|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$96.37 |
$96.37 |
$96.37 |
$265.14
|
|
Io radiation tx management
|
$236.34 |
$236.34 |
$236.34 |
$593.60
|
|
Ip/obs cnsltj new/est low 45
|
$76.44 |
$76.44 |
$76.44 |
$168.44
|
|
Ip/obs cnsltj new/est mod 60
|
$106.34 |
$106.34 |
$106.34 |
$260.15
|
|
Ip/obs consltj new/est hi 80
|
$142.22 |
$142.22 |
$142.22 |
$303.16
|
|
Ip/obs consltj new/est sf 35
|
$54.60 |
$54.60 |
$54.60 |
$126.40
|
|
Iron
|
$40.70 |
$40.70 |
$40.70 |
$74.40
|
|
Iron binding capacity
|
$55.50 |
$55.50 |
$55.50 |
$63.84
|
|
Iron dextran 50 mg/ml injection solution
|
$339.28 |
$339.28 |
$339.28 |
$78.52
|
|
Iron stain peripheral blood
|
$5.20 |
$5.20 |
$5.20 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$545.09 |
$545.09 |
$545.09 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$247.90 |
$247.90 |
$247.90 |
$115.20
|
|
Irrigation sphenoid sinus
|
$134.16 |
$134.16 |
$134.16 |
$3,062.80
|
|
Irrigation vagina and/or appl medicament tx disease
|
$18.46 |
$18.46 |
$18.46 |
$132.00
|
|
Island pedicle flap graft
|
$614.90 |
$614.90 |
$614.90 |
$2,468.80
|
|
Ivc venogram s&i
|
$12,169.30 |
$12,169.30 |
$12,169.30 |
$3,345.32
|
|
IV Fluids (each additional hour)
|
$130.24 |
$130.24 |
$130.24 |
$133.11
|
|
IV Fluids (first hour)
|
$592.74 |
$592.74 |
$592.74 |
$389.37
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$130.24 |
$130.24 |
$130.24 |
$159.00
|
|
IV Medicine Infusion (additional drug)
|
$200.54 |
$200.54 |
$200.54 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$130.24 |
$130.24 |
$130.24 |
$153.40
|
|
IV Medicine Infusion (first hour)
|
$592.74 |
$592.74 |
$592.74 |
$444.49
|
|
IV njx tst vasc flo flap/grf
|
$77.48 |
$77.48 |
$77.48 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$130.24 |
$130.24 |
$130.24 |
$163.83
|
|
IV Push Injection (first drug)
|
$592.74 |
$592.74 |
$592.74 |
$257.24
|
|
Ivp w/nephrotomography
|
$688.20 |
$688.20 |
$688.20 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$16.64 |
$16.64 |
$16.64 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$520.96 |
$520.96 |
$520.96 |
$417.50
|
|
Jaw arthroscopy/surgery
|
$392.86 |
$392.86 |
$392.86 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$435.50 |
$435.50 |
$435.50 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$340.40 |
$340.40 |
$340.40 |
$327.80
|
|
Jaw (Mandible) X-ray (complete)
|
$411.44 |
$411.44 |
$411.44 |
$361.61
|
|
Jejunstmy tube plcmt
|
$172.64 |
$172.64 |
$172.64 |
$2,174.40
|
|
John cunningham antibody
|
$106.56 |
$106.56 |
$106.56 |
$78.00
|
|
J-tube placement
|
$697.82 |
$697.82 |
$697.82 |
$593.08
|
|
Keratoprosthesis
|
$1,004.64 |
$1,004.64 |
$1,004.64 |
$10,476.00
|
|
Ketogenic steroids fract
|
$11.96 |
$11.96 |
$11.96 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$51.80 |
$51.80 |
$51.80 |
$58.10
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$5.94 |
$5.94 |
$5.94 |
$23.50
|
|
Kidney endoscopy
|
$212.42 |
$212.42 |
$212.42 |
$5,110.00
|
|
Kidney endoscopy
|
$226.98 |
$226.98 |
$226.98 |
$5,728.00
|
|
Kidney endoscopy
|
$354.64 |
$354.64 |
$354.64 |
$4,081.37
|
|
Kidney endoscopy
|
$515.06 |
$515.06 |
$515.06 |
$5,741.00
|
|
Kidney endoscopy & biopsy
|
$247.00 |
$247.00 |
$247.00 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$407.94 |
$407.94 |
$407.94 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$249.86 |
$249.86 |
$249.86 |
$9,744.00
|
|
Kidney endoscopy & treatment
|
$284.70 |
$284.70 |
$284.70 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$406.90 |
$406.90 |
$406.90 |
$7,431.20
|
|
Kidney endoscopy & treatment
|
$438.10 |
$438.10 |
$438.10 |
$5,626.86
|
|
Kidney function study
|
$12.22 |
$12.22 |
$12.22 |
$968.50
|
|
Kidney imaging morphology
|
$988.64 |
$988.64 |
$988.64 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,324.60 |
$1,324.60 |
$1,324.60 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,324.60 |
$1,324.60 |
$1,324.60 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$560.92 |
$560.92 |
$560.92 |
$668.25
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$560.92 |
$560.92 |
$560.92 |
$486.50
|
|
Kit gene analys d816 variant
|
$350.76 |
$350.76 |
$350.76 |
$367.00
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$458.38 |
$458.38 |
$458.38 |
$4,627.00
|
|
Knee arthroscopy/drainage
|
$381.42 |
$381.42 |
$381.42 |
$3,986.00
|
|
Knee arthroscopy dx
|
$306.28 |
$306.28 |
$306.28 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$399.88 |
$399.88 |
$399.88 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$462.28 |
$462.28 |
$462.28 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$684.84 |
$684.84 |
$684.84 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$397.02 |
$397.02 |
$397.02 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$395.98 |
$395.98 |
$395.98 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$367.12 |
$367.12 |
$367.12 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$482.04 |
$482.04 |
$482.04 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$488.54 |
$488.54 |
$488.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$414.96 |
$414.96 |
$414.96 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$507.78 |
$507.78 |
$507.78 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$617.50 |
$617.50 |
$617.50 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$457.60 |
$457.60 |
$457.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$471.38 |
$471.38 |
$471.38 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$556.40 |
$556.40 |
$556.40 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$714.22 |
$714.22 |
$714.22 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$899.86 |
$899.86 |
$899.86 |
$6,839.00
|
|
Knee MRI (with and without contrast)
|
$3,765.86 |
$3,765.86 |
$3,765.86 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$6,665.18 |
$6,665.18 |
$6,665.18 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,039.44 |
$2,039.44 |
$2,039.44 |
$2,110.00
|
|
Knee X-ray
|
$411.44 |
$411.44 |
$411.44 |
$425.55
|
|
Knee X-ray (1 to 2 views, both knees)
|
$340.40 |
$340.40 |
$340.40 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$425.50 |
$425.50 |
$425.50 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$340.40 |
$340.40 |
$340.40 |
$252.50
|
|
Kras gene addl variants
|
$543.16 |
$543.16 |
$543.16 |
$387.20
|
|
Kras gene variants exon 2
|
$543.16 |
$543.16 |
$543.16 |
$530.40
|
|
Kyphectomy 1-2 segments
|
$1,569.88 |
$1,569.88 |
$1,569.88 |
$17,913.59
|
|
Kyphectomy 3 or more
|
$1,806.74 |
$1,806.74 |
$1,806.74 |
$17,913.59
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$13.52 |
$13.52 |
$13.52 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$64.38 |
$64.38 |
$64.38 |
$70.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$8.27 |
$8.27 |
$8.27 |
$33.60
|
|
Labioplasty 56800
|
$185.12 |
$185.12 |
$185.12 |
$3,905.53
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$90.16 |
$90.16 |
$90.16 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$37.74 |
$37.74 |
$37.74 |
$55.50
|
|
Lactated ringers intravenous solution
|
$13.65 |
$13.65 |
$13.65 |
$43.74
|
|
Lactic acid
|
$73.26 |
$73.26 |
$73.26 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$124.32 |
$124.32 |
$124.32 |
$82.16
|
|
Lactoferrin fecal quant
|
$124.32 |
$124.32 |
$124.32 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$188.24 |
$188.24 |
$188.24 |
$582.40
|
|
Lam facetec & foramot crv
|
$948.74 |
$948.74 |
$948.74 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$815.10 |
$815.10 |
$815.10 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$906.36 |
$906.36 |
$906.36 |
$8,453.60
|