|
Iron
|
$59.15 |
$59.15 |
$59.15 |
$67.50
|
|
Iron binding capacity
|
$57.85 |
$57.85 |
$57.85 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$42.82 |
$42.82 |
$42.82 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$284.13 |
$284.13 |
$284.13 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$73.45 |
$73.45 |
$73.45 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$111.80 |
$111.80 |
$111.80 |
$149.00
|
|
Ivc venogram s&i
|
$2,241.20 |
$2,241.20 |
$2,241.20 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$250.25 |
$250.25 |
$250.25 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$243.75 |
$243.75 |
$243.75 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$169.65 |
$169.65 |
$169.65 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$512.85 |
$512.85 |
$512.85 |
$476.50
|
|
Ivp w/wo kub w/wo tomography
|
$955.50 |
$955.50 |
$955.50 |
$687.80
|
|
Ixabepilone 15 mg intravenous solution
|
$22,113.32 |
$22,113.32 |
$22,113.32 |
$189.96
|
|
Jak2 targeted sequence analysis
|
$530.40 |
$530.40 |
$530.40 |
$465.74
|
|
John cunningham antibody
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$39.65
|
|
J-tube placement
|
$14,277.03 |
$14,277.03 |
$14,277.03 |
$462.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$149.50 |
$149.50 |
$149.50 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$13.17 |
$13.17 |
$13.17 |
$17.11
|
|
Kidney imaging morphology
|
$3,072.55 |
$3,072.55 |
$3,072.55 |
$693.60
|
|
Kidney imag w/bld flow multi
|
$1,763.45 |
$1,763.45 |
$1,763.45 |
$1,319.61
|
|
Kidney img w/bldflw sgl without rx
|
$1,555.45 |
$1,555.45 |
$1,555.45 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$984.75 |
$984.75 |
$984.75 |
$618.54
|
|
Kit case 4.2mm spinejack
|
$6,396.00 |
$6,396.00 |
$6,396.00 |
$7,751.14
|
|
Kit hfx iq ipg bundle
|
$45,500.00 |
$45,500.00 |
$45,500.00 |
$56,811.60
|
|
Kit lead specify 5-6-5
|
$8,612.50 |
$8,612.50 |
$8,612.50 |
$13,784.80
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$801.57
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$547.30 |
$547.30 |
$547.30 |
$179.32
|
|
Knee Arthroscopy (Cartilage Repair)
|
$6,774.73 |
$6,774.73 |
$6,774.73 |
$3,594.44
|
|
Knee Arthroscopy (Meniscus Repair)
|
$6,718.91 |
$6,718.91 |
$6,718.91 |
$3,705.22
|
|
Knee arthroscopy/surgery
|
$17,179.19 |
$17,179.19 |
$17,179.19 |
$3,591.33
|
|
Knee arthroscopy/surgery
|
$6,659.50 |
$6,659.50 |
$6,659.50 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$7,798.88 |
$7,798.88 |
$7,798.88 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$6,568.06 |
$6,568.06 |
$6,568.06 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$8,472.98 |
$8,472.98 |
$8,472.98 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$6,860.37 |
$6,860.37 |
$6,860.37 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$14,832.53 |
$14,832.53 |
$14,832.53 |
$3,743.15
|
|
Knee arthroscopy/surgery
|
$18,234.52 |
$18,234.52 |
$18,234.52 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$7,786.79 |
$7,786.79 |
$7,786.79 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$9,367.38 |
$9,367.38 |
$9,367.38 |
$3,346.10
|
|
Knee arthroscopy/surgery
|
$7,642.28 |
$7,642.28 |
$7,642.28 |
$3,691.20
|
|
Knee arthroscopy/surgery
|
$18,547.27 |
$18,547.27 |
$18,547.27 |
$7,907.11
|
|
Knee arthroscopy/surgery
|
$20,575.96 |
$20,575.96 |
$20,575.96 |
$10,477.98
|
|
Knee MRI (with and without contrast)
|
$3,916.25 |
$3,916.25 |
$3,916.25 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$1,959.75 |
$1,959.75 |
$1,959.75 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$3,057.60 |
$3,057.60 |
$3,057.60 |
$2,120.00
|
|
Knee X-ray
|
$845.65 |
$845.65 |
$845.65 |
$387.20
|
|
Kras gene addl variants
|
$358.80 |
$358.80 |
$358.80 |
$366.56
|
|
Kras gene variants exon 2
|
$596.70 |
$596.70 |
$596.70 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$17.50 |
$17.50 |
$17.50 |
$13.00
|
|
Labioplasty 56800
|
$9,356.13 |
$9,356.13 |
$9,356.13 |
$3,519.29
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$111.18 |
$111.18 |
$111.18 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$21.45 |
$21.45 |
$21.45 |
$50.55
|
|
Lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Lactic acid
|
$420.55 |
$420.55 |
$420.55 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$94.25 |
$94.25 |
$94.25 |
$88.40
|
|
Lam facetc/frmt arthrd lum 1
|
$54,225.98 |
$54,225.98 |
$54,225.98 |
$628.80
|
|
Lam facetec & foramot lumbar
|
$16,812.77 |
$16,812.77 |
$16,812.77 |
$7,913.97
|
|
Lam factc/frmt arthrd lum ea
|
$54,225.98 |
$54,225.98 |
$54,225.98 |
$471.20
|
|
Laminotomy single lumbar
|
$12,813.01 |
$12,813.01 |
$12,813.01 |
$7,907.11
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$30,837.85 |
$30,837.85 |
$30,837.85 |
$21,470.76
|
|
Laparo cholecystectomy/graph
|
$9,397.50 |
$9,397.50 |
$9,397.50 |
$6,870.89
|
|
Laparo ligate spermatic vein
|
$13,627.75 |
$13,627.75 |
$13,627.75 |
$6,457.82
|
|
Laparo-myomectomy complex
|
$21,099.26 |
$21,099.26 |
$21,099.26 |
$7,490.49
|
|
Laparo new ureter/bladder
|
$18,879.16 |
$18,879.16 |
$18,879.16 |
$10,689.72
|
|
Laparo partial nephrectomy
|
$19,413.52 |
$19,413.52 |
$19,413.52 |
$9,363.13
|
|
Laparo proc abdm/per/oment 49329
|
$19,441.27 |
$19,441.27 |
$19,441.27 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$15,362.63 |
$15,362.63 |
$15,362.63 |
$6,515.60
|
|
Laparoscopic myomectomy
|
$19,031.97 |
$19,031.97 |
$19,031.97 |
$6,457.82
|
|
Laparoscopic nephrectomy
|
$15,305.75 |
$15,305.75 |
$15,305.75 |
$6,064.00
|
|
Laparoscopy adrenalectomy
|
$13,302.81 |
$13,302.81 |
$13,302.81 |
$5,389.80
|
|
Laparoscopy aspiration
|
$17,132.43 |
$17,132.43 |
$17,132.43 |
$5,922.01
|
|
Laparoscopy biopsy
|
$13,879.84 |
$13,879.84 |
$13,879.84 |
$5,954.23
|
|
Laparoscopye procstom 43659
|
$21,000.91 |
$21,000.91 |
$21,000.91 |
$6,870.89
|
|
Laparoscopy excise lesions
|
$15,917.85 |
$15,917.85 |
$15,917.85 |
$5,747.73
|
|
Laparoscopy fundoplasty
|
$14,226.86 |
$14,226.86 |
$14,226.86 |
$11,191.12
|
|
Laparoscopy gastrostomy
|
$9,789.66 |
$9,789.66 |
$9,789.66 |
$3,907.68
|
|
Laparoscopy lymphadenectomy
|
$20,773.44 |
$20,773.44 |
$20,773.44 |
$11,523.76
|
|
Laparoscopy lymphadenectomy
|
$25,511.51 |
$25,511.51 |
$25,511.51 |
$9,372.17
|
|
Laparoscopy lymph node biop
|
$21,198.86 |
$21,198.86 |
$21,198.86 |
$6,376.26
|
|
Laparoscopy lysis
|
$7,947.86 |
$7,947.86 |
$7,947.86 |
$5,057.88
|
|
Laparoscopy orchiectomy
|
$17,949.73 |
$17,949.73 |
$17,949.73 |
$4,713.11
|
|
Laparoscopy pyeloplasty
|
$21,664.61 |
$21,664.61 |
$21,664.61 |
$11,533.76
|
|
Laparoscopy remove adnexa
|
$13,410.82 |
$13,410.82 |
$13,410.82 |
$6,672.53
|
|
Laparoscopy splenectomy
|
$14,486.37 |
$14,486.37 |
$14,486.37 |
$7,975.19
|
|
Laparoscopy surg colpopexy
|
$25,887.45 |
$25,887.45 |
$25,887.45 |
$9,114.50
|
|
Laparo urethral suspension
|
$25,415.23 |
$25,415.23 |
$25,415.23 |
$6,463.42
|
|
Laparo-vag hyst incl t/o
|
$14,654.38 |
$14,654.38 |
$14,654.38 |
$7,595.42
|
|
Lap colostomy 44188
|
$10,087.19 |
$10,087.19 |
$10,087.19 |
$3,008.00
|
|
Lap enterectomy 44202
|
$22,081.49 |
$22,081.49 |
$22,081.49 |
$3,404.00
|
|
Lap enterolysis
|
$8,290.89 |
$8,290.89 |
$8,290.89 |
$5,868.27
|
|
Lap gastric bypass/roux-en-y
|
$20,567.56 |
$20,567.56 |
$20,567.56 |
$4,255.20
|
|
Lap ileo/jejuno-stomy 44187
|
$35,977.08 |
$35,977.08 |
$35,977.08 |
$2,716.80
|
|
Lap ing hernia repair init
|
$9,605.51 |
$9,605.51 |
$9,605.51 |
$6,457.82
|
|
Lap ing hernia repair recur
|
$9,902.52 |
$9,902.52 |
$9,902.52 |
$6,376.26
|
|
Lap insert tunnel ip cath
|
$7,339.43 |
$7,339.43 |
$7,339.43 |
$6,457.82
|
|
Lap jejunostomy 44186
|
$8,275.26 |
$8,275.26 |
$8,275.26 |
$5,698.48
|
|
Lap myotomy heller
|
$17,023.35 |
$17,023.35 |
$17,023.35 |
$3,158.40
|
|
Lap paraesophag hern repair
|
$16,735.77 |
$16,735.77 |
$16,735.77 |
$8,854.66
|
|
Lap paraesoph her rpr w/mesh
|
$16,903.73 |
$16,903.73 |
$16,903.73 |
$7,826.00
|
|
Lap revision perm ip cath
|
$6,463.47 |
$6,463.47 |
$6,463.47 |
$6,376.26
|
