|
Ip/obs cnsltj new/est mod 60
|
$64.41 |
$64.41 |
$64.41 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$87.40 |
$87.40 |
$87.40 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$22.80 |
$22.80 |
$22.80 |
$134.46
|
|
Iron
|
$29.07 |
$29.07 |
$29.07 |
$72.29
|
|
Iron binding capacity
|
$46.55 |
$46.55 |
$46.55 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$42.49 |
$42.49 |
$42.49 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$70.86 |
$70.86 |
$70.86 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$63.65 |
$63.65 |
$63.65 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$16.15 |
$16.15 |
$16.15 |
$132.00
|
|
Island pedicle flap graft
|
$558.60 |
$558.60 |
$558.60 |
$2,468.80
|
|
Ivc venogram s&i
|
$1,997.66 |
$1,997.66 |
$1,997.66 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$65.74 |
$65.74 |
$65.74 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$84.93 |
$84.93 |
$84.93 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$68.02 |
$68.02 |
$68.02 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$172.14 |
$172.14 |
$172.14 |
$437.45
|
|
IV inj ra drug dx study
|
$291.08 |
$291.08 |
$291.08 |
$552.60
|
|
Ivp w/nephrotomography
|
$440.80 |
$440.80 |
$440.80 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$440.80 |
$440.80 |
$440.80 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$56.05 |
$56.05 |
$56.05 |
$393.43
|
|
Jejunstmy tube plcmt
|
$152.95 |
$152.95 |
$152.95 |
$2,174.40
|
|
John cunningham antibody
|
$5.70 |
$5.70 |
$5.70 |
$66.31
|
|
J-tube placement
|
$87.02 |
$87.02 |
$87.02 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$20.14 |
$20.14 |
$20.14 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$35.15 |
$35.15 |
$35.15 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$16.27 |
$16.27 |
$16.27 |
$23.77
|
|
Kidney endoscopy & treatment
|
$251.37 |
$251.37 |
$251.37 |
$5,626.86
|
|
Kidney function study
|
$511.10 |
$511.10 |
$511.10 |
$968.50
|
|
Kidney imaging morphology
|
$511.10 |
$511.10 |
$511.10 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$628.33 |
$628.33 |
$628.33 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$511.10 |
$511.10 |
$511.10 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$271.89 |
$271.89 |
$271.89 |
$673.36
|
|
Kit gene analys d816 variant
|
$53.20 |
$53.20 |
$53.20 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$35,841.41 |
$35,841.41 |
$35,841.41 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$8,067.02 |
$8,067.02 |
$8,067.02 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$978.69 |
$978.69 |
$978.69 |
$1,667.50
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,293.71 |
$1,293.71 |
$1,293.71 |
$2,254.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$415.15 |
$415.15 |
$415.15 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$346.18 |
$346.18 |
$346.18 |
$3,839.54
|
|
Knee arthroscopy dx
|
$279.68 |
$279.68 |
$279.68 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$363.28 |
$363.28 |
$363.28 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$418.38 |
$418.38 |
$418.38 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$614.08 |
$614.08 |
$614.08 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$364.61 |
$364.61 |
$364.61 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$358.53 |
$358.53 |
$358.53 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$333.45 |
$333.45 |
$333.45 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$435.48 |
$435.48 |
$435.48 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$441.37 |
$441.37 |
$441.37 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$376.39 |
$376.39 |
$376.39 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$457.90 |
$457.90 |
$457.90 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$555.94 |
$555.94 |
$555.94 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$414.39 |
$414.39 |
$414.39 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$426.36 |
$426.36 |
$426.36 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$502.55 |
$502.55 |
$502.55 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$640.30 |
$640.30 |
$640.30 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$807.69 |
$807.69 |
$807.69 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$2,748.92 |
$2,748.92 |
$2,748.92 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,839.77 |
$1,839.77 |
$1,839.77 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,648.44 |
$1,648.44 |
$1,648.44 |
$2,110.76
|
|
Knee X-ray
|
$212.99 |
$212.99 |
$212.99 |
$425.55
|
|
Kras gene addl variants
|
$74.10 |
$74.10 |
$74.10 |
$386.75
|
|
Kras gene variants exon 2
|
$48.64 |
$48.64 |
$48.64 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$10.47 |
$10.47 |
$10.47 |
$33.60
|
|
Labioplasty 56800
|
$166.06 |
$166.06 |
$166.06 |
$3,786.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$129.07 |
$129.07 |
$129.07 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$32.30 |
$32.30 |
$32.30 |
$55.50
|
|
Lactated ringers intravenous solution
|
$16.98 |
$16.98 |
$16.98 |
$44.91
|
|
Lactation class
|
$57.38 |
$57.38 |
$57.38 |
$93.71
|
|
Lactic acid
|
$37.05 |
$37.05 |
$37.05 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$3.32 |
$3.32 |
$3.32 |
$81.00
|
|
Lam facetc/frmt arthrd lum 1
|
$159.79 |
$159.79 |
$159.79 |
$582.40
|
|
Lam facetec & foramot crv
|
$823.46 |
$823.46 |
$823.46 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$1,070.84 |
$1,070.84 |
$1,070.84 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$789.64 |
$789.64 |
$789.64 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$141.74 |
$141.74 |
$141.74 |
$492.80
|
|
Lamie excise intrspinl lesion thrc 63266
|
$1,086.23 |
$1,086.23 |
$1,086.23 |
$5,339.00
|
|
Laminotomy single cervical
|
$882.55 |
$882.55 |
$882.55 |
$8,412.89
|
|
Laminotomy single lumbar
|
$832.96 |
$832.96 |
$832.96 |
$8,453.60
|
|
Lamiotoiotiotinotomy addl cervical 63043
|
$180.69 |
$180.69 |
$180.69 |
$1,506.40
|
|
Laparo ablate renal cyst
|
$593.18 |
$593.18 |
$593.18 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$571.14 |
$571.14 |
$571.14 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$713.83 |
$713.83 |
$713.83 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$460.18 |
$460.18 |
$460.18 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$411.92 |
$411.92 |
$411.92 |
$5,741.00
|
|
Laparo new ureter/bladder
|
$890.72 |
$890.72 |
$890.72 |
$9,116.80
|
|
Laparo partial colectomy 44204
|
$971.85 |
$971.85 |
$971.85 |
$2,917.80
|
|
Laparo partial nephrectomy
|
$961.97 |
$961.97 |
$961.97 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$589.38 |
$589.38 |
$589.38 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$858.99 |
$858.99 |
$858.99 |
$6,360.80
|
|
Laparo remove w/ureter
|
$862.60 |
$862.60 |
$862.60 |
$6,593.60
|
|
Laparoscopic myomectomy
|
$581.59 |
$581.59 |
$581.59 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$777.10 |
$777.10 |
$777.10 |
$5,686.20
|
|
Laparoscopic proc
|
$726.75 |
$726.75 |
$726.75 |
$2,215.20
|
|
Laparoscopic salpingostomy 58673
|
$509.58 |
$509.58 |
$509.58 |
$5,214.15
|
|
Laparoscopy aspiration
|
$240.73 |
$240.73 |
$240.73 |
$6,839.00
|
|
Laparoscopy biopsy
|
$222.49 |
$222.49 |
$222.49 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$199.69 |
$199.69 |
$199.69 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$461.13 |
$461.13 |
$461.13 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$681.53 |
$681.53 |
$681.53 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$374.87 |
$374.87 |
$374.87 |
$6,457.82
|
|
Laparoscopy lymphadenectomy
|
$429.40 |
$429.40 |
$429.40 |
$12,320.22
|