|
Integra meshed bil wound mat
|
$200.85 |
$200.85 |
$11,443.78 |
$25,450.30
|
|
Intens cardiac rehab no exer
|
$425.74 |
$425.74 |
$1,437.60 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$425.74 |
$425.74 |
$1,437.60 |
$238.40
|
|
Interdiscal perq aspir dx
|
$2,039.50 |
$2,039.50 |
$2,124.65 |
$1,222.26
|
|
Interferon beta-1a inj
|
$2,719.00 |
$2,719.00 |
$2,719.00 |
$2,203.14
|
|
Interrogate subq defib
|
$461.09 |
$461.09 |
$461.09 |
$139.10
|
|
Interrog dev eval icpms ip
|
$461.09 |
$461.09 |
$461.09 |
$106.80
|
|
Interrog dev eval scrms ip
|
$304.65 |
$304.65 |
$304.65 |
$124.80
|
|
Interrog device eval heart
|
$461.09 |
$461.09 |
$1,142.55 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$461.09 |
$461.09 |
$856.99 |
$127.20
|
|
Intra-atrial pacing
|
$2,567.93 |
$2,567.93 |
$14,540.61 |
$5,155.51
|
|
Intra-atrial recording
|
$1,599.02 |
$13,873.35 |
$13,997.32 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$7,823.15 |
$7,823.15 |
$7,823.15 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$26,546.47 |
$26,546.47 |
$26,546.47 |
$11,364.78
|
|
Intracranial angioplasty
|
$47,466.59 |
$47,466.59 |
$47,466.59 |
$7,149.60
|
|
Intracranial complete study
|
$2,833.35 |
$2,833.35 |
$27,528.11 |
$883.30
|
|
Intracranial limited study
|
$1,344.82 |
$1,344.82 |
$15,293.19 |
$423.52
|
|
Intranasal biopsy 30100
|
$15,514.83 |
$15,514.83 |
$15,514.83 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$5,519.35 |
$5,519.35 |
$5,519.35 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$624.97 |
$1,819.13 |
$1,819.13 |
$239.52
|
|
Intrauterine transfusion ftl
|
$3,921.67 |
$3,921.67 |
$3,921.67 |
$1,004.25
|
|
Intraventricular pacing
|
$2,567.93 |
$13,356.76 |
$13,997.32 |
$5,775.22
|
|
Intrinsic factor antibody
|
$7.00 |
$7.63 |
$257.40 |
$59.95
|
|
Intro cath dialysis circuit
|
$7,509.84 |
$7,509.84 |
$7,509.84 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$22,371.56 |
$22,371.56 |
$22,371.56 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$37,946.21 |
$37,946.21 |
$37,946.21 |
$15,625.00
|
|
Intro catheter aorta
|
$4,571.53 |
$4,571.53 |
$4,571.53 |
$1,861.61
|
|
Intro cath svc/ivc
|
$3,631.90 |
$3,631.90 |
$3,631.90 |
$1,350.75
|
|
Intro long gi tube
|
$2,391.11 |
$2,391.11 |
$2,798.84 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$2,195.77 |
$2,195.77 |
$2,831.57 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,120.54 |
$5,120.54 |
$5,120.54 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,604.17 |
$4,604.17 |
$4,604.17 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,005.75 |
$1,005.75 |
$1,005.75 |
$617.60
|
|
Ionm in operatng room 15 min
|
$121.40 |
$121.40 |
$1,587.83 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$1,060.15 |
$1,060.15 |
$1,060.15 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$96.16 |
$184.87 |
$492.98 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$288.11 |
$288.11 |
$789.21 |
$182.21
|
|
Io rad tx delivery by x-ray
|
$35,192.81 |
$35,192.81 |
$35,192.81 |
$10,127.56
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$95,405.94 |
$95,405.94 |
$96,145.27 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$3.75 |
$11.59 |
$43.96 |
$4.77
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$499.54 |
$519.58 |
$7,181.00 |
$203.92
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,723.52 |
$7,723.52 |
$8,067.66 |
$5,837.00
|
|
Iron
|
$332.75 |
$332.75 |
$822.24 |
$70.72
|
|
Iron binding capacity
|
$223.26 |
$223.26 |
$1,065.17 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$159.68 |
$174.24 |
$562.00 |
$73.22
|
|
Iron stain peripheral blood
|
$25.28 |
$25.28 |
$25.28 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$404.07 |
$444.17 |
$860.56 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$152.37 |
$166.38 |
$418.76 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$191.91 |
$196.49 |
$727.66 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$28,896.32 |
$28,896.32 |
$29,120.07 |
$8,335.70
|
|
Ivc venogram s&i
|
$8,023.82 |
$8,023.82 |
$8,333.83 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$400.94 |
$400.94 |
$400.94 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$753.27 |
$753.27 |
$753.27 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$321.94 |
$321.94 |
$321.94 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$964.75 |
$964.75 |
$964.75 |
$460.85
|
|
IV inj ra drug dx study
|
$1,156.93 |
$1,156.93 |
$3,951.75 |
$560.00
|
|
Ivp w/nephrotomography
|
$1,778.26 |
$1,778.26 |
$8,115.47 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,646.31 |
$1,646.31 |
$7,860.16 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$5,050.91 |
$5,050.91 |
$5,050.91 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$2,858.56 |
$2,858.56 |
$2,858.56 |
$378.30
|
|
John cunningham antibody
|
$260.69 |
$260.69 |
$260.69 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$30.91 |
$30.91 |
$30.91 |
$68.15
|
|
Ketogenic steroids fract
|
$43.50 |
$43.50 |
$326.32 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$53.78 |
$53.78 |
$126.11 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$108.95 |
$108.95 |
$118.36 |
$29.52
|
|
Kidney function study
|
$3,951.75 |
$3,951.75 |
$3,951.75 |
$549.70
|
|
Kidney imaging morphology
|
$11,523.91 |
$11,523.91 |
$12,578.26 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,977.66 |
$1,977.66 |
$13,802.17 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,651.16 |
$1,651.16 |
$20,491.96 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,706.27 |
$2,706.27 |
$10,857.77 |
$668.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$213.83 |
$213.83 |
$213.83 |
$103.20
|
|
Kit gene analys d816 variant
|
$1,927.37 |
$1,927.37 |
$1,927.37 |
$355.00
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$200.85 |
$200.85 |
$200.85 |
$234.08
|
|
Knee Arthroscopy (Cartilage Repair)
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy dx
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee Arthroscopy (Meniscus Repair)
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$7,807.24
|
|
Knee MRI (with and without contrast)
|
$8,040.57 |
$8,040.57 |
$8,040.57 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$7,308.76 |
$7,308.76 |
$7,308.76 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,342.78 |
$3,342.78 |
$6,387.80 |
$2,181.10
|
|
Knee X-ray
|
$1,739.51 |
$1,739.51 |
$1,739.51 |
$443.90
|
|
Kras gene addl variants
|
$2,982.82 |
$2,982.82 |
$2,982.82 |
$346.45
|
|
Kras gene variants exon 2
|
$406.33 |
$406.33 |
$2,982.82 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$222.94 |
$222.94 |
$244.31 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$189.40 |
$189.40 |
$207.29 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$196.55 |
$196.55 |
$196.55 |
$53.30
|
|
Lactated ringers intravenous solution
|
$167.17 |
$202.12 |
$250.00 |
$48.56
|
|
Lactic acid
|
$338.31 |
$338.31 |
$338.31 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$227.28 |
$227.28 |
$336.37 |
$88.40
|
|
Lactoferrin fecal quant
|
$45.78 |
$45.78 |
$50.00 |
$106.10
|
|
Lam facetec & foramot crv
|
$59,420.49 |
$59,420.49 |
$59,420.49 |
$7,807.24
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$43,947.29 |
$43,947.29 |
$48,858.48 |
$21,487.67
|
|
Laparo cholecystectomy/graph
|
$59,775.03 |
$59,775.03 |
$59,775.03 |
$7,220.90
|