|
Intro long gi tube
|
$1,120.00 |
$1,120.00 |
$1,500.10 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$508.90 |
$508.90 |
$515.00 |
$469.00
|
|
Intro windpipe wire/tube
|
$2,944.90 |
$2,944.90 |
$2,944.90 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,655.00 |
$1,865.00 |
$52,100.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$780.00 |
$2,255.00 |
$43,062.21 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$565.00 |
$565.00 |
$55,706.34 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$341.22 |
$341.22 |
$1,405.60 |
$386.37
|
|
Ionm in operatng room 15 min
|
$289.10 |
$289.10 |
$289.10 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$923.30 |
$923.30 |
$923.30 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.50 |
$189.75 |
$1,604.75 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.56 |
$1.00 |
$2,407.88 |
$279.10
|
|
Io rad tx delivery by x-ray
|
$6,910.00 |
$6,910.00 |
$6,910.00 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$343.21 |
$387.04 |
$11,541.94 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$7.72 |
$7.72 |
$7.72 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$17.11 |
$257.74 |
$2,700.00 |
$173.98
|
|
Iron
|
$26.07 |
$67.50 |
$79.10 |
$75.00
|
|
Iron binding capacity
|
$28.05 |
$67.50 |
$73.50 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$55.86 |
$133.29 |
$146.30 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.23 |
$1.24 |
$361.02 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$27.30 |
$68.64 |
$105.00 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$125.00 |
$125.00 |
$185.13 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$219.79 |
$219.79 |
$15,118.42 |
$8,273.35
|
|
Ivc venogram s&i
|
$1,681.35 |
$2,975.00 |
$3,923.50 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$95.00 |
$125.00 |
$289.80 |
$133.90
|
|
IV Fluids (first hour)
|
$268.62 |
$285.00 |
$375.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$112.20 |
$145.00 |
$260.40 |
$162.68
|
|
IV inj ra drug dx study
|
$271.26 |
$271.26 |
$740.00 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$145.00 |
$168.30 |
$332.50 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$102.30 |
$145.00 |
$289.10 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$329.00 |
$360.00 |
$430.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$88.44 |
$152.50 |
$275.10 |
$167.50
|
|
IV Push Injection (first drug)
|
$161.04 |
$165.90 |
$215.00 |
$252.76
|
|
Ivp w/nephrotomography
|
$660.66 |
$805.00 |
$805.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$166.32 |
$745.00 |
$1,164.80 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$5,551.00 |
$5,551.00 |
$5,551.00 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$221.76 |
$417.50 |
$1,433.60 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$232.50 |
$232.50 |
$803.60 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$295.00 |
$295.00 |
$719.60 |
$362.05
|
|
Jejunstmy tube plcmt
|
$10,442.07 |
$10,442.07 |
$10,442.07 |
$2,174.40
|
|
John cunningham antibody
|
$65.00 |
$65.00 |
$2,951.20 |
$78.00
|
|
Keratoprosthesis
|
$140,909.48 |
$140,909.48 |
$140,909.48 |
$10,476.00
|
|
Ketamine and metabolite screen - quest
|
$26.60 |
$85.14 |
$357.50 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$21.78 |
$52.50 |
$310.10 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$26.13 |
$59.32 |
$59.96 |
$23.52
|
|
Kidney endoscopy
|
$19,079.94 |
$19,079.94 |
$19,079.94 |
$5,110.00
|
|
Kidney endoscopy
|
$6,180.00 |
$6,180.00 |
$28,946.04 |
$5,728.00
|
|
Kidney endoscopy & biopsy
|
$39,883.74 |
$39,883.74 |
$39,883.74 |
$6,311.00
|
|
Kidney imaging morphology
|
$519.09 |
$1,430.00 |
$1,493.80 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$632.28 |
$632.28 |
$632.28 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$571.23 |
$1,425.00 |
$3,087.70 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$589.71 |
$735.00 |
$1,474.20 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$536.58 |
$550.00 |
$1,313.20 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$32,445.06 |
$32,445.06 |
$32,445.06 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,295.50 |
$8,546.01 |
$39,368.47 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$133.65 |
$510.00 |
$1,046.50 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$159,588.52 |
$159,588.52 |
$159,588.52 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$7,672.05 |
$8,955.00 |
$193,697.50 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,898.33 |
$1,898.33 |
$4,563.77 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,118.26 |
$3,118.26 |
$6,804.82 |
$2,254.50
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$21,103.12 |
$21,103.12 |
$21,103.12 |
$4,712.46
|
|
Knee arthroscopy dx
|
$28,518.16 |
$28,518.16 |
$28,518.16 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$25,663.99 |
$25,663.99 |
$25,663.99 |
$5,339.00
|
|
Knee arthroscopy/surgery
|
$65,216.63 |
$65,216.63 |
$65,216.63 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$28,785.58 |
$28,785.58 |
$28,785.58 |
$4,350.00
|
|
Knee arthroscopy/surgery
|
$18,876.17 |
$18,876.17 |
$18,876.17 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$17,255.47 |
$17,255.47 |
$17,255.47 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$14,632.38 |
$14,632.38 |
$14,632.38 |
$4,161.00
|
|
Knee arthroscopy/surgery
|
$51,065.94 |
$51,065.94 |
$51,065.94 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$25,137.57 |
$25,137.57 |
$25,137.57 |
$4,881.00
|
|
Knee arthroscopy/surgery
|
$52,204.61 |
$52,204.61 |
$52,204.61 |
$4,484.67
|
|
Knee arthroscopy/surgery
|
$99,274.20 |
$99,274.20 |
$99,274.20 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$19,916.69 |
$19,916.69 |
$19,916.69 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$41,013.87 |
$41,013.87 |
$41,013.87 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$106,675.84 |
$106,675.84 |
$106,675.84 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$155,808.05 |
$155,808.05 |
$155,808.05 |
$8,718.00
|
|
Knee MRI (with and without contrast)
|
$2,315.61 |
$2,660.00 |
$4,428.90 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,810.00 |
$2,190.00 |
$4,038.30 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,690.00 |
$1,965.81 |
$3,835.30 |
$2,130.88
|
|
Knee X-ray
|
$365.31 |
$420.00 |
$724.50 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$71.28 |
$240.00 |
$556.50 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$264.00 |
$300.00 |
$598.50 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$210.00 |
$224.40 |
$481.60 |
$251.20
|
|
Kras gene addl variants
|
$207.90 |
$456.40 |
$460.00 |
$387.20
|
|
Kras gene variants exon 2
|
$165.99 |
$455.00 |
$1,662.50 |
$536.20
|
|
Kyleena, 19.5 mg
|
$2,949.47 |
$2,949.47 |
$2,949.47 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$17.84 |
$38.98 |
$420.52 |
$33.60
|
|
Labioplasty 56800
|
$35,303.73 |
$35,303.73 |
$35,303.73 |
$3,905.53
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.63 |
$272.12 |
$325.34 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$21.12 |
$37.50 |
$81.20 |
$55.50
|
|
Lactated ringers intravenous solution
|
$109.54 |
$110.52 |
$279.65 |
$43.74
|
|
Lactic acid
|
$27.06 |
$70.00 |
$191.10 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$41.91 |
$95.90 |
$97.50 |
$82.16
|
|
Lactoferrin fecal quant
|
$150.50 |
$150.50 |
$150.50 |
$108.93
|
|
Lam facetec & foramot crv
|
$42,217.75 |
$42,217.75 |
$42,217.75 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$50,687.09 |
$50,687.09 |
$50,687.09 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$61,869.81 |
$61,869.81 |
$61,869.81 |
$8,453.60
|
|
Laminotomy single lumbar
|
$46,684.00 |
$46,684.00 |
$46,684.00 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$162.67 |
$162.67 |
$162.67 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$83,541.65 |
$83,541.65 |
$83,541.65 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$35,022.97 |
$35,022.97 |
$35,022.97 |
$9,367.23
|
