|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$116.33 |
$116.33 |
$116.33 |
$8,273.35
|
|
Island pedicle flap graft
|
$2,837.09 |
$2,837.09 |
$2,837.09 |
$2,468.80
|
|
IV cipaglucosidase alfa-atga
|
$875.50 |
$875.50 |
$875.50 |
$769.78
|
|
Ivc venogram s&i
|
$4,341.66 |
$4,341.66 |
$4,341.66 |
$3,345.32
|
|
IV Fluids (each additional hour)
|
$64.39 |
$64.39 |
$64.39 |
$133.11
|
|
IV Fluids (first hour)
|
$292.48 |
$292.48 |
$292.48 |
$389.37
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$28.18 |
$28.18 |
$28.18 |
$159.00
|
|
IV inj ra drug dx study
|
$549.70 |
$549.70 |
$549.70 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$99.00 |
$99.00 |
$99.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$64.39 |
$64.39 |
$64.39 |
$153.40
|
|
IV Medicine Infusion (first hour)
|
$292.48 |
$292.48 |
$292.48 |
$444.49
|
|
IV njx tst vasc flo flap/grf
|
$614.27 |
$614.27 |
$614.27 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$64.39 |
$64.39 |
$64.39 |
$163.83
|
|
IV Push Injection (first drug)
|
$292.48 |
$292.48 |
$292.48 |
$257.24
|
|
Ivp w/nephrotomography
|
$241.18 |
$241.18 |
$241.18 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$241.18 |
$241.18 |
$241.18 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$193.17 |
$193.17 |
$193.17 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$255.58 |
$255.58 |
$255.58 |
$417.50
|
|
Jaw arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$119.66 |
$119.66 |
$119.66 |
$327.80
|
|
Jaw (Mandible) X-ray (complete)
|
$143.75 |
$143.75 |
$143.75 |
$361.61
|
|
Jejunstmy tube plcmt
|
$2,638.57 |
$2,638.57 |
$2,638.57 |
$2,174.40
|
|
John cunningham antibody
|
$23.31 |
$23.31 |
$23.31 |
$78.00
|
|
J-tube placement
|
$193.30 |
$193.30 |
$193.30 |
$593.08
|
|
Kafo dbl solid stirrup band/
|
$1,868.98 |
$1,868.98 |
$1,868.98 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$1,837.04 |
$1,837.04 |
$1,837.04 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$2,719.21 |
$2,719.21 |
$2,719.21 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$1,954.41 |
$1,954.41 |
$1,954.41 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$2,165.55 |
$2,165.55 |
$2,165.55 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$2,138.81 |
$2,138.81 |
$2,138.81 |
$2,138.81
|
|
Kafo femoral fx cast soft
|
$1,650.51 |
$1,650.51 |
$1,650.51 |
$879.20
|
|
Kafo pla sin up w/wo k/a cus
|
$3,445.29 |
$3,445.29 |
$3,445.29 |
$3,660.05
|
|
Kafo plas sing free knee mol
|
$2,812.47 |
$2,812.47 |
$2,812.47 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$293.82 |
$293.82 |
$293.82 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$1,897.24 |
$1,897.24 |
$1,897.24 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$6,949.58 |
$6,949.58 |
$6,949.58 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$1,479.83 |
$1,479.83 |
$1,479.83 |
$1,834.11
|
|
Kafo without joint multi-axis an
|
$2,267.26 |
$2,267.26 |
$2,267.26 |
$1,724.80
|
|
Keratoprosthesis
|
$19,946.44 |
$19,946.44 |
$19,946.44 |
$10,476.00
|
|
Kerecis marigen shld sq cm
|
$171.12 |
$171.12 |
$171.12 |
$1.00
|
|
Ketogenic steroids fract
|
$21.35 |
$21.35 |
$21.35 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$11.27 |
$11.27 |
$11.27 |
$58.10
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$0.46 |
$0.46 |
$0.46 |
$23.50
|
|
Kidney endoscopy
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,110.00
|
|
Kidney endoscopy
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,728.00
|
|
Kidney endoscopy
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$4,081.37
|
|
Kidney endoscopy
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,741.00
|
|
Kidney endoscopy & biopsy
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$4,846.99 |
$4,846.99 |
$4,846.99 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
$9,744.00
|
|
Kidney endoscopy & treatment
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$13,016.74 |
$13,016.74 |
$13,016.74 |
$7,431.20
|
|
Kidney endoscopy & treatment
|
$7,372.68 |
$7,372.68 |
$7,372.68 |
$5,626.86
|
|
Kidney function study
|
$549.70 |
$549.70 |
$549.70 |
$968.50
|
|
Kidney imaging morphology
|
$549.70 |
$549.70 |
$549.70 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$746.61 |
$746.61 |
$746.61 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$746.61 |
$746.61 |
$746.61 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$143.75 |
$143.75 |
$143.75 |
$668.25
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$143.75 |
$143.75 |
$143.75 |
$486.50
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$72.42 |
$72.42 |
$72.42 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$13.79 |
$13.79 |
$13.79 |
$9.49
|
|
Kit gene analys d816 variant
|
$172.32 |
$172.32 |
$172.32 |
$367.00
|
|
Kit irrigator stoma cone 7721
|
$27.19 |
$27.19 |
$27.19 |
$7.20
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$171.12 |
$171.12 |
$171.12 |
$360.12
|
|
Kit sound processor cochlear osia 2
|
$2,926.40 |
$2,926.40 |
$2,926.40 |
$8,425.00
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,627.00
|
|
Knee arthroscopy/drainage
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,986.00
|
|
Knee arthroscopy dx
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$2,211.05 |
$2,211.05 |
$2,211.05 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$17,653.66 |
$17,653.66 |
$17,653.66 |
$6,839.00
|
|
Knee cap medial or lateral p
|
$170.79 |
$170.79 |
$170.79 |
$104.54
|
|
Knee control condylar pad
|
$138.52 |
$138.52 |
$138.52 |
$175.04
|
|
Knee control full kneecap
|
$139.10 |
$139.10 |
$139.10 |
$192.00
|
|
Knee disart expand wall sock
|
$1,149.28 |
$1,149.28 |
$1,149.28 |
$733.60
|
|
Knee disarticulat leather so
|
$1,245.05 |
$1,245.05 |
$1,245.05 |
$873.60
|
|
Knee disc/dial lock/adj flex
|
$243.11 |
$243.11 |
$243.11 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$243.11 |
$243.11 |
$243.11 |
$289.44
|
|
Knee joint cam lock each joi
|
$206.03 |
$206.03 |
$206.03 |
$250.91
|
|
Knee joint drop lock ea jnt
|
$147.85 |
$147.85 |
$147.85 |
$175.45
|
|
Knee lift loop drop lock rin
|
$198.93 |
$198.93 |
$198.93 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$479.72 |
$479.72 |
$479.72 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,077.92 |
$1,077.92 |
$1,077.92 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$328.08 |
$328.08 |
$328.08 |
$2,110.00
|
|
Knee orth pos locking joint
|
$499.15 |
$499.15 |
$499.15 |
$585.60
|
|
Knee-shin exo fluid swing ph
|
$2,935.63 |
$2,935.63 |
$2,935.63 |
$2,170.00
|