|
Insert hepatic shunt (tips)
|
$19,723.80 |
$19,723.80 |
$19,723.80 |
$8,018.40
|
|
Insert intrauterine device iud
|
$21,566.95 |
$21,566.95 |
$21,566.95 |
$378.83
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$5,523.60 |
$5,523.60 |
$5,523.60 |
$4,747.60
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,627.20 |
$7,627.20 |
$7,627.20 |
$7,082.35
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$8,892.00 |
$8,892.00 |
$8,892.00 |
$2,553.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,236.40 |
$18,236.40 |
$18,236.40 |
$12,843.00
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$5,395.80 |
$5,395.80 |
$5,395.80 |
$10,309.20
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,698.40 |
$3,698.40 |
$3,698.40 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$4,530.00 |
$4,530.00 |
$4,530.00 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$14,426.40 |
$14,426.40 |
$14,426.40 |
$7,388.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$16,728.60 |
$16,728.60 |
$16,728.60 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$9,918.12 |
$9,918.12 |
$9,918.12 |
$5,236.80
|
|
Insert uteri tandem/ovoids
|
$5,065.20 |
$5,065.20 |
$5,065.20 |
$3,940.41
|
|
Insitu hybridization auto
|
$198.60 |
$198.60 |
$198.60 |
$377.37
|
|
Insitu hybridization (fish)
|
$616.20 |
$616.20 |
$616.20 |
$481.60
|
|
Insitu hybridization manual
|
$337.80 |
$337.80 |
$337.80 |
$393.13
|
|
In situ hybridization per specimen each additional single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$335.00
|
|
Insole orthotic freedom sz6 6816
|
$264.25 |
$264.25 |
$264.25 |
$100.10
|
|
Ins picad w subq port 5yr>
|
$3,039.60 |
$3,039.60 |
$3,039.60 |
$4,060.80
|
|
Ins/rplc spi npg/rcvr pocket
|
$117,662.74 |
$117,662.74 |
$117,662.74 |
$24,061.80
|
|
Ins/rpl prph sac/gstr npg/r
|
$76,377.75 |
$76,377.75 |
$76,377.75 |
$18,129.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,039.60 |
$3,039.60 |
$3,039.60 |
$4,218.00
|
|
Insulin suppression panel
|
$438.00 |
$438.00 |
$438.00 |
$375.70
|
|
Insulin total
|
$26.40 |
$26.40 |
$26.40 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$18,357.89 |
$18,357.89 |
$18,357.89 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$60,214.21 |
$60,214.21 |
$60,214.21 |
$9,924.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$19,868.40 |
$19,868.40 |
$19,868.40 |
$3,825.00
|
|
Interfyl, 1 mg
|
$7,947.36 |
$7,947.36 |
$7,947.36 |
$5,118.52
|
|
Int hrhc lig 2+hroid without img
|
$8,604.95 |
$8,604.95 |
$8,604.95 |
$3,229.60
|
|
Intrinsic factor antibody
|
$57.00 |
$57.00 |
$57.00 |
$64.41
|
|
Intro cath dialysis circuit
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$2,073.03
|
|
Intro cath dialysis circuit w/pta
|
$16,515.00 |
$16,515.00 |
$16,515.00 |
$8,717.80
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$25,460.40 |
$25,460.40 |
$25,460.40 |
$15,671.00
|
|
Intro catheter aorta
|
$848.40 |
$848.40 |
$848.40 |
$1,678.05
|
|
Intro cath svc/ivc
|
$702.60 |
$702.60 |
$702.60 |
$1,346.13
|
|
Intro long gi tube w/mult fluo
|
$426.60 |
$426.60 |
$426.60 |
$457.60
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$12,930.60 |
$12,930.60 |
$12,930.60 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$11,839.20 |
$11,839.20 |
$11,839.20 |
$1,759.83
|
|
Intubation endotracheal emergency procedure
|
$1,624.80 |
$1,624.80 |
$1,624.80 |
$600.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$21,583.46 |
$21,583.46 |
$21,583.46 |
$173.40
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$9,056.96 |
$9,056.96 |
$9,056.96 |
$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
|
$3.00 |
$3.00 |
$3.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$807.12 |
$807.12 |
$807.12 |
$171.37
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$14,924.82 |
$14,924.82 |
$14,924.82 |
$5,476.68
|
|
Iron
|
$111.60 |
$111.60 |
$111.60 |
$77.07
|
|
Iron binding capacity
|
$21.60 |
$21.60 |
$21.60 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$153.00 |
$153.00 |
$153.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$127.20 |
$127.20 |
$127.20 |
$117.60
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$21,791.52 |
$21,791.52 |
$21,791.52 |
$8,273.35
|
|
Ivc venogram s&i
|
$2,566.20 |
$2,566.20 |
$2,566.20 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$102.60 |
$102.60 |
$102.60 |
$192.40
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$66.60 |
$66.60 |
$66.60 |
$160.05
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$67.80 |
$67.80 |
$67.80 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$679.80 |
$679.80 |
$679.80 |
$441.75
|
|
Ivp w/wo kub w/wo tomography
|
$1,384.80 |
$1,384.80 |
$1,384.80 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$489.60 |
$489.60 |
$489.60 |
$399.76
|
|
John cunningham antibody
|
$132.60 |
$132.60 |
$132.60 |
$68.40
|
|
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 |
$2,276.79
|
|
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 |
$2,162.01
|
|
Kafo pla sin up w/wo k/a cus
|
$4,806.65 |
$4,806.65 |
$4,806.65 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$3,923.78 |
$3,923.78 |
$3,923.78 |
$3,485.72
|
|
Kafo plastic pediatric size
|
$620.69 |
$620.69 |
$620.69 |
$374.58
|
|
Kafo sing fre stirr thi/calf
|
$2,646.89 |
$2,646.89 |
$2,646.89 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$9,695.60 |
$9,695.60 |
$9,695.60 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$2,064.55 |
$2,064.55 |
$2,064.55 |
$1,834.11
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$28.80 |
$28.80 |
$28.80 |
$61.00
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$46,883.81 |
$46,883.81 |
$46,883.81 |
$23.52
|
|
Kidney img w/bldflw sgl without rx
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$1,456.50
|
|
Kit case 4.2mm spinejack
|
$16,550.38 |
$16,550.38 |
$16,550.38 |
$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
|
$330.60 |
$330.60 |
$330.60 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$104,905.15 |
$104,905.15 |
$104,905.15 |
$30,880.20
|
|
Kit ipg optimizer smart
|
$103,315.68 |
$103,315.68 |
$103,315.68 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$43,710.48 |
$43,710.48 |
$43,710.48 |
$15,925.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,920.66 |
$2,920.66 |
$2,920.66 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$53,950.61 |
$53,950.61 |
$53,950.61 |
$923.90
|
|
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 |
$2,218.45
|
|
Knee Arthroscopy (Cartilage Repair)
|
$13,305.00 |
$13,305.00 |
$13,305.00 |
$4,304.96
|
|
Knee Arthroscopy (Meniscus Repair)
|
$11,591.46 |
$11,591.46 |
$11,591.46 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$16,529.91 |
$16,529.91 |
$16,529.91 |
$4,183.50
|
|
Knee arthroscopy/surgery
|
$10,748.40 |
$10,748.40 |
$10,748.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$13,839.45 |
$13,839.45 |
$13,839.45 |
$4,535.82
|
|
Knee arthroscopy/surgery
|
$33,990.04 |
$33,990.04 |
$33,990.04 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$11,730.54 |
$11,730.54 |
$11,730.54 |
$4,499.12
|
|
Knee arthroscopy/surgery
|
$39,033.61 |
$39,033.61 |
$39,033.61 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$45,856.51 |
$45,856.51 |
$45,856.51 |
$8,453.60
|
|
Knee control condylar pad
|
$292.62 |
$292.62 |
$292.62 |
$176.57
|
|
Knee control full kneecap
|
$293.81 |
$293.81 |
$293.81 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$513.60 |
$513.60 |
$513.60 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$896.40 |
$896.40 |
$896.40 |
$309.90
|
|
Knee joint cam lock each joi
|
$435.28 |
$435.28 |
$435.28 |
$287.46
|
|
Knee joint drop lock ea jnt
|
$544.80 |
$544.80 |
$544.80 |
$175.68
|
