|
Injection into brain canal
|
$5,199.56 |
$5,199.56 |
$5,199.56 |
$844.50
|
|
Injection into vocal cord
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$459.51
|
|
Injection, isavuconazonium
|
$1.84 |
$1.84 |
$1.84 |
$787.67
|
|
Injection jugular
|
$98.45 |
$98.45 |
$98.45 |
$790.00
|
|
Injection of HIV prep drug
|
$53.60 |
$53.60 |
$53.60 |
$78.84
|
|
Injection of sinus tract
|
$741.60 |
$741.60 |
$1,602.15 |
$1,640.99
|
|
Injection,onabotulinumtoxina
|
$13.76 |
$13.76 |
$13.76 |
$2,277.65
|
|
Injection radioactive tracer sentinel node (both sides)
|
$552.20 |
$552.20 |
$1,942.40 |
$694.20
|
|
Injection, renflexis
|
$121.51 |
$121.51 |
$121.51 |
$1,341.52
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$2,901.25 |
$2,901.25 |
$6,291.28 |
$1,582.12
|
|
Injection(s) anesthetic agent(s) and/or steroid femoral nerve left
|
$1,670.35 |
$1,670.35 |
$3,544.28 |
$1,391.40
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$930.60 |
$930.60 |
$3,544.28 |
$1,045.65
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$4,671.49 |
$4,671.49 |
$6,167.70 |
$2,071.80
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$1,321.60 |
$1,321.60 |
$3,547.50 |
$1,030.05
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$1,761.60 |
$1,761.60 |
$6,508.15 |
$1,888.80
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$1,027.20 |
$1,027.20 |
$3,547.50 |
$1,048.20
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$3,083.85 |
$3,083.85 |
$5,979.52 |
$2,006.79
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$1,849.65 |
$1,849.65 |
$2,258.07 |
$1,826.80
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$1,821.60 |
$1,821.60 |
$2,258.07 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$442.75 |
$442.75 |
$1,003.19 |
$485.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$569.25 |
$569.25 |
$1,003.19 |
$552.60
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$1,003.19 |
$1,003.19 |
$1,003.19 |
$638.95
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$136.18 |
$136.18 |
$175.45 |
$145.60
|
|
Injection treatment of nerve
|
$4,666.37 |
$4,666.37 |
$4,666.37 |
$3,219.20
|
|
Injection treatment of nerve
|
$6,355.15 |
$6,355.15 |
$7,530.60 |
$4,446.30
|
|
Injection treatment of nerve
|
$1,198.40 |
$1,198.40 |
$1,198.40 |
$2,050.30
|
|
Injection treatment of nose
|
$976.00 |
$976.00 |
$976.00 |
$859.59
|
|
Inject sacroiliac joint
|
$1,443.20 |
$1,443.20 |
$1,443.20 |
$1,029.04
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$51.22 |
$51.22 |
$51.22 |
$32,176.93
|
|
Inj epidural sgl cerv-thor without img
|
$2,258.07 |
$2,258.07 |
$2,258.07 |
$1,329.00
|
|
Inj epidural sgl lumb-sacral without img
|
$2,258.07 |
$2,258.07 |
$2,258.07 |
$1,450.84
|
|
Inj for ext venography
|
$564.30 |
$564.30 |
$1,596.00 |
$631.80
|
|
Inj for mammo ductogram
|
$564.30 |
$564.30 |
$564.30 |
$397.80
|
|
Inj, gadopiclenol, 1 ml
|
$29.14 |
$29.14 |
$29.14 |
$37.63
|
|
Inj gemcitabine hcl (accord)
|
$54.68 |
$54.68 |
$54.68 |
$131.21
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,899.20 |
$1,899.20 |
$1,899.20 |
$1,492.00
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,712.70 |
$1,712.70 |
$1,712.70 |
$1,818.15
|
|
Inj hrt cath w/s&i sel left vent
|
$536.80 |
$536.80 |
$536.80 |
$1,250.34
|
|
Inj hrt cath w/s&i sel right vent
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$999.96
|
|
Inj intralesional <= 7 lsn(s)
|
$318.14 |
$318.14 |
$318.14 |
$235.13
|
|
Inj, invega hafyera/trinza
|
$12.00 |
$12.00 |
$12.00 |
$32,073.55
|
|
Inj ivig privigen 500 mg
|
$152.71 |
$152.71 |
$152.71 |
$6,967.29
|
|
Inj labetalol hcl hikma, 5mg
|
$25.36 |
$25.36 |
$25.36 |
$41.79
|
|
Inj, levothyroxine, freskabi
|
$25.96 |
$25.96 |
$25.96 |
$320.80
|
|
Inj, lidocaine w epinephrine
|
$1.80 |
$1.80 |
$1.80 |
$45.14
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$622.40 |
$622.40 |
$622.40 |
$794.70
|
|
Inj mepivacaine hcl/10 ml
|
$75.80 |
$75.80 |
$75.80 |
$34.00
|
|
Inj, moxifloxacin 100 mg
|
$35.11 |
$35.11 |
$35.11 |
$101.31
|
|
Inj multihance
|
$12.73 |
$12.73 |
$12.73 |
$70.54
|
|
Inj naloxone hydrochloride
|
$87.60 |
$87.60 |
$87.60 |
$83.16
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$688.60 |
$688.60 |
$4,003.40 |
$1,413.35
|
|
Inj non-compmd foam sclrsnt mlt trncl veins same leg
|
$7,442.40 |
$7,442.40 |
$7,442.40 |
$2,881.20
|
|
Inj non-compmd foam sclrsnt sgl trncl vein
|
$7,087.20 |
$7,087.20 |
$7,087.20 |
$2,726.90
|
|
Inj ocrelizumab 1mg hya-ocsq
|
$68.65 |
$68.65 |
$68.65 |
$1,058.98
|
|
Inj octafluoropropane mic,ml
|
$124.80 |
$124.80 |
$124.80 |
$211.40
|
|
Inj onase abepar-xioi treat
|
$3,844,193.16 |
$3,844,193.16 |
$3,844,193.16 |
$3,572,794.09
|
|
Inj pantoprazole(hikma) 40mg
|
$79.25 |
$79.25 |
$79.25 |
$34.67
|
|
Inj, pasireotide long acting
|
$589.60 |
$589.60 |
$589.60 |
$33,745.84
|
|
Inj proc ankle arthr
|
$235.95 |
$235.95 |
$567.19 |
$405.31
|
|
Inj proc elbow arthro
|
$235.95 |
$235.95 |
$812.80 |
$433.00
|
|
Inj proc lumbr disk ea lvl
|
$282.70 |
$282.70 |
$1,918.40 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$387.75 |
$387.75 |
$2,401.28 |
$840.00
|
|
Inj proc sialogram
|
$293.70 |
$293.70 |
$486.40 |
$369.45
|
|
Inj progesterone per 50 mg
|
$75.48 |
$75.48 |
$75.48 |
$13.76
|
|
Inj prohance multipack
|
$18.40 |
$18.40 |
$18.40 |
$10.40
|
|
Inj retro urethrocysto
|
$430.65 |
$430.65 |
$731.20 |
$447.74
|
|
Inj, rimabotulinumtoxinb
|
$28.00 |
$28.00 |
$28.00 |
$714.24
|
|
Inj scleros sol mult veins
|
$1,117.60 |
$1,117.60 |
$1,117.60 |
$707.85
|
|
Inj scleros sol sgl vein
|
$848.80 |
$848.80 |
$848.80 |
$561.88
|
|
Inj secukinumab intrav 1mg
|
$27.91 |
$27.91 |
$27.91 |
$4,413.21
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$516.00 |
$516.00 |
$516.00 |
$436.80
|
|
Inj, taliglucerace alfa 10 u
|
$70.52 |
$70.52 |
$70.52 |
$1,573.27
|
|
Inj. teprotumumab-trbw 10 mg
|
$544.34 |
$544.34 |
$544.34 |
$35,034.78
|
|
Inj testosterone cypionate
|
$2.40 |
$2.40 |
$2.40 |
$64.96
|
|
Inj thiotepa nos 1 mg
|
$67.20 |
$67.20 |
$67.20 |
$3,170.16
|
|
Inj thrc fascial pln blk bi w/wo image
|
$508.00 |
$508.00 |
$508.00 |
$1,059.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$660.00 |
$660.00 |
$660.00 |
$837.50
|
|
Inj triamcinolone ace X-ray 1mg
|
$28.00 |
$28.00 |
$28.00 |
$1,090.75
|
|
Inj, tyenne, 1 mg
|
$8.04 |
$8.04 |
$8.04 |
$3,525.12
|
|
Inj, vasopressin (baxter)
|
$9.60 |
$9.60 |
$9.60 |
$202.50
|
|
Inj vocal cord bulking agent
|
$801.48 |
$801.48 |
$801.48 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$720.50 |
$720.50 |
$2,011.88 |
$504.40
|
|
Inpt/ed teleconsult30
|
$429.60 |
$429.60 |
$429.60 |
$156.60
|
|
Inpt/ed teleconsult50
|
$584.80 |
$584.80 |
$584.80 |
$223.80
|
|
Inpt/ed teleconsult70
|
$865.60 |
$865.60 |
$865.60 |
$315.00
|
|
Inpt/tele follow up 15
|
$168.00 |
$168.00 |
$168.00 |
$64.80
|
|
Inpt/tele follow up 25
|
$309.60 |
$309.60 |
$309.60 |
$116.80
|
|
Inpt/tele follow up 35
|
$447.20 |
$447.20 |
$447.20 |
$168.96
|
|
Ins cath ren art 1st bi
|
$7,143.95 |
$7,143.95 |
$8,106.03 |
$5,974.80
|
|
Ins cath ren art 1st uni
|
$3,572.25 |
$3,572.25 |
$8,106.03 |
$4,692.00
|
|
Ins cath ren art 2nd+ bi
|
$7,653.80 |
$7,653.80 |
$11,690.40 |
$5,663.98
|
|
Ins cath ren art 2nd+ uni
|
$3,826.90 |
$3,826.90 |
$11,236.80 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$815.40 |
$815.40 |
$1,004.85 |
$488.35
|
|
Insert and remove bone pin
|
$9,636.44 |
$9,636.44 |
$9,636.44 |
$4,433.36
|
|
Insert balloon device
|
$5,399.20 |
$5,399.20 |
$5,399.20 |
$2,067.52
|
|
Insert cath pleura with image
|
$3,253.80 |
$3,253.80 |
$5,149.82 |
$2,194.40
|
|
Insert cath pleura without image
|
$2,711.50 |
$2,711.50 |
$2,711.50 |
$2,101.52
|
|
Insert cv cath inf & sup app
|
$25,367.56 |
$25,367.56 |
$25,367.56 |
$9,763.31
|
|
Insert drug delivery implant
|
$685.71 |
$685.71 |
$685.71 |
$280.00
|
|
Insert epicardial lead open 33202
|
$8,871.20 |
$8,871.20 |
$8,871.20 |
$3,775.20
|