|
Intro long gi tube w/mult fluo
|
$906.60 |
$906.60 |
$906.60 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$77,493.31 |
$77,493.31 |
$77,493.31 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$61,720.79 |
$61,720.79 |
$61,720.79 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1,334.88 |
$1,334.88 |
$1,334.88 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$108,656.64 |
$108,656.64 |
$108,656.64 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$6.30 |
$6.30 |
$6.30 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$151.62 |
$151.62 |
$151.62 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$25,381.08 |
$25,381.08 |
$25,381.08 |
$5,517.12
|
|
Iron
|
$255.00 |
$255.00 |
$255.00 |
$72.29
|
|
Iron binding capacity
|
$118.80 |
$118.80 |
$118.80 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$149.94 |
$149.94 |
$149.94 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$2,425.50 |
$2,425.50 |
$2,425.50 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$286.80 |
$286.80 |
$286.80 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$126.60 |
$126.60 |
$126.60 |
$144.62
|
|
Ivc venogram s&i
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$183.00 |
$183.00 |
$183.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$183.00 |
$183.00 |
$183.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$183.00 |
$183.00 |
$183.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,038.60 |
$1,038.60 |
$1,038.60 |
$437.45
|
|
IV inj ra drug dx study
|
$364.80 |
$364.80 |
$364.80 |
$552.60
|
|
Ivp w/nephrotomography
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$489.60 |
$489.60 |
$489.60 |
$393.43
|
|
John cunningham antibody
|
$948.00 |
$948.00 |
$948.00 |
$66.31
|
|
J-tube placement
|
$1,375.20 |
$1,375.20 |
$1,375.20 |
$593.08
|
|
Kafo dbl solid stirrup band/
|
$3,000.44 |
$3,000.44 |
$3,000.44 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$2,949.20 |
$2,949.20 |
$2,949.20 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$4,416.64 |
$4,416.64 |
$4,416.64 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$3,137.63 |
$3,137.63 |
$3,137.63 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$3,118.97 |
$3,118.97 |
$3,118.97 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$3,433.69 |
$3,433.69 |
$3,433.69 |
$2,162.01
|
|
Kafo pla sin up w/wo k/a cus
|
$5,531.11 |
$5,531.11 |
$5,531.11 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$4,515.17 |
$4,515.17 |
$4,515.17 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$471.68 |
$471.68 |
$471.68 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$3,045.83 |
$3,045.83 |
$3,045.83 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$11,156.91 |
$11,156.91 |
$11,156.91 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$2,375.72 |
$2,375.72 |
$2,375.72 |
$1,834.11
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$129.60 |
$129.60 |
$129.60 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$68.22 |
$68.22 |
$68.22 |
$23.77
|
|
Kidney imaging morphology
|
$656.40 |
$656.40 |
$656.40 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,802.60 |
$2,802.60 |
$2,802.60 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$850.80 |
$850.80 |
$850.80 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,674.00 |
$1,674.00 |
$1,674.00 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$12,577.22 |
$12,577.22 |
$12,577.22 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$14,192.78 |
$14,192.78 |
$14,192.78 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$624.60 |
$624.60 |
$624.60 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$79,721.14 |
$79,721.14 |
$79,721.14 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$78,513.24 |
$78,513.24 |
$78,513.24 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$33,217.14 |
$33,217.14 |
$33,217.14 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,219.51 |
$2,219.51 |
$2,219.51 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$40,998.98 |
$40,998.98 |
$40,998.98 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$36,076.84 |
$36,076.84 |
$36,076.84 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,877.81 |
$2,877.81 |
$2,877.81 |
$2,254.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$152,843.62 |
$152,843.62 |
$152,843.62 |
$4,499.12
|
|
Knee arthroscopy dx
|
$41,213.20 |
$41,213.20 |
$41,213.20 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$60,417.35 |
$60,417.35 |
$60,417.35 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$29,350.60 |
$29,350.60 |
$29,350.60 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$31,990.92 |
$31,990.92 |
$31,990.92 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$25,370.58 |
$25,370.58 |
$25,370.58 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$52,575.02 |
$52,575.02 |
$52,575.02 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$53,986.65 |
$53,986.65 |
$53,986.65 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$33,554.94 |
$33,554.94 |
$33,554.94 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$40,147.22 |
$40,147.22 |
$40,147.22 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$85,390.82 |
$85,390.82 |
$85,390.82 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$30,473.98 |
$30,473.98 |
$30,473.98 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$79,604.38 |
$79,604.38 |
$79,604.38 |
$8,979.74
|
|
Knee control condylar pad
|
$222.37 |
$222.37 |
$222.37 |
$175.04
|
|
Knee control full kneecap
|
$223.28 |
$223.28 |
$223.28 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$390.30 |
$390.30 |
$390.30 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$390.30 |
$390.30 |
$390.30 |
$309.90
|
|
Knee joint cam lock each joi
|
$330.78 |
$330.78 |
$330.78 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$215.94 |
$215.94 |
$215.94 |
$175.45
|
|
Knee lift loop drop lock rin
|
$319.34 |
$319.34 |
$319.34 |
$222.00
|
|
Knee orth pos locking joint
|
$801.32 |
$801.32 |
$801.32 |
$585.60
|
|
Knee X-ray
|
$657.60 |
$657.60 |
$657.60 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$1,566.04 |
$1,566.04 |
$1,566.04 |
$1,208.98
|
|
Ko dbl upright w/air pre ots
|
$1,566.04 |
$1,566.04 |
$1,566.04 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$2,560.47 |
$2,560.47 |
$2,560.47 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$219.56 |
$219.56 |
$219.56 |
$137.05
|
|
Ko rigid without joints pre ots
|
$363.25 |
$363.25 |
$363.25 |
$214.97
|
|
Ko single upright prefab ots
|
$2,443.00 |
$2,443.00 |
$2,443.00 |
$928.28
|
|
Ko supracondylar socket mold
|
$3,395.15 |
$3,395.15 |
$3,395.15 |
$2,621.08
|
|
Ko swedish type pre ots
|
$775.68 |
$775.68 |
$775.68 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$2,177.23 |
$2,177.23 |
$2,177.23 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$3,185.68 |
$3,185.68 |
$3,185.68 |
$2,418.09
|
|
Kras gene addl variants
|
$543.60 |
$543.60 |
$543.60 |
$386.75
|
|
Kras gene variants exon 2
|
$543.60 |
$543.60 |
$543.60 |
$509.00
|
|
Kyphosis pad
|
$293.40 |
$293.40 |
$293.40 |
$232.96
|
|
Kyphosis pad floating
|
$423.31 |
$423.31 |
$423.31 |
$336.11
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.00 |
$33.00 |
$33.00 |
$33.60
|
|
Lacer molded to patient mode
|
$999.65 |
$999.65 |
$999.65 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$297.48 |
$297.48 |
$297.48 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$171.60 |
$171.60 |
$171.60 |
$55.50
|
|
Lactated ringers intravenous solution
|
$66.00 |
$66.00 |
$66.00 |
$44.91
|
|
Lactic acid
|
$192.60 |
$192.60 |
$192.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$91.20 |
$91.20 |
$91.20 |
$81.00
|
|
Lam facetc/frmt arthrd lum 1
|
$143,699.35 |
$143,699.35 |
$143,699.35 |
$582.40
|
|
Lam facetec & foramot crv
|
$59,554.09 |
$59,554.09 |
$59,554.09 |
$7,549.13
|