|
Insulin total
|
$46.39 |
$80.74 |
$306.97 |
|
|
Interdental fixation
|
$546.17 |
$592.88 |
$1,339.04 |
|
|
Interdiscal perq aspir dx
|
$540.61 |
$608.54 |
$713.70 |
|
|
Interrogate subq defib
|
$44.59 |
$44.59 |
$52.30 |
|
|
Interrogation vad in person
|
$138.97 |
$138.97 |
$138.97 |
|
|
Interrog evl pm/ldls pm ip
|
$21.77 |
$24.51 |
$29.89 |
|
|
Intra-atrial pacing
|
$2,392.59 |
$2,392.59 |
$2,912.24 |
|
|
Intra-atrial recording
|
$2,280.52 |
$2,280.52 |
$2,392.59 |
|
|
Intracard echo interv w/s&i
|
$893.73 |
$1,048.16 |
$1,420.57 |
|
|
Intracranial complete study
|
$570.78 |
$570.78 |
$669.41 |
|
|
Intracranial limited study
|
$444.66 |
$444.66 |
$642.09 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$380.75 |
$380.75 |
$2,543.38 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,196.20 |
$1,196.20 |
$1,196.20 |
|
|
Intrapul surf admin endo tube
|
$84.93 |
$221.27 |
$257.22 |
|
|
Intrauterine transfusion ftl
|
$385.61 |
$385.61 |
$411.13 |
|
|
Intraventricular pacing
|
$2,280.52 |
$2,280.52 |
$2,392.59 |
|
|
Intrinsic factor antibody
|
$42.98 |
$93.09 |
$397.35 |
|
|
Intro cath dialysis circuit
|
$673.35 |
$890.12 |
$1,043.92 |
|
|
Intro cath dialysis circuit w/pta
|
$5,873.69 |
$5,873.69 |
$6,888.65 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,103.67 |
$12,103.67 |
$14,195.15 |
|
|
Intro catheter aorta
|
$472.78 |
$472.78 |
$571.43 |
|
|
Intro cath svc/ivc
|
$193.05 |
$219.32 |
$257.22 |
|
|
Intro long gi tube
|
$58.56 |
$209.22 |
$288.78 |
|
|
Intro long gi tube w/mult fluo
|
$210.88 |
$212.57 |
$247.32 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$733.46 |
$860.20 |
$1,782.04 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$733.46 |
$733.46 |
$860.20 |
|
|
Intubation endotracheal emergency procedure
|
$295.24 |
$448.21 |
$2,579.16 |
|
|
Ionm in operatng room 15 min
|
$81.01 |
$85.96 |
$100.82 |
|
|
Ionm remote/>1 pt or per hr
|
$85.96 |
$85.96 |
$100.82 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$30.98 |
$36.83 |
$492.98 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$105.16 |
$125.04 |
$768.29 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$75,600.82 |
$89,890.17 |
$106,698.92 |
|
|
Ipratropium bromide non-comp
|
$6.01 |
$6.01 |
$6.01 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$146.73 |
$174.47 |
$490.93 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$6,181.61 |
$7,350.00 |
$8,724.39 |
|
|
Iron
|
$24.93 |
$42.43 |
$292.36 |
|
|
Iron binding capacity
|
$25.66 |
$33.55 |
$166.64 |
|
|
Iron dextran 50 mg/ml injection solution
|
$58.83 |
$69.95 |
$118.65 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$58.58 |
$69.65 |
$271.04 |
|
|
Irradiation of blood product each unit reference
|
$45.08 |
$64.07 |
$834.99 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$59.95 |
$78.10 |
$260.79 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$27,738.44 |
$27,738.44 |
$27,738.44 |
|
|
Ivc venogram s&i
|
$1,281.76 |
$1,341.32 |
$1,894.23 |
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$38.12 |
$73.53 |
$427.37 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$59.85 |
$123.11 |
$427.37 |
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$38.12 |
$49.22 |
$427.37 |
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$204.83 |
$241.01 |
$594.31 |
|
|
IV inj ra drug dx study
|
$258.28 |
$302.91 |
$1,315.55 |
|
|
Ivp w/nephrotomography
|
$580.42 |
$626.22 |
$734.42 |
|
|
Ivp w/wo kub w/wo tomography
|
$294.54 |
$387.74 |
$665.28 |
|
|
Jak2 targeted sequence analysis
|
$208.04 |
$247.36 |
$1,339.96 |
|
|
John cunningham antibody
|
$21.29 |
$24.97 |
$880.66 |
|
|
Ketamine and metabolite screen - quest
|
$4.04 |
$10.85 |
$15.70 |
|
|
Ketogenic steroids fract
|
$79.54 |
$79.54 |
$79.54 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$38.57 |
$46.76 |
$280.68 |
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$25.73 |
$30.60 |
$82.13 |
|
|
Kidney imaging morphology
|
$526.41 |
$526.41 |
$1,065.37 |
|
|
Kidney imag w/bld flow multi
|
$518.84 |
$629.21 |
$879.05 |
|
|
Kidney img w/bldflw sgl without rx
|
$496.36 |
$794.17 |
$1,283.24 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$345.96 |
$1,366.43 |
$3,007.61 |
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$593.02 |
$593.02 |
$593.02 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$1,677.13 |
$1,887.88 |
$2,367.01 |
|
|
Kit gene analys d816 variant
|
$205.90 |
$247.44 |
$290.19 |
|
|
Kit hfx iq ipg bundle
|
$3,229.36 |
$3,635.16 |
$4,557.75 |
|
|
Kit lead specify 5-6-5
|
$1,684.27 |
$1,895.91 |
$2,377.08 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$262.28 |
$295.24 |
$370.16 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$176.22 |
$198.36 |
$248.71 |
|
|
Knee Arthroscopy (Cartilage Repair)
|
$733.48 |
$733.48 |
$733.48 |
|
|
Knee MRI (with and without contrast)
|
$1,079.30 |
$1,319.58 |
$5,540.18 |
|
|
Knee MRI (with contrast)
|
$993.35 |
$1,132.80 |
$1,257.85 |
|
|
Knee MRI (without contrast)
|
$955.19 |
$1,093.22 |
$4,578.42 |
|
|
Knee X-ray
|
$206.70 |
$328.77 |
$734.24 |
|
|
Kras gene addl variants
|
$153.44 |
$153.44 |
$179.96 |
|
|
Kras gene variants exon 2
|
$118.38 |
$484.94 |
$646.33 |
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$28.96 |
$28.96 |
$28.96 |
|
|
Lab draw <3 yrs scalp vein 36405
|
$9.76 |
$35.55 |
$1,322.44 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$151.64 |
$151.64 |
$151.64 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$95.82 |
$113.93 |
$135.24 |
|
|
Lactate dehydrogenase (ldh)
|
$30.37 |
$55.12 |
$165.27 |
|
|
Lactated ringers intravenous solution
|
$8.87 |
$10.55 |
$57.56 |
|
|
Lactic acid
|
$51.75 |
$64.27 |
$304.46 |
|
|
Lactoferrin fecal qualitative
|
$46.76 |
$108.46 |
$301.42 |
|
|
Lactoferrin fecal quant
|
$19.63 |
$36.77 |
$124.86 |
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$22,129.34 |
$26,312.02 |
$35,203.37 |
|
|
Laparo cholecystectomy/graph
|
$486.37 |
$486.37 |
$589.33 |
|
|
Laparoscopye procstom 43659
|
$4,748.41 |
$5,396.91 |
$6,766.62 |
|
|
Lap ing hernia repair init
|
$1,070.47 |
$2,370.75 |
$2,871.73 |
|
|
Lap sleeve gastrectomy
|
$1,653.94 |
$1,879.84 |
$2,277.71 |
|
|
Largsc w/rmvl foreign bdy(s)
|
$271.14 |
$275.26 |
$495.14 |
|
|
Laryngeal function studies
|
$131.94 |
$152.75 |
$178.07 |
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$563.87 |
$868.83 |
$1,090.89 |
|
|
Laryngoscopy telescopic
|
$312.51 |
$312.51 |
$391.82 |
|
|
Laryngoscopy w/fb removal
|
$1,847.80 |
$1,847.80 |
$1,894.70 |
|
|
Larynscop w/tumr exc + scope
|
$625.81 |
$625.81 |
$733.95 |
|
|
Laser treatment of retina
|
$401.37 |
$401.37 |
$401.37 |
|
|
Lead capillary
|
$23.34 |
$59.05 |
$435.65 |
|
|
Lead ingevity 45cm pfret MRI
|
$75.83 |
$85.36 |
$107.02 |
|
|
Lead tachy durata sj4 58cm
|
$1,006.99 |
$1,133.53 |
$1,421.22 |
|
|
Lefort i-2 piece without graft
|
$830.05 |
$830.05 |
$830.05 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$658.49 |
$957.75 |
$2,975.02 |
|