|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$225.30 |
$225.30 |
$225.30 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$40.80 |
$40.80 |
$40.80 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$118.80 |
$118.80 |
$118.80 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$165.60 |
$165.60 |
$165.60 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$165.60 |
$165.60 |
$165.60 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$164.40 |
$164.40 |
$164.40 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$214.20 |
$214.20 |
$214.20 |
$439.56
|
|
Ivp w/nephrotomography
|
$847.20 |
$847.20 |
$847.20 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,293.60 |
$1,293.60 |
$1,293.60 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$489.60 |
$489.60 |
$489.60 |
$379.87
|
|
John cunningham antibody
|
$995.40 |
$995.40 |
$995.40 |
$72.60
|
|
Kafo dbl solid stirrup band/
|
$2,627.54 |
$2,627.54 |
$2,627.54 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$2,582.66 |
$2,582.66 |
$2,582.66 |
$2,562.92
|
|
Kafo fem fx cast molded to p
|
$3,867.73 |
$3,867.73 |
$3,867.73 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,747.68 |
$2,747.68 |
$2,747.68 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$2,731.34 |
$2,731.34 |
$2,731.34 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$3,006.94 |
$3,006.94 |
$3,006.94 |
$2,138.81
|
|
Kafo pla sin up w/wo k/a cus
|
$4,843.69 |
$4,843.69 |
$4,843.69 |
$4,806.65
|
|
Kafo plas sing free knee mol
|
$3,954.02 |
$3,954.02 |
$3,954.02 |
$3,923.78
|
|
Kafo plastic pediatric size
|
$624.89 |
$624.89 |
$624.89 |
$409.90
|
|
Kafo sing fre stirr thi/calf
|
$2,667.29 |
$2,667.29 |
$2,667.29 |
$2,646.89
|
|
Kafo sng/dbl mechanical act
|
$9,770.30 |
$9,770.30 |
$9,770.30 |
$9,695.60
|
|
Kafo sng solid stirrup without j
|
$2,080.46 |
$2,080.46 |
$2,080.46 |
$2,064.55
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$40.80 |
$40.80 |
$40.80 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$14.10 |
$14.10 |
$14.10 |
$23.50
|
|
Kidney imag w/bld flow multi
|
$1,861.20 |
$1,861.20 |
$1,861.20 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,642.20 |
$1,642.20 |
$1,642.20 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$660.00 |
$660.00 |
$660.00 |
$666.00
|
|
Kit case 4.2mm spinejack
|
$11,014.09 |
$11,014.09 |
$11,014.09 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$12,428.87 |
$12,428.87 |
$12,428.87 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$570.00 |
$570.00 |
$570.00 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$69,813.22 |
$69,813.22 |
$69,813.22 |
$30,006.00
|
|
Kit ipg optimizer smart
|
$68,755.44 |
$68,755.44 |
$68,755.44 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$29,088.84 |
$29,088.84 |
$29,088.84 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,943.66 |
$1,943.66 |
$1,943.66 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$35,903.54 |
$35,903.54 |
$35,903.54 |
$740.00
|
|
Kit sound processor cochlear osia 2
|
$31,593.13 |
$31,593.13 |
$31,593.13 |
$10,164.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,072.37 |
$2,072.37 |
$2,072.37 |
$2,089.15
|
|
Knee Arthroscopy (Meniscus Repair)
|
$14,378.16 |
$14,378.16 |
$14,378.16 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$21,564.52 |
$21,564.52 |
$21,564.52 |
$4,499.12
|
|
Knee arthroscopy/surgery
|
$38,517.55 |
$38,517.55 |
$38,517.55 |
$8,453.60
|
|
Knee control condylar pad
|
$345.29 |
$345.29 |
$345.29 |
$193.25
|
|
Knee control full kneecap
|
$346.70 |
$346.70 |
$346.70 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$560.69 |
$560.69 |
$560.69 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$560.69 |
$560.69 |
$560.69 |
$289.44
|
|
Knee joint cam lock each joi
|
$475.18 |
$475.18 |
$475.18 |
$287.46
|
|
Knee joint drop lock ea jnt
|
$335.30 |
$335.30 |
$335.30 |
$175.45
|
|
Knee lift loop drop lock rin
|
$458.74 |
$458.74 |
$458.74 |
$242.92
|
|
Knee MRI (with and without contrast)
|
$6,961.80 |
$6,961.80 |
$6,961.80 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$6,055.80 |
$6,055.80 |
$6,055.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$5,265.00 |
$5,265.00 |
$5,265.00 |
$2,169.60
|
|
Knee orth pos locking joint
|
$878.98 |
$878.98 |
$878.98 |
$585.60
|
|
Knee X-ray
|
$360.60 |
$360.60 |
$360.60 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$1,371.41 |
$1,371.41 |
$1,371.41 |
$1,360.92
|
|
Ko dbl upright w/air pre ots
|
$1,371.41 |
$1,371.41 |
$1,371.41 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$2,242.25 |
$2,242.25 |
$2,242.25 |
$2,225.10
|
|
Ko elastic w/joints pre ots
|
$340.93 |
$340.93 |
$340.93 |
$147.59
|
|
Ko rigid without joints pre ots
|
$521.82 |
$521.82 |
$521.82 |
$214.97
|
|
Ko single upright prefab ots
|
$2,139.38 |
$2,139.38 |
$2,139.38 |
$928.28
|
|
Ko supracondylar socket mold
|
$2,973.20 |
$2,973.20 |
$2,973.20 |
$2,950.46
|
|
Ko swedish type pre ots
|
$850.86 |
$850.86 |
$850.86 |
$604.50
|
|
Ko w/0 joint rigid molded to
|
$1,906.64 |
$1,906.64 |
$1,906.64 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$2,789.75 |
$2,789.75 |
$2,789.75 |
$2,768.42
|
|
Kras gene addl variants
|
$523.80 |
$523.80 |
$523.80 |
$384.80
|
|
Kras gene variants exon 2
|
$523.80 |
$523.80 |
$523.80 |
$486.45
|
|
Kyphosis pad
|
$455.57 |
$455.57 |
$455.57 |
$254.97
|
|
Kyphosis pad floating
|
$608.10 |
$608.10 |
$608.10 |
$367.87
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$32.34
|
|
Lacer molded to patient mode
|
$987.08 |
$987.08 |
$987.08 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$142.80 |
$142.80 |
$142.80 |
$55.50
|
|
Lactated ringers intravenous solution
|
$9.30 |
$9.30 |
$9.30 |
$45.56
|
|
Lactic acid
|
$200.40 |
$200.40 |
$200.40 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$118.80 |
$118.80 |
$118.80 |
$80.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,892.00 |
$2,892.00 |
$2,892.00 |
$2,480.71
|
|
Laser surgery of prostate
|
$16,031.64 |
$16,031.64 |
$16,031.64 |
$6,015.75
|
|
Lateral thoracic extension
|
$811.10 |
$811.10 |
$811.10 |
$578.90
|
|
Lateral trochanteric pad
|
$328.50 |
$328.50 |
$328.50 |
$183.85
|
|
Lead acuity x4 spiral l 86cm
|
$52,888.80 |
$52,888.80 |
$52,888.80 |
$5,488.00
|
|
Lead capillary
|
$184.20 |
$184.20 |
$184.20 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$58,555.84 |
$58,555.84 |
$58,555.84 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$14,544.42 |
$14,544.42 |
$14,544.42 |
$8,000.00
|
|
Legg perthes orthosis trilat
|
$3,517.29 |
$3,517.29 |
$3,517.29 |
$3,490.40
|
|
Legg perthes orth scottish r
|
$2,969.39 |
$2,969.39 |
$2,969.39 |
$2,946.68
|
|
Legg perthes patten bottom t
|
$4,269.13 |
$4,269.13 |
$4,269.13 |
$4,236.49
|
|
Leg perthes orth toronto typ
|
$3,709.60 |
$3,709.60 |
$3,709.60 |
$3,681.23
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,327.80 |
$1,327.80 |
$1,327.80 |
$1,088.26
|
|
Lens, intraocular (new tech)
|
$398.56 |
$398.56 |
$398.56 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,644.44 |
$2,644.44 |
$2,644.44 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,160.10 |
$3,160.10 |
$3,160.10 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$977.17 |
$977.17 |
$977.17 |
$367.97
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,122.38 |
$2,122.38 |
$2,122.38 |
$7,052.00
|
|
Levalbuterol non-comp con
|
$21.60 |
$21.60 |
$21.60 |
$21.60
|
|
Levalbuterol non-comp unit
|
$6.48 |
$6.48 |
$6.48 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$106.92 |
$106.92 |
$106.92 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$102.60 |
$102.60 |
$102.60 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$41.10 |
$41.10 |
$41.10 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$344.34 |
$344.34 |
$344.34 |
$385.62
|
|
Liberta rc ipg
|
$81,805.75 |
$81,805.75 |
$81,805.75 |
$36,300.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$54.42 |
$54.42 |
$54.42 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$22.50 |
$22.50 |
$22.50 |
$39.37
|
