|
In situ hybridization per specimen initial single probe stain
|
$506.40 |
$506.40 |
$506.40 |
$326.04
|
|
Insj biomechanical device 22853
|
$36,170.81 |
$42,526.14 |
$48,289.85 |
$622.40
|
|
Insj perq vad r hrt venous
|
$4,876.20 |
$4,876.20 |
$4,876.20 |
$3,345.87
|
|
Ins mark abd/pel for right perq
|
$3,214.20 |
$3,214.20 |
$3,214.20 |
$2,376.00
|
|
Insole orthotic freedom sz6 6816
|
$174.51 |
$174.51 |
$174.51 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$2,904.60 |
$2,904.60 |
$2,904.60 |
$3,912.93
|
|
Ins pq tunnld ip cath w/img
|
$9,992.40 |
$9,992.40 |
$9,992.40 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$68,063.63 |
$68,063.63 |
$76,459.72 |
$23,746.69
|
|
Ins/rpl ldless pm right vent w img & eval
|
$31,950.60 |
$31,950.60 |
$31,950.60 |
$23,369.00
|
|
Ins/rpl pm gen exist dual lead
|
$8,416.80 |
$8,416.80 |
$8,416.80 |
$11,408.40
|
|
Ins/rpl pm w/tv ld atrl
|
$8,144.40 |
$8,144.40 |
$8,144.40 |
$12,371.40
|
|
Ins/rpl prph sac/gstr npg/r
|
$42,675.46 |
$58,936.74 |
$59,718.07 |
$15,339.48
|
|
Ins subq extnsn pertneal cath
|
$18,787.60 |
$18,787.60 |
$18,787.60 |
$2,479.93
|
|
Inst fibrinolysis agent ini day
|
$1,284.60 |
$1,284.60 |
$1,284.60 |
$1,090.80
|
|
Inst fibrinolysis agent sbsq d
|
$1,043.40 |
$1,043.40 |
$1,043.40 |
$1,018.47
|
|
Insti hexaminolevulinate hcl
|
$2,860.80 |
$2,860.80 |
$3,357.66 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$16,234.08 |
$16,234.08 |
$16,234.08 |
$621.40
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,331.00 |
$8,331.00 |
$8,331.00 |
$7,651.38
|
|
Ins tun cv cath wo subq prt/pm
|
$8,514.00 |
$8,514.00 |
$8,514.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,904.60 |
$2,904.60 |
$25,447.83 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$5,850.00 |
$5,850.00 |
$5,850.00 |
$4,657.46
|
|
Insulin total
|
$48.00 |
$48.00 |
$48.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$12,123.56 |
$12,123.56 |
$12,123.56 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$39,765.49 |
$39,765.49 |
$39,765.49 |
$9,924.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$9,145.40 |
$9,145.40 |
$9,145.40 |
$3,825.00
|
|
Interdental fixation
|
$2,956.20 |
$2,956.20 |
$2,956.20 |
$2,162.05
|
|
Interdiscal perq aspir dx
|
$3,070.20 |
$3,070.20 |
$3,070.20 |
$1,180.84
|
|
Interfyl, 1 mg
|
$5,248.44 |
$5,248.44 |
$5,248.44 |
$5,118.52
|
|
Internal nerve revision 64727
|
$19,213.94 |
$19,213.94 |
$19,213.94 |
$806.00
|
|
Interstitial brachy inter
|
$1,741.20 |
$1,741.20 |
$1,741.20 |
$1,129.00
|
|
Int hrhc lig 1 hroid without img
|
$15,570.84 |
$15,570.84 |
$15,570.84 |
$3,316.74
|
|
Intracran angioplsty w/stent
|
$8,257.80 |
$8,257.80 |
$8,257.80 |
$8,440.20
|
|
Intracranial angioplasty
|
$7,735.80 |
$7,735.80 |
$7,735.80 |
$5,099.25
|
|
Intrapul surf admin endo tube
|
$336.00 |
$336.00 |
$336.00 |
$220.80
|
|
Intrauterine transfusion ftl
|
$820.20 |
$820.20 |
$820.20 |
$1,074.75
|
|
Intrinsic factor antibody
|
$37.20 |
$37.20 |
$37.20 |
$66.60
|
|
Intro cath dialysis circuit
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$8,121.00 |
$8,121.00 |
$8,121.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$21,241.20 |
$21,241.20 |
$21,241.20 |
$15,805.00
|
|
Intro catheter aorta
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$1,329.90
|
|
Intro long gi tube
|
$454.20 |
$954.00 |
$10,216.80 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$906.00 |
$1,355.40 |
$1,355.40 |
$449.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,730.00 |
$5,730.00 |
$5,730.00 |
$3,303.76
|
|
Intubation endotracheal emergency procedure
|
$1,993.80 |
$1,993.80 |
$1,993.80 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$172.98 |
$172.98 |
$186.30 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$300.00 |
$300.00 |
$1,228.32 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$184,716.30 |
$184,716.30 |
$184,716.30 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$3.00 |
$3.00 |
$3.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$173.40 |
$173.40 |
$173.40 |
$163.87
|
|
Iron
|
$60.00 |
$60.00 |
$60.00 |
$74.40
|
|
Iron binding capacity
|
$76.80 |
$76.80 |
$76.80 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$90.00 |
$140.34 |
$274.92 |
$187.06
|
|
Ivc venogram s&i
|
$3,663.60 |
$3,663.60 |
$3,663.60 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$241.80 |
$241.80 |
$241.80 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$301.20 |
$301.20 |
$301.20 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$173.40 |
$173.40 |
$173.40 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$241.80 |
$241.80 |
$241.80 |
$439.56
|
|
IV njx tst vasc flo flap/grf
|
$76,487.14 |
$76,487.14 |
$76,487.14 |
$476.00
|
|
Ivp w/nephrotomography
|
$1,580.40 |
$1,580.40 |
$1,580.40 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,093.20 |
$1,635.00 |
$1,635.00 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$10,395.18 |
$10,395.18 |
$10,395.18 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$591.00 |
$591.00 |
$591.00 |
$379.87
|
|
Jejunstmy tube plcmt
|
$5,879.46 |
$5,879.46 |
$5,879.46 |
$2,174.40
|
|
John cunningham antibody
|
$133.20 |
$133.20 |
$133.20 |
$72.60
|
|
J-tube placement
|
$942.00 |
$942.00 |
$942.00 |
$462.00
|
|
Kafo dbl solid stirrup band/
|
$2,607.45 |
$2,607.45 |
$2,607.45 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$2,562.92 |
$2,562.92 |
$2,562.92 |
$2,562.92
|
|
Kafo fem fx cast molded to p
|
$3,838.16 |
$3,838.16 |
$3,838.16 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,726.67 |
$2,726.67 |
$2,726.67 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$2,710.45 |
$2,710.45 |
$2,710.45 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$2,983.95 |
$2,983.95 |
$2,983.95 |
$2,138.81
|
|
Kafo pla sin up w/wo k/a cus
|
$4,806.65 |
$4,806.65 |
$4,806.65 |
$4,806.65
|
|
Kafo plas sing free knee mol
|
$3,923.78 |
$3,923.78 |
$3,923.78 |
$3,923.78
|
|
Kafo plastic pediatric size
|
$409.90 |
$409.90 |
$409.90 |
$409.90
|
|
Kafo sing fre stirr thi/calf
|
$2,646.89 |
$2,646.89 |
$2,646.89 |
$2,646.89
|
|
Kafo sng/dbl mechanical act
|
$9,695.60 |
$9,695.60 |
$9,695.60 |
$9,695.60
|
|
Kafo sng solid stirrup without j
|
$2,064.55 |
$2,064.55 |
$2,064.55 |
$2,064.55
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$92.40 |
$92.40 |
$92.40 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$6.00 |
$12.00 |
$14.76 |
$23.50
|
|
Kidney imaging morphology
|
$712.20 |
$712.20 |
$712.20 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,059.60 |
$1,059.60 |
$1,059.60 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$744.60 |
$744.60 |
$744.60 |
$666.00
|
|
Kit case 4.2mm spinejack
|
$10,929.88 |
$10,929.88 |
$10,929.88 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$12,333.83 |
$12,333.83 |
$12,333.83 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$319.20 |
$319.20 |
$319.20 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$69,279.41 |
$69,279.41 |
$69,279.41 |
$30,006.00
|
|
Kit ipg optimizer smart
|
$68,229.72 |
$68,229.72 |
$68,229.72 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$28,866.42 |
$28,866.42 |
$28,866.42 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,928.80 |
$1,928.80 |
$1,928.80 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$35,629.01 |
$35,629.01 |
$35,629.01 |
$740.00
|
|
Kit sound processor cochlear osia 2
|
$31,351.55 |
$31,351.55 |
$31,351.55 |
$10,164.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,056.52 |
$2,056.52 |
$2,056.52 |
$2,089.15
|
|
Knee Arthroscopy (Cartilage Repair)
|
$19,589.77 |
$19,589.77 |
$19,589.77 |
$4,304.96
|
|
Knee Arthroscopy (Meniscus Repair)
|
$14,201.34 |
$16,982.41 |
$20,549.48 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$28,872.29 |
$28,872.29 |
$28,872.29 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$16,781.34 |
$16,781.34 |
$32,358.89 |
$4,183.50
|
|
Knee arthroscopy/surgery
|
$14,656.50 |
$14,656.50 |
$14,656.50 |
$3,839.54
|
