|
Insert swan-ganz cath
|
$109.92 |
$109.92 |
$109.92 |
$2,210.50
|
|
Insert uro/ves nck sphincter
|
$1,152.96 |
$1,152.96 |
$1,152.96 |
$22,298.82
|
|
Insert uteri tandem/ovoids
|
$3,978.24 |
$3,978.24 |
$3,978.24 |
$3,905.20
|
|
Ins icd gen exist sgl lead
|
$553.92 |
$553.92 |
$553.92 |
$23,230.50
|
|
Insitu hybridization auto
|
$211.15 |
$211.15 |
$211.15 |
$371.00
|
|
Insitu hybridization manual
|
$539.52 |
$539.52 |
$539.52 |
$399.67
|
|
In situ hybridization per specimen each additional single probe stain
|
$70.21 |
$70.21 |
$70.21 |
$240.35
|
|
In situ hybridization per specimen initial single probe stain
|
$107.87 |
$107.87 |
$107.87 |
$326.04
|
|
Ins picad w subq port 5yr>
|
$5,399.04 |
$5,399.04 |
$5,399.04 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$1,471.68 |
$1,471.68 |
$1,471.68 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$523.20 |
$523.20 |
$523.20 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$508.80 |
$508.80 |
$508.80 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$486.24 |
$486.24 |
$486.24 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$682.56 |
$682.56 |
$682.56 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$675.36 |
$675.36 |
$675.36 |
$18,129.80
|
|
Instillation anticarcinogenic agent bladder
|
$135.36 |
$135.36 |
$135.36 |
$626.99
|
|
Instll rx agnt into rnal tub
|
$191.04 |
$191.04 |
$191.04 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$1,236.48 |
$1,236.48 |
$1,236.48 |
$4,202.70
|
|
Insulin total
|
$83.44 |
$83.44 |
$83.44 |
$66.64
|
|
Ins vag brachytx device
|
$687.84 |
$687.84 |
$687.84 |
$935.50
|
|
Intens behave ther cardio dx
|
$32.64 |
$32.64 |
$32.64 |
$47.60
|
|
Interrogate subq defib
|
$77.34 |
$77.34 |
$77.34 |
$119.60
|
|
Interrogation vad in person
|
$77.76 |
$77.76 |
$77.76 |
$296.40
|
|
Interrog dev eval scrms ip
|
$74.40 |
$74.40 |
$74.40 |
$124.80
|
|
Interrog device eval heart
|
$109.44 |
$109.44 |
$109.44 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$85.92 |
$85.92 |
$85.92 |
$124.80
|
|
Int hrhc lig 1 hroid without img
|
$523.20 |
$523.20 |
$523.20 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$584.16 |
$584.16 |
$584.16 |
$3,245.23
|
|
Intranasal biopsy 30100
|
$216.00 |
$216.00 |
$216.00 |
$2,133.48
|
|
Intraoral i+d tongue/floor lingual 41000
|
$222.72 |
$222.72 |
$222.72 |
$1,331.45
|
|
Intrinsic factor antibody
|
$83.44 |
$83.44 |
$83.44 |
$63.15
|
|
Intrm oph exam est patient
|
$114.24 |
$114.24 |
$114.24 |
$161.25
|
|
Intubation endotracheal emergency procedure
|
$478.08 |
$478.08 |
$478.08 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$19.84 |
$19.84 |
$19.84 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$613.44 |
$613.44 |
$613.44 |
$288.11
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$2.18 |
$2.18 |
$2.18 |
$763.50
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$68,224.74 |
$68,224.74 |
$68,224.74 |
$62,692.46
|
|
Ipratropium bromide comp
|
$4.58 |
$4.58 |
$4.58 |
$2.40
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$113.28 |
$113.28 |
$113.28 |
$174.67
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,627.52 |
$5,627.52 |
$5,627.52 |
$5,517.12
|
|
Iron
|
$42.23 |
$42.23 |
$42.23 |
$72.29
|
|
Iron binding capacity
|
$42.23 |
$42.23 |
$42.23 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$130.32 |
$130.32 |
$130.32 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$187.24 |
$187.24 |
$187.24 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$53.93 |
$53.93 |
$53.93 |
$113.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$111.94 |
$111.94 |
$111.94 |
$144.30
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$214.20 |
$214.20 |
$214.20 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$114.99 |
$114.99 |
$114.99 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$214.20 |
$214.20 |
$214.20 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$350.88 |
$350.88 |
$350.88 |
$437.45
|
|
Ivp w/nephrotomography
|
$280.80 |
$280.80 |
$280.80 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$296.16 |
$296.16 |
$296.16 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$363.84 |
$363.84 |
$363.84 |
$393.43
|
|
Jejunstmy tube plcmt
|
$359.52 |
$359.52 |
$359.52 |
$2,174.40
|
|
John cunningham antibody
|
$33.19 |
$33.19 |
$33.19 |
$66.31
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$39.69 |
$39.69 |
$39.69 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.52 |
$23.52 |
$23.52 |
$23.77
|
|
Kidney endoscopy
|
$589.92 |
$589.92 |
$589.92 |
$5,728.00
|
|
Kidney endoscopy
|
$1,067.04 |
$1,067.04 |
$1,067.04 |
$5,986.78
|
|
Kidney endoscopy & treatment
|
$726.24 |
$726.24 |
$726.24 |
$5,626.86
|
|
Kidney endoscopy & treatment
|
$908.64 |
$908.64 |
$908.64 |
$5,626.86
|
|
Kidney imag w/bld flow multi
|
$862.56 |
$862.56 |
$862.56 |
$1,556.10
|
|
Kidney img w/bldflw sgl without rx
|
$818.88 |
$818.88 |
$818.88 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$360.96 |
$360.96 |
$360.96 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$63.36 |
$63.36 |
$63.36 |
$174.00
|
|
Kit gene analys d816 variant
|
$245.28 |
$245.28 |
$245.28 |
$366.03
|
|
Knee Arthroscopy (Cartilage Repair)
|
$961.44 |
$961.44 |
$961.44 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$800.16 |
$800.16 |
$800.16 |
$3,839.54
|
|
Knee arthroscopy dx
|
$854.88 |
$854.88 |
$854.88 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$839.52 |
$839.52 |
$839.52 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$968.64 |
$968.64 |
$968.64 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$1,431.84 |
$1,431.84 |
$1,431.84 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$836.64 |
$836.64 |
$836.64 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$834.72 |
$834.72 |
$834.72 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$770.88 |
$770.88 |
$770.88 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,023.84 |
$1,023.84 |
$1,023.84 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$871.20 |
$871.20 |
$871.20 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$1,063.68 |
$1,063.68 |
$1,063.68 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$960.00 |
$960.00 |
$960.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$987.36 |
$987.36 |
$987.36 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,497.12 |
$1,497.12 |
$1,497.12 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$1,884.96 |
$1,884.96 |
$1,884.96 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$2,118.72 |
$2,118.72 |
$2,118.72 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,584.96 |
$1,584.96 |
$1,584.96 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,127.52 |
$1,127.52 |
$1,127.52 |
$2,110.76
|
|
Knee X-ray
|
$191.82 |
$191.82 |
$191.82 |
$425.55
|
|
Kras gene addl variants
|
$250.56 |
$250.56 |
$250.56 |
$384.80
|
|
Kras gene variants exon 2
|
$446.40 |
$446.40 |
$446.40 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,918.95 |
$2,918.95 |
$2,918.95 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$41.76 |
$41.76 |
$41.76 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$30.24 |
$30.24 |
$30.24 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$22.90 |
$22.90 |
$22.90 |
$55.50
|
|
Lactated ringers intravenous solution
|
$19.01 |
$19.01 |
$19.01 |
$44.91
|
|
Lactic acid
|
$108.88 |
$108.88 |
$108.88 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$92.60 |
$92.60 |
$92.60 |
$80.60
|
|
Lactoferrin fecal quant
|
$125.67 |
$125.67 |
$125.67 |
$106.10
|
|
Laparo-asst vag hysterectomy
|
$1,353.60 |
$1,353.60 |
$1,353.60 |
$6,839.00
|