|
Insti hexaminolevulinate hcl
|
$1,500.40 |
$1,500.40 |
$1,500.40 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$536.50 |
$536.50 |
$536.50 |
$645.01
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$27,785.00 |
$27,785.00 |
$27,785.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$4,745.50 |
$4,745.50 |
$4,745.50 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$498.00 |
$498.00 |
$498.00 |
$1,074.68
|
|
Insulin total
|
$163.50 |
$163.50 |
$163.50 |
$66.64
|
|
Ins vag brachytx device
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$950.00
|
|
Integra meshed bil wound mat
|
$1,506.19 |
$1,506.19 |
$1,506.19 |
$9,924.16
|
|
Interdiscal perq aspir dx
|
$1,400.00 |
$1,400.00 |
$1,400.00 |
$1,222.26
|
|
Interrogation vad in person
|
$280.00 |
$280.00 |
$280.00 |
$296.40
|
|
Interrog dev eval icpms ip
|
$53.00 |
$53.00 |
$53.00 |
$104.00
|
|
Interrog device eval heart
|
$122.50 |
$122.50 |
$122.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$98.50 |
$98.50 |
$98.50 |
$127.20
|
|
Interstitial brachy inter
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$1,194.42
|
|
Intestinal stricturoplasty
|
$2,351.50 |
$2,351.50 |
$2,351.50 |
$2,351.50
|
|
Intra-atrial pacing
|
$3,558.50 |
$3,558.50 |
$3,558.50 |
$4,865.25
|
|
Intra-atrial recording
|
$3,558.50 |
$3,558.50 |
$3,558.50 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$2,504.00 |
$2,504.00 |
$2,504.00 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$2,907.00 |
$2,907.00 |
$2,907.00 |
$8,257.80
|
|
Intracranial angioplasty
|
$5,350.00 |
$5,350.00 |
$5,350.00 |
$5,181.00
|
|
Intracranial complete study
|
$986.00 |
$986.00 |
$986.00 |
$881.50
|
|
Intracranial limited study
|
$360.00 |
$360.00 |
$360.00 |
$467.50
|
|
Intrapul surf admin endo tube
|
$220.50 |
$220.50 |
$220.50 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,247.00 |
$1,247.00 |
$1,247.00 |
$1,021.15
|
|
Intraventricular pacing
|
$4,356.50 |
$4,356.50 |
$4,356.50 |
$5,456.17
|
|
Intrinsic factor antibody
|
$134.50 |
$134.50 |
$134.50 |
$66.60
|
|
Intro cath dialysis circuit
|
$2,540.50 |
$2,540.50 |
$2,540.50 |
$2,043.30
|
|
Intro cath dialysis circuit w/pta
|
$8,761.00 |
$8,761.00 |
$8,761.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$18,260.50 |
$18,260.50 |
$18,260.50 |
$16,275.00
|
|
Intro catheter aorta
|
$673.00 |
$673.00 |
$673.00 |
$1,678.05
|
|
Intro cath svc/ivc
|
$536.00 |
$536.00 |
$536.00 |
$1,329.90
|
|
Intro long gi tube
|
$1,311.50 |
$1,311.50 |
$1,311.50 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$334.50 |
$334.50 |
$334.50 |
$469.00
|
|
Intro windpipe wire/tube
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,200.50 |
$3,200.50 |
$3,200.50 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$799.00 |
$799.00 |
$799.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$653.00 |
$653.00 |
$653.00 |
$601.28
|
|
Ionm in operatng room 15 min
|
$50.50 |
$50.50 |
$50.50 |
$203.73
|
|
Ionm remote/>1 pt or per hr
|
$182.50 |
$182.50 |
$182.50 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$15.68 |
$15.68 |
$15.68 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$7.19 |
$7.19 |
$7.19 |
$277.17
|
|
Io radiation tx management
|
$1,309.50 |
$1,309.50 |
$1,309.50 |
$593.60
|
|
Io rad tx deliver by elctrns
|
$37,382.00 |
$37,382.00 |
$37,382.00 |
$9,332.31
|
|
Io rad tx delivery by x-ray
|
$31,152.50 |
$31,152.50 |
$31,152.50 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$247.78 |
$247.78 |
$247.78 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$7.63 |
$7.63 |
$7.63 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$9.80 |
$9.80 |
$9.80 |
$173.98
|
|
Iron
|
$81.00 |
$81.00 |
$81.00 |
$74.75
|
|
Iron binding capacity
|
$107.00 |
$107.00 |
$107.00 |
$63.84
|
|
Irradiation of blood product each unit reference
|
$400.00 |
$400.00 |
$400.00 |
$115.48
|
|
Irrigation implantable venous access device for drug delivery systems
|
$106.00 |
$106.00 |
$106.00 |
$146.11
|
|
Irrigation vagina and/or appl medicament tx disease
|
$126.50 |
$126.50 |
$126.50 |
$132.00
|
|
Ivc venogram s&i
|
$1,890.50 |
$1,890.50 |
$1,890.50 |
$3,341.00
|
|
IV Fluids (each additional hour)
|
$115.50 |
$115.50 |
$115.50 |
$133.90
|
|
IV Fluids (first hour)
|
$390.00 |
$390.00 |
$390.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$142.00 |
$142.00 |
$142.00 |
$162.00
|
|
IV inj ra drug dx study
|
$716.50 |
$716.50 |
$716.50 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$237.50 |
$237.50 |
$237.50 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$154.00 |
$154.00 |
$154.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$476.50 |
$476.50 |
$476.50 |
$441.75
|
|
IV Push Injection (each additional drug)
|
$232.50 |
$232.50 |
$232.50 |
$166.80
|
|
IV Push Injection (first drug)
|
$267.00 |
$267.00 |
$267.00 |
$254.52
|
|
Ivp w/nephrotomography
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$946.00 |
$946.00 |
$946.00 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$872.00 |
$872.00 |
$872.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$276.00 |
$276.00 |
$276.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$250.50 |
$250.50 |
$250.50 |
$362.05
|
|
Jejunstmy tube plcmt
|
$902.50 |
$902.50 |
$902.50 |
$2,174.40
|
|
John cunningham antibody
|
$86.00 |
$86.00 |
$86.00 |
$78.60
|
|
J-tube placement
|
$331.00 |
$331.00 |
$331.00 |
$593.08
|
|
Kerecis marigen shld sq cm
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$1.00
|
|
Ketogenic steroids fract
|
$214.00 |
$214.00 |
$214.00 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$98.00 |
$98.00 |
$98.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$17.76 |
$17.76 |
$17.76 |
$23.50
|
|
Kidney endoscopy
|
$5,728.00 |
$5,728.00 |
$5,728.00 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$5,728.00 |
$5,728.00 |
$5,728.00 |
$5,728.00
|
|
Kidney imaging morphology
|
$912.50 |
$912.50 |
$912.50 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,566.50 |
$1,566.50 |
$1,566.50 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$582.50 |
$582.50 |
$582.50 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$556.00 |
$556.00 |
$556.00 |
$492.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,810.00 |
$10,810.00 |
$10,810.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$401.00 |
$401.00 |
$401.00 |
$374.40
|
|
Kit lead specify 5-6-5
|
$20,065.78 |
$20,065.78 |
$20,065.78 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,679.00 |
$1,679.00 |
$1,679.00 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,782.78 |
$2,782.78 |
$2,782.78 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$1,419.00 |
$1,419.00 |
$1,419.00 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$887.50 |
$887.50 |
$887.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$835.00 |
$835.00 |
$835.00 |
$2,122.12
|
|
Knee orth pos locking joint
|
$718.00 |
$718.00 |
$718.00 |
$585.60
|
|
Knee X-ray
|
$320.50 |
$320.50 |
$320.50 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$255.50 |
$255.50 |
$255.50 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$301.00 |
$301.00 |
$301.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$144.50 |
$144.50 |
$144.50 |
$252.50
|
|
Kras gene addl variants
|
$667.00 |
$667.00 |
$667.00 |
$387.20
|
|
Kras gene variants exon 2
|
$692.00 |
$692.00 |
$692.00 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,659.49 |
$1,659.49 |
$1,659.49 |
$2,125.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.81 |
$0.81 |
$0.81 |
$175.92
|
