|
Irradiation of blood product each unit reference
|
$164.99 |
$164.99 |
$164.99 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$133.08 |
$133.08 |
$133.08 |
$147.60
|
|
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
|
$839.43 |
$839.43 |
$839.43 |
$3,345.32
|
|
IV Fluids (each additional hour)
|
$92.20 |
$92.20 |
$92.20 |
$134.00
|
|
IV Fluids (first hour)
|
$444.49 |
$444.49 |
$444.49 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$92.20 |
$92.20 |
$92.20 |
$162.68
|
|
IV inj ra drug dx study
|
$817.57 |
$817.57 |
$817.57 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$146.31 |
$146.31 |
$146.31 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$92.20 |
$92.20 |
$92.20 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$444.49 |
$444.49 |
$444.49 |
$443.20
|
|
IV njx tst vasc flo flap/grf
|
$268.00 |
$268.00 |
$268.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$92.20 |
$92.20 |
$92.20 |
$167.50
|
|
IV Push Injection (first drug)
|
$444.49 |
$444.49 |
$444.49 |
$257.24
|
|
Ivp w/nephrotomography
|
$291.20 |
$291.20 |
$291.20 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$547.33 |
$547.33 |
$547.33 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$370.40 |
$370.40 |
$370.40 |
$417.50
|
|
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)
|
$506.57 |
$506.57 |
$506.57 |
$331.57
|
|
Jaw (Mandible) X-ray (complete)
|
$476.48 |
$476.48 |
$476.48 |
$363.20
|
|
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
|
$74.56 |
$74.56 |
$74.56 |
$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 |
$968.50
|
|
Kidney imaging morphology
|
$999.56 |
$999.56 |
$999.56 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,679.76 |
$1,679.76 |
$1,679.76 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,679.76 |
$1,679.76 |
$1,679.76 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$733.65 |
$733.65 |
$733.65 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$500.74 |
$500.74 |
$500.74 |
$494.65
|
|
Kit case 4.2mm spinejack
|
$971.42 |
$971.42 |
$971.42 |
$7,177.60
|
|
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 cath ivl 2.5x40mm 135cm shockwave s4
|
$12,032.00 |
$12,032.00 |
$12,032.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$250.40 |
$250.40 |
$250.40 |
$367.00
|
|
Kit lead specify 5-6-5
|
$3,587.32 |
$3,587.32 |
$3,587.32 |
$16,672.10
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,306.56 |
$2,306.56 |
$2,306.56 |
$2,254.50
|
|
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)
|
$4,941.45 |
$4,941.45 |
$4,941.45 |
$3,098.50
|
|
Knee MRI (with contrast)
|
$4,520.28 |
$4,520.28 |
$4,520.28 |
$2,394.86
|
|
Knee MRI (without contrast)
|
$2,729.83 |
$2,729.83 |
$2,729.83 |
$2,130.88
|
|
Knee orth pos locking joint
|
$1,369.20 |
$1,369.20 |
$1,369.20 |
$585.60
|
|
Knee X-ray
|
$314.43 |
$314.43 |
$314.43 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$208.64 |
$208.64 |
$208.64 |
$294.25
|
|
Knee X-ray (3 views, both knees)
|
$278.51 |
$278.51 |
$278.51 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$255.23 |
$255.23 |
$255.23 |
$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
|
$70.84 |
$70.84 |
$70.84 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$58.40 |
$58.40 |
$58.40 |
$70.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$27.99 |
$27.99 |
$27.99 |
$33.60
|
|
Labioplasty 56800
|
$618.40 |
$618.40 |
$618.40 |
$3,905.53
|
|
Lacer molded to patient mode
|
$938.40 |
$938.40 |
$938.40 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.88 |
$0.88 |
$0.88 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$33.57 |
$33.57 |
$33.57 |
$55.50
|
|
Lactated ringers intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
$43.74
|
|
Lactation class
|
$47.20 |
$47.20 |
$47.20 |
$104.96
|
|
Lactic acid
|
$64.28 |
$64.28 |
$64.28 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$64.28 |
$64.28 |
$64.28 |
$82.16
|
|
Lactoferrin fecal quant
|
$64.28 |
$64.28 |
$64.28 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$628.80 |
$628.80 |
$628.80 |
$582.40
|
|
Lam facetec & foramot crv
|
$3,063.20 |
$3,063.20 |
$3,063.20 |
$7,549.13
|