|
Ins icd gen exist mlt leads
|
$7,174.58 |
$7,174.58 |
$7,174.58 |
$31,488.80
|
|
Ins icd gen exist sgl lead
|
$6,491.28 |
$6,491.28 |
$6,491.28 |
$26,433.98
|
|
Insitu hybridization (fish)
|
$254.01 |
$254.01 |
$254.01 |
$481.60
|
|
In situ hybridization per specimen each additional single probe stain
|
$181.69 |
$181.69 |
$181.69 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$240.83 |
$240.83 |
$240.83 |
$364.00
|
|
Ins lv lead exist pm/icd
|
$12,417.57 |
$12,417.57 |
$12,417.57 |
$12,270.00
|
|
Ins mark abd/pel for right perq
|
$1,549.19 |
$1,549.19 |
$1,549.19 |
$2,000.78
|
|
Ins mark thor for right perq
|
$833.70 |
$833.70 |
$833.70 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$1,161.15 |
$1,161.15 |
$1,161.15 |
$4,312.97
|
|
Ins pm gen exist dual lead
|
$7,174.58 |
$7,174.58 |
$7,174.58 |
$25,546.94
|
|
Ins pm gen w/exist mlt leads
|
$5,716.41 |
$5,716.41 |
$5,716.41 |
$17,191.21
|
|
Ins pq tunnld ip cath w/img
|
$3,749.30 |
$3,749.30 |
$3,749.30 |
$5,597.45
|
|
Ins/rpl pm gen exist dual lead
|
$4,097.01 |
$4,097.01 |
$4,097.01 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$3,865.85 |
$3,865.85 |
$3,865.85 |
$9,824.59
|
|
Ins/rpl pm w/tv ld atrl
|
$4,346.58 |
$4,346.58 |
$4,346.58 |
$12,442.95
|
|
Inst fibrinolysis agent ini day
|
$574.70 |
$574.70 |
$574.70 |
$1,110.55
|
|
Inst fibrinolysis agent sbsq d
|
$891.15 |
$891.15 |
$891.15 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$481.56 |
$481.56 |
$481.56 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$1,773.69 |
$1,773.69 |
$1,773.69 |
$4,314.75
|
|
Inst via cath agent pleurds
|
$524.57 |
$524.57 |
$524.57 |
$970.40
|
|
Insulin total
|
$48.66 |
$48.66 |
$48.66 |
$72.15
|
|
Integra meshed bil wound mat
|
$9,955.85 |
$9,955.85 |
$9,955.85 |
$11,119.26
|
|
Interdental wirg oth/thn fx
|
$810.12 |
$810.12 |
$810.12 |
$1,809.68
|
|
Interdiscal perq aspir dx
|
$633.07 |
$633.07 |
$633.07 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$473.03 |
$473.03 |
$473.03 |
$51.21
|
|
Interrog dev eval scrms ip
|
$16.28 |
$16.28 |
$16.28 |
$152.50
|
|
Interrog device eval heart
|
$41.44 |
$41.44 |
$41.44 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$39.59 |
$39.59 |
$39.59 |
$130.00
|
|
Intra-atrial pacing
|
$1,575.65 |
$1,575.65 |
$1,575.65 |
$4,614.35
|
|
Intra-atrial recording
|
$1,575.65 |
$1,575.65 |
$1,575.65 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$857.66 |
$857.66 |
$857.66 |
$4,328.45
|
|
Intracran angioplsty w/stent
|
$2,921.89 |
$2,921.89 |
$2,921.89 |
$9,045.05
|
|
Intracranial angioplasty
|
$2,131.20 |
$2,131.20 |
$2,131.20 |
$7,578.00
|
|
Intracranial complete study
|
$336.61 |
$336.61 |
$336.61 |
$903.50
|
|
Intracranial limited study
|
$238.37 |
$238.37 |
$238.37 |
$398.34
|
|
Intrapul surf admin endo tube
|
$100.64 |
$100.64 |
$100.64 |
$220.80
|
|
Intraventricular pacing
|
$6,938.89 |
$6,938.89 |
$6,938.89 |
$5,625.00
|
|
Intrinsic factor antibody
|
$59.66 |
$59.66 |
$59.66 |
$76.77
|
|
Intro cath dialysis circuit
|
$1,034.15 |
$1,034.15 |
$1,034.15 |
$2,161.90
|
|
Intro cath dialysis circuit w/pta
|
$7,292.70 |
$7,292.70 |
$7,292.70 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,700.44 |
$12,700.44 |
$12,700.44 |
$18,260.50
|
|
Intro catheter aorta
|
$230.05 |
$230.05 |
$230.05 |
$1,963.80
|
|
Intro cath svc/ivc
|
$234.30 |
$234.30 |
$234.30 |
$1,942.50
|
|
Intro long gi tube
|
$481.00 |
$481.00 |
$481.00 |
$880.75
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$915.47 |
$915.47 |
$915.47 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$610.41 |
$610.41 |
$610.41 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$263.53 |
$263.53 |
$263.53 |
$565.00
|
|
Ionm in operatng room 15 min
|
$82.79 |
$82.79 |
$82.79 |
$238.00
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$11.99 |
$11.99 |
$11.99 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$153.98 |
$153.98 |
$153.98 |
$145.52
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$230.57 |
$230.57 |
$230.57 |
$261.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$25.55 |
$25.55 |
$25.55 |
$254.59
|
|
Iron
|
$70.67 |
$70.67 |
$70.67 |
$67.50
|
|
Iron binding capacity
|
$24.14 |
$24.14 |
$24.14 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$62.12 |
$62.12 |
$62.12 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$53.50 |
$53.50 |
$53.50 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$71.04 |
$71.04 |
$71.04 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$100.36 |
$100.36 |
$100.36 |
$149.00
|
|
Irrigation vagina and/or appl medicament tx disease
|
$255.21 |
$255.21 |
$255.21 |
$132.00
|
|
Ivc venogram s&i
|
$1,395.64 |
$1,395.64 |
$1,395.64 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$75.94 |
$75.94 |
$75.94 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$71.87 |
$71.87 |
$71.87 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$67.62 |
$67.62 |
$67.62 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$229.40 |
$229.40 |
$229.40 |
$476.50
|
|
IV inj ra drug dx study
|
$145.60 |
$145.60 |
$145.60 |
$473.22
|
|
Ivp w/nephrotomography
|
$322.92 |
$322.92 |
$322.92 |
$673.90
|
|
Ivp w/wo kub w/wo tomography
|
$330.32 |
$330.32 |
$330.32 |
$687.80
|
|
Ixabepilone 15 mg intravenous solution
|
$139.88 |
$139.88 |
$139.88 |
$189.96
|
|
Jak2 targeted sequence analysis
|
$215.62 |
$215.62 |
$215.62 |
$465.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$64.10 |
$64.10 |
$64.10 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$9.71 |
$9.71 |
$9.71 |
$17.11
|
|
Kidney imaging morphology
|
$769.51 |
$769.51 |
$769.51 |
$693.60
|
|
Kidney imag w/bld flow multi
|
$1,257.54 |
$1,257.54 |
$1,257.54 |
$1,319.61
|
|
Kidney img w/bldflw sgl without rx
|
$782.83 |
$782.83 |
$782.83 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$400.16 |
$400.16 |
$400.16 |
$618.54
|
|
Kit gene analys d816 variant
|
$269.27 |
$269.27 |
$269.27 |
$276.38
|
|
Kit sound processor cochlear osia 2
|
$22,008.58 |
$22,008.58 |
$22,008.58 |
$22,008.58
|
|
Knee MRI (with and without contrast)
|
$1,070.87 |
$1,070.87 |
$1,070.87 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$1,113.05 |
$1,113.05 |
$1,113.05 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$2,120.00
|
|
Knee X-ray
|
$303.22 |
$303.22 |
$303.22 |
$387.20
|
|
Kras gene addl variants
|
$128.52 |
$128.52 |
$128.52 |
$366.56
|
|
Kras gene variants exon 2
|
$128.52 |
$128.52 |
$128.52 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$77.89 |
$77.89 |
$77.89 |
$102.70
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$9.25 |
$9.25 |
$9.25 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$27.84 |
$27.84 |
$27.84 |
$50.55
|
|
Lactated ringers intravenous solution
|
$48.56 |
$48.56 |
$48.56 |
$46.35
|
|
Lactic acid
|
$163.91 |
$163.91 |
$163.91 |
$85.20
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$8,377.30 |
$8,377.30 |
$8,377.30 |
$21,470.76
|
|
Largsc w/rmvl foreign bdy(s)
|
$447.15 |
$447.15 |
$447.15 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,256.91 |
$2,256.91 |
$2,256.91 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$2,423.50 |
$2,423.50 |
$2,423.50 |
$3,505.20
|
|
Lead capillary
|
$41.16 |
$41.16 |
$41.16 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$407.46 |
$407.46 |
$407.46 |
$1,053.00
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,026.49 |
$2,026.49 |
$2,026.49 |
$1,136.25
|
|
Lens iol ant chamb 10.5
|
$269.71 |
$269.71 |
$269.71 |
$191.25
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$115.27 |
$115.27 |
$115.27 |
$115.27
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$8,124.05 |
$8,124.05 |
$8,124.05 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,175.52 |
$4,175.52 |
$4,175.52 |
$4,308.91
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.11 |
$0.11 |
$0.11 |
$45.50
|