|
Ins icd gen exist sgl lead
|
$46,146.60 |
$46,146.60 |
$46,146.60 |
$23,381.40
|
|
Insitu hybridization (fish)
|
$398.40 |
$398.40 |
$398.40 |
$481.60
|
|
Insitu hybridization manual
|
$329.40 |
$329.40 |
$329.40 |
$398.51
|
|
In situ hybridization per specimen each additional single probe stain
|
$150.00 |
$150.00 |
$150.00 |
$241.80
|
|
In situ hybridization per specimen initial single probe stain
|
$315.00 |
$315.00 |
$315.00 |
$337.20
|
|
Ins lv lead exist pm/icd
|
$7,276.80 |
$7,276.80 |
$7,276.80 |
$12,384.25
|
|
Insole orthotic freedom sz6 6816
|
$363.41 |
$363.41 |
$363.41 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$2,427.00 |
$2,427.00 |
$2,427.00 |
$3,985.20
|
|
Ins pm gen w/exist mlt leads
|
$15,471.00 |
$15,471.00 |
$15,471.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$5,182.20 |
$5,182.20 |
$5,182.20 |
$5,377.00
|
|
Ins/rpl prph sac/gstr npg/r
|
$45,697.35 |
$45,697.35 |
$45,697.35 |
$18,129.80
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$55,165.20 |
$55,165.20 |
$55,165.20 |
$25,106.90
|
|
Instillation anticarcinogenic agent bladder
|
$13,254.24 |
$13,254.24 |
$13,254.24 |
$654.02
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$25,068.60 |
$25,068.60 |
$25,068.60 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$6,672.00 |
$6,672.00 |
$6,672.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$6,672.00 |
$6,672.00 |
$6,672.00 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$5,256.00 |
$5,256.00 |
$5,256.00 |
$4,657.46
|
|
Insulin total
|
$154.20 |
$154.20 |
$154.20 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$14,087.18 |
$14,087.18 |
$14,087.18 |
$8,683.20
|
|
Integra meshed bil wound mat
|
$46,206.23 |
$46,206.23 |
$46,206.23 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$10,626.67 |
$10,626.67 |
$10,626.67 |
$3,803.11
|
|
Interdental fixation
|
$1,572.60 |
$1,572.60 |
$1,572.60 |
$2,156.00
|
|
Interfyl, 1 mg
|
$6,098.52 |
$6,098.52 |
$6,098.52 |
$4,656.80
|
|
Interrogate subq defib
|
$37.20 |
$37.20 |
$37.20 |
$119.60
|
|
Interrog dev eval icpms ip
|
$195.60 |
$195.60 |
$195.60 |
$104.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$865.80 |
$865.80 |
$865.80 |
$1,361.25
|
|
Intraventricular pacing
|
$6,162.00 |
$6,162.00 |
$6,162.00 |
$5,545.50
|
|
Intrinsic factor antibody
|
$192.60 |
$192.60 |
$192.60 |
$62.70
|
|
Intro cath dialysis circuit
|
$2,583.60 |
$2,583.60 |
$2,583.60 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$16,871.40 |
$16,871.40 |
$16,871.40 |
$8,717.80
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$24,560.40 |
$24,560.40 |
$24,560.40 |
$15,640.00
|
|
Intro catheter aorta
|
$1,066.80 |
$1,066.80 |
$1,066.80 |
$1,654.05
|
|
Intro cath svc/ivc
|
$990.00 |
$990.00 |
$990.00 |
$1,323.27
|
|
Intubation endotracheal emergency procedure
|
$709.20 |
$709.20 |
$709.20 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$36.00 |
$36.00 |
$36.00 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3,110.77 |
$3,110.77 |
$3,110.77 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$112,351.02 |
$112,351.02 |
$112,351.02 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$3.00 |
$3.00 |
$3.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$93.30 |
$93.30 |
$93.30 |
$173.40
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$9,240.90 |
$9,240.90 |
$9,240.90 |
$5,476.68
|
|
Iron
|
$237.00 |
$237.00 |
$237.00 |
$72.29
|
|
Iron binding capacity
|
$45.60 |
$45.60 |
$45.60 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$78.46
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$39.00 |
$39.00 |
$39.00 |
$116.35
|
|
Irrigation implantable venous access device for drug delivery systems
|
$134.40 |
$134.40 |
$134.40 |
$143.81
|
|
Ivc venogram s&i
|
$3,870.60 |
$3,870.60 |
$3,870.60 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$282.00 |
$282.00 |
$282.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$241.80 |
$241.80 |
$241.80 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$171.60 |
$171.60 |
$171.60 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$341.40 |
$341.40 |
$341.40 |
$443.20
|
|
Ivp w/nephrotomography
|
$883.80 |
$883.80 |
$883.80 |
$764.40
|
|
Ivp w/wo kub w/wo tomography
|
$901.80 |
$901.80 |
$901.80 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$489.60 |
$489.60 |
$489.60 |
$408.80
|
|
John cunningham antibody
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$65.00
|
|
Kafo dbl solid stirrup band/
|
$3,029.78 |
$3,029.78 |
$3,029.78 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$2,978.03 |
$2,978.03 |
$2,978.03 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$4,459.82 |
$4,459.82 |
$4,459.82 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$3,168.31 |
$3,168.31 |
$3,168.31 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$3,149.46 |
$3,149.46 |
$3,149.46 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$3,467.25 |
$3,467.25 |
$3,467.25 |
$2,138.81
|
|
Kafo pla sin up w/wo k/a cus
|
$5,585.18 |
$5,585.18 |
$5,585.18 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$4,559.32 |
$4,559.32 |
$4,559.32 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$729.23 |
$729.23 |
$729.23 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$3,075.61 |
$3,075.61 |
$3,075.61 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$11,265.98 |
$11,265.98 |
$11,265.98 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$2,398.94 |
$2,398.94 |
$2,398.94 |
$1,834.11
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$32.40 |
$32.40 |
$32.40 |
$58.56
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$14.10 |
$14.10 |
$14.10 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$2,448.00 |
$2,448.00 |
$2,448.00 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$615.00 |
$615.00 |
$615.00 |
$664.20
|
|
Kit case 4.2mm spinejack
|
$12,700.17 |
$12,700.17 |
$12,700.17 |
$7,686.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$14,331.52 |
$14,331.52 |
$14,331.52 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$584.40 |
$584.40 |
$584.40 |
$367.00
|
|
Kit hfx iq ipg bundle
|
$80,500.46 |
$80,500.46 |
$80,500.46 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$79,280.76 |
$79,280.76 |
$79,280.76 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$33,541.86 |
$33,541.86 |
$33,541.86 |
$16,433.66
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,241.20 |
$2,241.20 |
$2,241.20 |
$1,569.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$41,399.77 |
$41,399.77 |
$41,399.77 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$36,429.51 |
$36,429.51 |
$36,429.51 |
$9,517.95
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,389.61 |
$2,389.61 |
$2,389.61 |
$2,249.23
|
|
Knee Arthroscopy (Cartilage Repair)
|
$15,116.88 |
$15,116.88 |
$15,116.88 |
$4,304.96
|
|
Knee Arthroscopy (Meniscus Repair)
|
$16,493.46 |
$16,493.46 |
$16,493.46 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$13,931.46 |
$13,931.46 |
$13,931.46 |
$4,535.82
|
|
Knee arthroscopy/surgery
|
$18,820.14 |
$18,820.14 |
$18,820.14 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$17,508.71 |
$17,508.71 |
$17,508.71 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$18,820.14 |
$18,820.14 |
$18,820.14 |
$4,499.12
|
|
Knee control condylar pad
|
$402.43 |
$402.43 |
$402.43 |
$175.04
|
|
Knee control full kneecap
|
$404.07 |
$404.07 |
$404.07 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$654.87 |
$654.87 |
$654.87 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$654.87 |
$654.87 |
$654.87 |
$309.90
|
|
Knee joint cam lock each joi
|
$555.01 |
$555.01 |
$555.01 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$390.79 |
$390.79 |
$390.79 |
$175.45
|
|
Knee lift loop drop lock rin
|
$535.81 |
$535.81 |
$535.81 |
$217.34
|
|
Knee MRI (with and without contrast)
|
$4,343.40 |
$4,343.40 |
$4,343.40 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$5,394.60 |
$5,394.60 |
$5,394.60 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,127.20 |
$3,127.20 |
$3,127.20 |
$2,110.76
|
|
Knee orth pos locking joint
|
$1,022.21 |
$1,022.21 |
$1,022.21 |
$585.60
|
|
Knee X-ray
|
$370.20 |
$370.20 |
$370.20 |
$425.55
|
