|
Intro cath svc/ivc
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$1,323.27
|
|
Intro long gi tube
|
$637.80 |
$637.80 |
$637.80 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$579.00 |
$579.00 |
$579.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,860.40 |
$3,860.40 |
$3,860.40 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$5,479.20 |
$5,479.20 |
$5,479.20 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$795.00 |
$795.00 |
$795.00 |
$598.80
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$613.74 |
$613.74 |
$636.00 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$108,656.64 |
$108,656.64 |
$108,656.64 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$27.00 |
$27.00 |
$27.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$149.70 |
$149.70 |
$171.34 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$14,835.42 |
$14,835.42 |
$16,980.30 |
$5,517.12
|
|
Iron
|
$358.20 |
$358.20 |
$358.20 |
$72.29
|
|
Iron binding capacity
|
$25.20 |
$25.20 |
$25.20 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$315.42 |
$315.42 |
$360.48 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$148.20 |
$148.20 |
$148.20 |
$144.62
|
|
Ivc venogram s&i
|
$4,657.20 |
$4,657.20 |
$4,657.20 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$222.00 |
$222.00 |
$222.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$105.00 |
$105.00 |
$105.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$127.20 |
$127.20 |
$127.20 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$435.00 |
$435.00 |
$435.00 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$1,015.80 |
$1,015.80 |
$1,015.80 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$30,097.53 |
$30,097.53 |
$34,448.98 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$709.80 |
$709.80 |
$709.80 |
$393.43
|
|
John cunningham antibody
|
$133.20 |
$133.20 |
$133.20 |
$66.31
|
|
Kafo dbl solid stirrup band/
|
$6,229.93 |
$6,229.93 |
$6,229.93 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$6,123.53 |
$6,123.53 |
$6,123.53 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$9,170.44 |
$9,170.44 |
$9,170.44 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$6,514.78 |
$6,514.78 |
$6,514.78 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$6,476.03 |
$6,476.03 |
$6,476.03 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$7,129.49 |
$7,129.49 |
$7,129.49 |
$2,162.01
|
|
Kafo pla sin up w/wo k/a cus
|
$11,484.44 |
$11,484.44 |
$11,484.44 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$9,375.03 |
$9,375.03 |
$9,375.03 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$979.37 |
$979.37 |
$979.37 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$6,324.17 |
$6,324.17 |
$6,324.17 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$23,165.52 |
$23,165.52 |
$23,165.52 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$4,932.80 |
$4,932.80 |
$4,932.80 |
$1,834.11
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$72.00 |
$72.00 |
$72.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$2,709.60 |
$2,709.60 |
$2,709.60 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$770.40 |
$770.40 |
$770.40 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$26,114.55 |
$26,114.55 |
$26,114.55 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$29,469.00 |
$29,469.00 |
$29,469.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$928.20 |
$928.20 |
$928.20 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$165,528.00 |
$165,528.00 |
$165,528.00 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$163,020.00 |
$163,020.00 |
$163,020.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$68,970.00 |
$68,970.00 |
$68,970.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$4,608.45 |
$4,608.45 |
$4,608.45 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$85,127.73 |
$85,127.73 |
$85,127.73 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$74,907.69 |
$74,907.69 |
$74,907.69 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,913.61 |
$4,913.61 |
$4,913.61 |
$2,254.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$13,747.14 |
$13,747.14 |
$13,747.14 |
$4,499.12
|
|
Knee Arthroscopy (Meniscus Repair)
|
$13,493.26 |
$13,493.26 |
$33,099.65 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$11,735.45 |
$11,735.45 |
$30,168.68 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$39,420.23 |
$39,420.23 |
$39,420.23 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$11,113.05 |
$11,113.05 |
$12,097.28 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$12,472.63 |
$12,472.63 |
$14,429.70 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$11,698.03 |
$11,698.03 |
$11,903.49 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$34,885.30 |
$34,885.30 |
$62,729.76 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$57,289.00 |
$57,289.00 |
$97,237.70 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$39,681.79 |
$39,681.79 |
$100,867.22 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$120,227.26 |
$120,227.26 |
$120,227.26 |
$6,411.60
|
|
Knee control condylar pad
|
$461.72 |
$461.72 |
$461.72 |
$175.04
|
|
Knee control full kneecap
|
$463.60 |
$463.60 |
$463.60 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$810.40 |
$810.40 |
$810.40 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$810.40 |
$810.40 |
$810.40 |
$309.90
|
|
Knee joint cam lock each joi
|
$686.81 |
$686.81 |
$686.81 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$448.37 |
$448.37 |
$448.37 |
$175.45
|
|
Knee lift loop drop lock rin
|
$663.05 |
$663.05 |
$663.05 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$2,684.40 |
$2,684.40 |
$2,684.40 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,202.00 |
$2,202.00 |
$2,202.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
$2,110.76
|
|
Knee orth pos locking joint
|
$1,663.81 |
$1,663.81 |
$1,663.81 |
$585.60
|
|
Knee X-ray
|
$519.00 |
$519.00 |
$519.00 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$3,251.62 |
$3,251.62 |
$3,251.62 |
$1,208.98
|
|
Ko dbl upright w/air pre ots
|
$3,251.62 |
$3,251.62 |
$3,251.62 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$5,316.40 |
$5,316.40 |
$5,316.40 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$455.89 |
$455.89 |
$455.89 |
$137.05
|
|
Ko rigid without joints pre ots
|
$754.22 |
$754.22 |
$754.22 |
$214.97
|
|
Ko single upright prefab ots
|
$5,072.49 |
$5,072.49 |
$5,072.49 |
$928.28
|
|
Ko supracondylar socket mold
|
$7,049.48 |
$7,049.48 |
$7,049.48 |
$2,621.08
|
|
Ko swedish type pre ots
|
$1,610.57 |
$1,610.57 |
$1,610.57 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$4,520.67 |
$4,520.67 |
$4,520.67 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$6,614.54 |
$6,614.54 |
$6,614.54 |
$2,418.09
|
|
Kras gene addl variants
|
$580.20 |
$580.20 |
$580.20 |
$386.75
|
|
Kras gene variants exon 2
|
$596.40 |
$596.40 |
$596.40 |
$509.00
|
|
Kyphosis pad
|
$609.19 |
$609.19 |
$609.19 |
$232.96
|
|
Kyphosis pad floating
|
$878.93 |
$878.93 |
$878.93 |
$336.11
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
$33.60
|
|
Lacer molded to patient mode
|
$2,075.62 |
$2,075.62 |
$2,075.62 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$83.10 |
$83.10 |
$93.00 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$73.80 |
$73.80 |
$73.80 |
$55.50
|
|
Lactated ringers intravenous solution
|
$105.00 |
$105.00 |
$108.00 |
$44.91
|
|
Lactation class
|
$175.20 |
$175.20 |
$175.20 |
$93.71
|
|
Lactic acid
|
$90.00 |
$90.00 |
$90.00 |
$107.00
|
|
Lactoferrin fecal quant
|
$181.20 |
$181.20 |
$181.20 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$128,187.98 |
$128,187.98 |
$128,187.98 |
$582.40
|
|
Lam facetec & foramot lumbar
|
$116,606.87 |
$116,606.87 |
$116,606.87 |
$8,412.89
|
|
Lam factc/frmt arthrd lum ea
|
$116,606.87 |
$116,606.87 |
$116,606.87 |
$492.80
|