluoropropane mic,ml
|
$160.00 |
$160.00 |
$160.00 |
$211.40
|
|
Inj pemetrexed (sandoz) 10mg
|
$13.32 |
$13.32 |
$13.32 |
$95.26
|
|
Inj proc elbow arthro
|
$460.00 |
$460.00 |
$460.00 |
$432.00
|
|
Inj proc for lymphang
|
$195.00 |
$195.00 |
$195.00 |
$805.80
|
|
Inj proc lumbr disk ea lvl
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$1,139.40
|
|
Inj proc myelogram lumbar
|
$580.00 |
$580.00 |
$580.00 |
$856.00
|
|
Inj retro urethrocysto
|
$450.00 |
$450.00 |
$450.00 |
$450.00
|
|
Inj scleros sol mult veins
|
$425.00 |
$425.00 |
$425.00 |
$602.50
|
|
Inj scleros sol sgl vein
|
$142.50 |
$142.50 |
$142.50 |
$534.40
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$125.00 |
$125.00 |
$125.00 |
$436.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$775.00 |
$775.00 |
$775.00 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$650.00 |
$650.00 |
$650.00 |
$818.00
|
|
Inj w/fluor eval cv device
|
$377.50 |
$377.50 |
$377.50 |
$463.40
|
|
Ins cath ren art 1st bi
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$5,741.00
|
|
Ins cath ren art 1st uni
|
$3,335.00 |
$3,335.00 |
$3,335.00 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$5,408.65
|
|
Ins cath ren art 2nd+ uni
|
$3,335.00 |
$3,335.00 |
$3,335.00 |
$5,419.00
|
|
Ins cerv dilator (sep proc)
|
$382.50 |
$382.50 |
$382.50 |
$488.35
|
|
Insert abdomen-venous drain
|
$7,145.00 |
$7,145.00 |
$7,145.00 |
$3,199.20
|
|
Insert cath pleura with image
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$2,019.00
|
|
Insert drug delivery implant
|
$305.00 |
$305.00 |
$305.00 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$11,055.00 |
$11,055.00 |
$11,055.00 |
$8,367.70
|
|
Insert intrauterine device iud
|
$570.00 |
$570.00 |
$570.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$117.50 |
$117.50 |
$117.50 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$195.00 |
$195.00 |
$195.00 |
$229.32
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$4,731.80
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,180.00 |
$6,180.00 |
$6,180.00 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,511.00
|
|
Insertion of catheter vein
|
$880.00 |
$880.00 |
$880.00 |
$1,657.32
|
|
Insertion of catheter vein
|
$760.00 |
$760.00 |
$760.00 |
$836.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$2,414.10
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,410.00 |
$2,410.00 |
$2,410.00 |
$5,236.80
|
|
Insert swan-ganz cath
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$2,210.50
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$5,018.25
|
|
Insitu hybridization auto
|
$295.00 |
$295.00 |
$295.00 |
$371.00
|
|
Insitu hybridization (fish)
|
$322.50 |
$322.50 |
$322.50 |
$481.60
|
|
Insitu hybridization manual
|
$357.50 |
$357.50 |
$357.50 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$257.50 |
$257.50 |
$257.50 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$322.50 |
$322.50 |
$322.50 |
$326.04
|
|
Ins mark abd/pel for right perq
|
$3,390.00 |
$3,390.00 |
$3,390.00 |
$2,376.00
|
|
Ins picad w subq port 5yr>
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$3,912.93
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,855.00 |
$1,855.00 |
$1,855.00 |
$1,609.25
|
|
Ins pq tunnld ip cath w/img
|
$3,490.00 |
$3,490.00 |
$3,490.00 |
$5,377.00
|
|
Instillation anticarcinogenic agent bladder
|
$505.00 |
$505.00 |
$505.00 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$7,651.38
|
|
Ins tun cv cath wo subq prt/pm
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,130.00 |
$3,130.00 |
$3,130.00 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$695.00 |
$695.00 |
$695.00 |
$1,093.50
|
|
Insulin total
|
$65.00 |
$65.00 |
$65.00 |
$66.64
|
|
Interdiscal perq aspir dx
|
$710.00 |
$710.00 |
$710.00 |
$1,180.84
|
|
Interrogate subq defib
|
$255.00 |
$255.00 |
$255.00 |
$125.76
|
|
Intracranial complete study
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$900.50
|
|
Intrapul surf admin endo tube
|
$205.00 |
$205.00 |
$205.00 |
$220.80
|
|
Intrinsic factor antibody
|
$95.00 |
$95.00 |
$95.00 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$8,065.00 |
$8,065.00 |
$8,065.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,620.00 |
$15,620.00 |
$15,620.00 |
$15,805.00
|
|
Intro catheter aorta
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$880.00 |
$880.00 |
$880.00 |
$1,329.90
|
|
Intro long gi tube
|
$457.50 |
$457.50 |
$457.50 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$317.50 |
$317.50 |
$317.50 |
$449.40
|
|
Intro windpipe wire/tube
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$2,369.76
|
