|
Insj perq vad r hrt venous
|
$1,723.20 |
$1,723.20 |
$1,723.20 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$18,552.00 |
$18,552.00 |
$18,552.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$3,305.60 |
$3,305.60 |
$3,305.60 |
$2,477.24
|
|
Ins mark thor for right perq
|
$2,988.80 |
$2,988.80 |
$2,988.80 |
$2,503.80
|
|
Insole orthotic freedom sz6 6816
|
$12.80 |
$12.80 |
$12.80 |
$84.00
|
|
Ins picad w subq port 5yr>
|
$6,184.80 |
$6,184.80 |
$6,184.80 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,251.20 |
$2,251.20 |
$2,251.20 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$36,098.40 |
$36,098.40 |
$36,098.40 |
$24,159.72
|
|
Ins pm gen w/exist mlt leads
|
$27,503.20 |
$27,503.20 |
$27,503.20 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$26,552.00 |
$26,552.00 |
$26,552.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$17,504.00 |
$17,504.00 |
$17,504.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$13,994.40 |
$13,994.40 |
$13,994.40 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$17,368.00 |
$17,368.00 |
$17,368.00 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$56,256.80 |
$56,256.80 |
$56,256.80 |
$27,318.11
|
|
Inst fibrinolysis agent ini day
|
$1,334.40 |
$1,334.40 |
$1,334.40 |
$1,043.35
|
|
Inst fibrinolysis agent sbsq d
|
$1,217.60 |
$1,217.60 |
$1,217.60 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$527.20 |
$527.20 |
$527.20 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$4,868.80 |
$4,868.80 |
$4,868.80 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$5,633.60 |
$5,633.60 |
$5,633.60 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$5,904.00 |
$5,904.00 |
$5,904.00 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,074.68
|
|
Ins vag brachytx device
|
$2,985.60 |
$2,985.60 |
$2,985.60 |
$950.00
|
|
Interdental fixation
|
$5,102.40 |
$5,102.40 |
$5,102.40 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$3,039.20 |
$3,039.20 |
$3,039.20 |
$1,222.26
|
|
Interrog device eval heart
|
$1,548.80 |
$1,548.80 |
$1,548.80 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$136.00 |
$136.00 |
$136.00 |
$127.20
|
|
Intra-atrial pacing
|
$6,196.80 |
$6,196.80 |
$6,196.80 |
$4,850.82
|
|
Intra-atrial recording
|
$6,436.80 |
$6,436.80 |
$6,436.80 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$2,382.40 |
$2,382.40 |
$2,382.40 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$6,890.40 |
$6,890.40 |
$6,890.40 |
$8,145.50
|
|
Intracranial angioplasty
|
$5,504.00 |
$5,504.00 |
$5,504.00 |
$5,181.00
|
|
Intracranial complete study
|
$1,208.80 |
$1,208.80 |
$1,208.80 |
$881.50
|
|
Intracranial limited study
|
$846.40 |
$846.40 |
$846.40 |
$467.50
|
|
Intrauterine transfusion ftl
|
$2,896.80 |
$2,896.80 |
$2,896.80 |
$1,063.50
|
|
Intraventricular pacing
|
$6,888.80 |
$6,888.80 |
$6,888.80 |
$5,456.17
|
|
Intro cath dialysis circuit
|
$3,960.00 |
$3,960.00 |
$3,960.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$18,953.60 |
$18,953.60 |
$18,953.60 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$26,214.40 |
$26,214.40 |
$26,214.40 |
$16,262.40
|
|
Intro catheter aorta
|
$2,425.60 |
$2,425.60 |
$2,425.60 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,492.00 |
$2,492.00 |
$2,492.00 |
$1,323.27
|
|
Intro long gi tube
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$892.00 |
$892.00 |
$892.00 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,764.80 |
$3,764.80 |
$3,764.80 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,132.80 |
$3,132.80 |
$3,132.80 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$396.80 |
$396.80 |
$396.80 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$658.40 |
$658.40 |
$658.40 |
$386.37
|
|
Ionm in operatng room 15 min
|
$260.00 |
$260.00 |
$260.00 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$18.00 |
$18.00 |
$18.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$900.00 |
$900.00 |
$900.00 |
$279.10
|
|
Io rad tx delivery by x-ray
|
$16,071.20 |
$16,071.20 |
$16,071.20 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$19,697.11 |
$19,697.11 |
$19,697.11 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$0.96 |
$0.96 |
$0.96 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$289.24 |
$289.24 |
$289.24 |
$173.98
|
|
Iron dextran 50 mg/ml injection solution
|
$332.00 |
$332.00 |
$332.00 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$162.68 |
$162.68 |
$162.68 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$104.84 |
$104.84 |
$104.84 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$144.00 |
$144.00 |
$144.00 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$9,300.00 |
$9,300.00 |
$9,300.00 |
$8,273.35
|
|
Ivc venogram s&i
|
$5,555.20 |
$5,555.20 |
$5,555.20 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$203.20 |
$203.20 |
$203.20 |
$133.90
|
|
IV Fluids (first hour)
|
$490.40 |
$490.40 |
$490.40 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$255.20 |
$255.20 |
$255.20 |
$162.68
|
|
IV inj ra drug dx study
|
$792.80 |
$792.80 |
$792.80 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$292.80 |
$292.80 |
$292.80 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$245.60 |
$245.60 |
$245.60 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$532.80 |
$532.80 |
$532.80 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$273.60 |
$273.60 |
$273.60 |
$167.50
|
|
IV Push Injection (first drug)
|
$391.20 |
$391.20 |
$391.20 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$1,124.80 |
$1,124.80 |
$1,124.80 |
$713.40
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$432.00 |
$432.00 |
$432.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$607.20 |
$607.20 |
$607.20 |
$362.05
|
|
Kerecis marigen shld sq cm
|
$1,771.20 |
$1,771.20 |
$1,771.20 |
$1.00
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$1,245.72 |
$1,245.72 |
$1,245.72 |
$23.52
|
|
Kidney function study
|
$1,772.80 |
$1,772.80 |
$1,772.80 |
$935.22
|
|
Kidney img w/bldflw sgl without rx
|
$1,810.40 |
$1,810.40 |
$1,810.40 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,036.00 |
$1,036.00 |
$1,036.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$712.80 |
$712.80 |
$712.80 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$11,662.40 |
$11,662.40 |
$11,662.40 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$13,160.00 |
$13,160.00 |
$13,160.00 |
$9,423.50
|
|
Kit hfx iq ipg bundle
|
$46,908.80 |
$46,908.80 |
$46,908.80 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$18,040.80 |
$18,040.80 |
$18,040.80 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$4,116.00 |
$4,116.00 |
$4,116.00 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$820.80 |
$820.80 |
$820.80 |
$360.12
|
|
Kit sound processor cochlear osia 2
|
$7,744.80 |
$7,744.80 |
$7,744.80 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,537.60 |
$4,537.60 |
$4,537.60 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$4,594.40 |
$4,594.40 |
$4,594.40 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,850.40 |
$3,850.40 |
$3,850.40 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,284.80 |
$3,284.80 |
$3,284.80 |
$2,130.88
|
|
Knee X-ray
|
$604.00 |
$604.00 |
$604.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$397.60 |
$397.60 |
$397.60 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$406.40 |
$406.40 |
$406.40 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$403.20 |
$403.20 |
$403.20 |
$251.20
|
|
Ko elastic w/joints pre ots
|
$1,827.20 |
$1,827.20 |
$1,827.20 |
$137.05
|
|
Ko single upright pre cst
|
$856.00 |
$856.00 |
$856.00 |
$988.40
|
|
Ko w adj flex/ext rotat mold
|
$772.80 |
$772.80 |
$772.80 |
$2,418.09
|
|
Kyleena, 19.5 mg
|
$676.02 |
$676.02 |
$676.02 |
$2,125.00
|
|
Kyphosis pad
|
$420.00 |
$420.00 |
$420.00 |
$232.96
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$320.00 |
$320.00 |
$320.00 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$315.99 |
$315.99 |
$315.99 |
$33.60
|
