|
Intrvasc Ultrasound noncoronary addl vessel
|
$43.12 |
$372.03 |
$831.56 |
|
|
Intubation endotracheal emergency procedure
|
$152.40 |
$274.80 |
$6,552.00 |
|
|
Io anal gast n-stim init
|
$27.50 |
$27.50 |
$27.50 |
|
|
Io anal gast n-stim subsq
|
$10.78 |
$70.29 |
$70.29 |
|
|
Iodine i-123 sod iodide mil
|
$0.04 |
$0.04 |
$0.04 |
|
|
Iodine i-125 sodium iodide
|
$246.83 |
$246.83 |
$246.83 |
|
|
Io ga n-stim subsq w/reprog
|
$22.66 |
$44.13 |
$44.13 |
|
|
Ionm in operatng room 15 min
|
$19.80 |
$19.80 |
$454.00 |
|
|
Ionm remote/>1 pt or per hr
|
$161.92 |
$161.92 |
$1,807.00 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.36 |
$0.44 |
$3.60 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.18 |
$0.40 |
$24.00 |
|
|
Io radiation tx management
|
$199.98 |
$199.98 |
$199.98 |
|
|
Io rad tx deliver by elctrns
|
$9,046.18 |
$9,046.18 |
$9,046.18 |
|
|
Io rad tx delivery by x-ray
|
$7,862.00 |
$9,046.18 |
$30,636.00 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$176.88 |
$176.88 |
$3,046.10 |
|
|
Ip/obs cnsltj new/est low 45
|
$64.68 |
$64.68 |
$64.68 |
|
|
Ip/obs cnsltj new/est mod 60
|
$89.98 |
$89.98 |
$89.98 |
|
|
Ip/obs consltj new/est hi 80
|
$120.34 |
$120.34 |
$120.34 |
|
|
Ip/obs consltj new/est sf 35
|
$46.20 |
$46.20 |
$214.00 |
|
|
Ipratropium bromide non-comp
|
$0.20 |
$2.81 |
$2.81 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$8.40 |
$8.40 |
$1,122.40 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$64.77 |
$64.77 |
$1,017.10 |
|
|
Iron
|
$6.47 |
$16.13 |
$118.00 |
|
|
Iron binding capacity
|
$8.74 |
$21.00 |
$132.00 |
|
|
Iron dextran 50 mg/ml injection solution
|
$17.67 |
$17.67 |
$100.80 |
|
|
Iron stain peripheral blood
|
$4.40 |
$6.88 |
$6.88 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.46 |
$0.56 |
$242.78 |
|
|
Irradiation of blood product each unit reference
|
$15.00 |
$46.45 |
$364.21 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$70.29 |
$71.40 |
$395.00 |
|
|
Irrigation sphenoid sinus
|
$113.52 |
$1,752.89 |
$1,752.89 |
|
|
Irrigation vagina and/or appl medicament tx disease
|
$15.62 |
$70.29 |
$335.52 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$78.05 |
$78.05 |
$554.04 |
|
|
Island pedicle flap graft
|
$520.30 |
$2,164.64 |
$2,164.64 |
|
|
IV cipaglucosidase alfa-atga
|
$769.78 |
$769.78 |
$769.78 |
|
|
Ivc venogram s&i
|
$3,724.63 |
$3,724.63 |
$16,279.00 |
|
|
IV Fluids (each additional hour)
|
$54.60 |
$108.42 |
$415.00 |
|
|
IV Fluids (first hour)
|
$144.00 |
$249.32 |
$1,002.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$29.40 |
$168.98 |
$555.00 |
|
|
IV inj ra drug dx study
|
$475.51 |
$475.51 |
$1,091.56 |
|
|
IV Medicine Infusion (additional drug)
|
$79.43 |
$84.22 |
$555.00 |
|
|
IV Medicine Infusion (each additional hour)
|
$54.60 |
$106.48 |
$2,967.00 |
|
|
IV Medicine Infusion (first hour)
|
$153.00 |
$249.32 |
$4,377.00 |
|
|
IV njx tst vasc flo flap/grf
|
$65.56 |
$472.21 |
$472.21 |
|
|
IV Push Injection (each additional drug)
|
$54.60 |
$60.00 |
$697.00 |
|
|
IV Push Injection (first drug)
|
$67.69 |
$249.32 |
$968.00 |
|
|
Ivp w/nephrotomography
|
$210.66 |
$210.66 |
$1,901.00 |
|
|
Ivp w/wo kub w/wo tomography
|
$14.08 |
$210.66 |
$2,381.00 |
|
|
Ixabepilone 15 mg intravenous solution
|
$134.06 |
$134.06 |
$20,738.13 |
|
|
Jak2 targeted sequence analysis
|
$122.32 |
$185.20 |
$1,227.60 |
|
|
Jaw arthroscopy/surgery
|
$332.42 |
$3,839.54 |
$3,839.54 |
|
|
Jaw arthroscopy/surgery
|
$368.50 |
$3,839.54 |
$5,712.22 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$104.19 |
$155.40 |
$1,672.00 |
|
|
Jaw (Mandible) X-ray (complete)
|
$125.84 |
$149.40 |
$906.00 |
|
|
Jejunstmy tube plcmt
|
$146.08 |
$2,244.82 |
$2,244.82 |
|
|
John cunningham antibody
|
$16.89 |
$45.82 |
$1,092.00 |
|
|
J-tube placement
|
$86.46 |
$86.46 |
$86.46 |
|
|
Keratoprosthesis
|
$850.08 |
$16,909.40 |
$16,909.40 |
|
|
Kerecis marigen shld sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Ketamine and metabolite screen - quest
|
$314.20 |
$335.41 |
$412.82 |
|
|
Ketogenic steroids fract
|
$10.12 |
$15.47 |
$15.47 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$8.17 |
$19.80 |
$153.00 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$0.78 |
$0.80 |
$23.40 |
|
|
Kidney endoscopy
|
$179.74 |
$6,015.75 |
$6,015.75 |
|
|
Kidney endoscopy
|
$192.06 |
$6,015.75 |
$6,015.75 |
|
|
Kidney endoscopy
|
$300.08 |
$4,081.37 |
$4,081.37 |
|
|
Kidney endoscopy
|
$435.82 |
$6,015.75 |
$6,015.75 |
|
|
Kidney endoscopy & biopsy
|
$209.00 |
$10,942.71 |
$10,942.71 |
|
|
Kidney endoscopy & biopsy
|
$345.18 |
$4,081.37 |
$4,081.37 |
|
|
Kidney endoscopy & treatment
|
$211.42 |
$10,942.71 |
$10,942.71 |
|
|
Kidney endoscopy & treatment
|
$240.90 |
$6,015.75 |
$6,015.75 |
|
|
Kidney endoscopy & treatment
|
$344.30 |
$10,942.71 |
$10,942.71 |
|
|
Kidney endoscopy & treatment
|
$370.70 |
$6,015.75 |
$6,015.75 |
|
|
Kidney function study
|
$10.34 |
$475.51 |
$1,054.00 |
|
|
Kidney imaging morphology
|
$12.76 |
$475.51 |
$2,093.00 |
|
|
Kidney imag w/bld flow multi
|
$636.97 |
$636.97 |
$1,212.86 |
|
|
Kidney img w/bldflw sgl without rx
|
$636.97 |
$636.97 |
$3,724.00 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$125.84 |
$150.00 |
$5,904.00 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$125.84 |
$181.80 |
$3,827.00 |
|
|
Kit case 4.2mm spinejack
|
$2,731.20 |
$2,731.20 |
$2,731.20 |
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$56.56 |
$58.82 |
$69.62 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,280.00 |
$11,280.00 |
$11,280.00 |
|
|
Kit gene analys d816 variant
|
$82.28 |
$124.87 |
$1,122.00 |
|
|
Kit hfx iq ipg bundle
|
$64,425.40 |
$64,425.40 |
$64,425.40 |
|
|
Kit lead specify 5-6-5
|
$8,386.80 |
$8,386.80 |
$10,200.00 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$387.86 |
$3,839.54 |
$3,839.54 |
|
|
Knee arthroscopy/drainage
|
$322.74 |
$3,839.54 |
$3,839.54 |
|
|
Knee arthroscopy dx
|
$259.16 |
$3,839.54 |
$3,839.54 |
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$338.36 |
$3,839.54 |
$5,576.19 |
|
|
Knee arthroscopy/surgery
|
$391.16 |
$1,893.86 |
$1,893.86 |
|
|
Knee arthroscopy/surgery
|
$579.48 |
$1,893.86 |
$1,893.86 |
|
|
Knee arthroscopy/surgery
|
$335.94 |
$3,839.54 |
$5,751.25 |
|
|
Knee arthroscopy/surgery
|
$335.06 |
$3,839.54 |
$3,839.54 |
|
|
Knee arthroscopy/surgery
|
$310.64 |
$3,839.54 |
$3,839.54 |
|
|
Knee arthroscopy/surgery
|
$407.88 |
$3,839.54 |
$3,839.54 |
|
|
Knee arthroscopy/surgery
|
$413.38 |
$3,839.54 |
$3,839.54 |
|
|
Knee arthroscopy/surgery
|
$351.12 |
$3,839.54 |
$5,386.28 |
|
|
Knee arthroscopy/surgery
|
$429.66 |
$3,839.54 |
$7,315.78 |
|
|
Knee arthroscopy/surgery
|
$522.50 |
$3,839.54 |
$3,839.54 |
|
|
Knee arthroscopy/surgery
|
$387.20 |
$3,839.54 |
$3,839.54 |
|
