|
Instll rx agnt into rnal tub
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$3,868.40 |
$3,868.40 |
$3,868.40 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$3,868.40 |
$3,868.40 |
$3,868.40 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$2,983.60 |
$2,983.60 |
$2,983.60 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$369.60 |
$369.60 |
$369.60 |
$1,065.00
|
|
Insulin total
|
$29.20 |
$29.20 |
$29.20 |
$66.64
|
|
Ins vag brachytx device
|
$950.00 |
$950.00 |
$950.00 |
$935.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$8,683.20 |
$8,683.20 |
$8,683.20 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$15,188.80 |
$15,188.80 |
$15,188.80 |
$9,924.16
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,312.00 |
$2,312.00 |
$2,312.00 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$1,463.60 |
$1,463.60 |
$1,463.60 |
$1,222.26
|
|
Interfyl, 1 mg
|
$4,656.80 |
$4,656.80 |
$4,656.80 |
$4,656.80
|
|
Interrogate subq defib
|
$102.40 |
$102.40 |
$102.40 |
$119.60
|
|
Interrogation vad in person
|
$336.40 |
$336.40 |
$336.40 |
$296.40
|
|
Interrog dev eval scrms ip
|
$103.60 |
$103.60 |
$103.60 |
$124.80
|
|
Interrog device eval heart
|
$146.40 |
$146.40 |
$146.40 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$104.00 |
$104.00 |
$104.00 |
$124.80
|
|
Intl custm cong/latyp insert
|
$806.00 |
$806.00 |
$806.00 |
$1,453.20
|
|
Intra-atrial pacing
|
$10,026.80 |
$10,026.80 |
$10,026.80 |
$4,780.80
|
|
Intracard echo interv w/s&i
|
$3,436.00 |
$3,436.00 |
$3,436.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$8,145.50
|
|
Intracranial angioplasty
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$4,962.40
|
|
Intracranial complete study
|
$744.40 |
$744.40 |
$744.40 |
$874.99
|
|
Intracranial limited study
|
$380.40 |
$380.40 |
$380.40 |
$465.01
|
|
Intrapul surf admin endo tube
|
$215.20 |
$215.20 |
$215.20 |
$220.80
|
|
Intraventricular pacing
|
$4,063.20 |
$4,063.20 |
$4,063.20 |
$5,456.17
|
|
Intrinsic factor antibody
|
$34.40 |
$34.40 |
$34.40 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,292.00 |
$1,292.00 |
$1,292.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$3,998.00 |
$3,998.00 |
$3,998.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$7,905.60 |
$7,905.60 |
$7,905.60 |
$16,262.40
|
|
Intro catheter aorta
|
$1,110.00 |
$1,110.00 |
$1,110.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$637.20 |
$637.20 |
$637.20 |
$1,323.27
|
|
Intro long gi tube
|
$650.40 |
$650.40 |
$650.40 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$479.20 |
$479.20 |
$479.20 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,546.80 |
$2,546.80 |
$2,546.80 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,336.40 |
$2,336.40 |
$2,336.40 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$460.40 |
$460.40 |
$460.40 |
$598.80
|
|
Io anal gast n-stim subsq
|
$298.00 |
$298.00 |
$298.00 |
$170.00
|
|
Io ga n-stim subsq w/reprog
|
$336.40 |
$336.40 |
$336.40 |
$187.43
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$32.16 |
$32.16 |
$32.16 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$31.94 |
$31.94 |
$31.94 |
$288.11
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$0.40 |
$0.40 |
$0.40 |
$763.50
|
|
Iron
|
$16.00 |
$16.00 |
$16.00 |
$72.29
|
|
Iron binding capacity
|
$22.00 |
$22.00 |
$22.00 |
$63.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.76 |
$0.76 |
$0.76 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$121.20 |
$121.20 |
$121.20 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$158.00 |
$158.00 |
$158.00 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$227.60 |
$227.60 |
$227.60 |
$132.00
|
|
Ivc venogram s&i
|
$7,811.20 |
$7,811.20 |
$7,811.20 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$162.40 |
$162.40 |
$162.40 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$127.60 |
$127.60 |
$127.60 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$109.60 |
$109.60 |
$109.60 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$527.60 |
$527.60 |
$527.60 |
$437.45
|
|
IV inj ra drug dx study
|
$321.60 |
$321.60 |
$321.60 |
$552.60
|
|
Ivp w/nephrotomography
|
$662.00 |
$662.00 |
$662.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$662.00 |
$662.00 |
$662.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$2,091.20 |
$2,091.20 |
$2,091.20 |
$393.43
|
|
John cunningham antibody
|
$32.40 |
$32.40 |
$32.40 |
$66.31
|
|
Kafo fem fx cast semi-rigid
|
$592.40 |
$592.40 |
$592.40 |
$2,130.02
|
|
Kafo femoral fx cast rigid
|
$692.80 |
$692.80 |
$692.80 |
$2,162.01
|
|
Kafo femoral fx cast soft
|
$472.40 |
$472.40 |
$472.40 |
$879.20
|
|
Kafo pla sin up w/wo k/a cus
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$4,270.06
|
|
Kafo plas sing free knee mol
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$110.00 |
$110.00 |
$110.00 |
$321.07
|
|
Kafo without joint multi-axis an
|
$974.40 |
$974.40 |
$974.40 |
$1,724.80
|
|
Ketamine and metabolite screen - quest
|
$157.20 |
$157.20 |
$157.20 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$20.40 |
$20.40 |
$20.40 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$31.16 |
$31.16 |
$31.16 |
$23.77
|
|
Kidney imaging morphology
|
$817.60 |
$817.60 |
$817.60 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$422.00 |
$422.00 |
$422.00 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$7,177.60 |
$7,177.60 |
$7,177.60 |
$7,751.14
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$335.60 |
$335.60 |
$335.60 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$4.80 |
$4.80 |
$4.80 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,624.00 |
$8,624.00 |
$8,624.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$172.00 |
$172.00 |
$172.00 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$34,160.00 |
$34,160.00 |
$34,160.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$39,404.00 |
$39,404.00 |
$39,404.00 |
$16,965.41
|
|
Kit monitr cath camino icp w/integratd licox bolt fitting
|
$2,504.80 |
$2,504.80 |
$2,504.80 |
$1,313.77
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,902.80 |
$1,902.80 |
$1,902.80 |
$1,667.50
|
|
Kit sound processor cochlear osia 2
|
$8,213.60 |
$8,213.60 |
$8,213.60 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,396.00 |
$3,396.00 |
$3,396.00 |
$2,254.50
|
|
Knee cap medial or lateral p
|
$71.60 |
$71.60 |
$71.60 |
$104.54
|
|
Knee control condylar pad
|
$45.60 |
$45.60 |
$45.60 |
$175.04
|
|
Knee disc/dial lock/adj flex
|
$87.60 |
$87.60 |
$87.60 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$87.60 |
$87.60 |
$87.60 |
$309.90
|
|
Knee joint cam lock each joi
|
$74.40 |
$74.40 |
$74.40 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$53.20 |
$53.20 |
$53.20 |
$175.45
|
|
Knee lift loop drop lock rin
|
$60.40 |
$60.40 |
$60.40 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$1,928.40 |
$1,928.40 |
$1,928.40 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,182.40 |
$2,182.40 |
$2,182.40 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,531.60 |
$1,531.60 |
$1,531.60 |
$2,110.76
|
|
Knee X-ray
|
$374.40 |
$374.40 |
$374.40 |
$425.55
|
|
Ko derot ant cruciate custom
|
$623.20 |
$623.20 |
$623.20 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$1,010.00 |
$1,010.00 |
$1,010.00 |
$137.05
|
|
Ko rigid without joints pre ots
|
$45.20 |
$45.20 |
$45.20 |
$214.97
|
|
Ko single upright pre cst
|
$548.80 |
$548.80 |
$548.80 |
$988.40
|
|
Ko swedish type pre ots
|
$104.00 |
$104.00 |
$104.00 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$454.80 |
$454.80 |
$454.80 |
$1,230.99
|
