|
Inj proc myelogram lumbar
|
$479.50 |
$479.50 |
$479.50 |
$830.50
|
|
Inj proc sialogram
|
$76.50 |
$76.50 |
$76.50 |
$373.00
|
|
Inj retro urethrocysto
|
$152.00 |
$152.00 |
$152.00 |
$443.50
|
|
Inj scleros sol mult veins
|
$615.50 |
$615.50 |
$615.50 |
$675.00
|
|
Inj scleros sol sgl vein
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$558.97
|
|
Inj, susvimo 0.1 mg
|
$15,320.00 |
$15,320.00 |
$15,320.00 |
$2,598.44
|
|
Inj vocal cord bulking agent
|
$1,841.50 |
$1,841.50 |
$1,841.50 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$406.00 |
$406.00 |
$406.00 |
$503.92
|
|
Ins cath ren art 1st bi
|
$3,015.00 |
$3,015.00 |
$3,015.00 |
$5,753.10
|
|
Ins cath ren art 1st uni
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$4,660.00
|
|
Ins cath ren art 2nd+ bi
|
$3,275.00 |
$3,275.00 |
$3,275.00 |
$5,500.86
|
|
Ins cath ren art 2nd+ uni
|
$3,132.50 |
$3,132.50 |
$3,132.50 |
$5,395.20
|
|
Ins cerv dilator (sep proc)
|
$271.00 |
$271.00 |
$271.00 |
$480.28
|
|
Insert cath pleura with image
|
$1,291.50 |
$1,291.50 |
$1,291.50 |
$2,194.40
|
|
Insert hepatic shunt (tips)
|
$6,034.00 |
$6,034.00 |
$6,034.00 |
$7,571.20
|
|
Insertion catheter bladder non indwelling
|
$114.50 |
$114.50 |
$114.50 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$114.50 |
$114.50 |
$114.50 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,801.00 |
$3,801.00 |
$3,801.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,837.00 |
$1,837.00 |
$1,837.00 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,562.00 |
$5,562.00 |
$5,562.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,382.50 |
$1,382.50 |
$1,382.50 |
$2,505.60
|
|
Insertion of catheter vein
|
$792.00 |
$792.00 |
$792.00 |
$1,477.00
|
|
Insertion of catheter vein
|
$205.00 |
$205.00 |
$205.00 |
$836.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$8,057.00 |
$8,057.00 |
$8,057.00 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$6,956.50 |
$6,956.50 |
$6,956.50 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$6,721.00 |
$6,721.00 |
$6,721.00 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$4,769.00 |
$4,769.00 |
$4,769.00 |
$7,200.05
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$9,062.50 |
$9,062.50 |
$9,062.50 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,238.00 |
$4,238.00 |
$4,238.00 |
$5,223.20
|
|
Insert picvad cath
|
$12,747.00 |
$12,747.00 |
$12,747.00 |
$4,195.00
|
|
Insert swan-ganz cath
|
$1,725.50 |
$1,725.50 |
$1,725.50 |
$2,210.50
|
|
Insert vad art access left hrt arterial access
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$4,270.75
|
|
In situ hybridization per specimen each additional single probe stain
|
$170.50 |
$170.50 |
$170.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$256.50 |
$256.50 |
$256.50 |
$331.69
|
|
Insj perq vad r hrt venous
|
$2,437.00 |
$2,437.00 |
$2,437.00 |
$3,796.00
|
|
Ins picad w subq port 5yr>
|
$12,747.00 |
$12,747.00 |
$12,747.00 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$7,806.00 |
$7,806.00 |
$7,806.00 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$3,838.50 |
$3,838.50 |
$3,838.50 |
$5,377.00
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$46,905.50 |
$46,905.50 |
$46,905.50 |
$25,694.00
|
|
Ins tun cv cath wo subq prt/pm
|
$3,269.00 |
$3,269.00 |
$3,269.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,151.50 |
$3,151.50 |
$3,151.50 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$886.50 |
$886.50 |
$886.50 |
$1,065.00
|
|
Insulin total
|
$82.50 |
$82.50 |
$82.50 |
$66.64
|
|
Integra meshed bil wound mat
|
$298.50 |
$298.50 |
$298.50 |
$9,924.16
|
|
Intens cardiac rehab no exer
|
$137.50 |
$137.50 |
$137.50 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$137.50 |
$137.50 |
$137.50 |
$238.40
|
|
Interdiscal perq aspir dx
|
$551.00 |
$551.00 |
$551.00 |
$1,222.26
|
|
Interfyl, 1 mg
|
$22.00 |
$22.00 |
$22.00 |
$4,656.80
|
|
Interrogation vad in person
|
$251.00 |
$251.00 |
$251.00 |
$296.40
|
|
Interrog device eval heart
|
$71.50 |
$71.50 |
$71.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$43.50 |
$43.50 |
$43.50 |
$124.80
|
|
Intra-atrial pacing
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$4,780.80
|
|
Intra-atrial recording
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,887.50 |
$4,887.50 |
$4,887.50 |
$3,461.04
|
|
Intracranial complete study
|
$284.50 |
$284.50 |
$284.50 |
$874.99
|
|
Intracranial limited study
|
$115.00 |
$115.00 |
$115.00 |
$465.01
|
|
Intrapul surf admin endo tube
|
$146.00 |
$146.00 |
$146.00 |
$220.80
|
|
Intraventricular pacing
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$59.00 |
$59.00 |
$59.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,260.50 |
$1,260.50 |
$1,260.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$8,891.50 |
$8,891.50 |
$8,891.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$17,970.00 |
$17,970.00 |
$17,970.00 |
$16,262.40
|
|
Intro catheter aorta
|
$158.50 |
$158.50 |
$158.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$385.50 |
$385.50 |
$385.50 |
$1,323.27
|
|
Intro long gi tube w/mult fluo
|
$351.50 |
$351.50 |
$351.50 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,562.00 |
$3,562.00 |
$3,562.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$625.00 |
$625.00 |
$625.00 |
$598.80
|
|
Ionm in operatng room 15 min
|
$311.50 |
$311.50 |
$311.50 |
$200.16
|
|
Iron
|
$113.00 |
$113.00 |
$113.00 |
$72.29
|
|
Iron binding capacity
|
$61.50 |
$61.50 |
$61.50 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$128.50 |
$128.50 |
$128.50 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$63.00 |
$63.00 |
$63.00 |
$144.62
|
|
Ivc venogram s&i
|
$3,598.00 |
$3,598.00 |
$3,598.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$96.50 |
$96.50 |
$96.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$97.00 |
$97.00 |
$97.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$101.00 |
$101.00 |
$101.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$209.00 |
$209.00 |
$209.00 |
$437.45
|
|
Ivp w/nephrotomography
|
$510.00 |
$510.00 |
$510.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$510.00 |
$510.00 |
$510.00 |
$692.18
|
|
John cunningham antibody
|
$99.00 |
$99.00 |
$99.00 |
$66.31
|
|
Kafo femoral fx cast rigid
|
$7,200.00 |
$7,200.00 |
$7,200.00 |
$2,162.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$209.50 |
$209.50 |
$209.50 |
$58.50
|
|
Kidney imaging morphology
|
$488.00 |
$488.00 |
$488.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$725.50 |
$725.50 |
$725.50 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$725.50 |
$725.50 |
$725.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$333.50 |
$333.50 |
$333.50 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$3,998.50 |
$3,998.50 |
$3,998.50 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$13,536.00 |
$13,536.00 |
$13,536.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$49,871.50 |
$49,871.50 |
$49,871.50 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$30,858.50 |
$30,858.50 |
$30,858.50 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,003.50 |
$2,003.50 |
$2,003.50 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$370.00 |
$370.00 |
$370.00 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$13,258.00 |
$13,258.00 |
$13,258.00 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,254.50 |
$2,254.50 |
$2,254.50 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$4,880.00 |
$4,880.00 |
$4,880.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,914.50 |
$3,914.50 |
$3,914.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,217.50 |
$3,217.50 |
$3,217.50 |
$2,110.76
|
|
Knee X-ray
|
$436.00 |
$436.00 |
$436.00 |
$425.55
|
|
Ko derot ant cruciate custom
|
$57.50 |
$57.50 |
$57.50 |
$1,694.30
|
