|
Intro cath dialysis circuit
|
$1,582.08 |
$1,582.08 |
$1,582.08 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$2,871.04 |
$2,871.04 |
$2,871.04 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$8,023.04 |
$8,023.04 |
$8,023.04 |
$16,262.40
|
|
Intro catheter aorta
|
$636.16 |
$636.16 |
$636.16 |
$1,654.05
|
|
Intro cath svc/ivc
|
$907.20 |
$907.20 |
$907.20 |
$1,323.27
|
|
Intro long gi tube
|
$407.04 |
$407.04 |
$407.04 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$147.20 |
$147.20 |
$147.20 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$260.80 |
$260.80 |
$260.80 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$260.80 |
$260.80 |
$260.80 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$250.88 |
$250.88 |
$250.88 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.47 |
$1.47 |
$1.47 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1.83 |
$1.83 |
$1.83 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$5,563.23 |
$5,563.23 |
$5,563.23 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$20.48 |
$20.48 |
$20.48 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$28.48 |
$28.48 |
$28.48 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$37.76 |
$37.76 |
$37.76 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$14.40 |
$14.40 |
$14.40 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$43.86 |
$43.86 |
$43.86 |
$174.47
|
|
Iron
|
$87.04 |
$87.04 |
$87.04 |
$72.29
|
|
Iron binding capacity
|
$38.40 |
$38.40 |
$38.40 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$41.90 |
$41.90 |
$41.90 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$71.54 |
$71.54 |
$71.54 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$198.40 |
$198.40 |
$198.40 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$73.92 |
$73.92 |
$73.92 |
$144.62
|
|
Ivc venogram s&i
|
$1,428.48 |
$1,428.48 |
$1,428.48 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$115.20 |
$115.20 |
$115.20 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$124.16 |
$124.16 |
$124.16 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$134.40 |
$134.40 |
$134.40 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$209.92 |
$209.92 |
$209.92 |
$437.45
|
|
Ivp w/nephrotomography
|
$431.36 |
$431.36 |
$431.36 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$326.72 |
$326.72 |
$326.72 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$188.80 |
$188.80 |
$188.80 |
$393.43
|
|
John cunningham antibody
|
$9.60 |
$9.60 |
$9.60 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$35.20 |
$35.20 |
$35.20 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$25.60 |
$25.60 |
$25.60 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$12.07 |
$12.07 |
$12.07 |
$23.77
|
|
Kidney function study
|
$389.76 |
$389.76 |
$389.76 |
$968.50
|
|
Kidney imag w/bld flow multi
|
$836.80 |
$836.80 |
$836.80 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$745.60 |
$745.60 |
$745.60 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$239.68 |
$239.68 |
$239.68 |
$673.36
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,138.88 |
$6,138.88 |
$6,138.88 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$179.20 |
$179.20 |
$179.20 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$42,400.00 |
$42,400.00 |
$42,400.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$13,586.56 |
$13,586.56 |
$13,586.56 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,491.20 |
$1,491.20 |
$1,491.20 |
$1,667.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$510.72 |
$510.72 |
$510.72 |
$4,499.12
|
|
Knee Arthroscopy (Meniscus Repair)
|
$471.04 |
$471.04 |
$471.04 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$561.28 |
$561.28 |
$561.28 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$681.28 |
$681.28 |
$681.28 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$786.88 |
$786.88 |
$786.88 |
$8,979.74
|
|
Knee MRI (with and without contrast)
|
$1,135.04 |
$1,135.04 |
$1,135.04 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$965.12 |
$965.12 |
$965.12 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,101.12 |
$1,101.12 |
$1,101.12 |
$2,110.76
|
|
Knee X-ray
|
$248.64 |
$248.64 |
$248.64 |
$425.55
|
|
Kras gene addl variants
|
$191.36 |
$191.36 |
$191.36 |
$386.75
|
|
Kras gene variants exon 2
|
$191.36 |
$191.36 |
$191.36 |
$509.00
|
|
Kyleena, 19.5 mg
|
$932.80 |
$932.80 |
$932.80 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$14.41 |
$14.41 |
$14.41 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$96.98 |
$96.98 |
$96.98 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$46.72 |
$46.72 |
$46.72 |
$55.50
|
|
Lactated ringers intravenous solution
|
$13.76 |
$13.76 |
$13.76 |
$44.91
|
|
Lactation class
|
$108.80 |
$108.80 |
$108.80 |
$93.71
|
|
Lactic acid
|
$40.64 |
$40.64 |
$40.64 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$17.60 |
$17.60 |
$17.60 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$6,880.00 |
$6,880.00 |
$6,880.00 |
$19,124.00
|
|
Laparo cholecystectomy/graph
|
$562.24 |
$562.24 |
$562.24 |
$8,346.00
|
|
Laparo-myomectomy complex
|
$878.40 |
$878.40 |
$878.40 |
$11,523.76
|
|
Laparo new ureter/bladder
|
$916.16 |
$916.16 |
$916.16 |
$9,116.80
|
|
Laparo partial colectomy 44204
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$2,917.80
|
|
Laparo partial nephrectomy
|
$1,173.44 |
$1,173.44 |
$1,173.44 |
$12,320.22
|
|
Laparo radical nephrectomy
|
$1,041.28 |
$1,041.28 |
$1,041.28 |
$6,360.80
|
|
Laparo remove w/ureter
|
$1,045.44 |
$1,045.44 |
$1,045.44 |
$6,593.60
|
|
Laparoscopic myomectomy
|
$716.16 |
$716.16 |
$716.16 |
$6,461.32
|
|
Laparoscopy aspiration
|
$293.44 |
$293.44 |
$293.44 |
$6,839.00
|
|
Laparoscopy biopsy
|
$230.08 |
$230.08 |
$230.08 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$678.40 |
$678.40 |
$678.40 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$567.68 |
$567.68 |
$567.68 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$827.84 |
$827.84 |
$827.84 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$460.16 |
$460.16 |
$460.16 |
$6,457.82
|
|
Laparoscopy lymphadenectomy
|
$524.16 |
$524.16 |
$524.16 |
$12,320.22
|
|
Laparoscopy lymph node biop
|
$346.24 |
$346.24 |
$346.24 |
$6,904.15
|
|
Laparoscopy lysis
|
$541.76 |
$541.76 |
$541.76 |
$5,419.00
|
|
Laparoscopy pyeloplasty
|
$972.80 |
$972.80 |
$972.80 |
$11,963.98
|
|
Laparoscopy remove adnexa
|
$776.32 |
$776.32 |
$776.32 |
$8,607.55
|
|
Laparo-vag hyst incl t/o
|
$779.52 |
$779.52 |
$779.52 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$1,018.24 |
$1,018.24 |
$1,018.24 |
$8,917.26
|
|
Lap close enterostomy with resect 44227
|
$1,269.76 |
$1,269.76 |
$1,269.76 |
$3,582.00
|
|
Lap colectomy/coloproctostomy 44207
|
$1,397.76 |
$1,397.76 |
$1,397.76 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$1,527.04 |
$1,527.04 |
$1,527.04 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$1,033.28 |
$1,033.28 |
$1,033.28 |
$2,938.32
|
|
Lap colostomy 44188
|
$944.32 |
$944.32 |
$944.32 |
$3,008.00
|
|
Lap enterectomy 44202
|
$1,066.56 |
$1,066.56 |
$1,066.56 |
$2,142.00
|
|
Lap enterolysis
|
$714.24 |
$714.24 |
$714.24 |
$6,376.26
|
|
Lap esophageal lengthening addl 43283
|
$91.20 |
$91.20 |
$91.20 |
$388.00
|
|
Lap gastr bypass incl smll i
|
$1,416.32 |
$1,416.32 |
$1,416.32 |
$4,532.00
|
|
Lap gastric bypass/roux-en-y
|
$1,336.64 |
$1,336.64 |
$1,336.64 |
$4,255.20
|
|
Lap ing hernia repair init
|
$345.28 |
$345.28 |
$345.28 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$449.92 |
$449.92 |
$449.92 |
$6,463.42
|
|
Lap jejunostomy 44186
|
$507.20 |
$507.20 |
$507.20 |
$6,376.26
|
|
Lap mobil splenic fl add-on 44213
|
$141.12 |
$141.12 |
$141.12 |
$622.40
|
