|
Insulin total
|
$87.00 |
$87.00 |
$87.00 |
$66.64
|
|
Ins vag brachytx device
|
$608.40 |
$608.40 |
$608.40 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$19,943.98 |
$19,943.98 |
$19,943.98 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$65,416.63 |
$65,416.63 |
$65,416.63 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$15,044.75 |
$15,044.75 |
$15,044.75 |
$3,803.11
|
|
Intens behave ther cardio dx
|
$32.40 |
$32.40 |
$32.40 |
$47.60
|
|
Interdental fixation
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
$2,133.48
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$33,946.55 |
$33,946.55 |
$33,946.55 |
$10,427.90
|
|
Interfyl, 1 mg
|
$8,634.00 |
$8,634.00 |
$8,634.00 |
$4,656.80
|
|
Int hrhc lig 2+hroid without img
|
$13,863.77 |
$13,863.77 |
$13,863.77 |
$3,245.23
|
|
Intracard echo interv w/s&i
|
$4,738.20 |
$4,738.20 |
$4,738.20 |
$3,461.04
|
|
Intraoral i+d tongue/floor lingual 41000
|
$952.20 |
$952.20 |
$952.20 |
$1,331.45
|
|
Intraventricular pacing
|
$3,244.80 |
$3,244.80 |
$3,244.80 |
$5,456.17
|
|
Intrinsic factor antibody
|
$118.80 |
$118.80 |
$118.80 |
$63.15
|
|
Intro cath dialysis circuit
|
$3,448.20 |
$3,448.20 |
$3,448.20 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$22,294.31 |
$22,294.31 |
$22,294.31 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$29,797.20 |
$29,797.20 |
$29,797.20 |
$16,262.40
|
|
Intro catheter aorta
|
$5,443.72 |
$5,443.72 |
$5,443.72 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,374.00 |
$1,374.00 |
$1,374.00 |
$1,323.27
|
|
Intro long gi tube
|
$657.00 |
$657.00 |
$657.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$449.40 |
$449.40 |
$449.40 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$72,758.96 |
$72,758.96 |
$72,758.96 |
$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
|
$531.18 |
$531.18 |
$531.18 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$803.92 |
$803.92 |
$803.92 |
$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
|
$9.00 |
$9.00 |
$9.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$90.00 |
$90.00 |
$90.00 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,707.47 |
$11,707.47 |
$11,707.47 |
$5,517.12
|
|
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)
|
$90.00 |
$90.00 |
$90.00 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$156.60 |
$156.60 |
$156.60 |
$144.62
|
|
Ivc venogram s&i
|
$3,961.20 |
$3,961.20 |
$3,961.20 |
$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
|
$247.20 |
$247.20 |
$247.20 |
$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
|
|
John cunningham antibody
|
$1,485.60 |
$1,485.60 |
$1,485.60 |
$66.31
|
|
Kafo dbl solid stirrup band/
|
$4,289.41 |
$4,289.41 |
$4,289.41 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$4,216.15 |
$4,216.15 |
$4,216.15 |
$2,276.79
|
|
Kafo fem fx cast molded to p
|
$6,314.00 |
$6,314.00 |
$6,314.00 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$4,485.53 |
$4,485.53 |
$4,485.53 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$4,458.86 |
$4,458.86 |
$4,458.86 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$4,908.77 |
$4,908.77 |
$4,908.77 |
$2,162.01
|
|
Kafo pla sin up w/wo k/a cus
|
$7,907.23 |
$7,907.23 |
$7,907.23 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$6,454.87 |
$6,454.87 |
$6,454.87 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$674.32 |
$674.32 |
$674.32 |
$321.07
|
|
Kafo sing fre stirr thi/calf
|
$4,354.30 |
$4,354.30 |
$4,354.30 |
$2,351.38
|
|
Kafo sng/dbl mechanical act
|
$15,949.85 |
$15,949.85 |
$15,949.85 |
$8,121.01
|
|
Kafo sng solid stirrup without j
|
$3,396.31 |
$3,396.31 |
$3,396.31 |
$1,834.11
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$49.20 |
$49.20 |
$49.20 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$52.64 |
$52.64 |
$52.64 |
$23.77
|
|
Kidney imaging morphology
|
$814.20 |
$814.20 |
$814.20 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$848.40 |
$848.40 |
$848.40 |
$1,557.41
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$637.80 |
$637.80 |
$637.80 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$17,980.31 |
$17,980.31 |
$17,980.31 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$20,289.90 |
$20,289.90 |
$20,289.90 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$113,968.80 |
$113,968.80 |
$113,968.80 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$112,242.00 |
$112,242.00 |
$112,242.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$47,487.00 |
$47,487.00 |
$47,487.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$3,173.00 |
$3,173.00 |
$3,173.00 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$58,611.86 |
$58,611.86 |
$58,611.86 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$51,575.20 |
$51,575.20 |
$51,575.20 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,383.11 |
$3,383.11 |
$3,383.11 |
$2,254.50
|
|
Knee Arthroscopy (Meniscus Repair)
|
$15,634.99 |
$15,634.99 |
$15,634.99 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$14,672.86 |
$14,672.86 |
$14,672.86 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$16,923.49 |
$16,923.49 |
$16,923.49 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$45,475.72 |
$45,475.72 |
$45,475.72 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$42,890.28 |
$42,890.28 |
$42,890.28 |
$8,979.74
|
|
Knee control condylar pad
|
$317.90 |
$317.90 |
$317.90 |
$175.04
|
|
Knee control full kneecap
|
$319.20 |
$319.20 |
$319.20 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$557.97 |
$557.97 |
$557.97 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$557.97 |
$557.97 |
$557.97 |
$309.90
|
|
Knee joint cam lock each joi
|
$472.88 |
$472.88 |
$472.88 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$308.71 |
$308.71 |
$308.71 |
$175.45
|
|
Knee lift loop drop lock rin
|
$456.52 |
$456.52 |
$456.52 |
$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
|
$1,145.56 |
$1,145.56 |
$1,145.56 |
$585.60
|
|
Knee X-ray
|
$723.00 |
$723.00 |
$723.00 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$2,238.80 |
$2,238.80 |
$2,238.80 |
$1,208.98
|
|
Ko dbl upright w/air pre ots
|
$2,238.80 |
$2,238.80 |
$2,238.80 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$3,660.43 |
$3,660.43 |
$3,660.43 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$313.89 |
$313.89 |
$313.89 |
$137.05
|
|
Ko rigid without joints pre ots
|
$519.29 |
$519.29 |
$519.29 |
$214.97
|
|
Ko single upright prefab ots
|
$3,492.50 |
$3,492.50 |
$3,492.50 |
$928.28
|
|
Ko supracondylar socket mold
|
$4,853.69 |
$4,853.69 |
$4,853.69 |
$2,621.08
|
|
Ko swedish type pre ots
|
$1,108.91 |
$1,108.91 |
$1,108.91 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$3,112.56 |
$3,112.56 |
$3,112.56 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$4,554.22 |
$4,554.22 |
$4,554.22 |
$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
|
$419.44 |
$419.44 |
$419.44 |
$232.96
|
|
Kyphosis pad floating
|
$605.16 |
$605.16 |
$605.16 |
$336.11
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$24.00 |
$24.00 |
$24.00 |
$33.60
|
