|
Interrog device eval heart
|
$85.60 |
$85.60 |
$226.40 |
|
|
Interrog evl pm/ldls pm ip
|
$168.00 |
$168.00 |
$168.00 |
|
|
Int hrhc lig 1 hroid without img
|
$3,454.40 |
$3,454.40 |
$3,454.40 |
|
|
Intra-atrial pacing
|
$6,818.40 |
$6,818.40 |
$8,999.20 |
|
|
Intra-atrial recording
|
$7,017.60 |
$7,017.60 |
$7,017.60 |
|
|
Intracard echo interv w/s&i
|
$3,343.20 |
$3,343.20 |
$5,668.00 |
|
|
Intracran angioplsty w/stent
|
$6,824.00 |
$6,824.00 |
$13,536.00 |
|
|
Intracranial angioplasty
|
$4,593.60 |
$4,593.60 |
$10,228.00 |
|
|
Intracranial complete study
|
$1,129.60 |
$1,129.60 |
$1,129.60 |
|
|
Intracranial limited study
|
$692.00 |
$692.00 |
$692.00 |
|
|
Intranasal biopsy 30100
|
$2,425.60 |
$2,425.60 |
$2,425.60 |
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
|
|
Intrapul surf admin endo tube
|
$208.00 |
$208.00 |
$268.80 |
|
|
Intrauterine transfusion ftl
|
$832.80 |
$832.80 |
$1,512.00 |
|
|
Intraventricular pacing
|
$6,813.60 |
$6,813.60 |
$6,813.60 |
|
|
Intrinsic factor antibody
|
$56.80 |
$56.80 |
$56.80 |
|
|
Intro cath dialysis circuit
|
$2,157.60 |
$2,157.60 |
$2,485.60 |
|
|
Intro cath dialysis circuit w/pta
|
$12,646.40 |
$12,646.40 |
$13,563.20 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,374.40 |
$20,374.40 |
$20,600.80 |
|
|
Intro catheter aorta
|
$2,548.80 |
$2,548.80 |
$3,650.40 |
|
|
Intro cath svc/ivc
|
$2,003.20 |
$2,003.20 |
$2,576.80 |
|
|
Intro long gi tube
|
$1,149.60 |
$1,149.60 |
$1,209.60 |
|
|
Intro long gi tube w/mult fluo
|
$646.40 |
$646.40 |
$668.00 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,336.00 |
$1,336.00 |
$4,695.20 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,336.00 |
$1,336.00 |
$3,960.80 |
|
|
Intubation endotracheal emergency procedure
|
$483.20 |
$483.20 |
$761.60 |
|
|
Iodine i-123 sod iodide mil
|
$658.40 |
$658.40 |
$2,287.20 |
|
|
Ionm in operatng room 15 min
|
$124.80 |
$124.80 |
$124.80 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$4.00 |
$4.00 |
$312.51 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$140.00 |
$1,000.00 |
$1,915.20 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$13,885.20 |
$13,885.20 |
$27,921.36 |
|
|
Ipratropium bromide non-comp
|
$1.20 |
$2.40 |
$3.40 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$40.34 |
$40.34 |
$215.59 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$2,438.00 |
$2,438.00 |
$2,438.00 |
|
|
Iron
|
$32.00 |
$32.00 |
$32.00 |
|
|
Iron binding capacity
|
$46.40 |
$46.40 |
$46.40 |
|
|
Iron dextran 50 mg/ml injection solution
|
$60.80 |
$69.53 |
$109.10 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$20.04 |
$32.78 |
$50.16 |
|
|
Irradiation of blood product each unit reference
|
$117.60 |
$117.60 |
$117.60 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$167.20 |
$174.40 |
$188.80 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$4,229.45 |
$4,229.45 |
$4,229.45 |
|
|
Ivc venogram s&i
|
$3,001.60 |
$3,001.60 |
$4,319.20 |
|
|
IV Fluids (each additional hour)
|
$102.40 |
$102.40 |
$213.60 |
|
|
IV Fluids (first hour)
|
$372.00 |
$372.00 |
$476.80 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$174.40 |
$174.40 |
$252.80 |
|
|
IV inj ra drug dx study
|
$560.00 |
$560.00 |
$560.00 |
|
|
IV Medicine Infusion (additional drug)
|
$174.40 |
$174.40 |
$290.40 |
|
|
IV Medicine Infusion (each additional hour)
|
$121.60 |
$121.60 |
$216.80 |
|
|
IV Medicine Infusion (first hour)
|
$447.20 |
$447.20 |
$648.00 |
|
|
IV Push Injection (each additional drug)
|
$168.00 |
$168.00 |
$212.80 |
|
|
IV Push Injection (first drug)
|
$295.20 |
$295.20 |
$416.00 |
|
|
Ivp w/nephrotomography
|
$542.40 |
$542.40 |
$912.80 |
|
|
Ivp w/wo kub w/wo tomography
|
$452.00 |
$452.00 |
$795.20 |
|
|
Ixabepilone 15 mg intravenous solution
|
$4,926.00 |
$4,926.00 |
$4,926.00 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$212.00 |
$410.40 |
$448.00 |
|
|
Jaw (Mandible) X-ray (complete)
|
$251.20 |
$319.20 |
$439.20 |
|
|
Jejunstmy tube plcmt
|
$2,384.80 |
$2,384.80 |
$2,384.80 |
|
|
Kafo fem fx cast semi-rigid
|
$938.59 |
$938.59 |
$938.59 |
|
|
Kafo femoral fx cast rigid
|
$5,600.00 |
$5,600.00 |
$5,600.00 |
|
|
Kerecis marigen shld sq cm
|
$1,298.88 |
$1,298.88 |
$1,416.96 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$51.20 |
$51.20 |
$51.20 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$16.80 |
$28.24 |
$78.16 |
|
|
Kidney endoscopy
|
$5,118.40 |
$5,118.40 |
$5,118.40 |
|
|
Kidney function study
|
$360.80 |
$360.80 |
$360.80 |
|
|
Kidney imaging morphology
|
$922.40 |
$922.40 |
$996.00 |
|
|
Kidney imag w/bld flow multi
|
$2,119.20 |
$2,119.20 |
$2,119.20 |
|
|
Kidney img w/bldflw sgl without rx
|
$1,428.00 |
$1,428.00 |
$1,824.80 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$569.60 |
$615.20 |
$893.60 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$476.80 |
$476.80 |
$693.60 |
|
|
Kit case 4.2mm spinejack
|
$7,330.40 |
$7,330.40 |
$8,663.20 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,272.00 |
$8,272.00 |
$9,776.00 |
|
|
Kit hfx iq ipg bundle
|
$48,366.56 |
$48,366.56 |
$49,121.28 |
|
|
Kit lead specify 5-6-5
|
$15,875.64 |
$15,875.64 |
$17,318.88 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,617.00 |
$1,617.00 |
$2,116.80 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$145.75 |
$145.75 |
$328.24 |
|
|
Kit sound processor cochlear osia 2
|
$4,868.16 |
$4,868.16 |
$23,808.00 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,218.45 |
$2,218.45 |
$2,823.48 |
|
|
Knee joint cam lock each joi
|
$612.72 |
$612.72 |
$612.72 |
|
|
Knee MRI (with and without contrast)
|
$3,437.60 |
$3,511.20 |
$3,838.40 |
|
|
Knee MRI (with contrast)
|
$3,088.00 |
$3,088.00 |
$3,288.80 |
|
|
Knee MRI (without contrast)
|
$2,511.20 |
$2,511.20 |
$2,904.00 |
|
|
Knee X-ray
|
$223.20 |
$457.60 |
$460.00 |
|
|
Knee X-ray (1 to 2 views, both knees)
|
$160.80 |
$188.00 |
$413.60 |
|
|
Knee X-ray (3 views, both knees)
|
$193.60 |
$233.60 |
$413.60 |
|
|
Knee X-ray (standing, both knees)
|
$160.80 |
$212.00 |
$401.60 |
|
|
Ko elastic w/joints pre ots
|
$1,119.98 |
$1,119.98 |
$1,343.97 |
|
|
Ko single upright pre cst
|
$998.63 |
$998.63 |
$1,198.35 |
|
|
Ko w/0 joint rigid molded to
|
$548.11 |
$548.11 |
$548.11 |
|
|
Ko w adj flex/ext rotat mold
|
$901.41 |
$901.41 |
$1,081.69 |
|
|
Kyleena, 19.5 mg
|
$898.33 |
$898.33 |
$2,540.66 |
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$90.40 |
$90.40 |
$146.40 |
|
|
Lab draw <3 yrs scalp vein 36405
|
$136.80 |
$136.80 |
$136.80 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$27.93 |
$28.52 |
$45.40 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$33.48 |
$33.48 |
$41.20 |
|
|
Lactate dehydrogenase (ldh)
|
$44.80 |
$44.80 |
$44.80 |
|
|
Lactated ringers intravenous solution
|
$40.00 |
$60.00 |
$60.00 |
|
|
Lactic acid
|
$57.60 |
$57.60 |
$57.60 |
|
|
Lactoferrin fecal qualitative
|
$111.20 |
$111.20 |
$111.20 |
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$9,756.04 |
$9,756.04 |
$9,756.04 |
|
|
Lap revise gastr adj device
|
$5,103.20 |
$5,103.20 |
$5,103.20 |
|
