|
Ins pm gen w/exist mlt leads
|
$372.00 |
$372.00 |
$372.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$202.50 |
$202.50 |
$202.50 |
$5,377.00
|
|
Ins/rplc spi npg/rcvr pocket
|
$365.00 |
$365.00 |
$365.00 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$4,365.00 |
$4,365.00 |
$4,365.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$340.50 |
$340.50 |
$340.50 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$469.50 |
$469.50 |
$469.50 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$3,493.50 |
$3,493.50 |
$3,493.50 |
$21,857.50
|
|
Instillation anticarcinogenic agent bladder
|
$44.50 |
$44.50 |
$44.50 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$2,387.50 |
$2,387.50 |
$2,387.50 |
$4,202.70
|
|
Inst via cath agent pleurds
|
$80.50 |
$80.50 |
$80.50 |
$1,065.00
|
|
Insulin total
|
$22.50 |
$22.50 |
$22.50 |
$66.64
|
|
Intens behave ther cardio dx
|
$39.50 |
$39.50 |
$39.50 |
$47.60
|
|
Intermediate visual field xm
|
$49.50 |
$49.50 |
$49.50 |
$112.80
|
|
Internal nerve revision 64727
|
$165.00 |
$165.00 |
$165.00 |
$806.00
|
|
Interrogate subq defib
|
$74.00 |
$74.00 |
$74.00 |
$119.60
|
|
Interrog dev eval scrms ip
|
$50.00 |
$50.00 |
$50.00 |
$124.80
|
|
Interrog evl pm/ldls pm ip
|
$57.50 |
$57.50 |
$57.50 |
$124.80
|
|
Int hrhc lig 1 hroid without img
|
$380.00 |
$380.00 |
$380.00 |
$3,484.00
|
|
Int hrhc lig 2+hroid without img
|
$418.50 |
$418.50 |
$418.50 |
$3,245.23
|
|
Intraop colon lavage add-on
|
$184.00 |
$184.00 |
$184.00 |
$416.80
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$63.15
|
|
Intrm oph exam est patient
|
$46.50 |
$46.50 |
$46.50 |
$161.25
|
|
Intro cath dialysis circuit w/pta
|
$248.00 |
$248.00 |
$248.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$329.50 |
$329.50 |
$329.50 |
$16,262.40
|
|
Intro cath svc/ivc
|
$114.00 |
$114.00 |
$114.00 |
$1,323.27
|
|
Intro long gi tube
|
$19.00 |
$19.00 |
$19.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$112.00 |
$112.00 |
$112.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$95.50 |
$95.50 |
$95.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$75.00 |
$75.00 |
$75.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$273.00 |
$273.00 |
$273.00 |
$598.80
|
|
Ip/obs cnsltj new/est low 45
|
$111.00 |
$111.00 |
$111.00 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$154.00 |
$154.00 |
$154.00 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$208.00 |
$208.00 |
$208.00 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$79.00 |
$79.00 |
$79.00 |
$134.46
|
|
Ipratropium bromide non-comp
|
$1.50 |
$1.50 |
$1.50 |
$3.75
|
|
Iron
|
$25.50 |
$25.50 |
$25.50 |
$72.29
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.50 |
$0.50 |
$0.50 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$87.50 |
$87.50 |
$87.50 |
$144.62
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$86.00 |
$86.00 |
$86.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$125.50 |
$125.50 |
$125.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$45.00 |
$45.00 |
$45.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$204.00 |
$204.00 |
$204.00 |
$437.45
|
|
Jak2 targeted sequence analysis
|
$137.50 |
$137.50 |
$137.50 |
$393.43
|
|
John cunningham antibody
|
$8.50 |
$8.50 |
$8.50 |
$66.31
|
|
Keratoprosthesis
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$13,812.84
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$30.50 |
$30.50 |
$30.50 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$23.77
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$420.00 |
$420.00 |
$420.00 |
$673.36
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$923.90
|
|
Knee Arthroscopy (Cartilage Repair)
|
$660.00 |
$660.00 |
$660.00 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$551.00 |
$551.00 |
$551.00 |
$3,839.54
|
|
Knee arthroscopy dx
|
$445.50 |
$445.50 |
$445.50 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$578.00 |
$578.00 |
$578.00 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$576.00 |
$576.00 |
$576.00 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$569.00 |
$569.00 |
$569.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$531.50 |
$531.50 |
$531.50 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$693.00 |
$693.00 |
$693.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$703.00 |
$703.00 |
$703.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$598.00 |
$598.00 |
$598.00 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$725.50 |
$725.50 |
$725.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$891.50 |
$891.50 |
$891.50 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$659.50 |
$659.50 |
$659.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$802.00 |
$802.00 |
$802.00 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$1,013.50 |
$1,013.50 |
$1,013.50 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$1,289.50 |
$1,289.50 |
$1,289.50 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$1,191.50 |
$1,191.50 |
$1,191.50 |
$3,008.26
|
|
Knee MRI (without contrast)
|
$868.50 |
$868.50 |
$868.50 |
$2,110.76
|
|
Knee X-ray
|
$220.00 |
$220.00 |
$220.00 |
$425.55
|
|
Kras gene variants exon 2
|
$28.00 |
$28.00 |
$28.00 |
$509.00
|
|
Kyleena, 19.5 mg
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,125.00
|
|
Lactate dehydrogenase (ldh)
|
$21.50 |
$21.50 |
$21.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$44.91
|
|
Lactic acid
|
$62.50 |
$62.50 |
$62.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$76.00 |
$76.00 |
$76.00 |
$81.00
|
|
Lam facetec & foramot crv
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$7,549.13
|
|
Laparo ablate renal cyst
|
$945.50 |
$945.50 |
$945.50 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$912.50 |
$912.50 |
$912.50 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$1,243.00 |
$1,243.00 |
$1,243.00 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$800.00 |
$800.00 |
$800.00 |
$8,346.00
|
|
Laparo partial colectomy 44204
|
$1,659.50 |
$1,659.50 |
$1,659.50 |
$2,917.80
|
|
Laparo proc abdm/per/oment 49329
|
$463.50 |
$463.50 |
$463.50 |
$6,622.75
|
|
Laparoscopic myomectomy
|
$941.50 |
$941.50 |
$941.50 |
$6,461.32
|
|
Laparoscopic proc
|
$1,206.50 |
$1,206.50 |
$1,206.50 |
$2,215.20
|
|
Laparoscopic salpingostomy 58673
|
$816.50 |
$816.50 |
$816.50 |
$5,214.15
|
|
Laparoscopy aspiration
|
$413.50 |
$413.50 |
$413.50 |
$6,839.00
|
|
Laparoscopy biopsy
|
$381.50 |
$381.50 |
$381.50 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$962.00 |
$962.00 |
$962.00 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$751.50 |
$751.50 |
$751.50 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$11,424.40
|
|
Laparoscopy lymphadenectomy
|
$688.00 |
$688.00 |
$688.00 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$960.50 |
$960.50 |
$960.50 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$557.00 |
$557.00 |
$557.00 |
$6,904.15
|
|
Laparoscopy lysis
|
$732.00 |
$732.00 |
$732.00 |
$5,419.00
|
|
Laparoscopy remove adnexa
|
$727.00 |
$727.00 |
$727.00 |
$8,607.55
|
|
Laparoscopy splenectomy
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$10,488.40
|
|
Laparoscopy surg colpopexy
|
$997.50 |
$997.50 |
$997.50 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$382.00 |
$382.00 |
$382.00 |
$5,166.25
|
|
Laparo sling operation 51992
|
$866.50 |
$866.50 |
$866.50 |
$5,353.60
|
|
Laparo urethral suspension
|
$769.50 |
$769.50 |
$769.50 |
$5,353.60
|
