|
Io anal gast n-stim subsq
|
$78.00 |
$78.00 |
$78.00 |
$146.38
|
|
Iodine i-123 sod iodide mil
|
$150.15 |
$150.15 |
$150.15 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$169.00 |
$169.00 |
$169.00 |
$187.43
|
|
Ionm in operatng room 15 min
|
$490.10 |
$490.10 |
$490.10 |
$203.73
|
|
Ionm remote/>1 pt or per hr
|
$1,148.55 |
$1,148.55 |
$1,148.55 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$15.13 |
$15.13 |
$15.13 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.40 |
$13.40 |
$13.40 |
$277.17
|
|
Io rad tx delivery by x-ray
|
$42,857.10 |
$42,857.10 |
$42,857.10 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$2,825.08 |
$2,825.08 |
$2,825.08 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$572.00 |
$572.00 |
$572.00 |
$168.44
|
|
Ip/obs cnsltj new/est mod 60
|
$778.05 |
$778.05 |
$778.05 |
$260.15
|
|
Ip/obs consltj new/est hi 80
|
$1,103.70 |
$1,103.70 |
$1,103.70 |
$303.16
|
|
Ip/obs consltj new/est sf 35
|
$390.00 |
$390.00 |
$390.00 |
$126.40
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$26.78 |
$26.78 |
$26.78 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$952.54 |
$952.54 |
$952.54 |
$5,517.12
|
|
Iron
|
$93.60 |
$93.60 |
$93.60 |
$74.75
|
|
Iron binding capacity
|
$52.00 |
$52.00 |
$52.00 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$76.05 |
$76.05 |
$76.05 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$30.40 |
$30.40 |
$30.40 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$61.75 |
$61.75 |
$61.75 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$333.45 |
$333.45 |
$333.45 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$578.11 |
$578.11 |
$578.11 |
$8,273.35
|
|
Island pedicle flap graft
|
$4,459.00 |
$4,459.00 |
$4,459.00 |
$2,468.80
|
|
Ivc venogram s&i
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$258.70 |
$258.70 |
$258.70 |
$133.90
|
|
IV Fluids (first hour)
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$619.45 |
$619.45 |
$619.45 |
$162.00
|
|
IV inj ra drug dx study
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$399.10 |
$399.10 |
$399.10 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$258.70 |
$258.70 |
$258.70 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$507.00 |
$507.00 |
$507.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$258.70 |
$258.70 |
$258.70 |
$166.80
|
|
IV Push Injection (first drug)
|
$1,181.70 |
$1,181.70 |
$1,181.70 |
$254.52
|
|
Ivp w/nephrotomography
|
$140.40 |
$140.40 |
$140.40 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$997.75 |
$997.75 |
$997.75 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$18,856.29 |
$18,856.29 |
$18,856.29 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$830.70 |
$830.70 |
$830.70 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$494.00 |
$494.00 |
$494.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$596.70 |
$596.70 |
$596.70 |
$362.05
|
|
Jejunstmy tube plcmt
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$2,174.40
|
|
J-tube placement
|
$681.20 |
$681.20 |
$681.20 |
$593.08
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$133.90 |
$133.90 |
$133.90 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$15.29 |
$15.29 |
$15.29 |
$23.50
|
|
Kidney endoscopy
|
$1,453.40 |
$1,453.40 |
$1,453.40 |
$5,110.00
|
|
Kidney endoscopy
|
$2,477.80 |
$2,477.80 |
$2,477.80 |
$4,081.37
|
|
Kidney endoscopy & biopsy
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$1,970.80 |
$1,970.80 |
$1,970.80 |
$5,728.00
|
|
Kidney function study
|
$98.80 |
$98.80 |
$98.80 |
$935.22
|
|
Kidney imaging morphology
|
$117.00 |
$117.00 |
$117.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$759.20 |
$759.20 |
$759.20 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$596.70 |
$596.70 |
$596.70 |
$492.25
|
|
Kit case 4.2mm spinejack
|
$10,708.75 |
$10,708.75 |
$10,708.75 |
$7,177.60
|
|
Kit gene analys d816 variant
|
$239.85 |
$239.85 |
$239.85 |
$374.40
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$2,373.80 |
$2,373.80 |
$2,373.80 |
$4,627.00
|
|
Knee arthroscopy dx
|
$12,126.40 |
$12,126.40 |
$12,126.40 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$2,010.45 |
$2,010.45 |
$2,010.45 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$1,784.90 |
$1,784.90 |
$1,784.90 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,306.20 |
$2,306.20 |
$2,306.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$3,060.20 |
$3,060.20 |
$3,060.20 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,089.80 |
$4,089.80 |
$4,089.80 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$4,526.60 |
$4,526.60 |
$4,526.60 |
$6,839.00
|
|
Knee MRI (with and without contrast)
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$2,122.12
|
|
Knee X-ray
|
$596.70 |
$596.70 |
$596.70 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$494.00 |
$494.00 |
$494.00 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$494.00 |
$494.00 |
$494.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$494.00 |
$494.00 |
$494.00 |
$252.50
|
|
Kras gene addl variants
|
$313.95 |
$313.95 |
$313.95 |
$387.20
|
|
Kras gene variants exon 2
|
$313.95 |
$313.95 |
$313.95 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,894.83 |
$1,894.83 |
$1,894.83 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$98.80 |
$98.80 |
$98.80 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$80.60 |
$80.60 |
$80.60 |
$70.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$9.36 |
$9.36 |
$9.36 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$11.60 |
$11.60 |
$11.60 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$78.65 |
$78.65 |
$78.65 |
$55.50
|
|
Lactated ringers intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$43.74
|
|
Lactic acid
|
$63.70 |
$63.70 |
$63.70 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$92.95 |
$92.95 |
$92.95 |
$82.40
|
|
Lam facetc/frmt arthrd lum 1
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$582.40
|
|
Lam facetec & foramot crv
|
$4,667.00 |
$4,667.00 |
$4,667.00 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$4,395.95 |
$4,395.95 |
$4,395.95 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$4,933.50 |
$4,933.50 |
$4,933.50 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$982.80 |
$982.80 |
$982.80 |
$471.20
|
|
Lamie bx/exc idrl spine lesn thrc 63281
|
$7,797.40 |
$7,797.40 |
$7,797.40 |
$4,925.60
|
|
Lamie excise intrspinl lesion thrc 63266
|
$6,416.80 |
$6,416.80 |
$6,416.80 |
$5,178.00
|
|
Laminotomy single lumbar
|
$4,877.60 |
$4,877.60 |
$4,877.60 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$74,084.40 |
$74,084.40 |
$74,084.40 |
$19,124.00
|
|
Laparo ablate renal cyst
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$9,367.23
|
|
Laparo cholecystectomy/explr
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$21,806.20 |
$21,806.20 |
$21,806.20 |
$8,346.00
|
|
Laparo-myomectomy complex
|
$5,184.40 |
$5,184.40 |
$5,184.40 |
$11,419.92
|