|
Intraventricular pacing
|
$5,001.29 |
$5,001.29 |
$5,001.29 |
$5,456.17
|
|
Intrinsic factor antibody
|
$48.57 |
$48.57 |
$48.57 |
$65.00
|
|
Intrm oph exam est patient
|
$183.20 |
$183.20 |
$183.20 |
$152.50
|
|
Intro cath dialysis circuit
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$2,053.14
|
|
Intro cath dialysis circuit w/pta
|
$8,778.14 |
$8,778.14 |
$8,778.14 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,206.84 |
$20,206.84 |
$20,206.84 |
$16,338.40
|
|
Intro catheter aorta
|
$2,867.20 |
$2,867.20 |
$2,867.20 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,568.00 |
$2,568.00 |
$2,568.00 |
$1,346.13
|
|
Intro long gi tube
|
$1,589.51 |
$1,589.51 |
$1,589.51 |
$1,007.40
|
|
Intro long gi tube w/mult fluo
|
$667.60 |
$667.60 |
$667.60 |
$469.00
|
|
Intro windpipe wire/tube
|
$2,885.60 |
$2,885.60 |
$2,885.60 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,836.80 |
$2,836.80 |
$2,836.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$538.09 |
$538.09 |
$538.09 |
$1,914.00
|
|
Intubation endotracheal emergency procedure
|
$921.30 |
$921.30 |
$921.30 |
$604.20
|
|
Io anal gast n-stim init
|
$98.40 |
$98.40 |
$98.40 |
$341.60
|
|
Io anal gast n-stim subsq
|
$76.80 |
$76.80 |
$76.80 |
$146.38
|
|
Iodine i-123 sod iodide mil
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$386.37
|
|
Io ga n-stim subsq w/reprog
|
$121.60 |
$121.60 |
$121.60 |
$187.43
|
|
Ionm in operatng room 15 min
|
$130.55 |
$130.55 |
$130.55 |
$209.22
|
|
Ionm remote/>1 pt or per hr
|
$232.00 |
$232.00 |
$232.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$10.59 |
$10.59 |
$10.59 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.44 |
$13.44 |
$13.44 |
$269.41
|
|
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
|
$1.20 |
$1.20 |
$1.20 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$6.40 |
$6.40 |
$6.40 |
$173.98
|
|
Iron
|
$33.57 |
$33.57 |
$33.57 |
$74.40
|
|
Iron binding capacity
|
$33.57 |
$33.57 |
$33.57 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$33.72 |
$33.72 |
$33.72 |
$81.70
|
|
Iron stain peripheral blood
|
$17.60 |
$17.60 |
$17.60 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.72 |
$1.72 |
$1.72 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$164.99 |
$164.99 |
$164.99 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$149.00 |
$149.00 |
$149.00 |
$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
|
$4,880.91 |
$4,880.91 |
$4,880.91 |
$3,345.32
|
|
IV Fluids (each additional hour)
|
$115.72 |
$115.72 |
$115.72 |
$134.00
|
|
IV Fluids (first hour)
|
$522.12 |
$522.12 |
$522.12 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$171.60 |
$171.60 |
$171.60 |
$162.68
|
|
IV inj ra drug dx study
|
$731.22 |
$731.22 |
$731.22 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$171.60 |
$171.60 |
$171.60 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$115.72 |
$115.72 |
$115.72 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$522.12 |
$522.12 |
$522.12 |
$443.20
|
|
IV njx tst vasc flo flap/grf
|
$268.00 |
$268.00 |
$268.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$115.72 |
$115.72 |
$115.72 |
$167.50
|
|
IV Push Injection (first drug)
|
$522.12 |
$522.12 |
$522.12 |
$257.24
|
|
Ivp w/nephrotomography
|
$476.28 |
$476.28 |
$476.28 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$476.28 |
$476.28 |
$476.28 |
$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)
|
$216.54 |
$216.54 |
$216.54 |
$331.57
|
|
Jaw (Mandible) X-ray (complete)
|
$254.62 |
$254.62 |
$254.62 |
$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
|
$76.00 |
$76.00 |
$76.00 |
$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
|
$376.00 |
$376.00 |
$376.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,749.08 |
$1,749.08 |
$1,749.08 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,145.78 |
$1,145.78 |
$1,145.78 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$339.49 |
$339.49 |
$339.49 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$247.20 |
$247.20 |
$247.20 |
$494.65
|
|
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
|
$11,919.20 |
$11,919.20 |
$11,919.20 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$250.40 |
$250.40 |
$250.40 |
$367.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,284.94 |
$2,284.94 |
$2,284.94 |
$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
|
