|
Intrauterine transfusion ftl
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,004.25
|
|
Intraventricular pacing
|
$2,564.50 |
$2,564.50 |
$2,564.50 |
$5,775.22
|
|
Intrinsic factor antibody
|
$16.59 |
$16.59 |
$16.59 |
$59.95
|
|
Intro cath dialysis circuit
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$15,625.00
|
|
Intro catheter aorta
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,861.61
|
|
Intro cath svc/ivc
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,350.75
|
|
Intro long gi tube
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$178.31 |
$178.31 |
$178.31 |
$477.85
|
|
Intro windpipe wire/tube
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,316.30
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$617.60
|
|
Io anal gast n-stim subsq
|
$16.63 |
$16.63 |
$16.63 |
$129.56
|
|
Io ga n-stim subsq w/reprog
|
$34.55 |
$34.55 |
$34.55 |
$187.43
|
|
Iron
|
$7.12 |
$7.12 |
$7.12 |
$70.72
|
|
Iron binding capacity
|
$9.61 |
$9.61 |
$9.61 |
$63.00
|
|
Iron stain peripheral blood
|
$7.57 |
$7.57 |
$7.57 |
$17.60
|
|
Irradiation of blood product each unit reference
|
$33.06 |
$33.06 |
$33.06 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$146.11 |
$146.11 |
$146.11 |
$154.50
|
|
Irrigation sphenoid sinus
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$1,752.89
|
|
Irrigation vagina and/or appl medicament tx disease
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$131.88
|
|
Island pedicle flap graft
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,468.80
|
|
Ivc venogram s&i
|
$1,489.04 |
$1,489.04 |
$1,489.04 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$159.54 |
$159.54 |
$159.54 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$81.69 |
$81.69 |
$81.69 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$154.21 |
$154.21 |
$154.21 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$397.37 |
$397.37 |
$397.37 |
$460.85
|
|
IV njx tst vasc flo flap/grf
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$469.93
|
|
Ivp w/wo kub w/wo tomography
|
$183.65 |
$183.65 |
$183.65 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$203.72 |
$203.72 |
$203.72 |
$378.30
|
|
Jaw arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Jaw arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Jejunstmy tube plcmt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,244.82
|
|
John cunningham antibody
|
$18.58 |
$18.58 |
$18.58 |
$48.57
|
|
Keratoprosthesis
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$9,103.00
|
|
Ketamine and metabolite screen - quest
|
$61.21 |
$61.21 |
$61.21 |
$68.15
|
|
Ketogenic steroids fract
|
$17.02 |
$17.02 |
$17.02 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$8.99 |
$8.99 |
$8.99 |
$56.61
|
|
Kidney endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,881.00
|
|
Kidney endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,098.80
|
|
Kidney endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,817.53
|
|
Kidney endoscopy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,555.79
|
|
Kidney endoscopy & biopsy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,110.00
|
|
Kidney endoscopy & biopsy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,817.53
|
|
Kidney endoscopy & treatment
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Kidney endoscopy & treatment
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,419.00
|
|
Kidney endoscopy & treatment
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,339.00
|
|
Kidney endoscopy & treatment
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,881.00
|
|
Kidney function study
|
$281.76 |
$281.76 |
$281.76 |
$549.70
|
|
Kidney imaging morphology
|
$321.22 |
$321.22 |
$321.22 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$444.51 |
$444.51 |
$444.51 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$212.02 |
$212.02 |
$212.02 |
$668.25
|
|
Kit gene analys d816 variant
|
$137.36 |
$137.36 |
$137.36 |
$355.00
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$81.22 |
$81.22 |
$81.22 |
$3,877.17
|
|
Kit sound processor cochlear osia 2
|
$3,967.74 |
$3,967.74 |
$3,967.74 |
$10,472.03
|
|
Knee Arthroscopy (Cartilage Repair)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/drainage
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy dx
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee Arthroscopy (Meniscus Repair)
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$5,419.00
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,807.24
|
|
Knee arthroscopy/surgery
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,477.98
|
|
Kras gene addl variants
|
$212.58 |
$212.58 |
$212.58 |
$346.45
|
|
Kras gene variants exon 2
|
$212.58 |
$212.58 |
$212.58 |
$495.00
|
|
Labioplasty 56800
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$3,762.53
|
|
Lactate dehydrogenase (ldh)
|
$6.64 |
$6.64 |
$6.64 |
$53.30
|
|
Lactic acid
|
$12.73 |
$12.73 |
$12.73 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$21.67 |
$21.67 |
$21.67 |
$88.40
|
|
Lactoferrin fecal quant
|
$21.59 |
$21.59 |
$21.59 |
$106.10
|
|
Lam facetec & foramot crv
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,807.24
|
|
Lam facetec & foramot lumbar
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,907.11
|
|
Lam facetec & foramot thrc
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,839.00
|
|
Lamie excise intrspinl lesion thrc 63266
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,416.80
|
|
Laminotomy single cervical
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,907.11
|
|
Laminotomy single lumbar
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,807.24
|
|
Laparo ablate liver tumor rf
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$9,367.23
|
|
Laparo ablate renal mass
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$11,523.76
|
|
Laparo-asst vag hysterectomy
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,376.26
|
|
Laparo cholecystectomy/explr
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,220.90
|
|
Laparo drng lymphocele 49323
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,311.00
|
|
Laparo ligate spermatic vein
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,457.82
|
|
Laparo-myomectomy complex
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$6,839.00
|
|
Laparo new ureter/bladder
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$10,689.72
|
|
Laparo new ureter/bladder
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
$7,975.19
|
