|
Ins mark abd/pel for right perq
|
$8,379.70 |
$8,379.70 |
$8,379.70 |
$2,414.36
|
|
Ins mark thor for right perq
|
$1,250.90 |
$1,250.90 |
$1,250.90 |
$2,477.45
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,838.90 |
$1,838.90 |
$1,838.90 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$13,707.40 |
$13,707.40 |
$13,707.40 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$32,985.40 |
$32,985.40 |
$32,985.40 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$12,165.66 |
$12,165.66 |
$12,165.66 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$208,186.52 |
$208,186.52 |
$208,186.52 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$92,286.18 |
$92,286.18 |
$92,286.18 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$7,396.20 |
$7,396.20 |
$7,396.20 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$11,116.00 |
$11,116.00 |
$11,116.00 |
$9,428.64
|
|
Ins/rpl prph sac/gstr npg/r
|
$96,082.83 |
$96,082.83 |
$96,082.83 |
$21,857.50
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$185,180.16 |
$185,180.16 |
$185,180.16 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$1,208.20 |
$1,208.20 |
$1,208.20 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$755.30 |
$755.30 |
$755.30 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$3,651.90 |
$3,651.90 |
$3,651.90 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$10,021.20 |
$10,021.20 |
$10,021.20 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$11,280.12 |
$11,280.12 |
$11,280.12 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,597.30 |
$3,597.30 |
$3,597.30 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$4,748.10 |
$4,748.10 |
$4,748.10 |
$1,065.00
|
|
Insulin total
|
$184.80 |
$184.80 |
$184.80 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$22,404.96 |
$22,404.96 |
$22,404.96 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$104,352.48 |
$104,352.48 |
$104,352.48 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$22,679.68 |
$22,679.68 |
$22,679.68 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$47.60 |
$47.60 |
$47.60 |
$47.60
|
|
Interdiscal perq aspir dx
|
$1,873.90 |
$1,873.90 |
$1,873.90 |
$1,222.26
|
|
Interferon beta-1b / .25 mg
|
$3,967.25 |
$3,967.25 |
$3,967.25 |
$1,662.71
|
|
Interphalangeal joint spacer
|
$9,593.68 |
$9,593.68 |
$9,593.68 |
$3,190.20
|
|
Interrogate subq defib
|
$157.50 |
$157.50 |
$157.50 |
$119.60
|
|
Interrog evl pm/ldls pm ip
|
$200.20 |
$200.20 |
$200.20 |
$124.80
|
|
Int hrhc lig 1 hroid without img
|
$15,823.09 |
$15,823.09 |
$15,823.09 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$16,491.01 |
$16,491.01 |
$16,491.01 |
$3,245.23
|
|
Intra-atrial pacing
|
$16,191.00 |
$16,191.00 |
$16,191.00 |
$4,780.80
|
|
Intracard echo interv w/s&i
|
$2,492.00 |
$2,492.00 |
$2,492.00 |
$3,461.04
|
|
Intracranial angioplasty
|
$4,699.10 |
$4,699.10 |
$4,699.10 |
$4,962.40
|
|
Intracranial complete study
|
$2,235.10 |
$2,235.10 |
$2,235.10 |
$874.99
|
|
Intracranial limited study
|
$869.40 |
$869.40 |
$869.40 |
$465.01
|
|
Intrapul surf admin endo tube
|
$204.40 |
$204.40 |
$204.40 |
$220.80
|
|
Intrauterine transfusion ftl
|
$550.20 |
$550.20 |
$550.20 |
$1,063.50
|
|
Intraventricular pacing
|
$6,409.90 |
$6,409.90 |
$6,409.90 |
$5,456.17
|
|
Intrinsic factor antibody
|
$309.40 |
$309.40 |
$309.40 |
$63.15
|
|
Intro cath dialysis circuit
|
$9,397.23 |
$9,397.23 |
$9,397.23 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$19,006.86 |
$19,006.86 |
$19,006.86 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$60,224.81 |
$60,224.81 |
$60,224.81 |
$16,262.40
|
|
Intro catheter aorta
|
$2,852.50 |
$2,852.50 |
$2,852.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$73,780.11 |
$73,780.11 |
$73,780.11 |
$1,323.27
|
|
Intro long gi tube
|
$905.80 |
$905.80 |
$905.80 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$508.90 |
$508.90 |
$508.90 |
$466.00
|
|
Intro windpipe wire/tube
|
$2,944.90 |
$2,944.90 |
$2,944.90 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$52,100.80 |
$52,100.80 |
$52,100.80 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$43,062.21 |
$43,062.21 |
$43,062.21 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$815.50 |
$815.50 |
$815.50 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$371.18
|
|
Ionm in operatng room 15 min
|
$298.90 |
$298.90 |
$298.90 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1,189.12 |
$1,189.12 |
$1,189.12 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2,407.88 |
$2,407.88 |
$2,407.88 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$211,387.56 |
$211,387.56 |
$211,387.56 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$162.75 |
$162.75 |
$162.75 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$17,818.67 |
$17,818.67 |
$17,818.67 |
$5,517.12
|
|
Iron
|
$79.10 |
$79.10 |
$79.10 |
$72.29
|
|
Iron binding capacity
|
$73.50 |
$73.50 |
$73.50 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$50.40 |
$50.40 |
$50.40 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$124.42 |
$124.42 |
$124.42 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$27.30 |
$27.30 |
$27.30 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$231.70 |
$231.70 |
$231.70 |
$144.62
|
|
Ivc venogram s&i
|
$3,923.50 |
$3,923.50 |
$3,923.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$336.70 |
$336.70 |
$336.70 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$260.40 |
$260.40 |
$260.40 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$148.40 |
$148.40 |
$148.40 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$461.30 |
$461.30 |
$461.30 |
$437.45
|
|
IV inj ra drug dx study
|
$862.40 |
$862.40 |
$862.40 |
$552.60
|
|
Ivp w/wo kub w/wo tomography
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$35,273.35 |
$35,273.35 |
$35,273.35 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$574.00 |
$574.00 |
$574.00 |
$393.43
|
|
John cunningham antibody
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$26.60 |
$26.60 |
$26.60 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$242.90 |
$242.90 |
$242.90 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$8.40 |
$8.40 |
$8.40 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$2,451.40 |
$2,451.40 |
$2,451.40 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$26,659.99 |
$26,659.99 |
$26,659.99 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$28,848.69 |
$28,848.69 |
$28,848.69 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$825.30 |
$825.30 |
$825.30 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$159,588.52 |
$159,588.52 |
$159,588.52 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$193,697.50 |
$193,697.50 |
$193,697.50 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$4,691.88 |
$4,691.88 |
$4,691.88 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$15,716.26 |
$15,716.26 |
$15,716.26 |
$923.90
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$6,557.06 |
$6,557.06 |
$6,557.06 |
$2,254.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$13,607.12 |
$13,607.12 |
$13,607.12 |
$4,499.12
|
|
Knee Arthroscopy (Meniscus Repair)
|
$20,694.66 |
$20,694.66 |
$20,694.66 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$17,764.32 |
$17,764.32 |
$17,764.32 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$14,643.78 |
$14,643.78 |
$14,643.78 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$19,904.15 |
$19,904.15 |
$19,904.15 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$18,733.67 |
$18,733.67 |
$18,733.67 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$83,082.05 |
$83,082.05 |
$83,082.05 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$88,094.17 |
$88,094.17 |
$88,094.17 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$85,032.29 |
$85,032.29 |
$85,032.29 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$88,224.75 |
$88,224.75 |
$88,224.75 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$4,428.90 |
$4,428.90 |
$4,428.90 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$4,038.30 |
$4,038.30 |
$4,038.30 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,835.30 |
$3,835.30 |
$3,835.30 |
$2,110.76
|