|
Intro cath svc/ivc
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,753.60 |
$3,753.60 |
$3,753.60 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,325.80 |
$3,325.80 |
$3,325.80 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$546.60 |
$546.60 |
$546.60 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$1,188.88 |
$1,188.88 |
$1,188.88 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$863.55 |
$863.55 |
$863.55 |
$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
|
$10.20 |
$10.20 |
$10.20 |
$3.75
|
|
Iron
|
$78.60 |
$78.60 |
$78.60 |
$72.29
|
|
Iron binding capacity
|
$55.20 |
$55.20 |
$55.20 |
$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)
|
$151.03 |
$151.03 |
$151.03 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$115.20 |
$115.20 |
$115.20 |
$144.62
|
|
Ivc venogram s&i
|
$2,439.60 |
$2,439.60 |
$2,439.60 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$279.00 |
$279.00 |
$279.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$68.40 |
$68.40 |
$68.40 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$208.80 |
$208.80 |
$208.80 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$458.40 |
$458.40 |
$458.40 |
$437.45
|
|
Jak2 targeted sequence analysis
|
$612.60 |
$612.60 |
$612.60 |
$393.43
|
|
Kafo dbl solid stirrup band/
|
$4,602.40 |
$4,602.40 |
$4,602.40 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$4,523.80 |
$4,523.80 |
$4,523.80 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$6,774.71 |
$6,774.71 |
$6,774.71 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$4,812.83 |
$4,812.83 |
$4,812.83 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$4,784.21 |
$4,784.21 |
$4,784.21 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$5,266.96 |
$5,266.96 |
$5,266.96 |
$2,162.01
|
|
Kafo pla sin up w/wo k/a cus
|
$8,484.20 |
$8,484.20 |
$8,484.20 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$6,925.86 |
$6,925.86 |
$6,925.86 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$723.52 |
$723.52 |
$723.52 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$4,672.02 |
$4,672.02 |
$4,672.02 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$17,113.67 |
$17,113.67 |
$17,113.67 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$3,644.14 |
$3,644.14 |
$3,644.14 |
$1,834.11
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$49.20 |
$49.20 |
$49.20 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.41 |
$23.41 |
$23.41 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$848.40 |
$848.40 |
$848.40 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$2,178.60 |
$2,178.60 |
$2,178.60 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$637.80 |
$637.80 |
$637.80 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$19,292.28 |
$19,292.28 |
$19,292.28 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$21,770.40 |
$21,770.40 |
$21,770.40 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$122,284.80 |
$122,284.80 |
$122,284.80 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$120,432.00 |
$120,432.00 |
$120,432.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$50,952.00 |
$50,952.00 |
$50,952.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$3,404.52 |
$3,404.52 |
$3,404.52 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$62,888.62 |
$62,888.62 |
$62,888.62 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$55,338.50 |
$55,338.50 |
$55,338.50 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,629.96 |
$3,629.96 |
$3,629.96 |
$2,254.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$10,755.45 |
$10,755.45 |
$10,755.45 |
$4,499.12
|
|
Knee Arthroscopy (Meniscus Repair)
|
$10,374.89 |
$10,374.89 |
$10,374.89 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$12,875.12 |
$12,875.12 |
$12,875.12 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$14,729.92 |
$14,729.92 |
$14,729.92 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$12,743.67 |
$12,743.67 |
$12,743.67 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$34,469.57 |
$34,469.57 |
$34,469.57 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$12,039.83 |
$12,039.83 |
$12,039.83 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$34,469.57 |
$34,469.57 |
$34,469.57 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$10,690.99 |
$10,690.99 |
$10,690.99 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$34,508.99 |
$34,508.99 |
$34,508.99 |
$8,979.74
|
|
Knee control condylar pad
|
$341.10 |
$341.10 |
$341.10 |
$175.04
|
|
Knee control full kneecap
|
$342.49 |
$342.49 |
$342.49 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$598.69 |
$598.69 |
$598.69 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$598.69 |
$598.69 |
$598.69 |
$309.90
|
|
Knee joint cam lock each joi
|
$507.39 |
$507.39 |
$507.39 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$331.24 |
$331.24 |
$331.24 |
$175.45
|
|
Knee lift loop drop lock rin
|
$489.83 |
$489.83 |
$489.83 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$4,818.00 |
$4,818.00 |
$4,818.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,853.20 |
$3,853.20 |
$3,853.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,861.20 |
$4,861.20 |
$4,861.20 |
$2,110.76
|
|
Knee orth pos locking joint
|
$1,229.15 |
$1,229.15 |
$1,229.15 |
$585.60
|
|
Knee X-ray
|
$504.60 |
$504.60 |
$504.60 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$2,402.15 |
$2,402.15 |
$2,402.15 |
$1,208.98
|
|
Ko dbl upright w/air pre ots
|
$2,402.15 |
$2,402.15 |
$2,402.15 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$3,927.52 |
$3,927.52 |
$3,927.52 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$336.79 |
$336.79 |
$336.79 |
$137.05
|
|
Ko rigid without joints pre ots
|
$557.18 |
$557.18 |
$557.18 |
$214.97
|
|
Ko single upright prefab ots
|
$3,747.34 |
$3,747.34 |
$3,747.34 |
$928.28
|
|
Ko supracondylar socket mold
|
$5,207.85 |
$5,207.85 |
$5,207.85 |
$2,621.08
|
|
Ko swedish type pre ots
|
$1,189.82 |
$1,189.82 |
$1,189.82 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$3,339.67 |
$3,339.67 |
$3,339.67 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$4,886.53 |
$4,886.53 |
$4,886.53 |
$2,418.09
|
|
Kras gene addl variants
|
$755.40 |
$755.40 |
$755.40 |
$386.75
|
|
Kras gene variants exon 2
|
$788.40 |
$788.40 |
$788.40 |
$509.00
|
|
Kyphosis pad
|
$450.05 |
$450.05 |
$450.05 |
$232.96
|
|
Kyphosis pad floating
|
$649.31 |
$649.31 |
$649.31 |
$336.11
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$21.00 |
$21.00 |
$21.00 |
$33.60
|
|
Lacer molded to patient mode
|
$1,533.38 |
$1,533.38 |
$1,533.38 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$177.61 |
$177.61 |
$177.61 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$71.40 |
$71.40 |
$71.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$84.00 |
$84.00 |
$84.00 |
$44.91
|
|
Lactation class
|
$117.00 |
$117.00 |
$117.00 |
$93.71
|
|
Lactic acid
|
$71.40 |
$71.40 |
$71.40 |
$107.00
|
|
Lactoferrin fecal quant
|
$152.40 |
$152.40 |
$152.40 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$103,933.77 |
$103,933.77 |
$103,933.77 |
$582.40
|
|
Lam facetec & foramot lumbar
|
$112,495.48 |
$112,495.48 |
$112,495.48 |
$8,412.89
|
|
Lam factc/frmt arthrd lum ea
|
$103,933.77 |
$103,933.77 |
$103,933.77 |
$492.80
|
|
Laminotomy single lumbar
|
$25,317.56 |
$25,317.56 |
$25,317.56 |
$8,453.60
|
|
Lanthanum carbonate oral 5mg
|
$36.67 |
$36.67 |
$36.67 |
$14.53
|
|
Laparo cholecystectomy/graph
|
$22,193.11 |
$22,193.11 |
$22,193.11 |
$8,346.00
|
|
Laparo-myomectomy complex
|
$33,505.78 |
$33,505.78 |
$33,505.78 |
$11,523.76
|
|
Laparo proc abdm/per/oment 49329
|
$21,663.51 |
$21,663.51 |
$21,663.51 |
$6,622.75
|
|
Laparoscopic myomectomy
|
$34,822.95 |
$34,822.95 |
$34,822.95 |
$6,461.32
|
|
Laparoscopy biopsy
|
$15,744.93 |
$15,744.93 |
$15,744.93 |
$6,376.26
|
|
Laparoscopy excise lesions
|
$25,979.88 |
$25,979.88 |
$25,979.88 |
$6,904.15
|