|
Interrog evl pm/ldls pm ip
|
$38.50 |
$38.50 |
$38.50 |
$124.80
|
|
Intra-atrial pacing
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$4,780.80
|
|
Intra-atrial recording
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,677.00 |
$1,677.00 |
$1,677.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$3,503.50 |
$3,503.50 |
$3,503.50 |
$8,145.50
|
|
Intracranial angioplasty
|
$2,919.00 |
$2,919.00 |
$2,919.00 |
$4,962.40
|
|
Intracranial complete study
|
$703.00 |
$703.00 |
$703.00 |
$874.99
|
|
Intracranial limited study
|
$475.00 |
$475.00 |
$475.00 |
$465.01
|
|
Intranasal biopsy 30100
|
$784.00 |
$784.00 |
$784.00 |
$2,133.48
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$765.00 |
$765.00 |
$765.00 |
$3,690.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$65.00 |
$65.00 |
$65.00 |
$220.80
|
|
Intrauterine transfusion ftl
|
$563.00 |
$563.00 |
$563.00 |
$1,063.50
|
|
Intraventricular pacing
|
$3,099.00 |
$3,099.00 |
$3,099.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$80.00 |
$80.00 |
$80.00 |
$63.15
|
|
Intrm oph exam est patient
|
$53.50 |
$53.50 |
$53.50 |
$161.25
|
|
Intro cath dialysis circuit
|
$1,776.50 |
$1,776.50 |
$1,776.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$6,605.50 |
$6,605.50 |
$6,605.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,351.50 |
$13,351.50 |
$13,351.50 |
$16,262.40
|
|
Intro catheter aorta
|
$617.50 |
$617.50 |
$617.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$298.00 |
$298.00 |
$298.00 |
$1,323.27
|
|
Intro long gi tube
|
$468.50 |
$468.50 |
$468.50 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$223.00 |
$223.00 |
$223.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,063.50 |
$1,063.50 |
$1,063.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,063.50 |
$1,063.50 |
$1,063.50 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$540.00 |
$540.00 |
$540.00 |
$598.80
|
|
Io anal gast n-stim subsq
|
$125.50 |
$125.50 |
$125.50 |
$170.00
|
|
Io ga n-stim subsq w/reprog
|
$189.00 |
$189.00 |
$189.00 |
$187.43
|
|
Ionm in operatng room 15 min
|
$229.00 |
$229.00 |
$229.00 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$878.00 |
$878.00 |
$878.00 |
$622.70
|
|
Iron
|
$75.00 |
$75.00 |
$75.00 |
$72.29
|
|
Iron binding capacity
|
$25.50 |
$25.50 |
$25.50 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$62.00 |
$62.00 |
$62.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$22.00 |
$22.00 |
$22.00 |
$144.62
|
|
Island pedicle flap graft
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$2,468.80
|
|
Ivc venogram s&i
|
$1,558.00 |
$1,558.00 |
$1,558.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$29.00 |
$29.00 |
$29.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$23.50 |
$23.50 |
$23.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$29.50 |
$29.50 |
$29.50 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$100.50 |
$100.50 |
$100.50 |
$437.45
|
|
Ivp w/nephrotomography
|
$439.00 |
$439.00 |
$439.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$399.50 |
$399.50 |
$399.50 |
$692.18
|
|
John cunningham antibody
|
$32.00 |
$32.00 |
$32.00 |
$66.31
|
|
J-tube placement
|
$649.00 |
$649.00 |
$649.00 |
$593.08
|
|
Kafo fem fx cast semi-rigid
|
$1,699.00 |
$1,699.00 |
$1,699.00 |
$2,130.02
|
|
Kafo femoral fx cast rigid
|
$4,512.50 |
$4,512.50 |
$4,512.50 |
$2,162.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$29.00 |
$29.00 |
$29.00 |
$58.50
|
|
Kidney imaging morphology
|
$321.50 |
$321.50 |
$321.50 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,030.50 |
$1,030.50 |
$1,030.50 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$826.00 |
$826.00 |
$826.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$359.50 |
$359.50 |
$359.50 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$2,804.50 |
$2,804.50 |
$2,804.50 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,802.00 |
$7,802.00 |
$7,802.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$320.00 |
$320.00 |
$320.00 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$41,763.00 |
$41,763.00 |
$41,763.00 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$15,165.50 |
$15,165.50 |
$15,165.50 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$58,738.50 |
$58,738.50 |
$58,738.50 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,667.50 |
$1,667.50 |
$1,667.50 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$243.50 |
$243.50 |
$243.50 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$8,024.00 |
$8,024.00 |
$8,024.00 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,147.50 |
$2,147.50 |
$2,147.50 |
$2,254.50
|
|
Knee disc/dial lock/adj flex
|
$336.50 |
$336.50 |
$336.50 |
$288.41
|
|
Knee lift loop drop lock rin
|
$222.00 |
$222.00 |
$222.00 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$1,658.00 |
$1,658.00 |
$1,658.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$957.00 |
$957.00 |
$957.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$809.00 |
$809.00 |
$809.00 |
$2,110.76
|
|
Knee orth pos locking joint
|
$631.50 |
$631.50 |
$631.50 |
$585.60
|
|
Knee X-ray
|
$221.50 |
$221.50 |
$221.50 |
$425.55
|
|
Ko derot ant cruciate custom
|
$52.00 |
$52.00 |
$52.00 |
$1,694.30
|
|
Ko rigid without joints pre ots
|
$293.50 |
$293.50 |
$293.50 |
$214.97
|
|
Ko swedish type pre ots
|
$506.00 |
$506.00 |
$506.00 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$382.50 |
$382.50 |
$382.50 |
$1,230.99
|
|
Kras gene variants exon 2
|
$304.50 |
$304.50 |
$304.50 |
$509.00
|
|
Lab draw <3 yrs scalp vein 36405
|
$25.00 |
$25.00 |
$25.00 |
$72.80
|
|
Lacer molded to patient mode
|
$840.50 |
$840.50 |
$840.50 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$29.00 |
$29.00 |
$29.00 |
$55.50
|
|
Lactic acid
|
$155.00 |
$155.00 |
$155.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$29.00 |
$29.00 |
$29.00 |
$81.00
|
|
Laps pelvic lymphadec
|
$11,714.50 |
$11,714.50 |
$11,714.50 |
$7,285.60
|
|
Largsc w/laser dstrj les
|
$2,029.50 |
$2,029.50 |
$2,029.50 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$3,297.97
|
|
Largsc w/removal lesion
|
$1,858.00 |
$1,858.00 |
$1,858.00 |
$4,362.99
|
|
Largsc w/rmvl foreign bdy(s)
|
$313.00 |
$313.00 |
$313.00 |
$765.97
|
|
Largsc w/ther injection
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$2,286.46
|
|
Laryngeal function studies
|
$195.50 |
$195.50 |
$195.50 |
$335.40
|
|
Laryngoscope w/vc inj
|
$1,096.50 |
$1,096.50 |
$1,096.50 |
$4,108.00
|
|
Laryngoscopic sensory vid
|
$340.00 |
$340.00 |
$340.00 |
$336.00
|
|
Laryngoscop w/vc inj + scope
|
$1,393.00 |
$1,393.00 |
$1,393.00 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$600.50 |
$600.50 |
$600.50 |
$852.80
|
|
Laryngoscopy with biopsy
|
$1,334.50 |
$1,334.50 |
$1,334.50 |
$3,297.83
|
|
Laser surgery eye strands
|
$420.00 |
$420.00 |
$420.00 |
$1,513.20
|
|
Lateral canthopexy
|
$2,234.00 |
$2,234.00 |
$2,234.00 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$4,973.50 |
$4,973.50 |
$4,973.50 |
$5,534.00
|
|
Lead capillary
|
$63.50 |
$63.50 |
$63.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$3,574.00 |
$3,574.00 |
$3,574.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$8,300.00 |
$8,300.00 |
$8,300.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$510.00 |
$510.00 |
$510.00 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,547.50 |
$3,547.50 |
$3,547.50 |
$1,050.40
|
