|
Interrog device eval heart
|
$53.36 |
$190.07 |
$294.42 |
|
|
Interrog evl pm/ldls pm ip
|
$35.50 |
$154.38 |
$165.06 |
|
|
Interrog&prgrmg ipnss polysm
|
$627.90 |
$627.90 |
$804.50 |
|
|
Interstitial brachy inter
|
$351.00 |
$2,212.98 |
$2,212.98 |
|
|
Intra-atrial pacing
|
$1,918.56 |
$1,918.56 |
$4,633.50 |
|
|
Intra-atrial recording
|
$3,028.64 |
$4,781.70 |
$4,781.70 |
|
|
Intracard echo interv w/s&i
|
$2,086.00 |
$2,445.24 |
$2,461.48 |
|
|
Intracran angioplsty w/stent
|
$5,828.50 |
$11,422.32 |
$11,422.32 |
|
|
Intracranial angioplasty
|
$3,769.50 |
$12,964.14 |
$12,964.14 |
|
|
Intracranial complete study
|
$336.00 |
$336.00 |
$616.10 |
|
|
Intracranial limited study
|
$264.50 |
$309.12 |
$339.30 |
|
|
Intranasal biopsy 30100
|
$62.38 |
$334.49 |
$342.55 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$3,500.60 |
$3,500.60 |
$3,500.60 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$338.94 |
$338.94 |
$1,044.93 |
|
|
Intrapul surf admin endo tube
|
$96.54 |
$129.36 |
$163.00 |
|
|
Intrauterine transfusion ftl
|
$496.02 |
$496.02 |
$596.00 |
|
|
Intraventricular pacing
|
$2,403.04 |
$2,433.48 |
$3,295.50 |
|
|
Intrinsic factor antibody
|
$45.31 |
$45.75 |
$109.50 |
|
|
Intro cath dialysis circuit
|
$869.82 |
$985.89 |
$1,550.66 |
|
|
Intro cath dialysis circuit w/pta
|
$3,299.12 |
$9,665.04 |
$12,374.30 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$6,459.00 |
$7,055.58 |
$12,184.48 |
|
|
Intro catheter aorta
|
$480.70 |
$765.24 |
$1,256.60 |
|
|
Intro cath svc/ivc
|
$553.38 |
$687.12 |
$1,054.08 |
|
|
Intro long gi tube
|
$451.50 |
$451.50 |
$1,239.59 |
|
|
Intro long gi tube w/mult fluo
|
$281.40 |
$281.40 |
$367.83 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,338.60 |
$2,126.46 |
$3,528.20 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$170.10 |
$170.10 |
$2,803.09 |
|
|
Intubation endotracheal emergency procedure
|
$388.22 |
$477.96 |
$695.40 |
|
|
Ionm in operatng room 15 min
|
$54.00 |
$54.00 |
$57.95 |
|
|
Ionm remote/>1 pt or per hr
|
$708.54 |
$708.54 |
$1,155.95 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.87 |
$170.06 |
$344.17 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$269.10 |
$488.25 |
$988.13 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$408.36 |
$74,568.32 |
$150,912.06 |
|
|
Ip/obs cnsltj new/est low 45
|
$207.50 |
$210.00 |
$212.50 |
|
|
Ip/obs cnsltj new/est mod 60
|
$301.29 |
$304.92 |
$308.55 |
|
|
Ip/obs consltj new/est hi 80
|
$362.71 |
$367.08 |
$371.45 |
|
|
Ip/obs consltj new/est sf 35
|
$134.46 |
$136.08 |
$137.70 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$4.55 |
$68.96 |
$139.56 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$124.16 |
$5,667.90 |
$11,470.75 |
|
|
Iron
|
$24.38 |
$65.52 |
$292.40 |
|
|
Iron binding capacity
|
$16.55 |
$79.38 |
$151.30 |
|
|
Iron dextran 50 mg/ml injection solution
|
$7.84 |
$71.58 |
$144.85 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$5.31 |
$136.86 |
$276.98 |
|
|
Irradiation of blood product each unit reference
|
$76.86 |
$76.86 |
$127.50 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$43.70 |
$126.50 |
$156.40 |
|
|
Ivc venogram s&i
|
$836.74 |
$1,691.76 |
$2,534.05 |
|
|
IV Fluids (each additional hour)
|
$31.50 |
$46.20 |
$129.93 |
|
|
IV Fluids (first hour)
|
$158.70 |
$247.38 |
$470.31 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$36.34 |
$100.80 |
$200.86 |
|
|
IV Medicine Infusion (additional drug)
|
$77.00 |
$128.10 |
$257.24 |
|
|
IV Medicine Infusion (each additional hour)
|
$26.88 |
$46.20 |
$118.69 |
|
|
IV Medicine Infusion (first hour)
|
$210.84 |
$313.32 |
$612.44 |
|
|
IV Push Injection (each additional drug)
|
$37.72 |
$120.54 |
$183.00 |
|
|
IV Push Injection (first drug)
|
$118.44 |
$148.26 |
$464.82 |
|
|
Ivp w/nephrotomography
|
$641.76 |
$757.68 |
$1,015.39 |
|
|
Ivp w/wo kub w/wo tomography
|
$338.52 |
$561.50 |
$1,107.16 |
|
|
Ixabepilone 15 mg intravenous solution
|
$2,672.14 |
$12,198.86 |
$24,688.17 |
|
|
Jak2 targeted sequence analysis
|
$409.77 |
$409.77 |
$409.77 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$73.87 |
$209.16 |
$1,040.76 |
|
|
Jaw (Mandible) X-ray (complete)
|
$192.56 |
$218.40 |
$416.50 |
|
|
Jejunstmy tube plcmt
|
$550.29 |
$556.92 |
$563.55 |
|
|
John cunningham antibody
|
$19.47 |
$19.47 |
$39.17 |
|
|
J-tube placement
|
$295.59 |
$295.59 |
$336.11 |
|
|
Ketamine and metabolite screen - quest
|
$88.89 |
$88.89 |
$88.89 |
|
|
Ketogenic steroids fract
|
$82.74 |
$82.74 |
$100.30 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$15.18 |
$96.60 |
$156.40 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$2.18 |
$41.79 |
$84.58 |
|
|
Kidney endoscopy
|
$2,310.44 |
$2,310.44 |
$2,310.44 |
|
|
Kidney endoscopy & treatment
|
$3,312.96 |
$3,312.96 |
$3,312.96 |
|
|
Kidney function study
|
$434.50 |
$543.48 |
$549.95 |
|
|
Kidney imaging morphology
|
$382.62 |
$382.62 |
$612.85 |
|
|
Kidney imag w/bld flow multi
|
$383.64 |
$1,126.86 |
$2,397.00 |
|
|
Kidney img w/bldflw sgl without rx
|
$383.64 |
$861.00 |
$1,914.20 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$197.34 |
$488.04 |
$869.87 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$285.44 |
$317.52 |
$628.15 |
|
|
Kit case 4.2mm spinejack
|
$3,542.34 |
$3,879.70 |
$7,169.02 |
|
|
Kit cath f 8f w/glv + wipe ster
|
$10.61 |
$11.62 |
$21.47 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$4,441.50 |
$4,864.50 |
$8,988.75 |
|
|
Kit gene analys d816 variant
|
$276.38 |
$276.38 |
$276.38 |
|
|
Kit ipg optimizer smart
|
$26,845.00 |
$26,845.00 |
$26,845.00 |
|
|
Kit lead specify 5-6-5
|
$20,391.56 |
$31,272.87 |
$57,786.83 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$456.55 |
$543.51 |
$1,792.18 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$978.08 |
$1,071.23 |
$1,979.44 |
|
|
Kit sound processor cochlear osia 2
|
$2,993.76 |
$3,278.88 |
$6,058.80 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,059.83 |
$4,059.83 |
$4,059.83 |
|
|
Knee MRI (with and without contrast)
|
$1,647.66 |
$2,074.00 |
$3,910.96 |
|
|
Knee MRI (with contrast)
|
$1,546.86 |
$1,947.00 |
$3,338.26 |
|
|
Knee MRI (without contrast)
|
$1,257.90 |
$1,583.00 |
$2,966.50 |
|
|
Knee X-ray
|
$162.84 |
$319.00 |
$459.85 |
|
|
Knee X-ray (1 to 2 views, both knees)
|
$126.50 |
$231.84 |
$378.78 |
|
|
Knee X-ray (3 views, both knees)
|
$138.92 |
$275.71 |
$405.33 |
|
|
Knee X-ray (standing, both knees)
|
$111.22 |
$127.42 |
$377.67 |
|
|
Kras gene addl variants
|
$427.46 |
$427.46 |
$427.46 |
|
|
Kras gene variants exon 2
|
$390.40 |
$926.10 |
$1,462.85 |
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$34.00 |
$148.68 |
$148.68 |
|
|
Lab draw <3 yrs scalp vein 36405
|
$56.44 |
$57.12 |
$57.80 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$2.99 |
$44.57 |
$90.19 |
|
|
Lab pathology consultation
|
$26.46 |
$26.46 |
$69.00 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$2.09 |
$190.31 |
$385.14 |
|
|
Lactate dehydrogenase (ldh)
|
$18.40 |
$50.82 |
$119.00 |
|