|
Inj scleros sol sgl vein
|
$393.90 |
$393.90 |
$393.90 |
$534.40
|
|
Inj(s) sclerosant spider veins limb/trunk
|
$66.95 |
$66.95 |
$66.95 |
$436.64
|
|
Inj thrc fascial pln blk bi w/wo image
|
$7,151.30 |
$7,151.30 |
$7,151.30 |
$1,483.20
|
|
Inj thrc fascial pln blk uni w/wo image
|
$3,575.65 |
$3,575.65 |
$3,575.65 |
$1,252.02
|
|
Inj, tyenne, 1 mg
|
$5,110.50 |
$5,110.50 |
$5,110.50 |
$860.68
|
|
Inj w/fluor eval cv device
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$588.90
|
|
Ins cerv dilator (sep proc)
|
$677.30 |
$677.30 |
$677.30 |
$544.00
|
|
Insert abdomen-venous drain
|
$2,289.95 |
$2,289.95 |
$2,289.95 |
$4,391.00
|
|
Insert cath pleura with image
|
$1,703.00 |
$1,703.00 |
$1,703.00 |
$2,239.02
|
|
Insert cath pleura without image
|
$2,277.60 |
$2,277.60 |
$2,277.60 |
$2,212.00
|
|
Insert drug delivery implant
|
$780.00 |
$780.00 |
$780.00 |
$285.80
|
|
Insert intrauterine device iud
|
$1,325.35 |
$1,325.35 |
$1,325.35 |
$378.83
|
|
Insertion catheter bladder non indwelling
|
$136.50 |
$136.50 |
$136.50 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$154.05 |
$154.05 |
$154.05 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,357.30 |
$5,357.30 |
$5,357.30 |
$4,943.21
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,400.75 |
$1,400.75 |
$1,400.75 |
$2,618.40
|
|
Insertion of catheter vein
|
$371.80 |
$371.80 |
$371.80 |
$1,749.80
|
|
Insertion of catheter vein
|
$154.70 |
$154.70 |
$154.70 |
$858.05
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$2,527.91
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$4,634.50 |
$4,634.50 |
$4,634.50 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$5,470.54
|
|
Insert swan-ganz cath
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,978.00 |
$3,978.00 |
$3,978.00 |
$4,705.13
|
|
Insert uteri tandem/ovoids
|
$1,737.45 |
$1,737.45 |
$1,737.45 |
$3,986.00
|
|
Insitu hybridization auto
|
$517.40 |
$517.40 |
$517.40 |
$398.16
|
|
Insitu hybridization manual
|
$345.80 |
$345.80 |
$345.80 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$192.40 |
$192.40 |
$192.40 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$241.80 |
$241.80 |
$241.80 |
$338.40
|
|
Ins mark abd/pel for right perq
|
$1,459.90 |
$1,459.90 |
$1,459.90 |
$2,070.00
|
|
Ins mark thor for right perq
|
$1,459.90 |
$1,459.90 |
$1,459.90 |
$2,396.35
|
|
Ins pq tunnld ip cath w/img
|
$4,022.85 |
$4,022.85 |
$4,022.85 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$17,454.45 |
$17,454.45 |
$17,454.45 |
$21,097.15
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$11,490.05 |
$11,490.05 |
$11,490.05 |
$25,106.90
|
|
Insrt/redo neurostim 1 array
|
$32,375.20 |
$32,375.20 |
$32,375.20 |
$23,436.14
|
|
Inst fibrinolysis agent ini day
|
$811.85 |
$811.85 |
$811.85 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$811.85 |
$811.85 |
$811.85 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$383.50 |
$383.50 |
$383.50 |
$721.50
|
|
Instll rx agnt into rnal tub
|
$1,753.70 |
$1,753.70 |
$1,753.70 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$4,773.60 |
$4,773.60 |
$4,773.60 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$4,889.95 |
$4,889.95 |
$4,889.95 |
$4,657.46
|
|
Insulin total
|
$67.60 |
$67.60 |
$67.60 |
$67.60
|
|
Ins vag brachytx device
|
$807.95 |
$807.95 |
$807.95 |
$909.35
|
|
Interdiscal perq aspir dx
|
$2,861.95 |
$2,861.95 |
$2,861.95 |
$1,222.26
|
|
Interrogation vad in person
|
$353.60 |
$353.60 |
$353.60 |
$280.00
|
|
Interstitial brachy inter
|
$670.15 |
$670.15 |
$670.15 |
$1,244.40
|
|
Intracard echo interv w/s&i
|
$2,014.35 |
$2,014.35 |
$2,014.35 |
$3,982.59
|
|
Intracranial complete study
|
$576.55 |
$576.55 |
$576.55 |
$883.30
|
|
Intracranial limited study
|
$515.45 |
$515.45 |
$515.45 |
$423.52
|
|
Intrapul surf admin endo tube
|
$126.10 |
$126.10 |
$126.10 |
$239.52
|
|
Intrauterine transfusion ftl
|
$516.10 |
$516.10 |
$516.10 |
$1,004.25
|
|
Intrinsic factor antibody
|
$90.35 |
$90.35 |
$90.35 |
$59.95
|
|
Intro long gi tube
|
$815.75 |
$815.75 |
$815.75 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$477.10 |
$477.10 |
$477.10 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$843.05 |
$843.05 |
$843.05 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.70 |
$2.70 |
$2.70 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$74.07 |
$74.07 |
$74.07 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$5,943.14 |
$5,943.14 |
$5,943.14 |
$52,615.16
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$96.40 |
$96.40 |
$96.40 |
$227.39
|
|
Iron
|
$37.05 |
$37.05 |
$37.05 |
$70.72
|
|
Iron binding capacity
|
$20.80 |
$20.80 |
$20.80 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$49.50 |
$49.50 |
$49.50 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$182.25 |
$182.25 |
$182.25 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$139.10 |
$139.10 |
$139.10 |
$154.50
|
|
Ivc venogram s&i
|
$2,656.55 |
$2,656.55 |
$2,656.55 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$192.40 |
$192.40 |
$192.40 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$190.45 |
$190.45 |
$190.45 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$124.15 |
$124.15 |
$124.15 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$424.45 |
$424.45 |
$424.45 |
$460.85
|
|
IV inj ra drug dx study
|
$451.75 |
$451.75 |
$451.75 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$929.50 |
$929.50 |
$929.50 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$388.05 |
$388.05 |
$388.05 |
$378.30
|
|
Jejunstmy tube plcmt
|
$2,389.40 |
$2,389.40 |
$2,389.40 |
$2,244.82
|
|
Ketamine and metabolite screen - quest
|
$506.35 |
$506.35 |
$506.35 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$43.55 |
$43.55 |
$43.55 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.50 |
$23.50 |
$23.50 |
$30.08
|
|
Kidney imaging morphology
|
$650.65 |
$650.65 |
$650.65 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,025.70 |
$1,025.70 |
$1,025.70 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$767.00 |
$767.00 |
$767.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$834.60 |
$834.60 |
$834.60 |
$668.25
|
|
Kit gene analys d816 variant
|
$870.35 |
$870.35 |
$870.35 |
$355.00
|
|
Kit lead specify 5-6-5
|
$16,625.73 |
$16,625.73 |
$16,625.73 |
$17,205.92
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$135.77 |
$135.77 |
$135.77 |
$5,329.23
|
|
Knee MRI (with and without contrast)
|
$5,960.50 |
$5,960.50 |
$5,960.50 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$4,966.00 |
$4,966.00 |
$4,966.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,547.40 |
$4,547.40 |
$4,547.40 |
$2,181.10
|
|
Knee X-ray
|
$845.65 |
$845.65 |
$845.65 |
$443.90
|
|
Kras gene addl variants
|
$388.70 |
$388.70 |
$388.70 |
$346.45
|
|
Kras gene variants exon 2
|
$1,889.55 |
$1,889.55 |
$1,889.55 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$42.38 |
$42.38 |
$42.38 |
$42.38
|
|
Lactate dehydrogenase (ldh)
|
$41.60 |
$41.60 |
$41.60 |
$53.30
|
|
Lactated ringers intravenous solution
|
$51.80 |
$51.80 |
$51.80 |
$54.11
|
|
Lactic acid
|
$72.80 |
$72.80 |
$72.80 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$73.45 |
$73.45 |
$73.45 |
$88.40
|
|
Lactoferrin fecal quant
|
$147.55 |
$147.55 |
$147.55 |
$106.10
|
|
Laryngoscopy telescopic
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$762.30
|
|
Lead capillary
|
$55.25 |
$55.25 |
$55.25 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$898.63 |
$898.63 |
$898.63 |
$3,842.56
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,265.55 |
$1,265.55 |
$1,265.55 |
$1,100.74
|