|
Ins icd gen exist mlt leads
|
$8,829.80 |
$8,829.80 |
$8,829.80 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$8,829.80 |
$8,829.80 |
$8,829.80 |
$24,159.72
|
|
Insitu hybridization auto
|
$50.75 |
$50.75 |
$50.75 |
$398.16
|
|
Insitu hybridization manual
|
$50.75 |
$50.75 |
$50.75 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$38.50 |
$38.50 |
$38.50 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$38.50 |
$38.50 |
$38.50 |
$338.40
|
|
Insj perq vad r hrt venous
|
$1,610.35 |
$1,610.35 |
$1,610.35 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$3,411.80 |
$3,411.80 |
$3,411.80 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$1,513.75 |
$1,513.75 |
$1,513.75 |
$2,070.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$585.90 |
$585.90 |
$585.90 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$8,829.80 |
$8,829.80 |
$8,829.80 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$10,325.70 |
$10,325.70 |
$10,325.70 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$3,663.45 |
$3,663.45 |
$3,663.45 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$26,089.00 |
$26,089.00 |
$26,089.00 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$33,712.35 |
$33,712.35 |
$33,712.35 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$5,574.10 |
$5,574.10 |
$5,574.10 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$5,574.10 |
$5,574.10 |
$5,574.10 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$5,574.10 |
$5,574.10 |
$5,574.10 |
$12,384.25
|
|
Inst fibrinolysis agent ini day
|
$347.90 |
$347.90 |
$347.90 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$347.90 |
$347.90 |
$347.90 |
$898.12
|
|
Ins tun cv cath wo subq prt/pm
|
$6,185.90 |
$6,185.90 |
$6,185.90 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$6,343.75 |
$6,343.75 |
$6,343.75 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$6,717.20 |
$6,717.20 |
$6,717.20 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$326.55 |
$326.55 |
$326.55 |
$1,074.68
|
|
Insulin total
|
$73.50 |
$73.50 |
$73.50 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$8,617.32 |
$8,617.32 |
$8,617.32 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$25,450.30 |
$25,450.30 |
$25,450.30 |
$24,354.93
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,254.00 |
$2,254.00 |
$2,254.00 |
$3,057.60
|
|
Interdental fixation
|
$1,027.25 |
$1,027.25 |
$1,027.25 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$537.95 |
$537.95 |
$537.95 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$17,510.91 |
$17,510.91 |
$17,510.91 |
$5,318.40
|
|
Int hrhc lig 1 hroid without img
|
$1,282.05 |
$1,282.05 |
$1,282.05 |
$3,245.23
|
|
Intra-atrial pacing
|
$3,315.90 |
$3,315.90 |
$3,315.90 |
$5,155.51
|
|
Intra-atrial recording
|
$5,613.30 |
$5,613.30 |
$5,613.30 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$1,870.40 |
$1,870.40 |
$1,870.40 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$9,394.35 |
$9,394.35 |
$9,394.35 |
$11,364.78
|
|
Intracranial angioplasty
|
$9,160.90 |
$9,160.90 |
$9,160.90 |
$7,149.60
|
|
Intracranial complete study
|
$322.00 |
$322.00 |
$322.00 |
$883.30
|
|
Intracranial limited study
|
$161.00 |
$161.00 |
$161.00 |
$423.52
|
|
Intranasal biopsy 30100
|
$1,027.25 |
$1,027.25 |
$1,027.25 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$385.35 |
$385.35 |
$385.35 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$615.30 |
$615.30 |
$615.30 |
$239.52
|
|
Intraventricular pacing
|
$5,613.30 |
$5,613.30 |
$5,613.30 |
$5,775.22
|
|
Intro cath dialysis circuit
|
$1,126.65 |
$1,126.65 |
$1,126.65 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$5,980.80 |
$5,980.80 |
$5,980.80 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,960.90 |
$11,960.90 |
$11,960.90 |
$15,625.00
|
|
Intro catheter aorta
|
$1,005.90 |
$1,005.90 |
$1,005.90 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,005.90 |
$1,005.90 |
$1,005.90 |
$1,350.75
|
|
Intro long gi tube
|
$1,097.60 |
$1,097.60 |
$1,097.60 |
$1,036.00
|
|
Intro windpipe wire/tube
|
$1,256.15 |
$1,256.15 |
$1,256.15 |
$2,316.30
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$896.00 |
$896.00 |
$896.00 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$655.20 |
$655.20 |
$655.20 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$753.20 |
$753.20 |
$753.20 |
$617.60
|
|
Ionm in operatng room 15 min
|
$88.20 |
$88.20 |
$88.20 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$31.50 |
$31.50 |
$31.50 |
$147.60
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$52.50 |
$52.50 |
$52.50 |
$148.28
|
|
Ipratropium bromide non-comp
|
$0.61 |
$0.61 |
$0.61 |
$5.28
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$113.22 |
$113.22 |
$113.22 |
$203.92
|
|
Iron
|
$103.60 |
$103.60 |
$103.60 |
$70.72
|
|
Iron binding capacity
|
$103.60 |
$103.60 |
$103.60 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$35.63 |
$35.63 |
$35.63 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$41.34 |
$41.34 |
$41.34 |
$163.28
|
|
Irrigation implantable venous access device for drug delivery systems
|
$80.85 |
$80.85 |
$80.85 |
$154.50
|
|
Ivc venogram s&i
|
$2,325.40 |
$2,325.40 |
$2,325.40 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$128.45 |
$128.45 |
$128.45 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$128.45 |
$128.45 |
$128.45 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$185.50 |
$185.50 |
$185.50 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$248.50 |
$248.50 |
$248.50 |
$460.85
|
|
Ivp w/nephrotomography
|
$930.65 |
$930.65 |
$930.65 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$622.65 |
$622.65 |
$622.65 |
$713.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$28.35 |
$28.35 |
$28.35 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$33.01 |
$33.01 |
$33.01 |
$29.52
|
|
Kidney imaging morphology
|
$861.35 |
$861.35 |
$861.35 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$863.45 |
$863.45 |
$863.45 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$752.15 |
$752.15 |
$752.15 |
$668.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$3.99 |
$3.99 |
$3.99 |
$8.68
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,941.90 |
$6,941.90 |
$6,941.90 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$21,787.50 |
$21,787.50 |
$21,787.50 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$37,492.00 |
$37,492.00 |
$37,492.00 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$27,234.38 |
$27,234.38 |
$27,234.38 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$1,391.79
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$3,931.62 |
$3,931.62 |
$3,931.62 |
$3,877.17
|
|
Kit sound processor cochlear osia 2
|
$8,308.44 |
$8,308.44 |
$8,308.44 |
$10,472.03
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,659.84 |
$1,659.84 |
$1,659.84 |
$2,306.56
|
|
Knee MRI (with and without contrast)
|
$2,267.30 |
$2,267.30 |
$2,267.30 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$2,061.15 |
$2,061.15 |
$2,061.15 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,874.95 |
$1,874.95 |
$1,874.95 |
$2,181.10
|
|
Knee X-ray
|
$289.10 |
$289.10 |
$289.10 |
$443.90
|
|
Kras gene variants exon 2
|
$136.50 |
$136.50 |
$136.50 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$93.10 |
$93.10 |
$93.10 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$93.10 |
$93.10 |
$93.10 |
$58.40
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.78 |
$33.78 |
$33.78 |
$39.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$106.61 |
$106.61 |
$106.61 |
$172.80
|
|
Lactate dehydrogenase (ldh)
|
$109.20 |
$109.20 |
$109.20 |
$53.30
|
|
Lactated ringers intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$48.00
|
|
Lactic acid
|
$203.70 |
$203.70 |
$203.70 |
$102.90
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$24,697.33 |
$24,697.33 |
$24,697.33 |
$19,124.00
|
|
Laparo cholecystectomy/graph
|
$2,874.90 |
$2,874.90 |
$2,874.90 |
$7,220.90
|
|
Lap insert tunnel ip cath
|
$8,477.70 |
$8,477.70 |
$8,477.70 |
$6,311.00
|
|
Largsc w/removal lesion
|
$2,148.30 |
$2,148.30 |
$2,148.30 |
$4,341.97
|
