|
Inst fibrinolysis agent sbsq d
|
$1,841.45 |
$1,841.45 |
$1,841.45 |
$997.05
|
|
Instll rx agnt into rnal tub
|
$744.25 |
$744.25 |
$744.25 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$10,699.00 |
$10,699.00 |
$10,699.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$8,208.85 |
$8,208.85 |
$8,208.85 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$7,675.20 |
$7,675.20 |
$7,675.20 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$10,502.70 |
$10,502.70 |
$10,502.70 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,896.70 |
$1,896.70 |
$1,896.70 |
$1,074.68
|
|
Insulin total
|
$72.15 |
$72.15 |
$72.15 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$24,596.00 |
$24,596.00 |
$24,596.00 |
$8,617.32
|
|
Integra meshed bil wound mat
|
$103,108.85 |
$103,108.85 |
$103,108.85 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$9,115.60 |
$9,115.60 |
$9,115.60 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$1,662.05 |
$1,662.05 |
$1,662.05 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$229.45 |
$229.45 |
$229.45 |
$1,409.92
|
|
Interferon beta-1b / .25 mg
|
$4,083.95 |
$4,083.95 |
$4,083.95 |
$1,662.71
|
|
Interfyl, 1 mg
|
$9,107.80 |
$9,107.80 |
$9,107.80 |
$4,656.80
|
|
Interrogate subq defib
|
$428.35 |
$428.35 |
$428.35 |
$119.60
|
|
Interrogation vad in person
|
$464.10 |
$464.10 |
$464.10 |
$296.80
|
|
Interrog dev eval icpms ip
|
$201.50 |
$201.50 |
$201.50 |
$104.00
|
|
Interrog dev eval scrms ip
|
$317.85 |
$317.85 |
$317.85 |
$124.80
|
|
Interrog device eval heart
|
$423.80 |
$423.80 |
$423.80 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$353.60 |
$353.60 |
$353.60 |
$127.20
|
|
Interrog&prgrmg ipnss
|
$266.50 |
$266.50 |
$266.50 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$824.85 |
$824.85 |
$824.85 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$252.85 |
$252.85 |
$252.85 |
$147.00
|
|
Intra-atrial pacing
|
$4,683.25 |
$4,683.25 |
$4,683.25 |
$4,850.82
|
|
Intra-atrial recording
|
$4,683.25 |
$4,683.25 |
$4,683.25 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,791.80 |
$4,791.80 |
$4,791.80 |
$3,436.00
|
|
Intracranial complete study
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$881.50
|
|
Intracranial limited study
|
$775.45 |
$775.45 |
$775.45 |
$467.50
|
|
Intrapul surf admin endo tube
|
$214.50 |
$214.50 |
$214.50 |
$220.80
|
|
Intraventricular pacing
|
$5,151.25 |
$5,151.25 |
$5,151.25 |
$5,456.17
|
|
Intrinsic factor antibody
|
$20.15 |
$20.15 |
$20.15 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,812.55 |
$2,812.55 |
$2,812.55 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,322.90 |
$7,322.90 |
$7,322.90 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,687.35 |
$12,687.35 |
$12,687.35 |
$16,262.40
|
|
Intro catheter aorta
|
$4,340.05 |
$4,340.05 |
$4,340.05 |
$1,678.05
|
|
Intro cath svc/ivc
|
$4,154.80 |
$4,154.80 |
$4,154.80 |
$1,323.27
|
|
Intro long gi tube
|
$880.75 |
$880.75 |
$880.75 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$767.65 |
$767.65 |
$767.65 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$1,801.10
|
|
Iodine i-123 sod iodide mil
|
$1,256.45 |
$1,256.45 |
$1,256.45 |
$386.37
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$3.25 |
$3.25 |
$3.25 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3.25 |
$3.25 |
$3.25 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$733.20 |
$733.20 |
$733.20 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$53.95 |
$53.95 |
$53.95 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$302.90 |
$302.90 |
$302.90 |
$5,517.12
|
|
Iron
|
$429.00 |
$429.00 |
$429.00 |
$75.00
|
|
Iron binding capacity
|
$142.35 |
$142.35 |
$142.35 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$139.10 |
$139.10 |
$139.10 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,758.25 |
$1,758.25 |
$1,758.25 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$81.25 |
$81.25 |
$81.25 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$347.75 |
$347.75 |
$347.75 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$364.00 |
$364.00 |
$364.00 |
$8,273.35
|
|
Ivc venogram s&i
|
$6,561.75 |
$6,561.75 |
$6,561.75 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$174.85 |
$174.85 |
$174.85 |
$133.90
|
|
IV Fluids (first hour)
|
$318.50 |
$318.50 |
$318.50 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$55.90 |
$55.90 |
$55.90 |
$162.68
|
|
IV inj ra drug dx study
|
$1,082.90 |
$1,082.90 |
$1,082.90 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$191.75 |
$191.75 |
$191.75 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$199.55 |
$199.55 |
$199.55 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$460.85 |
$460.85 |
$460.85 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$155.35 |
$155.35 |
$155.35 |
$167.50
|
|
IV Push Injection (first drug)
|
$318.50 |
$318.50 |
$318.50 |
$252.76
|
|
Ivp w/nephrotomography
|
$1,518.40 |
$1,518.40 |
$1,518.40 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,416.35 |
$1,416.35 |
$1,416.35 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$850.85 |
$850.85 |
$850.85 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$484.90 |
$484.90 |
$484.90 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$806.00 |
$806.00 |
$806.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$849.55 |
$849.55 |
$849.55 |
$362.05
|
|
J-tube placement
|
$1,337.05 |
$1,337.05 |
$1,337.05 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$7.15 |
$7.15 |
$7.15 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$50.70 |
$50.70 |
$50.70 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$31.85 |
$31.85 |
$31.85 |
$23.52
|
|
Kidney function study
|
$1,064.05 |
$1,064.05 |
$1,064.05 |
$935.22
|
|
Kidney imag w/bld flow multi
|
$4,563.00 |
$4,563.00 |
$4,563.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,928.55 |
$1,928.55 |
$1,928.55 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,302.60 |
$1,302.60 |
$1,302.60 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$1,166.10 |
$1,166.10 |
$1,166.10 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$17,965.35 |
$17,965.35 |
$17,965.35 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$21,799.05 |
$21,799.05 |
$21,799.05 |
$9,423.50
|
|
Kit hfx iq ipg bundle
|
$73,101.60 |
$73,101.60 |
$73,101.60 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$130,070.85 |
$130,070.85 |
$130,070.85 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$29,240.90 |
$29,240.90 |
$29,240.90 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$4,478.50 |
$4,478.50 |
$4,478.50 |
$1,635.87
|
|
Kit sound processor cochlear osia 2
|
$32,397.30 |
$32,397.30 |
$32,397.30 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$5,739.50 |
$5,739.50 |
$5,739.50 |
$2,254.50
|
|
Kit trach suct cls 30.5cm
|
$92.30 |
$92.30 |
$92.30 |
$35.26
|
|
Knee MRI (with and without contrast)
|
$5,699.20 |
$5,699.20 |
$5,699.20 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$4,427.80 |
$4,427.80 |
$4,427.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,591.90 |
$3,591.90 |
$3,591.90 |
$2,130.88
|
|
Knee X-ray
|
$662.35 |
$662.35 |
$662.35 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$483.60 |
$483.60 |
$483.60 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$562.90 |
$562.90 |
$562.90 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$624.00 |
$624.00 |
$624.00 |
$251.20
|
|
Kras gene variants exon 2
|
$816.40 |
$816.40 |
$816.40 |
$536.20
|
|
Kyleena, 19.5 mg
|
$3,365.70 |
$3,365.70 |
$3,365.70 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$104.65 |
$104.65 |
$104.65 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$731.90 |
$731.90 |
$731.90 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$120.90 |
$120.90 |
$120.90 |
$55.50
|
