|
Inj, mirikizumab-mrkz, 1 mg
|
$51.19 |
$51.19 |
$51.19 |
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$835.38 |
$835.38 |
$835.38 |
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$154.07 |
$154.07 |
$154.07 |
|
|
Inj proc ankle arthr
|
$193.73 |
$193.73 |
$193.73 |
|
|
Inj proc elbow arthro
|
$244.35 |
$244.35 |
$244.35 |
|
|
Inj proc lumbr disk ea lvl
|
$725.34 |
$725.34 |
$725.34 |
|
|
Inj proc myelogram lumbar
|
$434.03 |
$446.24 |
$619.08 |
|
|
Inj retacrit esrd on dialysi
|
$2.44 |
$4.16 |
$4.95 |
|
|
Inj retro urethrocysto
|
$123.90 |
$123.90 |
$224.08 |
|
|
Inj scleros sol mult veins
|
$769.44 |
$769.44 |
$769.44 |
|
|
Inj scleros sol sgl vein
|
$386.82 |
$386.82 |
$386.82 |
|
|
Inj w/fluor eval cv device
|
$315.84 |
$577.80 |
$635.15 |
|
|
Ins cath ren art 1st bi
|
$4,236.54 |
$4,236.54 |
$4,236.54 |
|
|
Ins cath ren art 1st uni
|
$2,529.66 |
$2,529.66 |
$2,529.66 |
|
|
Ins cath ren art 2nd+ bi
|
$6,112.68 |
$6,112.68 |
$6,112.68 |
|
|
Ins cath ren art 2nd+ uni
|
$3,513.30 |
$3,513.30 |
$3,513.30 |
|
|
Ins cerv dilator (sep proc)
|
$191.94 |
$366.72 |
$436.24 |
|
|
Insert abdomen-venous drain
|
$3,147.06 |
$3,147.06 |
$3,147.06 |
|
|
Insert cath pleura with image
|
$1,961.82 |
$1,961.82 |
$2,899.74 |
|
|
Insert cath pleura without image
|
$1,602.72 |
$1,602.72 |
$2,832.96 |
|
|
Insert hepatic shunt (tips)
|
$6,091.68 |
$6,091.68 |
$6,091.68 |
|
|
Insertion catheter bladder non indwelling
|
$81.48 |
$158.62 |
$174.37 |
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$1,975.68 |
$1,975.68 |
$1,975.68 |
|
|
Insertion intra aortic balloon assist device percutaneous
|
$2,499.42 |
$2,499.42 |
$2,499.42 |
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,852.22 |
$2,852.22 |
$2,852.22 |
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$236.16 |
$304.59 |
$2,209.20 |
|
|
Insertion of catheter vein
|
$1,319.64 |
$1,319.64 |
$1,319.64 |
|
|
Insertion of catheter vein
|
$367.08 |
$367.08 |
$367.08 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$6,363.84 |
$6,363.84 |
$6,363.84 |
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$5,893.86 |
$5,893.86 |
$5,893.86 |
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$7,443.66 |
$7,443.66 |
$7,443.66 |
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,337.18 |
$1,374.81 |
$1,469.90 |
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,501.08 |
$1,844.10 |
$2,027.14 |
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$28,060.62 |
$28,060.62 |
$28,060.62 |
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$2,869.86 |
$2,869.86 |
$2,869.86 |
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,135.74 |
$4,135.74 |
$4,135.74 |
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$2,878.26 |
$2,878.26 |
$2,878.26 |
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,785.04 |
$3,785.04 |
$3,785.04 |
|
|
Insert picvad cath
|
$5,475.54 |
$5,475.54 |
$5,475.54 |
|
|
Insert pm/icd lead dual
|
$4,342.80 |
$4,342.80 |
$4,342.80 |
|
|
Insert/repl sq defib w/eltrd
|
$29,002.26 |
$29,002.26 |
$29,002.26 |
|
|
Insert sq defib electrode
|
$5,334.84 |
$5,334.84 |
$5,334.84 |
|
|
Insert swan-ganz cath
|
$1,590.96 |
$1,590.96 |
$1,590.96 |
|
|
Insert tunneled cv cath
|
$3,129.84 |
$3,129.84 |
$3,129.84 |
|
|
Insert uteri tandem/ovoids
|
$1,215.48 |
$1,215.48 |
$1,215.48 |
|
|
Insert vad art access left hrt arterial access
|
$2,361.66 |
$2,361.66 |
$2,361.66 |
|
|
Ins icd gen exist mlt leads
|
$25,204.20 |
$25,204.20 |
$25,204.20 |
|
|
Ins icd gen exist sgl lead
|
$12,564.30 |
$12,564.30 |
$12,564.30 |
|
|
Insitu hybridization auto
|
$300.30 |
$300.30 |
$573.68 |
|
|
Insitu hybridization (fish)
|
$217.14 |
$217.14 |
$217.14 |
|
|
Insitu hybridization manual
|
$300.30 |
$407.11 |
$573.68 |
|
|
In situ hybridization per specimen each additional single probe stain
|
$57.12 |
$147.66 |
$170.99 |
|
|
In situ hybridization per specimen initial single probe stain
|
$143.64 |
$195.05 |
$274.86 |
|
|
Insj perq vad r hrt venous
|
$2,321.34 |
$2,321.34 |
$2,321.34 |
|
|
Insj phrnc nrv stim sys
|
$22,875.72 |
$22,875.72 |
$22,875.72 |
|
|
Ins lv lead exist pm/icd
|
$7,615.86 |
$7,615.86 |
$7,615.86 |
|
|
Ins picad w subq port 5yr>
|
$4,718.70 |
$4,718.70 |
$4,718.70 |
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,052.52 |
$1,298.03 |
$1,426.87 |
|
|
Ins pm gen exist dual lead
|
$24,003.84 |
$24,003.84 |
$24,003.84 |
|
|
Ins pm gen w/exist mlt leads
|
$7,460.04 |
$7,460.04 |
$7,460.04 |
|
|
Ins pq tunnld ip cath w/img
|
$3,668.28 |
$3,668.28 |
$3,668.28 |
|
|
Ins/rpl ldless pm right vent w img & eval
|
$12,128.34 |
$12,128.34 |
$12,128.34 |
|
|
Ins/rpl pm gen exist dual lead
|
$7,149.24 |
$7,149.24 |
$7,149.24 |
|
|
Ins/rpl pm gen exist sgl lead
|
$6,809.04 |
$6,809.04 |
$6,809.04 |
|
|
Ins/rpl pm w/tv ld atrl
|
$5,602.80 |
$5,602.80 |
$5,602.80 |
|
|
Inst fibrinolysis agent ini day
|
$637.98 |
$637.98 |
$637.98 |
|
|
Instillation anticarcinogenic agent bladder
|
$402.78 |
$402.78 |
$459.76 |
|
|
Ins tun cv cath wo subq prt/pm
|
$3,293.22 |
$3,293.22 |
$3,293.22 |
|
|
Ins tun cv cath wo subq prt/pm
|
$1,648.50 |
$1,648.50 |
$1,648.50 |
|
|
Inst via cath agent pleurds
|
$630.42 |
$630.42 |
$630.42 |
|
|
Insulin total
|
$23.94 |
$35.06 |
$37.91 |
|
|
Integra meshed bil wound mat
|
$162.83 |
$162.83 |
$162.83 |
|
|
Interdiscal perq aspir dx
|
$485.10 |
$485.10 |
$485.10 |
|
|
Interrogate subq defib
|
$42.00 |
$42.00 |
$42.00 |
|
|
Intra-atrial pacing
|
$2,750.58 |
$2,750.58 |
$2,750.58 |
|
|
Intra-atrial recording
|
$2,750.58 |
$2,750.58 |
$2,750.58 |
|
|
Intracard echo interv w/s&i
|
$3,805.20 |
$3,805.20 |
$3,805.20 |
|
|
Intracran angioplsty w/stent
|
$11,364.78 |
$11,364.78 |
$11,364.78 |
|
|
Intracranial angioplasty
|
$9,092.16 |
$9,092.16 |
$9,092.16 |
|
|
Intracranial complete study
|
$265.02 |
$265.02 |
$265.02 |
|
|
Intracranial limited study
|
$153.72 |
$153.72 |
$388.02 |
|
|
Intrapul surf admin endo tube
|
$74.66 |
$90.72 |
$101.29 |
|
|
Intraventricular pacing
|
$1,868.58 |
$1,868.58 |
$1,868.58 |
|
|
Intrinsic factor antibody
|
$24.78 |
$41.06 |
$69.80 |
|
|
Intro cath dialysis circuit
|
$1,123.92 |
$1,123.92 |
$1,123.92 |
|
|
Intro cath dialysis circuit w/pta
|
$5,187.00 |
$5,187.00 |
$5,187.00 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,484.52 |
$13,484.52 |
$13,484.52 |
|
|
Intro catheter aorta
|
$584.22 |
$584.22 |
$584.22 |
|
|
Intro cath svc/ivc
|
$754.32 |
$754.32 |
$754.32 |
|
|
Intro long gi tube
|
$715.26 |
$715.26 |
$715.26 |
|
|
Intro long gi tube w/mult fluo
|
$210.42 |
$210.42 |
$325.25 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,311.26 |
$2,311.26 |
$2,311.26 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$608.58 |
$608.58 |
$608.58 |
|
|
Intubation endotracheal emergency procedure
|
$228.90 |
$397.43 |
$512.58 |
|
|
Iodine i-123 sod iodide mil
|
$688.38 |
$688.38 |
$688.38 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.56 |
$2.56 |
$2.56 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.20 |
$0.20 |
$0.20 |
|
|
Iron
|
$87.36 |
$127.92 |
$138.32 |
|
|
Iron binding capacity
|
$11.34 |
$16.60 |
$17.96 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$100.38 |
$143.76 |
$170.94 |
|
