|
Intens cardiac rehab w/exerc
|
$59.15 |
$59.15 |
$59.15 |
$238.40
|
|
Interdiscal perq aspir dx
|
$36.54 |
$36.54 |
$36.54 |
$1,222.26
|
|
Intermediate visual field xm
|
$8.40 |
$8.40 |
$8.40 |
$112.80
|
|
Internal nerve revision 64727
|
$42.98 |
$42.98 |
$42.98 |
$806.00
|
|
Interrogate subq defib
|
$6.09 |
$6.09 |
$6.09 |
$119.60
|
|
Interrogation vad in person
|
$7.42 |
$7.42 |
$7.42 |
$296.40
|
|
Interrog dev eval icpms ip
|
$9.38 |
$9.38 |
$9.38 |
$103.50
|
|
Interrog dev eval scrms ip
|
$8.68 |
$8.68 |
$8.68 |
$124.80
|
|
Interrog device eval heart
|
$29.12 |
$29.12 |
$29.12 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$18.90 |
$18.90 |
$18.90 |
$124.80
|
|
Intestinal stricturoplasty
|
$250.25 |
$250.25 |
$250.25 |
$2,351.50
|
|
Int hrhc lig 1 hroid without img
|
$85.12 |
$85.12 |
$85.12 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$94.43 |
$94.43 |
$94.43 |
$3,245.23
|
|
Intra-atrial pacing
|
$26.04 |
$26.04 |
$26.04 |
$4,780.80
|
|
Intranasal biopsy 30100
|
$34.93 |
$34.93 |
$34.93 |
$2,133.48
|
|
Intraop colon lavage add-on
|
$38.57 |
$38.57 |
$38.57 |
$416.80
|
|
Intraoral i+d tongue/floor lingual 41000
|
$26.60 |
$26.60 |
$26.60 |
$1,331.45
|
|
Intraoral periapical first
|
$3.85 |
$3.85 |
$3.85 |
$54.88
|
|
Intrinsic factor antibody
|
$1.06 |
$1.06 |
$1.06 |
$63.15
|
|
Intrm oph exam est patient
|
$15.82 |
$15.82 |
$15.82 |
$161.25
|
|
Intro cath dialysis circuit
|
$635.18 |
$635.18 |
$635.18 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$2,232.44 |
$2,232.44 |
$2,232.44 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$3,206.63 |
$3,206.63 |
$3,206.63 |
$16,262.40
|
|
Intro catheter aorta
|
$395.50 |
$395.50 |
$395.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$527.31 |
$527.31 |
$527.31 |
$1,323.27
|
|
Intro long gi tube
|
$125.93 |
$125.93 |
$125.93 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$7.00 |
$7.00 |
$7.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$451.50 |
$451.50 |
$451.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$15.96 |
$15.96 |
$15.96 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$104.23 |
$104.23 |
$104.23 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.59 |
$0.59 |
$0.59 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1.12 |
$1.12 |
$1.12 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$23.87 |
$23.87 |
$23.87 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$30.59 |
$30.59 |
$30.59 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$40.25 |
$40.25 |
$40.25 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$15.12 |
$15.12 |
$15.12 |
$134.46
|
|
Ipratropium bromide non-comp
|
$2.10 |
$2.10 |
$2.10 |
$3.75
|
|
Iron
|
$45.01 |
$45.01 |
$45.01 |
$72.29
|
|
Iron binding capacity
|
$0.61 |
$0.61 |
$0.61 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$3.15 |
$3.15 |
$3.15 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$164.74 |
$164.74 |
$164.74 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$4.55 |
$4.55 |
$4.55 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$42.98 |
$42.98 |
$42.98 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$5.95 |
$5.95 |
$5.95 |
$132.00
|
|
Island pedicle flap graft
|
$205.80 |
$205.80 |
$205.80 |
$2,468.80
|
|
Ivc venogram s&i
|
$631.82 |
$631.82 |
$631.82 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$53.69 |
$53.69 |
$53.69 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$49.77 |
$49.77 |
$49.77 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$60.97 |
$60.97 |
$60.97 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$106.40 |
$106.40 |
$106.40 |
$437.45
|
|
Ivp w/nephrotomography
|
$303.17 |
$303.17 |
$303.17 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$145.18 |
$145.18 |
$145.18 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$20.65 |
$20.65 |
$20.65 |
$393.43
|
|
Jejunstmy tube plcmt
|
$56.35 |
$56.35 |
$56.35 |
$2,174.40
|
|
John cunningham antibody
|
$2.10 |
$2.10 |
$2.10 |
$66.31
|
|
J-tube placement
|
$32.06 |
$32.06 |
$32.06 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$7.42 |
$7.42 |
$7.42 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$14.42 |
$14.42 |
$14.42 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$13.57 |
$13.57 |
$13.57 |
$23.77
|
|
Kidney endoscopy & treatment
|
$92.61 |
$92.61 |
$92.61 |
$5,626.86
|
|
Kidney imaging morphology
|
$247.45 |
$247.45 |
$247.45 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$473.76 |
$473.76 |
$473.76 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$395.57 |
$395.57 |
$395.57 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$283.15 |
$283.15 |
$283.15 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$9.94 |
$9.94 |
$9.94 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$1,974.00 |
$1,974.00 |
$1,974.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$19.60 |
$19.60 |
$19.60 |
$366.03
|
|
Kit lead specify 5-6-5
|
$2,972.06 |
$2,972.06 |
$2,972.06 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$662.83 |
$662.83 |
$662.83 |
$1,667.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$152.95 |
$152.95 |
$152.95 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$127.54 |
$127.54 |
$127.54 |
$3,839.54
|
|
Knee arthroscopy dx
|
$103.04 |
$103.04 |
$103.04 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$374.57 |
$374.57 |
$374.57 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$154.14 |
$154.14 |
$154.14 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$226.24 |
$226.24 |
$226.24 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$134.33 |
$134.33 |
$134.33 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$132.09 |
$132.09 |
$132.09 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$122.85 |
$122.85 |
$122.85 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$160.44 |
$160.44 |
$160.44 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$162.61 |
$162.61 |
$162.61 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$138.67 |
$138.67 |
$138.67 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$168.70 |
$168.70 |
$168.70 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$204.82 |
$204.82 |
$204.82 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$152.67 |
$152.67 |
$152.67 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$157.08 |
$157.08 |
$157.08 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$185.15 |
$185.15 |
$185.15 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$235.90 |
$235.90 |
$235.90 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$297.57 |
$297.57 |
$297.57 |
$6,411.60
|
|
Knee control full kneecap
|
$22.33 |
$22.33 |
$22.33 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$29.47 |
$29.47 |
$29.47 |
$288.41
|
|
Knee MRI (with and without contrast)
|
$712.67 |
$712.67 |
$712.67 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$673.68 |
$673.68 |
$673.68 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$630.21 |
$630.21 |
$630.21 |
$2,110.76
|
|
Knee X-ray
|
$184.80 |
$184.80 |
$184.80 |
$425.55
|
|
Kyleena, 19.5 mg
|
$184.31 |
$184.31 |
$184.31 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$14.85 |
$14.85 |
$14.85 |
$33.60
|
|
Labioplasty 56800
|
$61.18 |
$61.18 |
$61.18 |
$3,786.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$73.92 |
$73.92 |
$73.92 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$40.95 |
$40.95 |
$40.95 |
$55.50
|
|
Lactated ringers intravenous solution
|
$14.49 |
$14.49 |
$14.49 |
$44.91
|