|
Interrog device eval heart
|
$105.00 |
$105.00 |
$105.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$96.00 |
$96.00 |
$96.00 |
$124.80
|
|
Intra-atrial pacing
|
$2,461.80 |
$2,461.80 |
$2,461.80 |
$4,780.80
|
|
Intracard echo interv w/s&i
|
$3,502.20 |
$3,502.20 |
$3,502.20 |
$3,461.04
|
|
Intrapul surf admin endo tube
|
$175.80 |
$175.80 |
$175.80 |
$220.80
|
|
Intrinsic factor antibody
|
$70.20 |
$70.20 |
$70.20 |
$63.15
|
|
Intro catheter aorta
|
$1,833.60 |
$1,833.60 |
$1,833.60 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,588.20 |
$1,588.20 |
$1,588.20 |
$1,323.27
|
|
Intro long gi tube
|
$869.40 |
$869.40 |
$869.40 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$696.60 |
$696.60 |
$696.60 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$67,516.24 |
$67,516.24 |
$67,516.24 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$24,094.81 |
$24,094.81 |
$24,094.81 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$995.40 |
$995.40 |
$995.40 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$465.26 |
$465.26 |
$465.26 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$653.76 |
$653.76 |
$653.76 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$108,656.64 |
$108,656.64 |
$108,656.64 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$6.00 |
$6.00 |
$6.00 |
$3.75
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$17,337.78 |
$17,337.78 |
$17,337.78 |
$5,517.12
|
|
Iron
|
$114.60 |
$114.60 |
$114.60 |
$72.29
|
|
Iron binding capacity
|
$78.00 |
$78.00 |
$78.00 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$90.00 |
$90.00 |
$90.00 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$187.06 |
$187.06 |
$187.06 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$291.00 |
$291.00 |
$291.00 |
$144.62
|
|
Ivc venogram s&i
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$244.80 |
$244.80 |
$244.80 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$223.20 |
$223.20 |
$223.20 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$161.40 |
$161.40 |
$161.40 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$676.20 |
$676.20 |
$676.20 |
$437.45
|
|
Ixabepilone 15 mg intravenous solution
|
$11,724.74 |
$11,724.74 |
$11,724.74 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$676.20 |
$676.20 |
$676.20 |
$393.43
|
|
Kafo dbl solid stirrup band/
|
$5,165.78 |
$5,165.78 |
$5,165.78 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$5,077.55 |
$5,077.55 |
$5,077.55 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$7,604.00 |
$7,604.00 |
$7,604.00 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$5,401.97 |
$5,401.97 |
$5,401.97 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$5,369.84 |
$5,369.84 |
$5,369.84 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$5,911.68 |
$5,911.68 |
$5,911.68 |
$2,162.01
|
|
Kafo pla sin up w/wo k/a cus
|
$9,522.75 |
$9,522.75 |
$9,522.75 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$7,773.65 |
$7,773.65 |
$7,773.65 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$812.08 |
$812.08 |
$812.08 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$5,243.92 |
$5,243.92 |
$5,243.92 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$19,208.54 |
$19,208.54 |
$19,208.54 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$4,090.21 |
$4,090.21 |
$4,090.21 |
$1,834.11
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$55.80 |
$55.80 |
$55.80 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$1,967.40 |
$1,967.40 |
$1,967.40 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,352.60 |
$2,352.60 |
$2,352.60 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$21,653.84 |
$21,653.84 |
$21,653.84 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$24,435.30 |
$24,435.30 |
$24,435.30 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$137,253.60 |
$137,253.60 |
$137,253.60 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$135,174.00 |
$135,174.00 |
$135,174.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$57,189.00 |
$57,189.00 |
$57,189.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$3,821.27 |
$3,821.27 |
$3,821.27 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$70,586.77 |
$70,586.77 |
$70,586.77 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$62,112.46 |
$62,112.46 |
$62,112.46 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,074.30 |
$4,074.30 |
$4,074.30 |
$2,254.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$15,607.83 |
$15,607.83 |
$15,607.83 |
$4,499.12
|
|
Knee Arthroscopy (Meniscus Repair)
|
$14,125.60 |
$14,125.60 |
$14,125.60 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$12,658.40 |
$12,658.40 |
$12,658.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$14,906.86 |
$14,906.86 |
$14,906.86 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$57,260.59 |
$57,260.59 |
$57,260.59 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$49,657.76 |
$49,657.76 |
$49,657.76 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$91,596.62 |
$91,596.62 |
$91,596.62 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$91,596.62 |
$91,596.62 |
$91,596.62 |
$6,411.60
|
|
Knee control condylar pad
|
$382.85 |
$382.85 |
$382.85 |
$175.04
|
|
Knee control full kneecap
|
$384.41 |
$384.41 |
$384.41 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$671.97 |
$671.97 |
$671.97 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$671.97 |
$671.97 |
$671.97 |
$309.90
|
|
Knee joint cam lock each joi
|
$569.50 |
$569.50 |
$569.50 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$371.78 |
$371.78 |
$371.78 |
$175.45
|
|
Knee lift loop drop lock rin
|
$549.79 |
$549.79 |
$549.79 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$4,688.40 |
$4,688.40 |
$4,688.40 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,628.80 |
$3,628.80 |
$3,628.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,225.40 |
$2,225.40 |
$2,225.40 |
$2,110.76
|
|
Knee orth pos locking joint
|
$1,379.60 |
$1,379.60 |
$1,379.60 |
$585.60
|
|
Knee X-ray
|
$1,069.80 |
$1,069.80 |
$1,069.80 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$2,696.20 |
$2,696.20 |
$2,696.20 |
$1,208.98
|
|
Ko dbl upright w/air pre ots
|
$2,696.20 |
$2,696.20 |
$2,696.20 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$4,408.28 |
$4,408.28 |
$4,408.28 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$378.02 |
$378.02 |
$378.02 |
$137.05
|
|
Ko rigid without joints pre ots
|
$625.39 |
$625.39 |
$625.39 |
$214.97
|
|
Ko single upright prefab ots
|
$4,206.04 |
$4,206.04 |
$4,206.04 |
$928.28
|
|
Ko supracondylar socket mold
|
$5,845.34 |
$5,845.34 |
$5,845.34 |
$2,621.08
|
|
Ko swedish type pre ots
|
$1,335.47 |
$1,335.47 |
$1,335.47 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$3,748.48 |
$3,748.48 |
$3,748.48 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$5,484.68 |
$5,484.68 |
$5,484.68 |
$2,418.09
|
|
Kras gene addl variants
|
$640.20 |
$640.20 |
$640.20 |
$386.75
|
|
Kras gene variants exon 2
|
$2,574.60 |
$2,574.60 |
$2,574.60 |
$509.00
|
|
Kyphosis pad
|
$505.13 |
$505.13 |
$505.13 |
$232.96
|
|
Kyphosis pad floating
|
$728.80 |
$728.80 |
$728.80 |
$336.11
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$33.60
|
|
Lacer molded to patient mode
|
$1,721.08 |
$1,721.08 |
$1,721.08 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$234.08 |
$234.08 |
$234.08 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$219.60 |
$219.60 |
$219.60 |
$55.50
|
|
Lactated ringers intravenous solution
|
$171.00 |
$171.00 |
$171.00 |
$44.91
|
|
Lactic acid
|
$161.40 |
$161.40 |
$161.40 |
$107.00
|
|
Lactoferrin fecal quant
|
$200.40 |
$200.40 |
$200.40 |
$108.93
|
|
Lam facetec & foramot crv
|
$109,610.28 |
$109,610.28 |
$109,610.28 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$100,230.13 |
$100,230.13 |
$100,230.13 |
$8,412.89
|
|
Laminotomy single lumbar
|
$36,356.79 |
$36,356.79 |
$36,356.79 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$55,077.12 |
$55,077.12 |
$55,077.12 |
$19,124.00
|
