|
Integra meshed bil wound mat
|
$187.00 |
$187.00 |
$187.00 |
$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
|
$620.00 |
$620.00 |
$620.00 |
$1,222.26
|
|
Interfyl, 1 mg
|
$14.00 |
$14.00 |
$14.00 |
$4,656.80
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$211.00 |
$211.00 |
$211.00 |
$220.80
|
|
Intrinsic factor antibody
|
$544.00 |
$544.00 |
$544.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$2,193.50 |
$2,193.50 |
$2,193.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$8,155.00 |
$8,155.00 |
$8,155.00 |
$8,690.50
|
|
Intro catheter aorta
|
$2,446.50 |
$2,446.50 |
$2,446.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$474.50 |
$474.50 |
$474.50 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$879.00 |
$879.00 |
$879.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$879.00 |
$879.00 |
$879.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$2,617.00 |
$2,617.00 |
$2,617.00 |
$598.80
|
|
Iron
|
$271.00 |
$271.00 |
$271.00 |
$72.29
|
|
Iron binding capacity
|
$271.00 |
$271.00 |
$271.00 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$124.00 |
$124.00 |
$124.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$295.50 |
$295.50 |
$295.50 |
$144.62
|
|
Ivc venogram s&i
|
$3,103.00 |
$3,103.00 |
$3,103.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$187.50 |
$187.50 |
$187.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$187.50 |
$187.50 |
$187.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$187.50 |
$187.50 |
$187.50 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$375.00 |
$375.00 |
$375.00 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$1,798.50 |
$1,798.50 |
$1,798.50 |
$692.18
|
|
John cunningham antibody
|
$25.00 |
$25.00 |
$25.00 |
$66.31
|
|
Kafo femoral fx cast rigid
|
$4,512.50 |
$4,512.50 |
$4,512.50 |
$2,162.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$76.50 |
$76.50 |
$76.50 |
$58.50
|
|
Kidney imaging morphology
|
$2,499.00 |
$2,499.00 |
$2,499.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$4,717.50 |
$4,717.50 |
$4,717.50 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$4,344.00 |
$4,344.00 |
$4,344.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,404.50 |
$2,404.50 |
$2,404.50 |
$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 hfx iq ipg bundle
|
$50,903.00 |
$50,903.00 |
$50,903.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$34,407.00 |
$34,407.00 |
$34,407.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$12,176.50 |
$12,176.50 |
$12,176.50 |
$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
|
$8,425.00 |
$8,425.00 |
$8,425.00 |
$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)
|
$3,615.50 |
$3,615.50 |
$3,615.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,287.00 |
$3,287.00 |
$3,287.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,009.50 |
$3,009.50 |
$3,009.50 |
$2,110.76
|
|
Knee X-ray
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$425.55
|
|
Ko derot ant cruciate custom
|
$54.50 |
$54.50 |
$54.50 |
$1,694.30
|
|
Ko swedish type pre ots
|
$484.00 |
$484.00 |
$484.00 |
$581.60
|
|
Kras gene variants exon 2
|
$306.50 |
$306.50 |
$306.50 |
$509.00
|
|
Lacer molded to patient mode
|
$882.50 |
$882.50 |
$882.50 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$157.50 |
$157.50 |
$157.50 |
$55.50
|
|
Lactic acid
|
$645.00 |
$645.00 |
$645.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$38.50 |
$38.50 |
$38.50 |
$81.00
|
|
Laryngeal function studies
|
$202.00 |
$202.00 |
$202.00 |
$335.40
|
|
Laryngoscopy telescopic
|
$369.50 |
$369.50 |
$369.50 |
$852.80
|
|
Lb with mastopexy 15839
|
$2,454.50 |
$2,454.50 |
$2,454.50 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$4,306.50 |
$4,306.50 |
$4,306.50 |
$5,534.00
|
|
Lead capillary
|
$309.00 |
$309.00 |
$309.00 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$10,978.50 |
$10,978.50 |
$10,978.50 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$5,238.50 |
$5,238.50 |
$5,238.50 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$3,960.50 |
$3,960.50 |
$3,960.50 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,489.00 |
$2,489.00 |
$2,489.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,816.00 |
$3,816.00 |
$3,816.00 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$2,050.50 |
$2,050.50 |
$2,050.50 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$234.00 |
$234.00 |
$234.00 |
$88.92
|
|
Liberta rc ipg
|
$74,725.50 |
$74,725.50 |
$74,725.50 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$437.00 |
$437.00 |
$437.00 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$208.50 |
$208.50 |
$208.50 |
$133.50
|
|
Limited ankle motion ea jnt
|
$119.00 |
$119.00 |
$119.00 |
$109.20
|
|
Lipase
|
$444.00 |
$444.00 |
$444.00 |
$91.65
|
|
Lipoprotein blood quant
|
$59.00 |
$59.00 |
$59.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$225.50 |
$225.50 |
$225.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$63.00 |
$63.00 |
$63.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$327.00 |
$327.00 |
$327.00 |
$69.42
|
|
Liver elastography 91200
|
$157.50 |
$157.50 |
$157.50 |
$280.00
|
|
Liver Function Test
|
$296.50 |
$296.50 |
$296.50 |
$115.44
|
|
Liver/spleen imag static only
|
$3,689.00 |
$3,689.00 |
$3,689.00 |
$1,123.50
|
|
Loop ostmy bridg ster
|
$21.00 |
$21.00 |
$21.00 |
$45.43
|
|
Low cost skin substitute app
|
$1,953.00 |
$1,953.00 |
$1,953.00 |
$933.60
|
|
Low cost skin substitute app
|
$1,953.00 |
$1,953.00 |
$1,953.00 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,953.00 |
$1,953.00 |
$1,953.00 |
$428.35
|
|
Low cost skin substitute app
|
$543.00 |
$543.00 |
$543.00 |
$408.04
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,056.00 |
$5,056.00 |
$5,056.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,736.50 |
$3,736.50 |
$3,736.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,599.50 |
$3,599.50 |
$3,599.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,366.50 |
$4,366.50 |
$4,366.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,615.50 |
$3,615.50 |
$3,615.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,009.50 |
$3,009.50 |
$3,009.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$757.00 |
$757.00 |
$757.00 |
$356.16
|
|
Lso corset front
|
$260.50 |
$260.50 |
$260.50 |
$207.32
|
|
Lso s/c shell/panel custom
|
$2,431.00 |
$2,431.00 |
$2,431.00 |
$2,252.16
|
|
Lung Function Test (Spirometry)
|
$466.00 |
$466.00 |
$466.00 |
$295.35
|
|
Lung perfusion imaging
|
$3,804.00 |
$3,804.00 |
$3,804.00 |
$1,059.97
|
|
Lvad shower bag heartmate
|
$1,093.00 |
$1,093.00 |
$1,093.00 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$2,904.50 |
$2,904.50 |
$2,904.50 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$380.50 |
$380.50 |
$380.50 |
$271.88
|
|
Magnesium
|
$302.50 |
$302.50 |
$302.50 |
$72.50
|
|
Mammosite ced
|
$4,580.50 |
$4,580.50 |
$4,580.50 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$156.00 |
$156.00 |
$156.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$258.50 |
$258.50 |
$258.50 |
$160.80
|
|
Marker biop eviva buckle ss
|
$2,463.00 |
$2,463.00 |
$2,463.00 |
$1,451.30
|
