|
Ionm remote/>1 pt or per hr
|
$232.00 |
$232.00 |
$232.00 |
$622.70
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.83 |
$13.83 |
$13.83 |
$277.17
|
|
Io radiation tx management
|
$593.60 |
$593.60 |
$593.60 |
$593.60
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$188.80 |
$188.80 |
$188.80 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$208.80 |
$208.80 |
$208.80 |
$168.44
|
|
Ip/obs cnsltj new/est mod 60
|
$303.20 |
$303.20 |
$303.20 |
$260.15
|
|
Ip/obs consltj new/est hi 80
|
$365.60 |
$365.60 |
$365.60 |
$303.16
|
|
Ip/obs consltj new/est sf 35
|
$136.00 |
$136.00 |
$136.00 |
$126.40
|
|
Ipratropium bromide comp
|
$2.40 |
$2.40 |
$2.40 |
$2.40
|
|
Ipratropium bromide non-comp
|
$37.19 |
$37.19 |
$37.19 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$24.23 |
$24.23 |
$24.23 |
$173.98
|
|
Iron
|
$33.57 |
$33.57 |
$33.57 |
$74.75
|
|
Iron binding capacity
|
$33.57 |
$33.57 |
$33.57 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$19.20 |
$19.20 |
$19.20 |
$81.70
|
|
Iron stain peripheral blood
|
$17.60 |
$17.60 |
$17.60 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.33 |
$1.33 |
$1.33 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$164.99 |
$164.99 |
$164.99 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$110.98 |
$110.98 |
$110.98 |
$146.11
|
|
Irrigation sphenoid sinus
|
$936.00 |
$936.00 |
$936.00 |
$3,062.80
|
|
Irrigation vagina and/or appl medicament tx disease
|
$132.00 |
$132.00 |
$132.00 |
$132.00
|
|
Island pedicle flap graft
|
$2,468.80 |
$2,468.80 |
$2,468.80 |
$2,468.80
|
|
Ivc venogram s&i
|
$471.20 |
$471.20 |
$471.20 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$76.88 |
$76.88 |
$76.88 |
$133.90
|
|
IV Fluids (first hour)
|
$370.65 |
$370.65 |
$370.65 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$76.88 |
$76.88 |
$76.88 |
$162.00
|
|
IV inj ra drug dx study
|
$80.80 |
$80.80 |
$80.80 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$121.98 |
$121.98 |
$121.98 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$76.88 |
$76.88 |
$76.88 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$370.65 |
$370.65 |
$370.65 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$268.00 |
$268.00 |
$268.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$76.88 |
$76.88 |
$76.88 |
$166.80
|
|
IV Push Injection (first drug)
|
$370.65 |
$370.65 |
$370.65 |
$254.52
|
|
Ivp w/nephrotomography
|
$291.20 |
$291.20 |
$291.20 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$652.09 |
$652.09 |
$652.09 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$370.40 |
$370.40 |
$370.40 |
$405.00
|
|
Jaw arthroscopy/surgery
|
$2,595.20 |
$2,595.20 |
$2,595.20 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$238.46 |
$238.46 |
$238.46 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$270.23 |
$270.23 |
$270.23 |
$362.05
|
|
Jejunstmy tube plcmt
|
$604.80 |
$604.80 |
$604.80 |
$2,174.40
|
|
John cunningham antibody
|
$48.57 |
$48.57 |
$48.57 |
$78.60
|
|
J-tube placement
|
$348.80 |
$348.80 |
$348.80 |
$593.08
|
|
Keratoprosthesis
|
$6,963.20 |
$6,963.20 |
$6,963.20 |
$10,476.00
|
|
Ketamine and metabolite screen - quest
|
$72.14 |
$72.14 |
$72.14 |
$72.14
|
|
Ketogenic steroids fract
|
$39.20 |
$39.20 |
$39.20 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$33.57 |
$33.57 |
$33.57 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$74.38 |
$74.38 |
$74.38 |
$23.50
|
|
Kidney endoscopy
|
$1,808.00 |
$1,808.00 |
$1,808.00 |
$5,110.00
|
|
Kidney endoscopy
|
$1,932.80 |
$1,932.80 |
$1,932.80 |
$5,728.00
|
|
Kidney endoscopy
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$4,081.37
|
|
Kidney endoscopy
|
$3,617.60 |
$3,617.60 |
$3,617.60 |
$5,741.00
|
|
Kidney endoscopy & biopsy
|
$2,072.00 |
$2,072.00 |
$2,072.00 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$9,744.00
|
|
Kidney endoscopy & treatment
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
$7,431.20
|
|
Kidney endoscopy & treatment
|
$3,075.20 |
$3,075.20 |
$3,075.20 |
$5,626.86
|
|
Kidney function study
|
$241.60 |
$241.60 |
$241.60 |
$935.22
|
|
Kidney imaging morphology
|
$376.00 |
$376.00 |
$376.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$797.60 |
$797.60 |
$797.60 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,336.48 |
$1,336.48 |
$1,336.48 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$794.76 |
$794.76 |
$794.76 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$667.64 |
$667.64 |
$667.64 |
$492.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$103.20 |
$103.20 |
$103.20 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$20.00 |
$20.00 |
$20.00 |
$9.49
|
|
Kit gene analys d816 variant
|
$250.40 |
$250.40 |
$250.40 |
$374.40
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$4,627.00
|
|
Knee arthroscopy/drainage
|
$2,524.80 |
$2,524.80 |
$2,524.80 |
$3,986.00
|
|
Knee arthroscopy dx
|
$2,803.20 |
$2,803.20 |
$2,803.20 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$2,659.20 |
$2,659.20 |
$2,659.20 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$3,062.40 |
$3,062.40 |
$3,062.40 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$2,596.80 |
$2,596.80 |
$2,596.80 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$2,644.80 |
$2,644.80 |
$2,644.80 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,254.40 |
$3,254.40 |
$3,254.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,761.60 |
$2,761.60 |
$2,761.60 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$3,408.00 |
$3,408.00 |
$3,408.00 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$4,137.60 |
$4,137.60 |
$4,137.60 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$3,043.20 |
$3,043.20 |
$3,043.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$3,691.20 |
$3,691.20 |
$3,691.20 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$4,832.00 |
$4,832.00 |
$4,832.00 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$6,014.40 |
$6,014.40 |
$6,014.40 |
$6,839.00
|
|
Knee control full kneecap
|
$192.00 |
$192.00 |
$192.00 |
$192.00
|
|
Knee MRI (with and without contrast)
|
$4,031.43 |
$4,031.43 |
$4,031.43 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$3,475.69 |
$3,475.69 |
$3,475.69 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,990.56 |
$2,990.56 |
$2,990.56 |
$2,122.12
|
|
Knee X-ray
|
$251.10 |
$251.10 |
$251.10 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$207.56 |
$207.56 |
$207.56 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$207.56 |
$207.56 |
$207.56 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$187.60 |
$187.60 |
$187.60 |
$252.50
|
|
Ko swedish type pre ots
|
$581.60 |
$581.60 |
$581.60 |
$551.12
|
|
Kras gene addl variants
|
$387.20 |
$387.20 |
$387.20 |
$387.20
|
|
Kras gene variants exon 2
|
$387.20 |
$387.20 |
$387.20 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$67.20 |
$67.20 |
$67.20 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$58.40 |
$58.40 |
$58.40 |
$70.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$35.24 |
$35.24 |
$35.24 |
$33.60
|