|
Ins pm gen w/exist mlt leads
|
$36,599.55 |
$36,599.55 |
$36,599.55 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,227.30 |
$5,227.30 |
$5,227.30 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$44,932.55 |
$44,932.55 |
$44,932.55 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$17,694.30 |
$17,694.30 |
$17,694.30 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$12,199.85 |
$12,199.85 |
$12,199.85 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$18,512.00 |
$18,512.00 |
$18,512.00 |
$11,583.66
|
|
Inst fibrinolysis agent ini day
|
$1,814.15 |
$1,814.15 |
$1,814.15 |
$1,043.35
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$12,806.95 |
$12,806.95 |
$12,806.95 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$4,218.00
|
|
Insulin total
|
$81.25 |
$81.25 |
$81.25 |
$66.64
|
|
Ins vag brachytx device
|
$824.20 |
$824.20 |
$824.20 |
$950.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$16,029.00 |
$16,029.00 |
$16,029.00 |
$8,617.32
|
|
Integra meshed bil wound mat
|
$9,288.50 |
$9,288.50 |
$9,288.50 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,950.70 |
$3,950.70 |
$3,950.70 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$885.82 |
$885.82 |
$885.82 |
$1,409.92
|
|
Interrog device eval heart
|
$251.55 |
$251.55 |
$251.55 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$251.55 |
$251.55 |
$251.55 |
$127.20
|
|
Interstitial brachy inter
|
$352.30 |
$352.30 |
$352.30 |
$1,194.42
|
|
Intra-atrial pacing
|
$4,614.35 |
$4,614.35 |
$4,614.35 |
$4,850.82
|
|
Intra-atrial recording
|
$5,707.00 |
$5,707.00 |
$5,707.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,296.50 |
$4,296.50 |
$4,296.50 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$15,577.25 |
$15,577.25 |
$15,577.25 |
$8,145.50
|
|
Intracranial angioplasty
|
$20,074.60 |
$20,074.60 |
$20,074.60 |
$5,181.00
|
|
Intracranial complete study
|
$916.50 |
$916.50 |
$916.50 |
$881.50
|
|
Intracranial limited study
|
$693.55 |
$693.55 |
$693.55 |
$467.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,641.25 |
$1,641.25 |
$1,641.25 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$191.75 |
$191.75 |
$191.75 |
$220.80
|
|
Intraventricular pacing
|
$6,448.65 |
$6,448.65 |
$6,448.65 |
$5,456.17
|
|
Intrinsic factor antibody
|
$47.45 |
$47.45 |
$47.45 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,161.90 |
$2,161.90 |
$2,161.90 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$10,585.90 |
$10,585.90 |
$10,585.90 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$21,395.40 |
$21,395.40 |
$21,395.40 |
$16,262.40
|
|
Intro catheter aorta
|
$1,860.30 |
$1,860.30 |
$1,860.30 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,843.40 |
$1,843.40 |
$1,843.40 |
$1,323.27
|
|
Intro long gi tube
|
$619.45 |
$619.45 |
$619.45 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$688.35 |
$688.35 |
$688.35 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,509.65 |
$2,509.65 |
$2,509.65 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,509.65 |
$2,509.65 |
$2,509.65 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$844.35 |
$844.35 |
$844.35 |
$601.28
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$9.75 |
$9.75 |
$9.75 |
$279.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$398.48 |
$398.48 |
$398.48 |
$173.98
|
|
Iron
|
$113.75 |
$113.75 |
$113.75 |
$75.00
|
|
Iron binding capacity
|
$68.25 |
$68.25 |
$68.25 |
$63.91
|
|
Iron stain peripheral blood
|
$50.05 |
$50.05 |
$50.05 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$34.63 |
$34.63 |
$34.63 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$167.70 |
$167.70 |
$167.70 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$302.25 |
$302.25 |
$302.25 |
$146.11
|
|
Ivc venogram s&i
|
$5,883.15 |
$5,883.15 |
$5,883.15 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$152.10 |
$152.10 |
$152.10 |
$133.90
|
|
IV Fluids (first hour)
|
$275.60 |
$275.60 |
$275.60 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$48.10 |
$48.10 |
$48.10 |
$162.68
|
|
IV inj ra drug dx study
|
$719.55 |
$719.55 |
$719.55 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$165.75 |
$165.75 |
$165.75 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$173.55 |
$173.55 |
$173.55 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$543.40 |
$543.40 |
$543.40 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$135.20 |
$135.20 |
$135.20 |
$167.50
|
|
IV Push Injection (first drug)
|
$543.40 |
$543.40 |
$543.40 |
$252.76
|
|
Ivp w/nephrotomography
|
$1,270.10 |
$1,270.10 |
$1,270.10 |
$748.15
|
|
Ixabepilone 15 mg intravenous solution
|
$10,933.34 |
$10,933.34 |
$10,933.34 |
$10,695.32
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$722.80 |
$722.80 |
$722.80 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$354.90 |
$354.90 |
$354.90 |
$362.05
|
|
John cunningham antibody
|
$2,262.65 |
$2,262.65 |
$2,262.65 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$18.85 |
$18.85 |
$18.85 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$47.45 |
$47.45 |
$47.45 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$19.92 |
$19.92 |
$19.92 |
$23.52
|
|
Kidney imaging morphology
|
$1,077.70 |
$1,077.70 |
$1,077.70 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,568.15 |
$2,568.15 |
$2,568.15 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,168.05 |
$1,168.05 |
$1,168.05 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$11,579.10 |
$11,579.10 |
$11,579.10 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$20,458.75 |
$20,458.75 |
$20,458.75 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$1,093.30 |
$1,093.30 |
$1,093.30 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$78,380.90 |
$78,380.90 |
$78,380.90 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$119,988.05 |
$119,988.05 |
$119,988.05 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$23,609.30 |
$23,609.30 |
$23,609.30 |
$16,672.10
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$139.75 |
$139.75 |
$139.75 |
$360.12
|
|
Knee MRI (with and without contrast)
|
$5,110.30 |
$5,110.30 |
$5,110.30 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,970.85 |
$3,970.85 |
$3,970.85 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,220.10 |
$3,220.10 |
$3,220.10 |
$2,130.88
|
|
Knee X-ray
|
$593.45 |
$593.45 |
$593.45 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$413.40 |
$413.40 |
$413.40 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$505.05 |
$505.05 |
$505.05 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$559.65 |
$559.65 |
$559.65 |
$251.20
|
|
Kras gene addl variants
|
$588.25 |
$588.25 |
$588.25 |
$387.20
|
|
Kras gene variants exon 2
|
$587.60 |
$587.60 |
$587.60 |
$536.20
|
|
Lactate dehydrogenase (ldh)
|
$157.30 |
$157.30 |
$157.30 |
$55.50
|
|
Lactic acid
|
$245.05 |
$245.05 |
$245.05 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$53.30 |
$53.30 |
$53.30 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$951.60 |
$951.60 |
$951.60 |
$740.40
|
|
Laryngoscopy telescopic
|
$2,172.95 |
$2,172.95 |
$2,172.95 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$11,704.55 |
$11,704.55 |
$11,704.55 |
$5,460.00
|
|
Lead capillary
|
$44.20 |
$44.20 |
$44.20 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$3,324.10 |
$3,324.10 |
$3,324.10 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$12,875.85 |
$12,875.85 |
$12,875.85 |
$8,202.66
|
|
Left compres band >=3" <5"/yd
|
$18.20 |
$18.20 |
$18.20 |
$5.20
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,186.60 |
$2,186.60 |
$2,186.60 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,102.10 |
$2,102.10 |
$2,102.10 |
$1,372.50
|
