|
Intracard echo interv w/s&i
|
$6,636.50 |
$6,636.50 |
$6,636.50 |
$4,328.45
|
|
Intracran angioplsty w/stent
|
$4,265.95 |
$4,265.95 |
$4,265.95 |
$9,045.05
|
|
Intracranial angioplasty
|
$10,336.30 |
$10,336.30 |
$10,336.30 |
$7,578.00
|
|
Intracranial complete study
|
$995.80 |
$995.80 |
$995.80 |
$903.50
|
|
Intracranial limited study
|
$473.85 |
$473.85 |
$473.85 |
$398.34
|
|
Intranasal biopsy 30100
|
$7,884.74 |
$7,884.74 |
$7,884.74 |
$1,618.86
|
|
Intrapul surf admin endo tube
|
$237.90 |
$237.90 |
$237.90 |
$220.80
|
|
Intrauterine transfusion ftl
|
$3,019.25 |
$3,019.25 |
$3,019.25 |
$1,004.25
|
|
Intraventricular pacing
|
$4,854.20 |
$4,854.20 |
$4,854.20 |
$5,625.00
|
|
Intrinsic factor antibody
|
$53.30 |
$53.30 |
$53.30 |
$76.77
|
|
Intrm oph exam est patient
|
$129.35 |
$129.35 |
$129.35 |
$183.07
|
|
Intro cath dialysis circuit
|
$4,046.95 |
$4,046.95 |
$4,046.95 |
$2,161.90
|
|
Intro cath dialysis circuit w/pta
|
$8,683.70 |
$8,683.70 |
$8,683.70 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,501.20 |
$15,501.20 |
$15,501.20 |
$18,260.50
|
|
Intro catheter aorta
|
$13,392.82 |
$13,392.82 |
$13,392.82 |
$1,963.80
|
|
Intro cath svc/ivc
|
$36,914.25 |
$36,914.25 |
$36,914.25 |
$1,942.50
|
|
Intro long gi tube
|
$1,482.65 |
$1,482.65 |
$1,482.65 |
$880.75
|
|
Intro long gi tube w/mult fluo
|
$442.00 |
$442.00 |
$442.00 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$26,498.08 |
$26,498.08 |
$26,498.08 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$37,805.40 |
$37,805.40 |
$37,805.40 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$979.55 |
$979.55 |
$979.55 |
$565.00
|
|
Iodine i-123 sod iodide mil
|
$867.75 |
$867.75 |
$867.75 |
$650.00
|
|
Ionm in operatng room 15 min
|
$183.95 |
$183.95 |
$183.95 |
$238.00
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$133.81 |
$133.81 |
$133.81 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$489.04 |
$489.04 |
$489.04 |
$145.52
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$80,451.79 |
$80,451.79 |
$80,451.79 |
$261.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$116.67 |
$116.67 |
$116.67 |
$254.59
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$6,655.71 |
$6,655.71 |
$6,655.71 |
$111.98
|
|
Iron
|
$46.15 |
$46.15 |
$46.15 |
$67.50
|
|
Iron binding capacity
|
$53.30 |
$53.30 |
$53.30 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$29.58 |
$29.58 |
$29.58 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$196.31 |
$196.31 |
$196.31 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$126.10 |
$126.10 |
$126.10 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$193.05 |
$193.05 |
$193.05 |
$149.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$10,094.64 |
$10,094.64 |
$10,094.64 |
$82.86
|
|
Ivc venogram s&i
|
$2,178.80 |
$2,178.80 |
$2,178.80 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$287.95 |
$287.95 |
$287.95 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$287.95 |
$287.95 |
$287.95 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$287.95 |
$287.95 |
$287.95 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$287.95 |
$287.95 |
$287.95 |
$476.50
|
|
IV inj ra drug dx study
|
$733.20 |
$733.20 |
$733.20 |
$473.22
|
|
Ivp w/nephrotomography
|
$989.95 |
$989.95 |
$989.95 |
$673.90
|
|
Ivp w/wo kub w/wo tomography
|
$1,099.15 |
$1,099.15 |
$1,099.15 |
$687.80
|
|
Jak2 targeted sequence analysis
|
$550.55 |
$550.55 |
$550.55 |
$465.74
|
|
John cunningham antibody
|
$1,294.15 |
$1,294.15 |
$1,294.15 |
$39.65
|
|
Keratoprosthesis
|
$33,104.45 |
$33,104.45 |
$33,104.45 |
$9,646.43
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$109.20 |
$109.20 |
$109.20 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$19.74 |
$19.74 |
$19.74 |
$17.11
|
|
Kidney endoscopy
|
$13,856.80 |
$13,856.80 |
$13,856.80 |
$4,751.59
|
|
Kidney imaging morphology
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
$693.60
|
|
Kidney img w/bldflw sgl without rx
|
$1,869.40 |
$1,869.40 |
$1,869.40 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$769.60 |
$769.60 |
$769.60 |
$618.54
|
|
Knee Arthroscopy (Cartilage Repair)
|
$12,302.71 |
$12,302.71 |
$12,302.71 |
$3,594.44
|
|
Knee Arthroscopy (Meniscus Repair)
|
$11,567.37 |
$11,567.37 |
$11,567.37 |
$3,705.22
|
|
Knee arthroscopy/surgery
|
$24,365.36 |
$24,365.36 |
$24,365.36 |
$3,591.33
|
|
Knee arthroscopy/surgery
|
$11,603.11 |
$11,603.11 |
$11,603.11 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$11,314.54 |
$11,314.54 |
$11,314.54 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$15,788.42 |
$15,788.42 |
$15,788.42 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$15,680.36 |
$15,680.36 |
$15,680.36 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$11,701.64 |
$11,701.64 |
$11,701.64 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$22,076.13 |
$22,076.13 |
$22,076.13 |
$3,743.15
|
|
Knee arthroscopy/surgery
|
$31,847.67 |
$31,847.67 |
$31,847.67 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$11,665.72 |
$11,665.72 |
$11,665.72 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$24,632.72 |
$24,632.72 |
$24,632.72 |
$7,907.11
|
|
Knee arthroscopy/surgery
|
$33,023.22 |
$33,023.22 |
$33,023.22 |
$10,477.98
|
|
Knee MRI (with and without contrast)
|
$4,537.65 |
$4,537.65 |
$4,537.65 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$4,174.95 |
$4,174.95 |
$4,174.95 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$3,874.00 |
$3,874.00 |
$3,874.00 |
$2,120.00
|
|
Knee X-ray
|
$596.70 |
$596.70 |
$596.70 |
$387.20
|
|
Kras gene addl variants
|
$254.80 |
$254.80 |
$254.80 |
$366.56
|
|
Kras gene variants exon 2
|
$480.35 |
$480.35 |
$480.35 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$12.09 |
$12.09 |
$12.09 |
$13.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$76.82 |
$76.82 |
$76.82 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$65.65 |
$65.65 |
$65.65 |
$50.55
|
|
Lactated ringers intravenous solution
|
$68.25 |
$68.25 |
$68.25 |
$46.35
|
|
Lactic acid
|
$159.25 |
$159.25 |
$159.25 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$92.30 |
$92.30 |
$92.30 |
$88.40
|
|
Lam facetc/frmt arthrd lum 1
|
$54,131.64 |
$54,131.64 |
$54,131.64 |
$628.80
|
|
Lam facetec & foramot crv
|
$21,331.09 |
$21,331.09 |
$21,331.09 |
$7,807.24
|
|
Lam facetec & foramot lumbar
|
$19,316.91 |
$19,316.91 |
$19,316.91 |
$7,913.97
|
|
Lam facetec & foramot thrc
|
$19,490.31 |
$19,490.31 |
$19,490.31 |
$7,807.24
|
|
Lam factc/frmt arthrd lum ea
|
$50,222.83 |
$50,222.83 |
$50,222.83 |
$471.20
|
|
Laminotomy single lumbar
|
$21,115.44 |
$21,115.44 |
$21,115.44 |
$7,907.11
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$21,660.86 |
$21,660.86 |
$21,660.86 |
$21,470.76
|
|
Laparo cholecystectomy/explr
|
$43,793.91 |
$43,793.91 |
$43,793.91 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$16,900.94 |
$16,900.94 |
$16,900.94 |
$6,870.89
|
|
Laparo proc abdm/per/oment 49329
|
$29,699.02 |
$29,699.02 |
$29,699.02 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$37,022.70 |
$37,022.70 |
$37,022.70 |
$6,515.60
|
|
Laparoscopic myomectomy
|
$30,047.73 |
$30,047.73 |
$30,047.73 |
$6,457.82
|
|
Laparoscopy adrenalectomy
|
$21,613.11 |
$21,613.11 |
$21,613.11 |
$5,389.80
|
|
Laparoscopy aspiration
|
$19,500.34 |
$19,500.34 |
$19,500.34 |
$5,922.01
|
|
Laparoscopy biopsy
|
$26,024.54 |
$26,024.54 |
$26,024.54 |
$5,954.23
|
|
Laparoscopye procstom 43659
|
$20,959.09 |
$20,959.09 |
$20,959.09 |
$6,870.89
|
|
Laparoscopy excise lesions
|
$18,652.86 |
$18,652.86 |
$18,652.86 |
$5,747.73
|
|
Laparoscopy fundoplasty
|
$19,694.00 |
$19,694.00 |
$19,694.00 |
$11,191.12
|
|
Laparoscopy gastrostomy
|
$14,610.89 |
$14,610.89 |
$14,610.89 |
$3,907.68
|
|
Laparoscopy lymphadenectomy
|
$36,086.50 |
$36,086.50 |
$36,086.50 |
$11,523.76
|
|
Laparoscopy lymphadenectomy
|
$32,982.43 |
$32,982.43 |
$32,982.43 |
$9,372.17
|
|
Laparoscopy lymph node biop
|
$31,563.02 |
$31,563.02 |
$31,563.02 |
$6,376.26
|
|
Laparoscopy lysis
|
$13,229.03 |
$13,229.03 |
$13,229.03 |
$5,057.88
|
