|
Ins/rplcm prq eltrd ra pn ea
|
$14,173.20 |
$14,173.20 |
$14,173.20 |
$1,856.40
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$28,346.25 |
$28,346.25 |
$28,346.25 |
$13,802.89
|
|
Ins/rplc spi npg/rcvr pocket
|
$24,061.80 |
$24,061.80 |
$24,061.80 |
$23,746.69
|
|
Ins/rpl pm gen exist dual lead
|
$14,063.40 |
$14,063.40 |
$14,063.40 |
$11,408.40
|
|
Ins/rpl pm gen exist sgl lead
|
$13,247.55 |
$13,247.55 |
$13,247.55 |
$9,558.78
|
|
Ins/rpl pm w/tv ld atrl
|
$15,654.45 |
$15,654.45 |
$15,654.45 |
$12,371.40
|
|
Ins/rpl prph sac/gstr npg/r
|
$45,520.80 |
$45,520.80 |
$45,520.80 |
$15,339.48
|
|
Instill, bupivac and meloxic
|
$637.01 |
$637.01 |
$637.01 |
$687.60
|
|
Ins tun cv cath wo subq prt/pm
|
$3,045.90 |
$3,045.90 |
$3,045.90 |
$4,202.70
|
|
Insulin total
|
$22.14 |
$22.14 |
$22.14 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$5,124.80 |
$5,124.80 |
$5,124.80 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$486.69 |
$486.69 |
$486.69 |
$9,924.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,440.00 |
$4,440.00 |
$4,440.00 |
$3,825.00
|
|
Interferon alfa-2b inj
|
$1,409.92 |
$1,409.92 |
$1,409.92 |
$1,409.92
|
|
Interferon alfa-n3 inj
|
$59.64 |
$59.64 |
$59.64 |
$59.64
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$4,091.60 |
$4,091.60 |
$4,091.60 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$289.67 |
$289.67 |
$289.67 |
$1,662.71
|
|
Interfyl, 1 mg
|
$5,659.20 |
$5,659.20 |
$5,659.20 |
$5,118.52
|
|
Intra-atrial pacing
|
$10,164.90 |
$10,164.90 |
$10,164.90 |
$4,683.25
|
|
Intracard echo interv w/s&i
|
$7,396.05 |
$7,396.05 |
$7,396.05 |
$3,429.40
|
|
Intracranial complete study
|
$1,288.35 |
$1,288.35 |
$1,288.35 |
$900.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,536.00 |
$1,536.00 |
$1,536.00 |
$1,445.00
|
|
Intrapul surf admin endo tube
|
$155.55 |
$155.55 |
$155.55 |
$220.80
|
|
Intraventricular pacing
|
$4,440.30 |
$4,440.30 |
$4,440.30 |
$5,609.50
|
|
Intrinsic factor antibody
|
$157.80 |
$157.80 |
$157.80 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,545.15 |
$1,545.15 |
$1,545.15 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$9,720.45 |
$9,720.45 |
$9,720.45 |
$8,761.00
|
|
Intro catheter aorta
|
$1,654.05 |
$1,654.05 |
$1,654.05 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,572.75 |
$1,572.75 |
$1,572.75 |
$1,329.90
|
|
Intro long gi tube
|
$669.90 |
$669.90 |
$669.90 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$383.10 |
$383.10 |
$383.10 |
$449.40
|
|
Intro windpipe wire/tube
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$2,369.76
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$7,840.80 |
$7,840.80 |
$7,840.80 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$7,840.80 |
$7,840.80 |
$7,840.80 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$539.85 |
$539.85 |
$539.85 |
$589.60
|
|
Ionm in operatng room 15 min
|
$709.35 |
$709.35 |
$709.35 |
$191.40
|
|
Ionm remote/>1 pt or per hr
|
$2,835.15 |
$2,835.15 |
$2,835.15 |
$591.36
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$405.00 |
$405.00 |
$405.00 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$315.00 |
$315.00 |
$315.00 |
$279.10
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$763.50 |
$763.50 |
$763.50 |
$763.50
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$67,577.14 |
$67,577.14 |
$67,577.14 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$77.27 |
$77.27 |
$77.27 |
$163.87
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,476.68 |
$5,476.68 |
$5,476.68 |
$5,476.68
|
|
Iron
|
$217.80 |
$217.80 |
$217.80 |
$74.40
|
|
Iron binding capacity
|
$255.15 |
$255.15 |
$255.15 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$44.75 |
$44.75 |
$44.75 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$143.26 |
$143.26 |
$143.26 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$223.50 |
$223.50 |
$223.50 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$72.15 |
$72.15 |
$72.15 |
$142.20
|
|
Ivc venogram s&i
|
$2,899.95 |
$2,899.95 |
$2,899.95 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$394.35 |
$394.35 |
$394.35 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$61.50 |
$61.50 |
$61.50 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$59.70 |
$59.70 |
$59.70 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$449.55 |
$449.55 |
$449.55 |
$439.56
|
|
IV inj ra drug dx study
|
$510.45 |
$510.45 |
$510.45 |
$549.70
|
|
Ivp w/nephrotomography
|
$622.35 |
$622.35 |
$622.35 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$622.35 |
$622.35 |
$622.35 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$11,501.78 |
$11,501.78 |
$11,501.78 |
$10,695.32
|
|
Kafo dbl solid stirrup band/
|
$2,185.15 |
$2,185.15 |
$2,185.15 |
$2,185.15
|
|
Kafo fem fx cast molded to p
|
$3,130.66 |
$3,130.66 |
$3,130.66 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,130.02 |
$2,130.02 |
$2,130.02 |
$2,130.02
|
|
Kafo femoral fx cast rigid
|
$2,445.29 |
$2,445.29 |
$2,445.29 |
$2,138.81
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$71.10 |
$71.10 |
$71.10 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$19.68 |
$19.68 |
$19.68 |
$23.50
|
|
Kidney imaging morphology
|
$747.90 |
$747.90 |
$747.90 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,570.65 |
$1,570.65 |
$1,570.65 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,320.15 |
$1,320.15 |
$1,320.15 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$742.20 |
$742.20 |
$742.20 |
$666.00
|
|
Kit case 4.2mm spinejack
|
$9,996.00 |
$9,996.00 |
$9,996.00 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,280.00 |
$11,280.00 |
$11,280.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$30,006.00
|
|
Kit ipg optimizer smart
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$25,500.00 |
$25,500.00 |
$25,500.00 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$142.68 |
$142.68 |
$142.68 |
$740.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,908.80 |
$2,908.80 |
$2,908.80 |
$2,089.15
|
|
Kit trach suct cls 30.5cm
|
$39.81 |
$39.81 |
$39.81 |
$35.26
|
|
Knee control condylar pad
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$193.25
|
|
Knee disc/dial lock/adj flex
|
$288.41 |
$288.41 |
$288.41 |
$288.41
|
|
Knee joint drop lock ea jnt
|
$175.45 |
$175.45 |
$175.45 |
$175.45
|
|
Knee MRI (with and without contrast)
|
$3,700.05 |
$3,700.05 |
$3,700.05 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$3,482.70 |
$3,482.70 |
$3,482.70 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,169.60
|
|
Knee X-ray
|
$425.55 |
$425.55 |
$425.55 |
$425.55
|
|
Ko w adj flex/ext rotat mold
|
$4,285.97 |
$4,285.97 |
$4,285.97 |
$2,768.42
|
|
Kras gene variants exon 2
|
$826.80 |
$826.80 |
$826.80 |
$486.45
|
|
Kyleena, 19.5 mg
|
$2,345.64 |
$2,345.64 |
$2,345.64 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$28.37 |
$28.37 |
$28.37 |
$32.34
|
|
Lacer molded to patient mode
|
$775.69 |
$775.69 |
$775.69 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$52.20 |
$52.20 |
$52.20 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$201.00 |
$201.00 |
$201.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$45.56
|
|
Lactic acid
|
$193.65 |
$193.65 |
$193.65 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$75.00 |
$75.00 |
$75.00 |
$80.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,720.15 |
$3,720.15 |
$3,720.15 |
$2,480.71
|
|
Lead acuity x4 spiral l 86cm
|
$5,292.00 |
$5,292.00 |
$5,292.00 |
$5,488.00
|
|
Lead capillary
|
$17.40 |
$17.40 |
$17.40 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$10,944.00 |
$10,944.00 |
$10,944.00 |
$8,000.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,251.15 |
$1,251.15 |
$1,251.15 |
$1,088.26
|