|
Insitu hybridization manual
|
$645.15 |
$645.15 |
$645.15 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$563.55 |
$563.55 |
$563.55 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$535.50 |
$535.50 |
$535.50 |
$331.69
|
|
Ins picad w subq port 5yr>
|
$5,314.20 |
$5,314.20 |
$5,314.20 |
$3,985.20
|
|
Ins/rplc spi npg/rcvr pocket
|
$25,303.65 |
$25,303.65 |
$25,303.65 |
$24,061.80
|
|
Insti hexaminolevulinate hcl
|
$5,393.25 |
$5,393.25 |
$5,393.25 |
$2,224.80
|
|
Instillation anticarcinogenic agent bladder
|
$500.65 |
$500.65 |
$500.65 |
$621.40
|
|
Instill, bupivac and meloxic
|
$1,191.85 |
$1,191.85 |
$1,191.85 |
$687.60
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$10,691.30 |
$10,691.30 |
$10,691.30 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$2,069.75 |
$2,069.75 |
$2,069.75 |
$4,202.70
|
|
Insulin total
|
$136.00 |
$136.00 |
$136.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$8,683.90 |
$8,683.90 |
$8,683.90 |
$8,629.72
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$210.76 |
$210.76 |
$210.76 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$607.75 |
$607.75 |
$607.75 |
$1,222.26
|
|
Intranasal biopsy 30100
|
$342.55 |
$342.55 |
$342.55 |
$2,133.48
|
|
Intrinsic factor antibody
|
$79.90 |
$79.90 |
$79.90 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,117.75 |
$1,117.75 |
$1,117.75 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$12,374.30 |
$12,374.30 |
$12,374.30 |
$8,690.50
|
|
Intubation endotracheal emergency procedure
|
$483.65 |
$483.65 |
$483.65 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$344.17 |
$344.17 |
$344.17 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$988.13 |
$988.13 |
$988.13 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$150,912.06 |
$150,912.06 |
$150,912.06 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$212.50 |
$212.50 |
$212.50 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$308.55 |
$308.55 |
$308.55 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$371.45 |
$371.45 |
$371.45 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$137.70 |
$137.70 |
$137.70 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$139.56 |
$139.56 |
$139.56 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,470.75 |
$11,470.75 |
$11,470.75 |
$5,517.12
|
|
Iron
|
$292.40 |
$292.40 |
$292.40 |
$72.29
|
|
Iron binding capacity
|
$151.30 |
$151.30 |
$151.30 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$144.85 |
$144.85 |
$144.85 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$276.98 |
$276.98 |
$276.98 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$127.50 |
$127.50 |
$127.50 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$156.40 |
$156.40 |
$156.40 |
$144.62
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$148.75 |
$148.75 |
$148.75 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$193.80 |
$193.80 |
$193.80 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$46.75 |
$46.75 |
$46.75 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$213.35 |
$213.35 |
$213.35 |
$437.45
|
|
Ivp w/nephrotomography
|
$649.40 |
$649.40 |
$649.40 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$640.05 |
$640.05 |
$640.05 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$24,688.17 |
$24,688.17 |
$24,688.17 |
$10,695.32
|
|
Jejunstmy tube plcmt
|
$563.55 |
$563.55 |
$563.55 |
$2,174.40
|
|
Ketogenic steroids fract
|
$100.30 |
$100.30 |
$100.30 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$156.40 |
$156.40 |
$156.40 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$84.58 |
$84.58 |
$84.58 |
$23.77
|
|
Kidney function study
|
$549.95 |
$549.95 |
$549.95 |
$968.50
|
|
Kidney imaging morphology
|
$612.85 |
$612.85 |
$612.85 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,397.00 |
$2,397.00 |
$2,397.00 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,914.20 |
$1,914.20 |
$1,914.20 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$837.25 |
$837.25 |
$837.25 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$7,169.02 |
$7,169.02 |
$7,169.02 |
$7,751.14
|
|
Kit cath f 8f w/glv + wipe ster
|
$21.47 |
$21.47 |
$21.47 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,988.75 |
$8,988.75 |
$8,988.75 |
$9,482.25
|
|
Kit lead specify 5-6-5
|
$57,786.83 |
$57,786.83 |
$57,786.83 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$923.97 |
$923.97 |
$923.97 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$1,979.44 |
$1,979.44 |
$1,979.44 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$6,058.80 |
$6,058.80 |
$6,058.80 |
$8,425.00
|
|
Knee MRI (with and without contrast)
|
$3,677.95 |
$3,677.95 |
$3,677.95 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,233.40 |
$3,233.40 |
$3,233.40 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,966.50 |
$2,966.50 |
$2,966.50 |
$2,110.76
|
|
Knee X-ray
|
$459.85 |
$459.85 |
$459.85 |
$425.55
|
|
Kras gene variants exon 2
|
$1,462.85 |
$1,462.85 |
$1,462.85 |
$509.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$65.45 |
$65.45 |
$65.45 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$57.80 |
$57.80 |
$57.80 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$90.19 |
$90.19 |
$90.19 |
$33.60
|
|
Lab pathology consultation
|
$45.05 |
$45.05 |
$45.05 |
$48.44
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$385.14 |
$385.14 |
$385.14 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$119.00 |
$119.00 |
$119.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$175.74 |
$175.74 |
$175.74 |
$44.91
|
|
Lactic acid
|
$139.40 |
$139.40 |
$139.40 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$99.45 |
$99.45 |
$99.45 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$38,887.50 |
$38,887.50 |
$38,887.50 |
$19,124.00
|
|
Laparo cholecystectomy/explr
|
$2,555.10 |
$2,555.10 |
$2,555.10 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$1,646.45 |
$1,646.45 |
$1,646.45 |
$8,346.00
|
|
Laparo cholecystoenterostomy
|
$1,774.80 |
$1,774.80 |
$1,774.80 |
$1,108.77
|
|
Laparo drng lymphocele 49323
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$5,741.00
|
|
Laparo partial colectomy 44204
|
$3,526.65 |
$3,526.65 |
$3,526.65 |
$2,917.80
|
|
Laparoscopy aspiration
|
$863.60 |
$863.60 |
$863.60 |
$6,839.00
|
|
Laparoscopy biopsy
|
$794.75 |
$794.75 |
$794.75 |
$6,376.26
|
|
Laparoscopy splenectomy
|
$2,413.15 |
$2,413.15 |
$2,413.15 |
$10,488.40
|
|
Laparotomy; inject/aspirate liver cyst 47015
|
$2,668.15 |
$2,668.15 |
$2,668.15 |
$1,659.80
|
|
Laparo-vag hyst incl t/o
|
$2,307.75 |
$2,307.75 |
$2,307.75 |
$12,100.40
|
|
Lap colectomy part w/ileum 44205
|
$3,071.05 |
$3,071.05 |
$3,071.05 |
$2,938.32
|
|
Lap enterectomy 44202
|
$3,168.80 |
$3,168.80 |
$3,168.80 |
$2,142.00
|
|
Lap enterolysis
|
$2,102.90 |
$2,102.90 |
$2,102.90 |
$6,376.26
|
|
Lap inc hernia repair 49654
|
$1,932.05 |
$1,932.05 |
$1,932.05 |
$1,932.05
|
|
Lap inc hernia repair recurr 49656
|
$2,096.95 |
$2,096.95 |
$2,096.95 |
$2,072.28
|
|
Lap ing hernia repair init
|
$996.20 |
$996.20 |
$996.20 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$1,299.65 |
$1,299.65 |
$1,299.65 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$886.55 |
$886.55 |
$886.55 |
$6,895.20
|
|
Lap part colectomy w/stoma 44206
|
$3,998.40 |
$3,998.40 |
$3,998.40 |
$4,307.20
|
|
Lap resect s/intestine addl 44203
|
$544.00 |
$544.00 |
$544.00 |
$516.78
|
|
Lap w/omentopexy add-on 49326
|
$425.00 |
$425.00 |
$425.00 |
$463.20
|
|
Largsc w/rmvl foreign bdy(s)
|
$659.60 |
$659.60 |
$659.60 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$810.90 |
$810.90 |
$810.90 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$1,114.35 |
$1,114.35 |
$1,114.35 |
$2,854.09
|
|
Lateral canthopexy
|
$2,043.40 |
$2,043.40 |
$2,043.40 |
$3,837.72
|
|
Lavage cannulation maxillary sinus
|
$441.15 |
$441.15 |
$441.15 |
$728.00
|
|
Lb with mastopexy 15839
|
$3,007.30 |
$3,007.30 |
$3,007.30 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$5,737.50 |
$5,737.50 |
$5,737.50 |
$5,534.00
|