|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$165.58 |
$5,317.81 |
$19,116.30 |
|
|
Iron
|
$26.07 |
$79.10 |
$207.20 |
|
|
Iron binding capacity
|
$28.05 |
$79.75 |
$244.08 |
|
|
Iron dextran 50 mg/ml injection solution
|
$35.70 |
$55.86 |
$146.30 |
|
|
Iron stain peripheral blood
|
$6.00 |
$6.00 |
$372.60 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.09 |
$6.88 |
$1,101.10 |
|
|
Irradiation of blood product each unit reference
|
$24.60 |
$86.40 |
$177.10 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$50.00 |
$158.40 |
$350.40 |
|
|
Irrigation sphenoid sinus
|
$936.00 |
$936.00 |
$936.00 |
|
|
Irrigation syringe
|
$21.60 |
$21.60 |
$21.60 |
|
|
Irrigation tray
|
$0.72 |
$0.72 |
$0.72 |
|
|
Irrigation vagina and/or appl medicament tx disease
|
$90.00 |
$90.00 |
$132.00 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$124.92 |
$258.15 |
$27,234.90 |
|
|
Island pedicle flap graft
|
$2,468.80 |
$2,468.80 |
$2,468.80 |
|
|
Ivc venogram s&i
|
$141.00 |
$3,682.80 |
$14,321.30 |
|
|
IV Fluids (each additional hour)
|
$60.00 |
$148.17 |
$347.40 |
|
|
IV Fluids (first hour)
|
$175.00 |
$401.60 |
$715.20 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$43.75 |
$185.00 |
$388.80 |
|
|
IV inj ra drug dx study
|
$271.26 |
$740.00 |
$880.60 |
|
|
IV Medicine Infusion (additional drug)
|
$62.50 |
$185.00 |
$400.20 |
|
|
IV Medicine Infusion (each additional hour)
|
$64.20 |
$155.00 |
$425.40 |
|
|
IV Medicine Infusion (first hour)
|
$190.00 |
$431.20 |
$1,008.60 |
|
|
IV njx tst vasc flo flap/grf
|
$268.00 |
$268.00 |
$268.00 |
|
|
IV Push Injection (each additional drug)
|
$68.40 |
$189.36 |
$411.60 |
|
|
IV Push Injection (first drug)
|
$101.25 |
$244.20 |
$663.60 |
|
|
Ivp w/nephrotomography
|
$291.20 |
$805.00 |
$1,150.05 |
|
|
Ivp w/wo kub w/wo tomography
|
$166.32 |
$874.80 |
$1,712.80 |
|
|
Ixabepilone 15 mg intravenous solution
|
$334.52 |
$5,551.00 |
$35,273.35 |
|
|
Jak2 targeted sequence analysis
|
$100.00 |
$428.40 |
$1,433.60 |
|
|
Jaw arthroscopy/surgery
|
$2,595.20 |
$2,595.20 |
$2,595.20 |
|
|
Jaw arthroscopy/surgery
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$125.00 |
$463.20 |
$803.60 |
|
|
Jaw (Mandible) X-ray (complete)
|
$175.00 |
$476.48 |
$953.28 |
|
|
Jejunstmy tube plcmt
|
$364.20 |
$1,818.60 |
$10,442.07 |
|
|
John cunningham antibody
|
$20.00 |
$479.05 |
$2,951.20 |
|
|
J-tube placement
|
$347.50 |
$437.40 |
$828.00 |
|
|
Keratoprosthesis
|
$6,963.20 |
$6,963.20 |
$140,909.48 |
|
|
Ketamine and metabolite screen - quest
|
$10.08 |
$79.20 |
$357.50 |
|
|
Ketogenic steroids fract
|
$39.20 |
$82.80 |
$82.80 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$21.78 |
$84.24 |
$310.10 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$8.05 |
$29.22 |
$94.32 |
|
|
Kidney endoscopy
|
$1,808.00 |
$1,808.00 |
$19,079.94 |
|
|
Kidney endoscopy
|
$1,932.80 |
$5,098.80 |
$28,946.04 |
|
|
Kidney endoscopy
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
|
|
Kidney endoscopy
|
$3,617.60 |
$3,617.60 |
$3,617.60 |
|
|
Kidney endoscopy & biopsy
|
$2,072.00 |
$2,420.00 |
$39,883.74 |
|
|
Kidney endoscopy & biopsy
|
$1,260.00 |
$1,805.00 |
$2,860.80 |
|
|
Kidney endoscopy & treatment
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
|
|
Kidney endoscopy & treatment
|
$2,384.00 |
$3,645.00 |
$63,575.34 |
|
|
Kidney endoscopy & treatment
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
|
|
Kidney endoscopy & treatment
|
$3,075.20 |
$3,075.20 |
$82,588.32 |
|
|
Kidney function study
|
$241.60 |
$241.60 |
$241.60 |
|
|
Kidney imaging morphology
|
$519.09 |
$1,189.10 |
$2,952.72 |
|
|
Kidney imag w/bld flow multi
|
$575.00 |
$1,625.00 |
$4,206.24 |
|
|
Kidney img w/bldflw sgl without rx
|
$571.23 |
$1,425.00 |
$3,512.00 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$350.00 |
$922.32 |
$3,540.60 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$243.75 |
$735.00 |
$1,313.20 |
|
|
Kit case 4.2mm spinejack
|
$971.42 |
$10,027.20 |
$32,445.06 |
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$86.40 |
$585.60 |
$780.80 |
|
|
Kit cath f 8f w/glv + wipe ster
|
$6.60 |
$6.60 |
$20.00 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,097.00 |
$10,908.00 |
$39,368.47 |
|
|
Kit gene analys d816 variant
|
$133.65 |
$825.30 |
$2,249.60 |
|
|
Kit hfx iq ipg bundle
|
$45,940.13 |
$126,597.23 |
$159,588.52 |
|
|
Kit ipg optimizer smart
|
$57,590.00 |
$57,590.00 |
$57,590.00 |
|
|
Kit irrigator stoma cone 7721
|
$7.20 |
$7.20 |
$7.20 |
|
|
Kit lead specify 5-6-5
|
$3,587.32 |
$12,555.00 |
$193,697.50 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$432.00 |
$1,877.97 |
$4,691.88 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$187.20 |
$603.00 |
$15,716.26 |
|
|
Kit sound processor cochlear osia 2
|
$4,210.75 |
$4,210.75 |
$4,210.75 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,726.79 |
$3,094.90 |
$6,822.00 |
|
|
Kit trach suct cls 30.5cm
|
$28.20 |
$28.20 |
$28.20 |
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$1,767.00 |
$21,103.12 |
$86,358.05 |
|
|
Knee arthroscopy/drainage
|
$2,524.80 |
$4,620.00 |
$14,632.38 |
|
|
Knee arthroscopy dx
|
$1,147.20 |
$23,824.58 |
$86,614.70 |
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$755.40 |
$20,461.27 |
$33,292.62 |
|
|
Knee arthroscopy/surgery
|
$3,062.40 |
$3,062.40 |
$65,216.63 |
|
|
Knee arthroscopy/surgery
|
$4,576.00 |
$4,576.00 |
$46,700.30 |
|
|
Knee arthroscopy/surgery
|
$2,596.80 |
$28,785.58 |
$83,512.86 |
|
|
Knee arthroscopy/surgery
|
$2,644.80 |
$18,876.17 |
$26,175.60 |
|
|
Knee arthroscopy/surgery
|
$1,450.20 |
$18,858.01 |
$70,108.53 |
|
|
Knee arthroscopy/surgery
|
$2,308.20 |
$14,632.38 |
$28,258.87 |
|
|
Knee arthroscopy/surgery
|
$3,254.40 |
$26,670.73 |
$76,388.82 |
|
|
Knee arthroscopy/surgery
|
$784.20 |
$18,733.67 |
$26,107.62 |
|
|
Knee arthroscopy/surgery
|
$1,555.20 |
$52,204.61 |
$85,476.68 |
|
|
Knee arthroscopy/surgery
|
$2,032.20 |
$88,094.17 |
$121,652.23 |
|
|
Knee arthroscopy/surgery
|
$1,770.60 |
$19,916.69 |
$29,693.19 |
|
|
Knee arthroscopy/surgery
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
|
|
Knee arthroscopy/surgery
|
$3,691.20 |
$3,691.20 |
$41,013.87 |
|
|
Knee arthroscopy/surgery
|
$4,832.00 |
$77,478.83 |
$106,675.84 |
|
|
Knee arthroscopy/surgery
|
$6,014.40 |
$118,272.66 |
$155,808.05 |
|
|
Knee control full kneecap
|
$192.00 |
$192.00 |
$192.00 |
|
|
Knee jnt ratchet lock ea jnt
|
$289.44 |
$289.44 |
$289.44 |
|
|
Knee joint drop lock ea jnt
|
$117.60 |
$117.60 |
$175.68 |
|
|
Knee MRI (with and without contrast)
|
$1,050.00 |
$4,353.12 |
$7,845.60 |
|
|
Knee MRI (with contrast)
|
$1,050.00 |
$3,829.00 |
$7,381.20 |
|
|
Knee MRI (without contrast)
|
$950.00 |
$3,375.36 |
$7,156.80 |
|
|
Knee orth pos locking joint
|
$130.77 |
$585.60 |
$1,569.88 |
|
|
Knee X-ray
|
$162.50 |
$567.36 |
$982.20 |
|
|
Knee X-ray (1 to 2 views, both knees)
|
$71.28 |
$402.48 |
$862.40 |
|
|
Knee X-ray (3 views, both knees)
|
$137.50 |
$487.85 |
$983.20 |
|
