|
Inj ontruzant 10 mg
|
$6,676.27 |
$6,676.27 |
$6,676.27 |
$6,706.27
|
|
Inj, pedmark, 100 mg
|
$7.55 |
$7.55 |
$7.55 |
$123.00
|
|
Inj., perseris, 0.5 mg
|
$11,827.27 |
$11,827.27 |
$11,827.27 |
$5,372.48
|
|
Inj, releuko 1 mcg
|
$412.13 |
$412.13 |
$412.13 |
$461.20
|
|
Inj secukinumab intrav 1mg
|
$3,565.07 |
$3,565.07 |
$3,565.07 |
$4,485.92
|
|
Inj, spesolimab-sbzo, 1 mg
|
$90,406.62 |
$90,406.62 |
$90,406.62 |
$83,709.85
|
|
Inj sulf hexa lipid microsph
|
$520.09 |
$520.09 |
$520.09 |
$256.14
|
|
Inj. teprotumumab-trbw 10 mg
|
$29,190.70 |
$29,190.70 |
$29,190.70 |
$36,385.12
|
|
Inj thrc fascial pln blk bi w/wo image
|
$1,216.20 |
$1,216.20 |
$1,216.20 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$653.40 |
$653.40 |
$653.40 |
$818.00
|
|
Inj. tigecycline (accord)
|
$97.75 |
$97.75 |
$97.75 |
$182.46
|
|
Inj., tildrakizumab, 1 mg
|
$29,097.53 |
$29,097.53 |
$29,097.53 |
$27,967.38
|
|
Inj, tyenne, 1 mg
|
$3,172.61 |
$3,172.61 |
$3,172.61 |
$3,525.12
|
|
Inj, uzedy, 1 mg
|
$0.01 |
$0.01 |
$0.01 |
$11,475.96
|
|
Inj vancomycin (xellia) 10mg
|
$94.25 |
$94.25 |
$94.25 |
$79.21
|
|
Inj vocal cord bulking agent
|
$2,909.06 |
$2,909.06 |
$2,909.06 |
$1,480.00
|
|
Insert and remove bone pin
|
$2,143.20 |
$2,143.20 |
$2,143.20 |
$4,421.00
|
|
Insert cath pleura with image
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,254.00 |
$1,254.00 |
$1,254.00 |
$2,019.00
|
|
Insertion catheter bladder non indwelling
|
$205.20 |
$205.20 |
$205.20 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$204.60 |
$204.60 |
$204.60 |
$229.32
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$5,243.40 |
$5,243.40 |
$5,243.40 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,071.60 |
$1,071.60 |
$1,071.60 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$5,877.60 |
$5,877.60 |
$5,877.60 |
$7,513.67
|
|
In situ hybridization per specimen each additional single probe stain
|
$166.20 |
$166.20 |
$166.20 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$502.80 |
$502.80 |
$502.80 |
$326.04
|
|
Insole orthotic freedom sz6 6816
|
$263.20 |
$263.20 |
$263.20 |
$84.00
|
|
Insulin total
|
$45.00 |
$45.00 |
$45.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$18,284.98 |
$18,284.98 |
$18,284.98 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$59,975.09 |
$59,975.09 |
$59,975.09 |
$9,924.00
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$13,793.28 |
$13,793.28 |
$13,793.28 |
$3,825.00
|
|
Interdental fixation
|
$999.60 |
$999.60 |
$999.60 |
$2,162.05
|
|
Interfyl, 1 mg
|
$7,915.80 |
$7,915.80 |
$7,915.80 |
$5,118.52
|
|
Intraoral i+d tongue/floor lingual 41000
|
$822.00 |
$822.00 |
$822.00 |
$1,445.00
|
|
Intrinsic factor antibody
|
$58.80 |
$58.80 |
$58.80 |
$66.60
|
|
Intubation endotracheal emergency procedure
|
$630.00 |
$630.00 |
$630.00 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$28.70 |
$28.70 |
$28.70 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$369.29 |
$369.29 |
$369.29 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$65,193.98 |
$65,193.98 |
$65,193.98 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$4.80 |
$4.80 |
$4.80 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$163.87
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,362.20 |
$5,362.20 |
$5,362.20 |
$5,476.68
|
|
Iron
|
$358.20 |
$358.20 |
$358.20 |
$74.40
|
|
Iron binding capacity
|
$34.20 |
$34.20 |
$34.20 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$92.40 |
$92.40 |
$92.40 |
$142.20
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$7,829.28 |
$7,829.28 |
$7,829.28 |
$8,273.35
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$118.80 |
$118.80 |
$118.80 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$81.60 |
$81.60 |
$81.60 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$84.60 |
$84.60 |
$84.60 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$359.40 |
$359.40 |
$359.40 |
$439.56
|
|
Ixabepilone 15 mg intravenous solution
|
$10,878.62 |
$10,878.62 |
$10,878.62 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$643.80 |
$643.80 |
$643.80 |
$379.87
|
|
Kafo dbl solid stirrup band/
|
$3,932.61 |
$3,932.61 |
$3,932.61 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$3,865.45 |
$3,865.45 |
$3,865.45 |
$2,562.92
|
|
Kafo fem fx cast molded to p
|
$5,788.78 |
$5,788.78 |
$5,788.78 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$4,112.42 |
$4,112.42 |
$4,112.42 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$4,087.96 |
$4,087.96 |
$4,087.96 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$4,500.45 |
$4,500.45 |
$4,500.45 |
$2,138.81
|
|
Kafo pla sin up w/wo k/a cus
|
$7,249.49 |
$7,249.49 |
$7,249.49 |
$4,806.65
|
|
Kafo plas sing free knee mol
|
$5,917.93 |
$5,917.93 |
$5,917.93 |
$3,923.78
|
|
Kafo plastic pediatric size
|
$618.22 |
$618.22 |
$618.22 |
$409.90
|
|
Kafo sing fre stirr thi/calf
|
$3,992.09 |
$3,992.09 |
$3,992.09 |
$2,646.89
|
|
Kafo sng/dbl mechanical act
|
$14,623.09 |
$14,623.09 |
$14,623.09 |
$9,695.60
|
|
Kafo sng solid stirrup without j
|
$3,113.80 |
$3,113.80 |
$3,113.80 |
$2,064.55
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$69.60 |
$69.60 |
$69.60 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$15.30 |
$15.30 |
$15.30 |
$23.50
|
|
Kidney imag w/bld flow multi
|
$927.00 |
$927.00 |
$927.00 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$908.40 |
$908.40 |
$908.40 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$241.80 |
$241.80 |
$241.80 |
$666.00
|
|
Kit case 4.2mm spinejack
|
$16,484.65 |
$16,484.65 |
$16,484.65 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$18,602.13 |
$18,602.13 |
$18,602.13 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$104,488.56 |
$104,488.56 |
$104,488.56 |
$30,006.00
|
|
Kit ipg optimizer smart
|
$102,905.40 |
$102,905.40 |
$102,905.40 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$43,536.90 |
$43,536.90 |
$43,536.90 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,909.06 |
$2,909.06 |
$2,909.06 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$53,736.37 |
$53,736.37 |
$53,736.37 |
$740.00
|
|
Kit sound processor cochlear osia 2
|
$47,285.03 |
$47,285.03 |
$47,285.03 |
$10,164.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,101.69 |
$3,101.69 |
$3,101.69 |
$2,089.15
|
|
Knee control condylar pad
|
$291.46 |
$291.46 |
$291.46 |
$193.25
|
|
Knee control full kneecap
|
$292.65 |
$292.65 |
$292.65 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$511.56 |
$511.56 |
$511.56 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$511.56 |
$511.56 |
$511.56 |
$289.44
|
|
Knee joint cam lock each joi
|
$433.55 |
$433.55 |
$433.55 |
$287.46
|
|
Knee joint drop lock ea jnt
|
$283.03 |
$283.03 |
$283.03 |
$175.45
|
|
Knee lift loop drop lock rin
|
$418.55 |
$418.55 |
$418.55 |
$242.92
|
|
Knee MRI (with and without contrast)
|
$2,855.40 |
$2,855.40 |
$2,855.40 |
$3,034.80
|
|
Knee MRI (without contrast)
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$2,169.60
|
|
Knee orth pos locking joint
|
$1,050.27 |
$1,050.27 |
$1,050.27 |
$585.60
|
|
Knee X-ray
|
$229.20 |
$229.20 |
$229.20 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$2,052.56 |
$2,052.56 |
$2,052.56 |
$1,360.92
|
|
Ko dbl upright w/air pre ots
|
$2,052.56 |
$2,052.56 |
$2,052.56 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$3,355.94 |
$3,355.94 |
$3,355.94 |
$2,225.10
|
|
Ko elastic w/joints pre ots
|
$287.78 |
$287.78 |
$287.78 |
$147.59
|
|
Ko rigid without joints pre ots
|
$476.09 |
$476.09 |
$476.09 |
$214.97
|
|
Ko single upright prefab ots
|
$3,201.98 |
$3,201.98 |
$3,201.98 |
$928.28
|
|
Ko supracondylar socket mold
|
$4,449.95 |
$4,449.95 |
$4,449.95 |
$2,950.46
|
|
Ko swedish type pre ots
|
$1,016.66 |
$1,016.66 |
$1,016.66 |
$604.50
|
