|
Intro long gi tube
|
$2,769.00 |
$2,769.00 |
$2,769.00 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$2,101.00 |
$2,101.00 |
$2,101.00 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,221.00 |
$4,221.00 |
$4,221.00 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,221.00 |
$4,221.00 |
$4,221.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$601.28
|
|
Io anal gast n-stim subsq
|
$143.00 |
$143.00 |
$143.00 |
$158.09
|
|
Iodine i-123 sod iodide mil
|
$1,683.83 |
$1,683.83 |
$1,683.83 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$114.00 |
$114.00 |
$114.00 |
$187.43
|
|
Ionm in operatng room 15 min
|
$254.00 |
$254.00 |
$254.00 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$950.00 |
$950.00 |
$950.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$37.29 |
$37.29 |
$37.29 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$42.12 |
$42.12 |
$42.12 |
$279.10
|
|
Io rad tx delivery by x-ray
|
$66,499.00 |
$66,499.00 |
$66,499.00 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$422.10 |
$422.10 |
$422.10 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$8.33 |
$8.33 |
$8.33 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$61.64 |
$61.64 |
$61.64 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$159.28 |
$159.28 |
$159.28 |
$5,517.12
|
|
Iron
|
$159.00 |
$159.00 |
$159.00 |
$75.00
|
|
Iron binding capacity
|
$205.00 |
$205.00 |
$205.00 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$68.20 |
$68.20 |
$68.20 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$2.73 |
$2.73 |
$2.73 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$155.00 |
$155.00 |
$155.00 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$286.00 |
$286.00 |
$286.00 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$0.01 |
$0.01 |
$0.01 |
$8,273.35
|
|
Island pedicle flap graft
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$2,468.80
|
|
IV cipaglucosidase alfa-atga
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
$769.78
|
|
Ivc venogram s&i
|
$10,421.00 |
$10,421.00 |
$10,421.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$210.00 |
$210.00 |
$210.00 |
$133.90
|
|
IV Fluids (first hour)
|
$765.00 |
$765.00 |
$765.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$331.00 |
$331.00 |
$331.00 |
$162.68
|
|
IV inj ra drug dx study
|
$1,265.00 |
$1,265.00 |
$1,265.00 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$567.00 |
$567.00 |
$567.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$210.00 |
$210.00 |
$210.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$343.00 |
$343.00 |
$343.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$620.00 |
$620.00 |
$620.00 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$1,478.00 |
$1,478.00 |
$1,478.00 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$319.11 |
$319.11 |
$319.11 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$892.00 |
$892.00 |
$892.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$570.00 |
$570.00 |
$570.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$478.00 |
$478.00 |
$478.00 |
$362.05
|
|
Jejunstmy tube plcmt
|
$3,153.00 |
$3,153.00 |
$3,153.00 |
$2,174.40
|
|
John cunningham antibody
|
$151.00 |
$151.00 |
$151.00 |
$78.00
|
|
Keratoprosthesis
|
$10,476.00 |
$10,476.00 |
$10,476.00 |
$10,476.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$196.00 |
$196.00 |
$196.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$16.45 |
$16.45 |
$16.45 |
$23.52
|
|
Kidney endoscopy
|
$14,031.00 |
$14,031.00 |
$14,031.00 |
$5,110.00
|
|
Kidney endoscopy & biopsy
|
$25,522.00 |
$25,522.00 |
$25,522.00 |
$6,311.00
|
|
Kidney endoscopy & treatment
|
$14,031.00 |
$14,031.00 |
$14,031.00 |
$5,728.00
|
|
Kidney imag w/bld flow multi
|
$2,392.00 |
$2,392.00 |
$2,392.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,277.00 |
$2,277.00 |
$2,277.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$6,414.10 |
$6,414.10 |
$6,414.10 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,292.01 |
$7,292.01 |
$7,292.01 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$601.00 |
$601.00 |
$601.00 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$33,859.00 |
$33,859.00 |
$33,859.00 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$13,288.66 |
$13,288.66 |
$13,288.66 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,103.21 |
$1,103.21 |
$1,103.21 |
$1,635.87
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$4,712.46
|
|
Knee arthroscopy/drainage
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
$4,350.00
|
|
Knee arthroscopy dx
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
$5,339.00
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$4,350.00
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$4,161.00
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$4,881.00
|
|
Knee arthroscopy/surgery
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
$4,484.67
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$8,264.00 |
$8,264.00 |
$8,264.00 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$8,718.00 |
$8,718.00 |
$8,718.00 |
$8,718.00
|
|
Knee MRI (with and without contrast)
|
$3,812.00 |
$3,812.00 |
$3,812.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$2,130.88
|
|
Knee X-ray
|
$452.00 |
$452.00 |
$452.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$373.00 |
$373.00 |
$373.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$402.00 |
$402.00 |
$402.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$235.00 |
$235.00 |
$235.00 |
$251.20
|
|
Kras gene variants exon 2
|
$1,438.00 |
$1,438.00 |
$1,438.00 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,788.08 |
$1,788.08 |
$1,788.08 |
$2,125.00
|
|
Labioplasty 56800
|
$5,989.00 |
$5,989.00 |
$5,989.00 |
$3,905.53
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$2.57 |
$2.57 |
$2.57 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$155.00 |
$155.00 |
$155.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$36.05 |
$36.05 |
$36.05 |
$43.74
|
|
Lactation class
|
$411.00 |
$411.00 |
$411.00 |
$104.96
|
|
Lactic acid
|
$253.00 |
$253.00 |
$253.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$266.00 |
$266.00 |
$266.00 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$250.82 |
$250.82 |
$250.82 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$0.26 |
$0.26 |
$0.26 |
$14.53
|
|
Laparo cholecystectomy/explr
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$8,346.00
|
|
Laparo proc abdm/per/oment 49329
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$6,622.75
|
|
Laparoscopy aspiration
|
$8,209.00 |
$8,209.00 |
$8,209.00 |
$6,904.15
|
|
Laparoscopy biopsy
|
$8,661.00 |
$8,661.00 |
$8,661.00 |
$6,463.42
|
