|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,979.00 |
$2,979.00 |
$2,979.00 |
$1,690.00
|
|
Ins pm gen exist dual lead
|
$15,515.50 |
$15,515.50 |
$15,515.50 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$11,421.00 |
$11,421.00 |
$11,421.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$4,978.50 |
$4,978.50 |
$4,978.50 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$24,531.00 |
$24,531.00 |
$24,531.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,291.50 |
$9,291.50 |
$9,291.50 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$8,617.50 |
$8,617.50 |
$8,617.50 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$9,452.50 |
$9,452.50 |
$9,452.50 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$43,419.50 |
$43,419.50 |
$43,419.50 |
$25,694.00
|
|
Insrt/redo neurostim 1 array
|
$16,171.50 |
$16,171.50 |
$16,171.50 |
$21,817.60
|
|
Inst fibrinolysis agent ini day
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$1,029.00 |
$1,029.00 |
$1,029.00 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$626.99
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,522.00 |
$8,522.00 |
$8,522.00 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$3,525.00 |
$3,525.00 |
$3,525.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,955.50 |
$2,955.50 |
$2,955.50 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,190.50 |
$3,190.50 |
$3,190.50 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$2,822.00 |
$2,822.00 |
$2,822.00 |
$1,065.00
|
|
Insulin total
|
$151.00 |
$151.00 |
$151.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$8,629.72
|
|
Intens cardiac rehab no exer
|
$140.50 |
$140.50 |
$140.50 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$140.50 |
$140.50 |
$140.50 |
$238.40
|
|
Interdental wirg oth/thn fx
|
$1,397.00 |
$1,397.00 |
$1,397.00 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,178.00 |
$1,178.00 |
$1,178.00 |
$1,222.26
|
|
Intermediate visual field xm
|
$167.50 |
$167.50 |
$167.50 |
$112.80
|
|
Interrogate subq defib
|
$63.50 |
$63.50 |
$63.50 |
$119.60
|
|
Interrog dev eval icpms ip
|
$94.50 |
$94.50 |
$94.50 |
$103.50
|
|
Interrog dev eval scrms ip
|
$316.00 |
$316.00 |
$316.00 |
$124.80
|
|
Interrog device eval heart
|
$238.50 |
$238.50 |
$238.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$122.00 |
$122.00 |
$122.00 |
$124.80
|
|
Intra-atrial pacing
|
$3,590.00 |
$3,590.00 |
$3,590.00 |
$4,780.80
|
|
Intra-atrial recording
|
$3,590.00 |
$3,590.00 |
$3,590.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$3,353.00 |
$3,353.00 |
$3,353.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$8,145.50 |
$8,145.50 |
$8,145.50 |
$8,145.50
|
|
Intracranial angioplasty
|
$8,761.50 |
$8,761.50 |
$8,761.50 |
$4,962.40
|
|
Intracranial complete study
|
$900.50 |
$900.50 |
$900.50 |
$874.99
|
|
Intracranial limited study
|
$478.00 |
$478.00 |
$478.00 |
$463.50
|
|
Intranasal biopsy 30100
|
$2,442.00 |
$2,442.00 |
$2,442.00 |
$2,133.48
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,007.00 |
$2,007.00 |
$2,007.00 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$259.00 |
$259.00 |
$259.00 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,063.50 |
$1,063.50 |
$1,063.50 |
$1,063.50
|
|
Intrinsic factor antibody
|
$135.00 |
$135.00 |
$135.00 |
$63.15
|
|
Intrm oph exam est patient
|
$152.50 |
$152.50 |
$152.50 |
$161.25
|
|
Intro cath dialysis circuit
|
$1,735.50 |
$1,735.50 |
$1,735.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$8,690.50 |
$8,690.50 |
$8,690.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$17,562.50 |
$17,562.50 |
$17,562.50 |
$16,262.40
|
|
Intro catheter aorta
|
$2,650.00 |
$2,650.00 |
$2,650.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$1,323.27
|
|
Intro long gi tube
|
$1,489.00 |
$1,489.00 |
$1,489.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$435.50 |
$435.50 |
$435.50 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$820.50 |
$820.50 |
$820.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$820.50 |
$820.50 |
$820.50 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$598.80
|
|
Ionm in operatng room 15 min
|
$110.00 |
$110.00 |
$110.00 |
$193.05
|
|
Ionm remote/>1 pt or per hr
|
$420.00 |
$420.00 |
$420.00 |
$622.70
|
|
Io rad tx delivery by x-ray
|
$3,906.50 |
$3,906.50 |
$3,906.50 |
$9,046.18
|
|
Iron
|
$262.00 |
$262.00 |
$262.00 |
$72.29
|
|
Iron binding capacity
|
$85.00 |
$85.00 |
$85.00 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$52.50 |
$52.50 |
$52.50 |
$113.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$85.00 |
$85.00 |
$85.00 |
$144.30
|
|
Ivc venogram s&i
|
$3,919.00 |
$3,919.00 |
$3,919.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$185.50 |
$185.50 |
$185.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$229.50 |
$229.50 |
$229.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$202.00 |
$202.00 |
$202.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$365.00 |
$365.00 |
$365.00 |
$437.45
|
|
IV inj ra drug dx study
|
$197.50 |
$197.50 |
$197.50 |
$549.70
|
|
IV njx tst vasc flo flap/grf
|
$904.50 |
$904.50 |
$904.50 |
$476.00
|
|
Ivp w/nephrotomography
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,198.50 |
$1,198.50 |
$1,198.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$533.00 |
$533.00 |
$533.00 |
$393.43
|
|
Jejunstmy tube plcmt
|
$2,329.50 |
$2,329.50 |
$2,329.50 |
$2,174.40
|
|
John cunningham antibody
|
$172.50 |
$172.50 |
$172.50 |
$66.31
|
|
J-tube placement
|
$2,098.00 |
$2,098.00 |
$2,098.00 |
$593.08
|
|
Kafo dbl solid stirrup band/
|
$944.96 |
$944.96 |
$944.96 |
$2,185.15
|
|
Kafo femoral fx cast rigid
|
$980.66 |
$980.66 |
$980.66 |
$2,162.01
|
|
Keratomileusis
|
$591.50 |
$591.50 |
$591.50 |
$2,335.20
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$73.50 |
$73.50 |
$73.50 |
$58.50
|
|
Kidney imaging morphology
|
$776.00 |
$776.00 |
$776.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,031.50 |
$1,031.50 |
$1,031.50 |
$1,556.10
|
|
Kidney img w/bldflw sgl without rx
|
$1,031.50 |
$1,031.50 |
$1,031.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$758.50 |
$758.50 |
$758.50 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$45.02 |
$45.02 |
$95.74 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$5,875.00 |
$5,875.00 |
$6,080.62 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$422.00 |
$422.00 |
$422.00 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$16,648.75 |
$16,648.75 |
$16,648.75 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$3,296.66 |
$3,296.66 |
$3,296.66 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$420.73 |
$420.73 |
$420.73 |
$1,667.50
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,095.92 |
$1,095.92 |
$1,095.92 |
$2,254.50
|
|
Knee cap medial or lateral p
|
$104.54 |
$104.54 |
$104.54 |
$104.54
|
|
Knee MRI (with and without contrast)
|
$3,433.50 |
$3,433.50 |
$3,433.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,555.50 |
$2,555.50 |
$2,555.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,932.50 |
$1,932.50 |
$1,932.50 |
$2,110.76
|
|
Knee orth pos locking joint
|
$180.61 |
$180.61 |
$180.61 |
$585.60
|
|
Knee X-ray
|
$434.50 |
$434.50 |
$434.50 |
$425.55
|
|
Ko elastic w/joints pre ots
|
$56.41 |
$56.41 |
$56.41 |
$137.05
|
|
Ko single upright pre cst
|
$195.04 |
$195.04 |
$195.04 |
$988.40
|
|
Kras gene addl variants
|
$272.50 |
$272.50 |
$272.50 |
$384.80
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$101.00 |
$101.00 |
$101.00 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$522.00 |
$522.00 |
$522.00 |
$72.80
|
|
Lactate dehydrogenase (ldh)
|
$55.50 |
$55.50 |
$55.50 |
$55.50
|
