|
Ins mark thor for right perq
|
$1,010.10 |
$1,010.10 |
$1,010.10 |
$2,396.35
|
|
Ins pm gen exist dual lead
|
$18,408.65 |
$18,408.65 |
$18,408.65 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$14,360.45 |
$14,360.45 |
$14,360.45 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$3,688.10 |
$3,688.10 |
$3,688.10 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$1,821.95 |
$1,821.95 |
$1,821.95 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$17,098.25 |
$17,098.25 |
$17,098.25 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$13,677.30 |
$13,677.30 |
$13,677.30 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$13,026.00 |
$13,026.00 |
$13,026.00 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$25,039.95 |
$25,039.95 |
$25,039.95 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$17,897.75 |
$17,897.75 |
$17,897.75 |
$25,106.90
|
|
Insrt/redo neurostim 1 array
|
$21,554.00 |
$21,554.00 |
$21,554.00 |
$23,436.14
|
|
Inst fibrinolysis agent ini day
|
$889.20 |
$889.20 |
$889.20 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$870.35 |
$870.35 |
$870.35 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$479.05 |
$479.05 |
$479.05 |
$721.50
|
|
Instill, bupivac and meloxic
|
$2.40 |
$2.40 |
$2.40 |
$1,127.61
|
|
Instll rx agnt into rnal tub
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$10,400.00 |
$10,400.00 |
$10,400.00 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$8,450.00 |
$8,450.00 |
$8,450.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$3,168.75 |
$3,168.75 |
$3,168.75 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$602.55 |
$602.55 |
$602.55 |
$1,074.68
|
|
Insulin total
|
$40.30 |
$40.30 |
$40.30 |
$67.60
|
|
Ins vag brachytx device
|
$2,018.25 |
$2,018.25 |
$2,018.25 |
$909.35
|
|
Interdiscal perq aspir dx
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$1,222.26
|
|
Interrogate subq defib
|
$191.10 |
$191.10 |
$191.10 |
$139.10
|
|
Interrogation vad in person
|
$258.70 |
$258.70 |
$258.70 |
$280.00
|
|
Interrog dev eval icpms ip
|
$85.80 |
$85.80 |
$85.80 |
$106.80
|
|
Interrog dev eval scrms ip
|
$104.65 |
$104.65 |
$104.65 |
$124.80
|
|
Interrog device eval heart
|
$188.50 |
$188.50 |
$188.50 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$111.80 |
$111.80 |
$111.80 |
$127.20
|
|
Interstitial brachy inter
|
$1,674.40 |
$1,674.40 |
$1,674.40 |
$1,244.40
|
|
Intra-atrial pacing
|
$4,865.25 |
$4,865.25 |
$4,865.25 |
$5,155.51
|
|
Intra-atrial recording
|
$4,900.35 |
$4,900.35 |
$4,900.35 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$3,038.75 |
$3,038.75 |
$3,038.75 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$14,278.55 |
$14,278.55 |
$14,278.55 |
$11,364.78
|
|
Intracranial angioplasty
|
$2,427.10 |
$2,427.10 |
$2,427.10 |
$7,149.60
|
|
Intracranial complete study
|
$610.35 |
$610.35 |
$610.35 |
$883.30
|
|
Intracranial limited study
|
$546.00 |
$546.00 |
$546.00 |
$423.52
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$334.10 |
$334.10 |
$334.10 |
$3,690.00
|
|
Intrauterine transfusion ftl
|
$823.55 |
$823.55 |
$823.55 |
$1,004.25
|
|
Intraventricular pacing
|
$5,609.50 |
$5,609.50 |
$5,609.50 |
$5,775.22
|
|
Intrinsic factor antibody
|
$44.20 |
$44.20 |
$44.20 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,784.30 |
$3,784.30 |
$3,784.30 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$12,871.30 |
$12,871.30 |
$12,871.30 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$27,653.60 |
$27,653.60 |
$27,653.60 |
$15,625.00
|
|
Intro catheter aorta
|
$1,885.00 |
$1,885.00 |
$1,885.00 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$1,350.75
|
|
Intro long gi tube
|
$622.05 |
$622.05 |
$622.05 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$692.90 |
$692.90 |
$692.90 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,589.65 |
$4,589.65 |
$4,589.65 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,764.10 |
$1,764.10 |
$1,764.10 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$393.90 |
$393.90 |
$393.90 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1.36 |
$1.36 |
$1.36 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$50.05 |
$50.05 |
$50.05 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$97,709.14 |
$97,709.14 |
$97,709.14 |
$52,615.16
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$96.40 |
$96.40 |
$96.40 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,285.03 |
$8,285.03 |
$8,285.03 |
$6,655.71
|
|
Iron
|
$92.95 |
$92.95 |
$92.95 |
$70.72
|
|
Iron binding capacity
|
$31.20 |
$31.20 |
$31.20 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$56.19 |
$56.19 |
$56.19 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$128.44 |
$128.44 |
$128.44 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$186.55 |
$186.55 |
$186.55 |
$154.50
|
|
Ivc venogram s&i
|
$1,701.05 |
$1,701.05 |
$1,701.05 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$187.20 |
$187.20 |
$187.20 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$204.10 |
$204.10 |
$204.10 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$124.80 |
$124.80 |
$124.80 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$383.50 |
$383.50 |
$383.50 |
$460.85
|
|
IV inj ra drug dx study
|
$702.00 |
$702.00 |
$702.00 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$1,192.10 |
$1,192.10 |
$1,192.10 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$477.75 |
$477.75 |
$477.75 |
$378.30
|
|
Jejunstmy tube plcmt
|
$3,975.40 |
$3,975.40 |
$3,975.40 |
$2,244.82
|
|
Ketamine and metabolite screen - quest
|
$568.10 |
$568.10 |
$568.10 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$86.45 |
$86.45 |
$86.45 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.50 |
$23.50 |
$23.50 |
$30.08
|
|
Kidney imaging morphology
|
$1,626.30 |
$1,626.30 |
$1,626.30 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$3,253.90 |
$3,253.90 |
$3,253.90 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,712.75 |
$1,712.75 |
$1,712.75 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$705.90 |
$705.90 |
$705.90 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$8,315.86 |
$8,315.86 |
$8,315.86 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,384.04 |
$9,384.04 |
$9,384.04 |
$9,384.04
|
|
Kit gene analys d816 variant
|
$1,101.10 |
$1,101.10 |
$1,101.10 |
$355.00
|
|
Kit lead specify 5-6-5
|
$6,917.31 |
$6,917.31 |
$6,917.31 |
$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)
|
$6,097.00 |
$6,097.00 |
$6,097.00 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$5,543.20 |
$5,543.20 |
$5,543.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$5,038.80 |
$5,038.80 |
$5,038.80 |
$2,181.10
|
|
Knee X-ray
|
$812.50 |
$812.50 |
$812.50 |
$443.90
|
|
Kras gene addl variants
|
$440.05 |
$440.05 |
$440.05 |
$346.45
|
|
Kras gene variants exon 2
|
$2,141.10 |
$2,141.10 |
$2,141.10 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$42.38 |
$42.38 |
$42.38 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$56.00 |
$56.00 |
$56.00 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$18.20 |
$18.20 |
$18.20 |
$53.30
|
|
Lactated ringers intravenous solution
|
$44.12 |
$44.12 |
$44.12 |
$54.11
|
|
Lactic acid
|
$122.20 |
$122.20 |
$122.20 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$153.40 |
$153.40 |
$153.40 |
$88.40
|
|
Lactoferrin fecal quant
|
$382.85 |
$382.85 |
$382.85 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$15,527.33 |
$15,527.33 |
$15,527.33 |
$22,903.90
|
|
Laryngoscopy telescopic
|
$1,342.90 |
$1,342.90 |
$1,342.90 |
$762.30
|
|
Lead acuity x4 spiral l 86cm
|
$2,948.48 |
$2,948.48 |
$2,948.48 |
$5,831.00
|
|
Lead capillary
|
$9.10 |
$9.10 |
$9.10 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$635.45 |
$635.45 |
$635.45 |
$3,842.56
|
