|
IV Fluids (first hour)
|
$72.00 |
$72.00 |
$558.06 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$98.19 |
$98.19 |
$240.85 |
$162.00
|
|
IV inj ra drug dx study
|
$282.78 |
$282.78 |
$748.44 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$108.00 |
$108.00 |
$243.30 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$72.00 |
$72.00 |
$208.30 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$144.00 |
$144.00 |
$506.74 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$196.94 |
$196.94 |
$196.94 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$107.55 |
$107.55 |
$240.88 |
$166.80
|
|
IV Push Injection (first drug)
|
$90.00 |
$90.00 |
$304.45 |
$254.52
|
|
Ivp w/nephrotomography
|
$673.90 |
$673.90 |
$673.90 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$532.53 |
$532.53 |
$823.10 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$10,695.32 |
$10,695.32 |
$10,695.32 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$378.30 |
$378.30 |
$378.30 |
$405.00
|
|
Jaw arthroscopy/surgery
|
$4,913.60 |
$4,913.60 |
$4,913.60 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$5,669.53 |
$5,669.53 |
$5,669.53 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$84.87 |
$84.87 |
$268.76 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$135.27 |
$135.27 |
$361.61 |
$362.05
|
|
Jejunstmy tube plcmt
|
$1,938.30 |
$1,938.30 |
$1,938.30 |
$2,174.40
|
|
John cunningham antibody
|
$184.84 |
$184.84 |
$184.84 |
$78.60
|
|
Keratoprosthesis
|
$9,103.00 |
$9,103.00 |
$9,103.00 |
$10,476.00
|
|
Ketogenic steroids fract
|
$92.66 |
$92.66 |
$92.66 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.36 |
$36.36 |
$75.73 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$9.54 |
$9.54 |
$29.52 |
$23.50
|
|
Kidney endoscopy
|
$1,737.34 |
$1,737.34 |
$1,737.34 |
$5,110.00
|
|
Kidney endoscopy
|
$649.08 |
$649.08 |
$4,065.97 |
$5,728.00
|
|
Kidney endoscopy
|
$949.04 |
$949.04 |
$949.04 |
$4,081.37
|
|
Kidney endoscopy
|
$4,751.59 |
$4,751.59 |
$4,751.59 |
$5,741.00
|
|
Kidney endoscopy & biopsy
|
$3,850.20 |
$3,850.20 |
$3,850.20 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$821.69 |
$821.69 |
$821.69 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$4,100.26 |
$4,100.26 |
$4,100.26 |
$9,744.00
|
|
Kidney endoscopy & treatment
|
$4,965.89 |
$4,965.89 |
$4,965.89 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$4,565.45 |
$4,565.45 |
$4,565.45 |
$7,431.20
|
|
Kidney endoscopy & treatment
|
$3,505.24 |
$3,505.24 |
$3,505.24 |
$5,626.86
|
|
Kidney function study
|
$746.54 |
$746.54 |
$746.54 |
$935.22
|
|
Kidney imaging (3d)
|
$1,263.94 |
$1,263.94 |
$1,263.94 |
$472.92
|
|
Kidney imaging morphology
|
$440.46 |
$440.46 |
$997.30 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$858.42 |
$858.42 |
$1,293.28 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$869.58 |
$869.58 |
$1,465.10 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$321.39 |
$321.39 |
$673.36 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$305.19 |
$305.19 |
$537.62 |
$492.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$19.08 |
$19.08 |
$19.08 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,585.18 |
$9,585.18 |
$9,585.18 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$420.00 |
$420.00 |
$420.00 |
$374.40
|
|
Kit hfx iq ipg bundle
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$20,394.00 |
$20,394.00 |
$20,394.00 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,867.64 |
$1,867.64 |
$1,867.64 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$288.32 |
$288.32 |
$288.32 |
$360.12
|
|
Kit sound processor cochlear osia 2
|
$10,653.60 |
$10,653.60 |
$10,653.60 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,541.00 |
$2,541.00 |
$2,541.00 |
$2,254.50
|
|
Kit trach suct cls 30.5cm
|
$45.45 |
$45.45 |
$45.45 |
$35.26
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$4,712.46 |
$4,712.46 |
$4,712.46 |
$4,627.00
|
|
Knee arthroscopy/drainage
|
$6,051.53 |
$6,051.53 |
$6,051.53 |
$3,986.00
|
|
Knee arthroscopy dx
|
$3,980.03 |
$3,980.03 |
$3,980.03 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$5,896.44 |
$5,896.44 |
$5,896.44 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$2,834.77 |
$2,834.77 |
$2,834.77 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$2,974.01 |
$2,974.01 |
$2,974.01 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$4,741.58 |
$4,741.58 |
$4,741.58 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$5,782.54 |
$5,782.54 |
$5,782.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,816.80 |
$3,816.80 |
$3,816.80 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$4,823.89 |
$4,823.89 |
$4,823.89 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,058.94 |
$4,058.94 |
$4,058.94 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,706.11 |
$5,706.11 |
$5,706.11 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$6,045.65 |
$6,045.65 |
$6,045.65 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$5,189.18 |
$5,189.18 |
$5,189.18 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$3,989.60 |
$3,989.60 |
$3,989.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,346.10 |
$3,346.10 |
$3,346.10 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$3,543.86 |
$3,543.86 |
$3,543.86 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$6,243.34 |
$6,243.34 |
$6,243.34 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$10,477.98 |
$10,477.98 |
$10,477.98 |
$6,839.00
|
|
Knee control full kneecap
|
$224.86 |
$224.86 |
$224.86 |
$192.00
|
|
Knee MRI (with and without contrast)
|
$1,460.43 |
$1,460.43 |
$3,008.26 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$1,744.74 |
$1,744.74 |
$2,201.09 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$959.58 |
$959.58 |
$2,159.09 |
$2,122.12
|
|
Knee orth pos locking joint
|
$233.52 |
$233.52 |
$233.52 |
$585.60
|
|
Knee X-ray
|
$147.60 |
$147.60 |
$500.23 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$121.50 |
$121.50 |
$277.32 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$134.37 |
$134.37 |
$347.83 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$243.09 |
$243.09 |
$289.34 |
$252.50
|
|
Ko elastic w/joints pre ots
|
$166.35 |
$166.35 |
$166.35 |
$137.05
|
|
Ko single upright pre cst
|
$522.58 |
$522.58 |
$522.58 |
$988.40
|
|
Kras gene addl variants
|
$342.22 |
$342.22 |
$342.22 |
$387.20
|
|
Kras gene variants exon 2
|
$411.21 |
$411.21 |
$570.29 |
$536.20
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$1,949.45 |
$1,949.45 |
$1,949.45 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$1,949.45 |
$1,949.45 |
$1,949.45 |
$70.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$4.68 |
$4.68 |
$39.60 |
$33.60
|
|
Labioplasty 56800
|
$3,905.53 |
$3,905.53 |
$3,905.53 |
$3,905.53
|
|
Lab pathology consultation
|
$52.32 |
$52.32 |
$52.32 |
$48.44
|
|
Lab pathology consultation
|
$80.21 |
$80.21 |
$80.21 |
$403.70
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$260.98 |
$260.98 |
$260.98 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$49.77 |
$49.77 |
$59.42 |
$55.50
|
|
Lactated ringers intravenous solution
|
$30.78 |
$30.78 |
$56.23 |
$43.74
|
|
Lactation class
|
$111.20 |
$111.20 |
$111.20 |
$104.96
|
|
Lactic acid
|
$33.48 |
$33.48 |
$105.31 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$90.49 |
$90.49 |
$90.49 |
$82.40
|
|
Lactoferrin fecal quant
|
$44.46 |
$44.46 |
$106.10 |
$108.93
|
|
Lam facetec & foramot crv
|
$8,726.03 |
$8,726.03 |
$8,726.03 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$8,860.54 |
$8,860.54 |
$8,860.54 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$10,637.15 |
$10,637.15 |
$10,637.15 |
$8,453.60
|
|
Laminotomy single cervical
|
$8,996.16 |
$8,996.16 |
$8,996.16 |
$8,412.89
|
|
Laminotomy single lumbar
|
$10,775.23 |
$10,775.23 |
$10,775.23 |
$8,453.60
|