|
Intro cath dialysis circuit w/pta
|
$210.87 |
$210.87 |
$210.87 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$275.94 |
$275.94 |
$275.94 |
$16,262.40
|
|
Intro catheter aorta
|
$120.15 |
$120.15 |
$120.15 |
$1,654.05
|
|
Intro cath svc/ivc
|
$93.96 |
$93.96 |
$93.96 |
$1,323.27
|
|
Intro long gi tube
|
$17.55 |
$17.55 |
$17.55 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$27.00 |
$27.00 |
$27.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$76.95 |
$76.95 |
$76.95 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$61.56 |
$61.56 |
$61.56 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$333.18 |
$333.18 |
$333.18 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.14 |
$1.14 |
$1.14 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.54 |
$0.54 |
$0.54 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$79.11 |
$79.11 |
$79.11 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$117.99 |
$117.99 |
$117.99 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$155.25 |
$155.25 |
$155.25 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$51.30 |
$51.30 |
$51.30 |
$134.46
|
|
Ipratropium bromide non-comp
|
$3.24 |
$3.24 |
$3.24 |
$3.75
|
|
Iron
|
$55.08 |
$55.08 |
$55.08 |
$72.29
|
|
Iron binding capacity
|
$39.96 |
$39.96 |
$39.96 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$81.80 |
$81.80 |
$81.80 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$135.73 |
$135.73 |
$135.73 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$61.56 |
$61.56 |
$61.56 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$22.95 |
$22.95 |
$22.95 |
$132.00
|
|
Island pedicle flap graft
|
$793.80 |
$793.80 |
$793.80 |
$2,468.80
|
|
Ivc venogram s&i
|
$124.47 |
$124.47 |
$124.47 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$184.95 |
$184.95 |
$184.95 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$81.81 |
$81.81 |
$81.81 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$105.84 |
$105.84 |
$105.84 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$305.64 |
$305.64 |
$305.64 |
$437.45
|
|
Ivp w/nephrotomography
|
$24.57 |
$24.57 |
$24.57 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$493.02 |
$493.02 |
$493.02 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$17.57 |
$17.57 |
$17.57 |
$393.43
|
|
Jejunstmy tube plcmt
|
$217.35 |
$217.35 |
$217.35 |
$2,174.40
|
|
John cunningham antibody
|
$8.10 |
$8.10 |
$8.10 |
$66.31
|
|
J-tube placement
|
$123.66 |
$123.66 |
$123.66 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$28.62 |
$28.62 |
$28.62 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$57.51 |
$57.51 |
$57.51 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$31.88 |
$31.88 |
$31.88 |
$23.77
|
|
Kidney endoscopy & treatment
|
$357.21 |
$357.21 |
$357.21 |
$5,626.86
|
|
Kidney imaging morphology
|
$22.14 |
$22.14 |
$22.14 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$68.58 |
$68.58 |
$68.58 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$46.71 |
$46.71 |
$46.71 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$346.41 |
$346.41 |
$346.41 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$34.83 |
$34.83 |
$34.83 |
$174.00
|
|
Kit gene analys d816 variant
|
$75.60 |
$75.60 |
$75.60 |
$366.03
|
|
Kit lead specify 5-6-5
|
$35,775.00 |
$35,775.00 |
$35,775.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,411.91 |
$2,411.91 |
$2,411.91 |
$1,667.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$589.95 |
$589.95 |
$589.95 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$491.94 |
$491.94 |
$491.94 |
$3,839.54
|
|
Knee arthroscopy dx
|
$397.44 |
$397.44 |
$397.44 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$516.24 |
$516.24 |
$516.24 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$594.54 |
$594.54 |
$594.54 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$872.64 |
$872.64 |
$872.64 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$518.13 |
$518.13 |
$518.13 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$509.49 |
$509.49 |
$509.49 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$473.85 |
$473.85 |
$473.85 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$618.84 |
$618.84 |
$618.84 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$627.21 |
$627.21 |
$627.21 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$534.87 |
$534.87 |
$534.87 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$650.70 |
$650.70 |
$650.70 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$790.02 |
$790.02 |
$790.02 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$588.87 |
$588.87 |
$588.87 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$605.88 |
$605.88 |
$605.88 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$714.15 |
$714.15 |
$714.15 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$909.90 |
$909.90 |
$909.90 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$1,147.77 |
$1,147.77 |
$1,147.77 |
$6,411.60
|
|
Knee control full kneecap
|
$86.13 |
$86.13 |
$86.13 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$113.67 |
$113.67 |
$113.67 |
$288.41
|
|
Knee MRI (with and without contrast)
|
$1,652.40 |
$1,652.40 |
$1,652.40 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,151.55 |
$1,151.55 |
$1,151.55 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$911.25 |
$911.25 |
$911.25 |
$2,110.76
|
|
Knee X-ray
|
$323.73 |
$323.73 |
$323.73 |
$425.55
|
|
Kras gene addl variants
|
$34.56 |
$34.56 |
$34.56 |
$386.75
|
|
Kras gene variants exon 2
|
$34.68 |
$34.68 |
$34.68 |
$509.00
|
|
Kyleena, 19.5 mg
|
$710.91 |
$710.91 |
$710.91 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$30.63 |
$30.63 |
$30.63 |
$33.60
|
|
Labioplasty 56800
|
$235.98 |
$235.98 |
$235.98 |
$3,786.00
|
|
Lactate dehydrogenase (ldh)
|
$35.10 |
$35.10 |
$35.10 |
$55.50
|
|
Lactated ringers intravenous solution
|
$18.00 |
$18.00 |
$18.00 |
$44.91
|
|
Lactic acid
|
$56.16 |
$56.16 |
$56.16 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$20.79 |
$20.79 |
$20.79 |
$81.00
|
|
Lam facetc/frmt arthrd lum 1
|
$227.07 |
$227.07 |
$227.07 |
$582.40
|
|
Lam facetec & foramot crv
|
$1,170.18 |
$1,170.18 |
$1,170.18 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$1,521.72 |
$1,521.72 |
$1,521.72 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$1,122.12 |
$1,122.12 |
$1,122.12 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$201.42 |
$201.42 |
$201.42 |
$492.80
|
|
Lamie excise intrspinl lesion thrc 63266
|
$1,543.59 |
$1,543.59 |
$1,543.59 |
$5,339.00
|
|
Laminotomy single cervical
|
$1,254.15 |
$1,254.15 |
$1,254.15 |
$8,412.89
|
|
Laminotomy single lumbar
|
$1,183.68 |
$1,183.68 |
$1,183.68 |
$8,453.60
|
|
Lamiotoiotiotinotomy addl cervical 63043
|
$256.77 |
$256.77 |
$256.77 |
$1,506.40
|
|
Laparo ablate renal cyst
|
$842.94 |
$842.94 |
$842.94 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$811.62 |
$811.62 |
$811.62 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$1,014.39 |
$1,014.39 |
$1,014.39 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$653.94 |
$653.94 |
$653.94 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$585.36 |
$585.36 |
$585.36 |
$5,741.00
|
|
Laparo new ureter/bladder
|
$1,265.76 |
$1,265.76 |
$1,265.76 |
$9,116.80
|
|
Laparo partial colectomy 44204
|
$1,381.05 |
$1,381.05 |
$1,381.05 |
$2,917.80
|
|
Laparo partial nephrectomy
|
$1,367.01 |
$1,367.01 |
$1,367.01 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$837.54 |
$837.54 |
$837.54 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$1,220.67 |
$1,220.67 |
$1,220.67 |
$6,360.80
|
|
Laparo remove w/ureter
|
$1,225.80 |
$1,225.80 |
$1,225.80 |
$6,593.60
|
