|
Insertion picc without port or pump with imaging guidance=>5y
|
$735.00 |
$735.00 |
$735.00 |
$2,453.83
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,737.50 |
$5,737.50 |
$5,737.50 |
$7,183.68
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$6,506.25 |
$6,506.25 |
$6,506.25 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,133.00 |
$5,133.00 |
$5,133.00 |
$5,236.80
|
|
Insert swan-ganz cath
|
$2,823.00 |
$2,823.00 |
$2,823.00 |
$2,164.52
|
|
Insitu hybridization (fish)
|
$872.25 |
$872.25 |
$872.25 |
$481.00
|
|
Insitu hybridization manual
|
$531.75 |
$531.75 |
$531.75 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$418.50 |
$418.50 |
$418.50 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$303.75 |
$303.75 |
$303.75 |
$338.40
|
|
Insj phrnc nrv stim transvns
|
$13,984.50 |
$13,984.50 |
$13,984.50 |
$13,142.86
|
|
Insj stablj dev without dcmprn
|
$12,226.50 |
$12,226.50 |
$12,226.50 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$9,781.50 |
$9,781.50 |
$9,781.50 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$8,825.25 |
$8,825.25 |
$8,825.25 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,372.25 |
$2,372.25 |
$2,372.25 |
$2,477.24
|
|
Ins mark thor for right perq
|
$1,326.00 |
$1,326.00 |
$1,326.00 |
$2,503.80
|
|
Insole orthotic freedom sz6 6816
|
$35.25 |
$35.25 |
$35.25 |
$84.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$700.50 |
$700.50 |
$700.50 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$4,041.00 |
$4,041.00 |
$4,041.00 |
$5,486.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$28,845.75 |
$28,845.75 |
$28,845.75 |
$24,061.80
|
|
Ins/rpl prph sac/gstr npg/r
|
$20,321.25 |
$20,321.25 |
$20,321.25 |
$18,129.80
|
|
Inst fibrinolysis agent sbsq d
|
$1,025.25 |
$1,025.25 |
$1,025.25 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$897.00 |
$897.00 |
$897.00 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$4,314.75 |
$4,314.75 |
$4,314.75 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,707.75 |
$4,707.75 |
$4,707.75 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$2,421.00 |
$2,421.00 |
$2,421.00 |
$1,074.68
|
|
Insulin tolerance panel
|
$201.00 |
$201.00 |
$201.00 |
$258.40
|
|
Insulin total
|
$132.00 |
$132.00 |
$132.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$9,970.16 |
$9,970.16 |
$9,970.16 |
$8,617.32
|
|
Integra meshed bil wound mat
|
$35,280.97 |
$35,280.97 |
$35,280.97 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$6,018.75 |
$6,018.75 |
$6,018.75 |
$3,803.11
|
|
Interdental fixation
|
$1,443.75 |
$1,443.75 |
$1,443.75 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$685.50 |
$685.50 |
$685.50 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$29,609.96 |
$29,609.96 |
$29,609.96 |
$10,427.90
|
|
Interrog dev eval icpms ip
|
$103.50 |
$103.50 |
$103.50 |
$104.00
|
|
Interrog&prgrmg ipnss
|
$90.00 |
$90.00 |
$90.00 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$292.50 |
$292.50 |
$292.50 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$90.00 |
$90.00 |
$90.00 |
$147.00
|
|
Intracranial complete study
|
$1,002.75 |
$1,002.75 |
$1,002.75 |
$881.50
|
|
Intracranial limited study
|
$732.75 |
$732.75 |
$732.75 |
$467.50
|
|
Intrapul surf admin endo tube
|
$237.00 |
$237.00 |
$237.00 |
$220.80
|
|
Intrinsic factor antibody
|
$189.00 |
$189.00 |
$189.00 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,787.25 |
$7,787.25 |
$7,787.25 |
$8,690.50
|
|
Intro catheter aorta
|
$2,806.50 |
$2,806.50 |
$2,806.50 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,795.50 |
$1,795.50 |
$1,795.50 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,246.00 |
$3,246.00 |
$3,246.00 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$904.50 |
$904.50 |
$904.50 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$702.00 |
$702.00 |
$702.00 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$199.60 |
$199.60 |
$199.60 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$244.04 |
$244.04 |
$244.04 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$133,919.31 |
$133,919.31 |
$133,919.31 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.43 |
$2.43 |
$2.43 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$378.32 |
$378.32 |
$378.32 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,014.86 |
$11,014.86 |
$11,014.86 |
$5,517.12
|
|
Iron
|
$396.00 |
$396.00 |
$396.00 |
$75.00
|
|
Iron binding capacity
|
$128.25 |
$128.25 |
$128.25 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$140.34 |
$140.34 |
$140.34 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$133.11 |
$133.11 |
$133.11 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$135.00 |
$135.00 |
$135.00 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$137.25 |
$137.25 |
$137.25 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$15,760.97 |
$15,760.97 |
$15,760.97 |
$8,273.35
|
|
Ivc venogram s&i
|
$3,258.00 |
$3,258.00 |
$3,258.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$448.50 |
$448.50 |
$448.50 |
$133.90
|
|
IV Fluids (first hour)
|
$1,441.50 |
$1,441.50 |
$1,441.50 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$392.25 |
$392.25 |
$392.25 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$370.50 |
$370.50 |
$370.50 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$370.50 |
$370.50 |
$370.50 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$586.50 |
$586.50 |
$586.50 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$489.00 |
$489.00 |
$489.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$1,031.25 |
$1,031.25 |
$1,031.25 |
$252.76
|
|
Ixabepilone 15 mg intravenous solution
|
$22,346.52 |
$22,346.52 |
$22,346.52 |
$10,695.32
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$631.50 |
$631.50 |
$631.50 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$491.25 |
$491.25 |
$491.25 |
$362.05
|
|
Jejunstmy tube plcmt
|
$2,661.00 |
$2,661.00 |
$2,661.00 |
$2,174.40
|
|
Ketamine and metabolite screen - quest
|
$136.50 |
$136.50 |
$136.50 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$264.00 |
$264.00 |
$264.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$17.11 |
$17.11 |
$17.11 |
$23.52
|
|
Kidney function study
|
$1,131.00 |
$1,131.00 |
$1,131.00 |
$935.22
|
|
Kidney imaging morphology
|
$1,176.75 |
$1,176.75 |
$1,176.75 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$729.00 |
$729.00 |
$729.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$543.00 |
$543.00 |
$543.00 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$9,652.39 |
$9,652.39 |
$9,652.39 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,575.00 |
$10,575.00 |
$10,575.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$248.25 |
$248.25 |
$248.25 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$58,500.00 |
$58,500.00 |
$58,500.00 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$51,750.00 |
$51,750.00 |
$51,750.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$73,912.50 |
$73,912.50 |
$73,912.50 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$801.57 |
$801.57 |
$801.57 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,836.08 |
$2,836.08 |
$2,836.08 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,987.50 |
$1,987.50 |
$1,987.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$2,130.88
|
|
Knee X-ray
|
$467.25 |
$467.25 |
$467.25 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$267.75 |
$267.75 |
$267.75 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$276.75 |
$276.75 |
$276.75 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$276.00 |
$276.00 |
$276.00 |
$251.20
|
|
Kyleena, 19.5 mg
|
$4,491.10 |
$4,491.10 |
$4,491.10 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$22.19 |
$22.19 |
$22.19 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$237.75 |
$237.75 |
$237.75 |
$175.92
|
