|
Insitu hybridization manual
|
$637.56 |
$637.56 |
$637.56 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$556.92 |
$556.92 |
$556.92 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$529.20 |
$529.20 |
$529.20 |
$331.69
|
|
Ins picad w subq port 5yr>
|
$5,251.68 |
$5,251.68 |
$5,251.68 |
$3,985.20
|
|
Ins/rplc spi npg/rcvr pocket
|
$25,005.96 |
$25,005.96 |
$25,005.96 |
$24,061.80
|
|
Insti hexaminolevulinate hcl
|
$5,329.80 |
$5,329.80 |
$5,329.80 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$494.76 |
$494.76 |
$494.76 |
$621.40
|
|
Instill, bupivac and meloxic
|
$1,177.83 |
$1,177.83 |
$1,177.83 |
$687.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$10,565.52 |
$10,565.52 |
$10,565.52 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$4,202.70
|
|
Insulin total
|
$134.40 |
$134.40 |
$134.40 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$8,581.74 |
$8,581.74 |
$8,581.74 |
$8,629.72
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$208.28 |
$208.28 |
$208.28 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$600.60 |
$600.60 |
$600.60 |
$1,222.26
|
|
Intranasal biopsy 30100
|
$338.52 |
$338.52 |
$338.52 |
$2,133.48
|
|
Intrinsic factor antibody
|
$78.96 |
$78.96 |
$78.96 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,104.60 |
$1,104.60 |
$1,104.60 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$12,228.72 |
$12,228.72 |
$12,228.72 |
$8,690.50
|
|
Intubation endotracheal emergency procedure
|
$477.96 |
$477.96 |
$477.96 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$340.12 |
$340.12 |
$340.12 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$976.50 |
$976.50 |
$976.50 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$149,136.63 |
$149,136.63 |
$149,136.63 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$210.00 |
$210.00 |
$210.00 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$304.92 |
$304.92 |
$304.92 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$367.08 |
$367.08 |
$367.08 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$136.08 |
$136.08 |
$136.08 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$137.92 |
$137.92 |
$137.92 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,335.80 |
$11,335.80 |
$11,335.80 |
$5,517.12
|
|
Iron
|
$288.96 |
$288.96 |
$288.96 |
$72.29
|
|
Iron binding capacity
|
$149.52 |
$149.52 |
$149.52 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$143.15 |
$143.15 |
$143.15 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$273.72 |
$273.72 |
$273.72 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$126.00 |
$126.00 |
$126.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$154.56 |
$154.56 |
$154.56 |
$144.62
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$147.00 |
$147.00 |
$147.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$191.52 |
$191.52 |
$191.52 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$46.20 |
$46.20 |
$46.20 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$210.84 |
$210.84 |
$210.84 |
$437.45
|
|
Ivp w/nephrotomography
|
$641.76 |
$641.76 |
$641.76 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$632.52 |
$632.52 |
$632.52 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$24,397.72 |
$24,397.72 |
$24,397.72 |
$10,695.32
|
|
Jejunstmy tube plcmt
|
$556.92 |
$556.92 |
$556.92 |
$2,174.40
|
|
Ketogenic steroids fract
|
$99.12 |
$99.12 |
$99.12 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$154.56 |
$154.56 |
$154.56 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$83.58 |
$83.58 |
$83.58 |
$23.77
|
|
Kidney function study
|
$543.48 |
$543.48 |
$543.48 |
$968.50
|
|
Kidney imaging morphology
|
$605.64 |
$605.64 |
$605.64 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,368.80 |
$2,368.80 |
$2,368.80 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,891.68 |
$1,891.68 |
$1,891.68 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$827.40 |
$827.40 |
$827.40 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$7,084.67 |
$7,084.67 |
$7,084.67 |
$7,751.14
|
|
Kit cath f 8f w/glv + wipe ster
|
$21.21 |
$21.21 |
$21.21 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,883.00 |
$8,883.00 |
$8,883.00 |
$9,482.25
|
|
Kit lead specify 5-6-5
|
$57,106.98 |
$57,106.98 |
$57,106.98 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$913.10 |
$913.10 |
$913.10 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$1,956.15 |
$1,956.15 |
$1,956.15 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$5,987.52 |
$5,987.52 |
$5,987.52 |
$8,425.00
|
|
Knee MRI (with and without contrast)
|
$3,634.68 |
$3,634.68 |
$3,634.68 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,195.36 |
$3,195.36 |
$3,195.36 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,931.60 |
$2,931.60 |
$2,931.60 |
$2,110.76
|
|
Knee X-ray
|
$454.44 |
$454.44 |
$454.44 |
$425.55
|
|
Kras gene variants exon 2
|
$1,445.64 |
$1,445.64 |
$1,445.64 |
$509.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$64.68 |
$64.68 |
$64.68 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$57.12 |
$57.12 |
$57.12 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$89.13 |
$89.13 |
$89.13 |
$33.60
|
|
Lab pathology consultation
|
$44.52 |
$44.52 |
$44.52 |
$48.44
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$380.61 |
$380.61 |
$380.61 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$117.60 |
$117.60 |
$117.60 |
$55.50
|
|
Lactated ringers intravenous solution
|
$173.67 |
$173.67 |
$173.67 |
$44.91
|
|
Lactic acid
|
$137.76 |
$137.76 |
$137.76 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$98.28 |
$98.28 |
$98.28 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$38,430.00 |
$38,430.00 |
$38,430.00 |
$19,124.00
|
|
Laparo cholecystectomy/explr
|
$2,525.04 |
$2,525.04 |
$2,525.04 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$1,627.08 |
$1,627.08 |
$1,627.08 |
$8,346.00
|
|
Laparo cholecystoenterostomy
|
$1,753.92 |
$1,753.92 |
$1,753.92 |
$1,108.77
|
|
Laparo drng lymphocele 49323
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$5,741.00
|
|
Laparo partial colectomy 44204
|
$3,485.16 |
$3,485.16 |
$3,485.16 |
$2,917.80
|
|
Laparoscopy aspiration
|
$853.44 |
$853.44 |
$853.44 |
$6,839.00
|
|
Laparoscopy biopsy
|
$785.40 |
$785.40 |
$785.40 |
$6,376.26
|
|
Laparoscopy splenectomy
|
$2,384.76 |
$2,384.76 |
$2,384.76 |
$10,488.40
|
|
Laparotomy; inject/aspirate liver cyst 47015
|
$2,636.76 |
$2,636.76 |
$2,636.76 |
$1,659.80
|
|
Laparo-vag hyst incl t/o
|
$2,280.60 |
$2,280.60 |
$2,280.60 |
$12,100.40
|
|
Lap colectomy part w/ileum 44205
|
$3,034.92 |
$3,034.92 |
$3,034.92 |
$2,938.32
|
|
Lap enterectomy 44202
|
$3,131.52 |
$3,131.52 |
$3,131.52 |
$2,142.00
|
|
Lap enterolysis
|
$2,078.16 |
$2,078.16 |
$2,078.16 |
$6,376.26
|
|
Lap inc hernia repair 49654
|
$1,909.32 |
$1,909.32 |
$1,909.32 |
$1,932.05
|
|
Lap inc hernia repair recurr 49656
|
$2,072.28 |
$2,072.28 |
$2,072.28 |
$2,072.28
|
|
Lap ing hernia repair init
|
$984.48 |
$984.48 |
$984.48 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$1,284.36 |
$1,284.36 |
$1,284.36 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$876.12 |
$876.12 |
$876.12 |
$6,895.20
|
|
Lap part colectomy w/stoma 44206
|
$3,951.36 |
$3,951.36 |
$3,951.36 |
$4,307.20
|
|
Lap resect s/intestine addl 44203
|
$537.60 |
$537.60 |
$537.60 |
$516.78
|
|
Lap w/omentopexy add-on 49326
|
$420.00 |
$420.00 |
$420.00 |
$463.20
|
|
Largsc w/rmvl foreign bdy(s)
|
$651.84 |
$651.84 |
$651.84 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$801.36 |
$801.36 |
$801.36 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$1,101.24 |
$1,101.24 |
$1,101.24 |
$2,854.09
|
|
Lateral canthopexy
|
$2,019.36 |
$2,019.36 |
$2,019.36 |
$3,837.72
|
|
Lavage cannulation maxillary sinus
|
$435.96 |
$435.96 |
$435.96 |
$728.00
|
|
Lb with mastopexy 15839
|
$2,971.92 |
$2,971.92 |
$2,971.92 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$5,670.00 |
$5,670.00 |
$5,670.00 |
$5,534.00
|