|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$64.77 |
$64.77 |
$64.77 |
$5,517.12
|
|
Iron
|
$6.47 |
$6.47 |
$6.47 |
$74.75
|
|
Iron binding capacity
|
$8.74 |
$8.74 |
$8.74 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$17.67 |
$17.67 |
$17.67 |
$81.70
|
|
Iron stain peripheral blood
|
$6.88 |
$6.88 |
$6.88 |
$30.55
|
|
Irradiation of blood product each unit reference
|
$46.45 |
$46.45 |
$46.45 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$70.29 |
$70.29 |
$70.29 |
$146.11
|
|
Irrigation sphenoid sinus
|
$1,752.89 |
$1,752.89 |
$1,752.89 |
$3,062.80
|
|
Irrigation vagina and/or appl medicament tx disease
|
$70.29 |
$70.29 |
$70.29 |
$132.00
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$78.05 |
$78.05 |
$78.05 |
$8,273.35
|
|
Island pedicle flap graft
|
$2,164.64 |
$2,164.64 |
$2,164.64 |
$2,468.80
|
|
IV cipaglucosidase alfa-atga
|
$769.78 |
$769.78 |
$769.78 |
$769.78
|
|
Ivc venogram s&i
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$54.60 |
$54.60 |
$54.60 |
$133.90
|
|
IV Fluids (first hour)
|
$249.32 |
$249.32 |
$249.32 |
$390.00
|
|
IV inj ra drug dx study
|
$475.51 |
$475.51 |
$475.51 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$84.22 |
$84.22 |
$84.22 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$54.60 |
$54.60 |
$54.60 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$249.32 |
$249.32 |
$249.32 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$472.21 |
$472.21 |
$472.21 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$54.60 |
$54.60 |
$54.60 |
$166.80
|
|
IV Push Injection (first drug)
|
$249.32 |
$249.32 |
$249.32 |
$254.52
|
|
Ivp w/nephrotomography
|
$210.66 |
$210.66 |
$210.66 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$210.66 |
$210.66 |
$210.66 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$134.06 |
$134.06 |
$134.06 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$185.20 |
$185.20 |
$185.20 |
$405.00
|
|
Jaw arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$104.19 |
$104.19 |
$104.19 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$125.84 |
$125.84 |
$125.84 |
$362.05
|
|
Jejunstmy tube plcmt
|
$2,244.82 |
$2,244.82 |
$2,244.82 |
$2,174.40
|
|
John cunningham antibody
|
$16.89 |
$16.89 |
$16.89 |
$78.60
|
|
Keratoprosthesis
|
$16,909.40 |
$16,909.40 |
$16,909.40 |
$10,476.00
|
|
Kerecis marigen shld sq cm
|
$127.14 |
$127.14 |
$127.14 |
$1.00
|
|
Ketogenic steroids fract
|
$15.47 |
$15.47 |
$15.47 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$8.17 |
$8.17 |
$8.17 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$0.80 |
$0.80 |
$0.80 |
$23.50
|
|
Kidney endoscopy
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,110.00
|
|
Kidney endoscopy
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,728.00
|
|
Kidney endoscopy
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$4,081.37
|
|
Kidney endoscopy
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,741.00
|
|
Kidney endoscopy & biopsy
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$4,081.37 |
$4,081.37 |
$4,081.37 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
$9,744.00
|
|
Kidney endoscopy & treatment
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$10,942.71 |
$10,942.71 |
$10,942.71 |
$7,431.20
|
|
Kidney endoscopy & treatment
|
$6,015.75 |
$6,015.75 |
$6,015.75 |
$5,626.86
|
|
Kidney function study
|
$475.51 |
$475.51 |
$475.51 |
$935.22
|
|
Kidney imaging morphology
|
$475.51 |
$475.51 |
$475.51 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$636.97 |
$636.97 |
$636.97 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$636.97 |
$636.97 |
$636.97 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$125.84 |
$125.84 |
$125.84 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$125.84 |
$125.84 |
$125.84 |
$492.25
|
|
Kit gene analys d816 variant
|
$124.87 |
$124.87 |
$124.87 |
$374.40
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$360.12
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,627.00
|
|
Knee arthroscopy/drainage
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,986.00
|
|
Knee arthroscopy dx
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$6,839.00
|
|
Knee MRI (with and without contrast)
|
$422.61 |
$422.61 |
$422.61 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$934.93 |
$934.93 |
$934.93 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$286.04 |
$286.04 |
$286.04 |
$2,122.12
|
|
Knee X-ray
|
$125.84 |
$125.84 |
$125.84 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$104.19 |
$104.19 |
$104.19 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$104.19 |
$104.19 |
$104.19 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$104.19 |
$104.19 |
$104.19 |
$252.50
|
|
Kras gene addl variants
|
$193.25 |
$193.25 |
$193.25 |
$387.20
|
|
Kras gene variants exon 2
|
$193.25 |
$193.25 |
$193.25 |
$536.20
|
|
Kyphectomy 1-2 segments
|
$17,913.59 |
$17,913.59 |
$17,913.59 |
$17,913.59
|
|
Kyphectomy 3 or more
|
$17,913.59 |
$17,913.59 |
$17,913.59 |
$17,913.59
|
|
Labioplasty 56800
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,905.53
|
|
Lactate dehydrogenase (ldh)
|
$6.04 |
$6.04 |
$6.04 |
$55.50
|
|
Lactic acid
|
$11.57 |
$11.57 |
$11.57 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$19.70 |
$19.70 |
$19.70 |
$82.40
|
|
Lactoferrin fecal quant
|
$19.63 |
$19.63 |
$19.63 |
$108.93
|
|
Lam facetec & foramot crv
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,453.60
|
|
Lamie excise intrspinl lesion thrc 63266
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,178.00
|
|
Laminotomy single cervical
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,412.89
|
|
Laminotomy single lumbar
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$49.97 |
$49.97 |
$49.97 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$9,367.23
|
|
Laparo ablate renal mass
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$12,320.22
|