|
Io radiation tx management
|
$868.00 |
$868.00 |
$868.00 |
$593.60
|
|
Io rad tx deliver by elctrns
|
$10,500.00 |
$10,500.00 |
$10,500.00 |
$9,332.31
|
|
Io rad tx delivery by x-ray
|
$6,221.60 |
$6,221.60 |
$6,221.60 |
$9,046.18
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$2.24 |
$2.24 |
$2.24 |
$763.50
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$58,439.04 |
$58,439.04 |
$58,439.04 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$306.68 |
$306.68 |
$306.68 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,359.40 |
$5,359.40 |
$5,359.40 |
$5,517.12
|
|
Iron
|
$80.08 |
$80.08 |
$80.08 |
$72.29
|
|
Iron binding capacity
|
$84.00 |
$84.00 |
$84.00 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$87.99 |
$87.99 |
$87.99 |
$81.70
|
|
Iron stain peripheral blood
|
$105.84 |
$105.84 |
$105.84 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$229.73 |
$229.73 |
$229.73 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$83.44 |
$83.44 |
$83.44 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$212.80 |
$212.80 |
$212.80 |
$144.62
|
|
Irrigation sphenoid sinus
|
$3,444.00 |
$3,444.00 |
$3,444.00 |
$3,062.80
|
|
Irrigation vagina and/or appl medicament tx disease
|
$666.40 |
$666.40 |
$666.40 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$7,624.79 |
$7,624.79 |
$7,624.79 |
$8,273.35
|
|
Island pedicle flap graft
|
$4,844.00 |
$4,844.00 |
$4,844.00 |
$2,468.80
|
|
Ivc venogram s&i
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$369.60 |
$369.60 |
$369.60 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$347.20 |
$347.20 |
$347.20 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$442.40 |
$442.40 |
$442.40 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$840.00 |
$840.00 |
$840.00 |
$437.45
|
|
IV inj ra drug dx study
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$552.60
|
|
IV njx tst vasc flo flap/grf
|
$476.00 |
$476.00 |
$476.00 |
$476.00
|
|
Ivp w/nephrotomography
|
$1,887.20 |
$1,887.20 |
$1,887.20 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,920.80 |
$1,920.80 |
$1,920.80 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$10,584.72 |
$10,584.72 |
$10,584.72 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$313.60 |
$313.60 |
$313.60 |
$393.43
|
|
Jaw arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$4,499.12
|
|
Jaw arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$4,541.04
|
|
Jejunstmy tube plcmt
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$2,174.40
|
|
John cunningham antibody
|
$176.40 |
$176.40 |
$176.40 |
$66.31
|
|
Kafo dbl solid stirrup band/
|
$1,643.60 |
$1,643.60 |
$1,643.60 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$2,270.80 |
$2,270.80 |
$2,270.80 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$1,447.60 |
$1,447.60 |
$1,447.60 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$1,666.00 |
$1,666.00 |
$1,666.00 |
$2,162.01
|
|
Kafo femoral fx cast soft
|
$879.20 |
$879.20 |
$879.20 |
$879.20
|
|
Kafo pla sin up w/wo k/a cus
|
$2,209.20 |
$2,209.20 |
$2,209.20 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$2,343.60 |
$2,343.60 |
$2,343.60 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$193.20 |
$193.20 |
$193.20 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$4,513.60 |
$4,513.60 |
$4,513.60 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$1,834.11
|
|
Kafo without joint multi-axis an
|
$1,724.80 |
$1,724.80 |
$1,724.80 |
$1,724.80
|
|
Keratomileusis
|
$2,335.20 |
$2,335.20 |
$2,335.20 |
$2,335.20
|
|
Keratophakia
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$3,382.40
|
|
Keratoprosthesis
|
$23,604.00 |
$23,604.00 |
$23,604.00 |
$13,812.84
|
|
Kerecis marigen shld sq cm
|
$44.80 |
$44.80 |
$44.80 |
$44.80
|
|
Ketamine and metabolite screen - quest
|
$80.08 |
$80.08 |
$80.08 |
$72.14
|
|
Ketogenic steroids fract
|
$145.60 |
$145.60 |
$145.60 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$142.80 |
$142.80 |
$142.80 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$10.68 |
$10.68 |
$10.68 |
$23.77
|
|
Kidney endoscopy
|
$4,384.80 |
$4,384.80 |
$4,384.80 |
$4,384.80
|
|
Kidney endoscopy
|
$10,718.40 |
$10,718.40 |
$10,718.40 |
$5,728.00
|
|
Kidney endoscopy
|
$5,129.60 |
$5,129.60 |
$5,129.60 |
$4,081.37
|
|
Kidney endoscopy
|
$11,457.60 |
$11,457.60 |
$11,457.60 |
$5,986.78
|
|
Kidney endoscopy & biopsy
|
$6,624.80 |
$6,624.80 |
$6,624.80 |
$5,995.60
|
|
Kidney endoscopy & biopsy
|
$3,326.40 |
$3,326.40 |
$3,326.40 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$9,744.00 |
$9,744.00 |
$9,744.00 |
$9,744.00
|
|
Kidney endoscopy & treatment
|
$10,718.40 |
$10,718.40 |
$10,718.40 |
$5,626.86
|
|
Kidney endoscopy & treatment
|
$7,431.20 |
$7,431.20 |
$7,431.20 |
$7,431.20
|
|
Kidney endoscopy & treatment
|
$7,582.40 |
$7,582.40 |
$7,582.40 |
$5,626.86
|
|
Kidney function study
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$968.50
|
|
Kidney imaging morphology
|
$1,825.60 |
$1,825.60 |
$1,825.60 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$2,144.80 |
$2,144.80 |
$2,144.80 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$901.60 |
$901.60 |
$901.60 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$5,247.90 |
$5,247.90 |
$5,247.90 |
$7,751.14
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$199.36 |
$199.36 |
$199.36 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$48,300.00 |
$48,300.00 |
$48,300.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$660.80 |
$660.80 |
$660.80 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$23,940.00 |
$23,940.00 |
$23,940.00 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$7,278.53 |
$7,278.53 |
$7,278.53 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$4,525.14 |
$4,525.14 |
$4,525.14 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$8,196.40 |
$8,196.40 |
$8,196.40 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$4,998.00 |
$4,998.00 |
$4,998.00 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,904.00 |
$1,904.00 |
$1,904.00 |
$2,254.50
|
|
Kit trach suct cls 30.5cm
|
$35.26 |
$35.26 |
$35.26 |
$35.26
|
|
Knee Arthroscopy (Cartilage Repair)
|
$10,018.40 |
$10,018.40 |
$10,018.40 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$10,018.40 |
$10,018.40 |
$10,018.40 |
$3,839.54
|
|
Knee arthroscopy dx
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$7,324.80 |
$7,324.80 |
$7,324.80 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$5,622.40 |
$5,622.40 |
$5,622.40 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$6,070.40 |
$6,070.40 |
$6,070.40 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$9,822.40 |
$9,822.40 |
$9,822.40 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$10,018.40 |
$10,018.40 |
$10,018.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$10,018.40 |
$10,018.40 |
$10,018.40 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$4,340.00 |
$4,340.00 |
$4,340.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,034.40 |
$5,034.40 |
$5,034.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$9,996.00 |
$9,996.00 |
$9,996.00 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$6,014.40 |
$6,014.40 |
$6,014.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,129.60 |
$5,129.60 |
$5,129.60 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$8,769.60 |
$8,769.60 |
$8,769.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$10,040.80 |
$10,040.80 |
$10,040.80 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$18,200.00 |
$18,200.00 |
$18,200.00 |
$8,979.74
|
