|
Inj, lidocaine w epinephrine
|
$58.17 |
$58.17 |
$58.17 |
$45.60
|
|
Inj mepivacaine hcl/10 ml
|
$34.34 |
$34.34 |
$34.34 |
$34.34
|
|
Inj meropenem (wg crit care)
|
$72.87 |
$72.87 |
$72.87 |
$82.42
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$448.50 |
$448.50 |
$448.50 |
$1,413.35
|
|
Inj., patisiran, 0.1 mg
|
$44,469.32 |
$44,469.32 |
$44,469.32 |
$17,613.00
|
|
Inj pegfilgrastim-bmez 0.5mg
|
$7,040.45 |
$7,040.45 |
$7,040.45 |
$6,614.40
|
|
Inj proc elbow arthro
|
$484.85 |
$484.85 |
$484.85 |
$432.00
|
|
Inj proc myelogram lumbar
|
$904.29 |
$904.29 |
$904.29 |
$838.30
|
|
Inj retro urethrocysto
|
$1,808.30 |
$1,808.30 |
$1,808.30 |
$447.74
|
|
Inj scleros sol sgl vein
|
$549.30 |
$549.30 |
$549.30 |
$561.88
|
|
Inj. teprotumumab-trbw 10 mg
|
$24,791.42 |
$24,791.42 |
$24,791.42 |
$35,034.78
|
|
Inj testosterone cypionate
|
$64.80 |
$64.80 |
$64.80 |
$64.96
|
|
Inj, vegzelma, 10 mg
|
$2,646.45 |
$2,646.45 |
$2,646.45 |
$1,186.35
|
|
Inj w/fluor eval cv device
|
$904.29 |
$904.29 |
$904.29 |
$504.40
|
|
Ins cerv dilator (sep proc)
|
$208.04 |
$208.04 |
$208.04 |
$490.73
|
|
Insert cath pleura with image
|
$629.44 |
$629.44 |
$629.44 |
$2,194.40
|
|
Insertion catheter bladder non indwelling
|
$58.74 |
$58.74 |
$58.74 |
$208.01
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$659.79 |
$659.79 |
$659.79 |
$4,897.20
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$619.70 |
$619.70 |
$619.70 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,211.28 |
$1,211.28 |
$1,211.28 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,229.42 |
$1,229.42 |
$1,229.42 |
$2,453.83
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,399.62 |
$6,399.62 |
$6,399.62 |
$9,332.50
|
|
Insitu hybridization (fish)
|
$327.04 |
$327.04 |
$327.04 |
$481.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$193.20 |
$193.20 |
$193.20 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$2,344.38 |
$2,344.38 |
$2,344.38 |
$338.40
|
|
Insole orthotic freedom sz6 6816
|
$116.70 |
$116.70 |
$116.70 |
$84.00
|
|
Instillation anticarcinogenic agent bladder
|
$326.59 |
$326.59 |
$326.59 |
$638.40
|
|
Instll rx agnt into rnal tub
|
$307.50 |
$307.50 |
$307.50 |
$619.20
|
|
Insulin total
|
$32.20 |
$32.20 |
$32.20 |
$66.64
|
|
Intl custm cong/latyp insert
|
$2,085.61 |
$2,085.61 |
$2,085.61 |
$1,453.20
|
|
Intrinsic factor antibody
|
$60.59 |
$60.59 |
$60.59 |
$65.00
|
|
Intrm oph exam est patient
|
$23.02 |
$23.02 |
$23.02 |
$161.25
|
|
Intubation endotracheal emergency procedure
|
$1,060.02 |
$1,060.02 |
$1,060.02 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$399.11 |
$399.11 |
$399.11 |
$386.37
|
|
Iodine i-125 sodium iodide
|
$84.45 |
$84.45 |
$84.45 |
$245.64
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.78 |
$0.78 |
$0.78 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$57.70 |
$57.70 |
$57.70 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$52,721.03 |
$52,721.03 |
$52,721.03 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$119.65 |
$119.65 |
$119.65 |
$173.98
|
|
Iron
|
$28.06 |
$28.06 |
$28.06 |
$75.00
|
|
Iron binding capacity
|
$33.04 |
$33.04 |
$33.04 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$39.13 |
$39.13 |
$39.13 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$87.74 |
$87.74 |
$87.74 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$84.56 |
$84.56 |
$84.56 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$29.62 |
$29.62 |
$29.62 |
$146.11
|
|
IV Fluids (each additional hour)
|
$66.08 |
$66.08 |
$66.08 |
$133.90
|
|
IV Fluids (first hour)
|
$165.09 |
$165.09 |
$165.09 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$111.44 |
$111.44 |
$111.44 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$123.65 |
$123.65 |
$123.65 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$112.28 |
$112.28 |
$112.28 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$280.67 |
$280.67 |
$280.67 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$92.12 |
$92.12 |
$92.12 |
$167.50
|
|
IV Push Injection (first drug)
|
$127.34 |
$127.34 |
$127.34 |
$252.76
|
|
Ivp w/nephrotomography
|
$343.56 |
$343.56 |
$343.56 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$257.66 |
$257.66 |
$257.66 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$1,129.24 |
$1,129.24 |
$1,129.24 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$171.81 |
$171.81 |
$171.81 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$171.81 |
$171.81 |
$171.81 |
$362.05
|
|
John cunningham antibody
|
$650.27 |
$650.27 |
$650.27 |
$78.00
|
|
Kafo dbl solid stirrup band/
|
$1,743.78 |
$1,743.78 |
$1,743.78 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$1,714.05 |
$1,714.05 |
$1,714.05 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$2,537.14 |
$2,537.14 |
$2,537.14 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$1,823.58 |
$1,823.58 |
$1,823.58 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$2,020.59 |
$2,020.59 |
$2,020.59 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$1,995.62 |
$1,995.62 |
$1,995.62 |
$2,148.69
|
|
Kafo femoral fx cast soft
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$879.20
|
|
Kafo pla sin up w/wo k/a cus
|
$3,214.62 |
$3,214.62 |
$3,214.62 |
$3,660.05
|
|
Kafo plas sing free knee mol
|
$2,624.22 |
$2,624.22 |
$2,624.22 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$274.12 |
$274.12 |
$274.12 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$1,770.22 |
$1,770.22 |
$1,770.22 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$6,268.14 |
$6,268.14 |
$6,268.14 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$1,380.74 |
$1,380.74 |
$1,380.74 |
$1,834.11
|
|
Kafo without joint multi-axis an
|
$2,115.46 |
$2,115.46 |
$2,115.46 |
$1,724.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$46.54 |
$46.54 |
$46.54 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$23.42 |
$23.42 |
$23.42 |
$23.52
|
|
Kidney imag w/bld flow multi
|
$960.96 |
$960.96 |
$960.96 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,148.22 |
$1,148.22 |
$1,148.22 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$472.42 |
$472.42 |
$472.42 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$457.18 |
$457.18 |
$457.18 |
$490.75
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$206.14 |
$206.14 |
$206.14 |
$174.00
|
|
Kit lead specify 5-6-5
|
$15,889.83 |
$15,889.83 |
$15,889.83 |
$16,672.10
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$95.48 |
$95.48 |
$95.48 |
$360.12
|
|
Knee control condylar pad
|
$129.30 |
$129.30 |
$129.30 |
$175.04
|
|
Knee control full kneecap
|
$129.75 |
$129.75 |
$129.75 |
$192.00
|
|
Knee disart expand wall sock
|
$1,072.34 |
$1,072.34 |
$1,072.34 |
$733.60
|
|
Knee disarticulat leather so
|
$1,161.66 |
$1,161.66 |
$1,161.66 |
$873.60
|
|
Knee disc/dial lock/adj flex
|
$226.80 |
$226.80 |
$226.80 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$226.80 |
$226.80 |
$226.80 |
$289.44
|
|
Knee joint cam lock each joi
|
$192.25 |
$192.25 |
$192.25 |
$260.22
|
|
Knee joint drop lock ea jnt
|
$137.98 |
$137.98 |
$137.98 |
$175.45
|
|
Knee lift loop drop lock rin
|
$185.58 |
$185.58 |
$185.58 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$2,825.93 |
$2,825.93 |
$2,825.93 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,633.28 |
$3,633.28 |
$3,633.28 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,816.70 |
$1,816.70 |
$1,816.70 |
$2,130.88
|
|
Knee orth pos locking joint
|
$465.75 |
$465.75 |
$465.75 |
$585.60
|
|
Knee-shin exo fluid swing ph
|
$2,739.07 |
$2,739.07 |
$2,739.07 |
$2,170.00
|
|
Knee-shin exo frct swg & sta
|
$1,461.38 |
$1,461.38 |
$1,461.38 |
$1,366.40
|
|
Knee-shin exo frict swg & st
|
$679.22 |
$679.22 |
$679.22 |
$646.80
|
|
Knee-shin exo mech stance ph
|
$1,366.62 |
$1,366.62 |
$1,366.62 |
$1,094.80
|
|
Knee-shin exo mnl lock ultra
|
$951.50 |
$951.50 |
$951.50 |
$784.00
|
