|
Iron
|
$11.72 |
$33.70 |
$260.15 |
|
|
Iron binding capacity
|
$2.27 |
$4.37 |
$109.08 |
|
|
Iron dextran 50 mg/ml injection solution
|
$51.19 |
$51.19 |
$51.19 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$143.13 |
$154.38 |
$509.02 |
|
|
Irradiation of blood product each unit reference
|
$19.47 |
$64.94 |
$132.82 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$54.13 |
$96.66 |
$248.57 |
|
|
Island pedicle flap graft
|
$1,839.72 |
$1,839.72 |
$1,839.72 |
|
|
Ivc venogram s&i
|
$1,058.44 |
$1,385.38 |
$5,425.51 |
|
|
IV Fluids (each additional hour)
|
$28.07 |
$58.97 |
$304.22 |
|
|
IV Fluids (first hour)
|
$78.55 |
$201.13 |
$458.56 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$49.37 |
$82.01 |
$397.72 |
|
|
IV inj ra drug dx study
|
$88.98 |
$191.90 |
$568.16 |
|
|
IV Medicine Infusion (additional drug)
|
$54.21 |
$115.88 |
$410.33 |
|
|
IV Medicine Infusion (each additional hour)
|
$31.94 |
$76.08 |
$410.33 |
|
|
IV Medicine Infusion (first hour)
|
$122.45 |
$223.33 |
$586.18 |
|
|
IV njx tst vasc flo flap/grf
|
$178.19 |
$178.19 |
$178.19 |
|
|
IV Push Injection (each additional drug)
|
$38.70 |
$78.40 |
$301.26 |
|
|
IV Push Injection (first drug)
|
$88.72 |
$132.89 |
$332.06 |
|
|
Ivp w/nephrotomography
|
$518.70 |
$666.12 |
$1,548.56 |
|
|
Ivp w/wo kub w/wo tomography
|
$287.85 |
$395.42 |
$1,049.19 |
|
|
Ixabepilone 15 mg intravenous solution
|
$4,893.42 |
$4,893.42 |
$4,893.42 |
|
|
Jak2 targeted sequence analysis
|
$56.80 |
$193.78 |
$644.40 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$74.67 |
$116.72 |
$630.70 |
|
|
Jaw (Mandible) X-ray (complete)
|
$73.91 |
$115.53 |
$756.84 |
|
|
John cunningham antibody
|
$6.68 |
$10.61 |
$767.44 |
|
|
Ketamine and metabolite screen - quest
|
$12.18 |
$22.91 |
$81.35 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$5.12 |
$10.13 |
$123.92 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$9.94 |
$13.34 |
$25.46 |
|
|
Kidney function study
|
$279.15 |
$372.64 |
$525.23 |
|
|
Kidney imaging morphology
|
$331.94 |
$471.80 |
$668.94 |
|
|
Kidney imag w/bld flow multi
|
$364.75 |
$786.66 |
$2,444.04 |
|
|
Kidney img w/bldflw sgl without rx
|
$81.02 |
$621.65 |
$2,415.96 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$95.06 |
$270.24 |
$908.95 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$61.32 |
$171.70 |
$599.54 |
|
|
Kit case 4.2mm spinejack
|
$3,025.07 |
$3,295.60 |
$3,923.92 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$3,395.12 |
$4,358.90 |
$12,249.75 |
|
|
Kit gene analys d816 variant
|
$40.33 |
$130.63 |
$844.61 |
|
|
Kit hfx iq ipg bundle
|
$8,677.91 |
$30,004.10 |
$63,741.12 |
|
|
Kit ipg optimizer smart
|
$23,837.95 |
$43,523.06 |
$50,599.98 |
|
|
Kit lead specify 5-6-5
|
$2,473.20 |
$13,876.90 |
$23,180.14 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$574.52 |
$759.99 |
$1,498.39 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$93.28 |
$112.32 |
$12,249.75 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,296.51 |
$1,672.77 |
$3,357.75 |
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$970.54 |
$970.54 |
$970.54 |
|
|
Knee arthroscopy/drainage
|
$804.33 |
$804.33 |
$804.33 |
|
|
Knee arthroscopy dx
|
$693.77 |
$693.77 |
$693.77 |
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$843.66 |
$843.66 |
$843.66 |
|
|
Knee arthroscopy/surgery
|
$838.46 |
$838.46 |
$838.46 |
|
|
Knee arthroscopy/surgery
|
$777.62 |
$777.62 |
$777.62 |
|
|
Knee arthroscopy/surgery
|
$1,062.55 |
$1,062.55 |
$1,062.55 |
|
|
Knee arthroscopy/surgery
|
$1,030.64 |
$1,030.64 |
$1,030.64 |
|
|
Knee arthroscopy/surgery
|
$877.05 |
$877.05 |
$877.05 |
|
|
Knee arthroscopy/surgery
|
$1,075.90 |
$1,075.90 |
$1,075.90 |
|
|
Knee arthroscopy/surgery
|
$1,082.58 |
$1,082.58 |
$1,082.58 |
|
|
Knee arthroscopy/surgery
|
$1,524.07 |
$1,524.07 |
$1,524.07 |
|
|
Knee MRI (with and without contrast)
|
$524.64 |
$778.04 |
$12,385.47 |
|
|
Knee MRI (with contrast)
|
$437.18 |
$648.33 |
$9,082.83 |
|
|
Knee MRI (without contrast)
|
$349.71 |
$518.62 |
$5,898.16 |
|
|
Knee X-ray
|
$85.12 |
$133.06 |
$1,594.56 |
|
|
Knee X-ray (1 to 2 views, both knees)
|
$64.60 |
$100.98 |
$808.78 |
|
|
Knee X-ray (3 views, both knees)
|
$76.00 |
$118.80 |
$1,226.53 |
|
|
Knee X-ray (standing, both knees)
|
$75.24 |
$122.76 |
$434.82 |
|
|
Kras gene addl variants
|
$38.86 |
$140.94 |
$672.22 |
|
|
Kras gene variants exon 2
|
$62.44 |
$203.18 |
$672.22 |
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$15.66 |
$18.26 |
$33.08 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$0.06 |
$16.06 |
$93.80 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$169.99 |
$178.83 |
$253.00 |
|
|
Lactate dehydrogenase (ldh)
|
$8.74 |
$26.72 |
$97.84 |
|
|
Lactated ringers intravenous solution
|
$22.54 |
$80.15 |
$93.80 |
|
|
Lactic acid
|
$16.38 |
$29.25 |
$159.53 |
|
|
Lactoferrin fecal qualitative
|
$8.23 |
$16.27 |
$102.40 |
|
|
Lactoferrin fecal quant
|
$23.05 |
$38.76 |
$165.47 |
|
|
Lam facetc/frmt arthrd lum 1
|
$395.49 |
$395.49 |
$395.49 |
|
|
Lam facetec & foramot crv
|
$1,993.02 |
$1,993.02 |
$1,993.02 |
|
|
Lam facetec & foramot lumbar
|
$1,713.28 |
$1,713.28 |
$1,713.28 |
|
|
Lam facetec & foramot thrc
|
$1,902.49 |
$1,902.49 |
$1,902.49 |
|
|
Lam factc/frmt arthrd lum ea
|
$350.97 |
$350.97 |
$350.97 |
|
|
Lamie bx/exc idrl spine lesn lmbr 63282
|
$2,810.70 |
$2,810.70 |
$2,810.70 |
|
|
Lamie bx/exc idrl spine lesn thrc 63281
|
$3,242.54 |
$3,242.54 |
$3,242.54 |
|
|
Lamie excise intrspinl lesion thrc 63266
|
$2,657.11 |
$2,657.11 |
$2,657.11 |
|
|
Laminotomy single cervical
|
$2,136.22 |
$2,136.22 |
$2,136.22 |
|
|
Laminotomy single lumbar
|
$2,004.15 |
$2,004.15 |
$2,004.15 |
|
|
Lamiotoiotiotinotomy addl cervical 63043
|
$377.68 |
$377.68 |
$377.68 |
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$16,777.44 |
$16,777.44 |
$28,387.44 |
|
|
Lanthanum carbonate oral 5mg
|
$21.90 |
$21.90 |
$23.86 |
|
|
Laparo cholecystectomy/explr
|
$1,380.50 |
$1,380.50 |
$1,380.50 |
|
|
Laparo cholecystectomy/graph
|
$887.83 |
$887.83 |
$1,112.26 |
|
|
Laparo partial colectomy 44204
|
$2,168.13 |
$2,168.13 |
$2,168.13 |
|
|
Laparo partial nephrectomy
|
$2,145.87 |
$2,145.87 |
$2,145.87 |
|
|
Laparo proc abdm/per/oment 49329
|
$4,719.12 |
$4,719.12 |
$4,719.12 |
|
|
Laparo radical nephrectomy
|
$1,920.30 |
$1,920.30 |
$1,920.30 |
|
|
Laparo remove w/ureter
|
$1,886.17 |
$1,886.17 |
$1,886.17 |
|
|
Laparoscopic proc
|
$1,630.92 |
$1,630.92 |
$1,630.92 |
|
|
Laparoscopy excise lesions
|
$1,009.12 |
$1,009.12 |
$1,009.12 |
|
|
Laparoscopy fundoplasty
|
$1,515.91 |
$1,515.91 |
$1,515.91 |
|
|
Laparoscopy lymphadenectomy
|
$972.77 |
$972.77 |
$972.77 |
|
|
Laparoscopy lysis
|
$1,060.32 |
$1,060.32 |
$1,060.32 |
|
|
Laparoscopy remove adnexa
|
$300.97 |
$300.97 |
$300.97 |
|
|
Laparoscopy vagus nerve
|
$1,084.81 |
$1,084.81 |
$1,084.81 |
|
|
Lap close enterostomy with resect 44227
|
$2,547.29 |
$2,547.29 |
$2,547.29 |
|