|
Interdiscal perq aspir dx
|
$2,349.00 |
$2,349.00 |
$2,349.00 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$526.00 |
$526.00 |
$526.00 |
$494.64
|
|
Interrogate subq defib
|
$256.00 |
$256.00 |
$256.00 |
$139.10
|
|
Interrog dev eval icpms ip
|
$270.00 |
$270.00 |
$270.00 |
$106.80
|
|
Interrog dev eval scrms ip
|
$177.00 |
$177.00 |
$177.00 |
$124.80
|
|
Interrog device eval heart
|
$270.00 |
$270.00 |
$270.00 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$27,737.00 |
$27,737.00 |
$27,737.00 |
$127.20
|
|
Intra-atrial pacing
|
$33,880.00 |
$33,880.00 |
$37,940.50 |
$5,155.51
|
|
Intra-atrial recording
|
$37,940.50 |
$37,940.50 |
$37,940.50 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$8,249.00 |
$8,249.00 |
$8,249.00 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$48,707.00 |
$48,707.00 |
$48,707.00 |
$11,364.78
|
|
Intracranial angioplasty
|
$27,595.00 |
$27,595.00 |
$27,595.00 |
$7,149.60
|
|
Intracranial complete study
|
$2,306.00 |
$2,306.00 |
$2,306.00 |
$883.30
|
|
Intracranial limited study
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$423.52
|
|
Intranasal biopsy 30100
|
$8,544.00 |
$8,544.00 |
$8,544.00 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$404.40 |
$404.40 |
$782.00 |
$239.52
|
|
Intrauterine transfusion ftl
|
$2,751.00 |
$2,751.00 |
$2,751.00 |
$1,004.25
|
|
Intraventricular pacing
|
$13,255.00 |
$13,255.00 |
$37,940.50 |
$5,775.22
|
|
Intrinsic factor antibody
|
$5.94 |
$5.95 |
$84.00 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,784.00 |
$3,784.00 |
$3,784.00 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$30,551.00 |
$30,551.00 |
$30,551.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$38,139.00 |
$38,139.00 |
$38,139.00 |
$15,625.00
|
|
Intro catheter aorta
|
$2,214.00 |
$2,214.00 |
$2,214.00 |
$1,861.61
|
|
Intro cath svc/ivc
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,350.75
|
|
Intro long gi tube
|
$3,055.00 |
$3,055.00 |
$3,055.00 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$1,106.00 |
$1,106.00 |
$1,106.00 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$11,105.00 |
$11,105.00 |
$11,105.00 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$11,105.00 |
$11,105.00 |
$11,105.00 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,108.00 |
$1,108.00 |
$1,108.00 |
$617.60
|
|
Ionm in operatng room 15 min
|
$269.00 |
$269.00 |
$841.15 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$1,594.00 |
$1,594.00 |
$1,594.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$521.96 |
$521.96 |
$521.96 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$739.03 |
$739.03 |
$739.03 |
$153.98
|
|
Io rad tx delivery by x-ray
|
$16,497.00 |
$16,497.00 |
$16,497.00 |
$10,127.56
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$345.75 |
$345.75 |
$60,994.40 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$12.94 |
$12.94 |
$58.32 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$278.25 |
$278.25 |
$743.80 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,530.96 |
$11,530.96 |
$11,530.96 |
$6,655.71
|
|
Iron
|
$357.63 |
$357.63 |
$437.00 |
$70.72
|
|
Iron binding capacity
|
$307.00 |
$307.00 |
$642.24 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$202.50 |
$204.00 |
$246.11 |
$62.70
|
|
Iron stain peripheral blood
|
$51.00 |
$51.00 |
$51.00 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$361.00 |
$389.00 |
$605.85 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$161.27 |
$161.27 |
$925.00 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$282.00 |
$282.00 |
$577.70 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$21,405.18 |
$21,405.18 |
$21,405.18 |
$13,419.80
|
|
Ivc venogram s&i
|
$4,249.07 |
$4,249.07 |
$8,780.00 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$287.00 |
$287.00 |
$287.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$405.00 |
$405.00 |
$405.00 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$365.00 |
$365.00 |
$365.00 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$922.00 |
$922.00 |
$922.00 |
$460.85
|
|
IV inj ra drug dx study
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$560.00
|
|
Ivp w/nephrotomography
|
$3,130.00 |
$3,130.00 |
$8,456.35 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$3,774.00 |
$3,774.00 |
$3,774.00 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$2,287.00 |
$2,287.00 |
$2,287.00 |
$378.30
|
|
John cunningham antibody
|
$329.00 |
$329.00 |
$329.00 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$254.00 |
$254.00 |
$254.00 |
$68.15
|
|
Ketogenic steroids fract
|
$143.00 |
$143.00 |
$143.00 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$42.35 |
$42.35 |
$397.00 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$158.95 |
$158.95 |
$158.95 |
$30.08
|
|
Kidney function study
|
$1,687.00 |
$1,687.00 |
$1,687.00 |
$549.70
|
|
Kidney imaging morphology
|
$7,670.25 |
$7,670.25 |
$8,207.80 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$4,818.00 |
$4,818.00 |
$12,911.70 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$4,818.00 |
$4,818.00 |
$4,818.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,487.00 |
$1,487.00 |
$5,955.96 |
$668.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$707.00 |
$707.00 |
$707.00 |
$100.00
|
|
Kit gene analys d816 variant
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$355.00
|
|
Kit ipg optimizer smart
|
$41,000.00 |
$41,000.00 |
$41,000.00 |
$46,737.60
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$853.00 |
$853.00 |
$853.00 |
$5,329.23
|
|
Knee Arthroscopy (Cartilage Repair)
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,839.54
|
|
Knee arthroscopy dx
|
$12,781.00 |
$12,781.00 |
$12,781.00 |
$3,839.54
|
|
Knee Arthroscopy (Meniscus Repair)
|
$18,284.00 |
$18,284.00 |
$18,284.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$13,179.00 |
$13,179.00 |
$13,179.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$11,584.00 |
$11,584.00 |
$11,584.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$14,182.00 |
$14,182.00 |
$14,182.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$12,781.00 |
$12,781.00 |
$12,781.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$19,729.00 |
$19,729.00 |
$19,729.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$11,597.00 |
$11,597.00 |
$11,597.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$10,690.00 |
$10,690.00 |
$10,690.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$20,422.00 |
$20,422.00 |
$20,422.00 |
$7,807.24
|
|
Knee MRI (with and without contrast)
|
$13,552.00 |
$13,552.00 |
$13,552.00 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$10,411.00 |
$10,411.00 |
$10,411.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$9,286.00 |
$9,286.00 |
$9,286.00 |
$2,181.10
|
|
Knee X-ray
|
$946.00 |
$946.00 |
$946.00 |
$443.90
|
|
Kras gene addl variants
|
$494.00 |
$494.00 |
$494.00 |
$346.45
|
|
Kras gene variants exon 2
|
$490.95 |
$918.32 |
$1,990.00 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$0.76 |
$19.95 |
$322.75 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$270.33 |
$270.33 |
$270.33 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$486.00 |
$486.00 |
$486.00 |
$53.30
|
|
Lactated ringers intravenous solution
|
$154.00 |
$154.00 |
$154.00 |
$54.11
|
|
Lactic acid
|
$536.00 |
$536.00 |
$748.01 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$93.61 |
$342.00 |
$649.70 |
$88.40
|
|
Lactoferrin fecal quant
|
$52.87 |
$52.87 |
$53.00 |
$106.10
|
|
Lam facetec & foramot crv
|
$28,269.00 |
$28,269.00 |
$28,269.00 |
$7,807.24
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$56,559.62 |
$56,559.62 |
$56,559.62 |
$22,903.90
|
|
Laparo cholecystectomy/graph
|
$28,085.00 |
$28,085.00 |
$28,085.00 |
$7,220.90
|
|
Laparoscopy excise lesions
|
$23,112.00 |
$23,112.00 |
$23,112.00 |
$6,376.26
|
|
Laparoscopy remove adnexa
|
$29,577.00 |
$29,577.00 |
$29,577.00 |
$6,904.15
|
|
Laparo sling operation 51992
|
$16,944.00 |
$16,944.00 |
$16,944.00 |
$5,419.00
|
