|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$481.95 |
$481.95 |
$481.95 |
$288.11
|
|
Io rad tx delivery by x-ray
|
$17,384.50 |
$17,384.50 |
$17,384.50 |
$9,046.18
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$111,053.53 |
$111,053.53 |
$111,053.53 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.00 |
$2.00 |
$2.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$131.90 |
$131.90 |
$131.90 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$15,518.04 |
$15,518.04 |
$15,518.04 |
$5,517.12
|
|
Iron
|
$340.00 |
$340.00 |
$340.00 |
$72.29
|
|
Iron binding capacity
|
$61.50 |
$61.50 |
$61.50 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$770.13 |
$770.13 |
$770.13 |
$81.70
|
|
Iron stain peripheral blood
|
$66.50 |
$66.50 |
$66.50 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$404.40 |
$404.40 |
$404.40 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$102.00 |
$102.00 |
$102.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$114.00 |
$114.00 |
$114.00 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$98.50 |
$98.50 |
$98.50 |
$132.00
|
|
Island pedicle flap graft
|
$3,960.75 |
$3,960.75 |
$3,960.75 |
$2,468.80
|
|
Ivc venogram s&i
|
$2,168.50 |
$2,168.50 |
$2,168.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$572.00 |
$572.00 |
$572.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$286.00 |
$286.00 |
$286.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$1,620.00 |
$1,620.00 |
$1,620.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$706.50 |
$706.50 |
$706.50 |
$437.45
|
|
IV njx tst vasc flo flap/grf
|
$3,643.25 |
$3,643.25 |
$3,643.25 |
$476.00
|
|
Ivp w/nephrotomography
|
$900.00 |
$900.00 |
$900.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$900.00 |
$900.00 |
$900.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$164.00 |
$164.00 |
$164.00 |
$393.43
|
|
Jejunstmy tube plcmt
|
$3,688.50 |
$3,688.50 |
$3,688.50 |
$2,174.40
|
|
Keratomileusis
|
$734.50 |
$734.50 |
$734.50 |
$2,335.20
|
|
Keratoprosthesis
|
$10,936.01 |
$10,936.01 |
$10,936.01 |
$13,812.84
|
|
Ketamine and metabolite screen - quest
|
$150.00 |
$150.00 |
$150.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$39.00 |
$39.00 |
$39.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$21.33 |
$21.33 |
$21.33 |
$23.77
|
|
Kidney endoscopy & treatment
|
$10,087.34 |
$10,087.34 |
$10,087.34 |
$5,626.86
|
|
Kidney img w/bldflw sgl without rx
|
$921.50 |
$921.50 |
$921.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$529.00 |
$529.00 |
$529.00 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$4,251.36 |
$4,251.36 |
$4,251.36 |
$7,751.14
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$58.50 |
$58.50 |
$58.50 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,726.00 |
$9,726.00 |
$9,726.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$18,821.60 |
$18,821.60 |
$18,821.60 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$20,865.00 |
$20,865.00 |
$20,865.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$7,462.00 |
$7,462.00 |
$7,462.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,239.38 |
$1,239.38 |
$1,239.38 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$159.00 |
$159.00 |
$159.00 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$4,166.59 |
$4,166.59 |
$4,166.59 |
$8,425.00
|
|
Knee Arthroscopy (Cartilage Repair)
|
$6,461.50 |
$6,461.50 |
$6,461.50 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$3,521.18 |
$3,521.18 |
$3,521.18 |
$3,839.54
|
|
Knee arthroscopy dx
|
$7,301.00 |
$7,301.00 |
$7,301.00 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$7,154.50 |
$7,154.50 |
$7,154.50 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$14,657.50 |
$14,657.50 |
$14,657.50 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$12,643.26 |
$12,643.26 |
$12,643.26 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$6,504.00 |
$6,504.00 |
$6,504.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$11,235.50 |
$11,235.50 |
$11,235.50 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$14,657.50 |
$14,657.50 |
$14,657.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$11,309.00 |
$11,309.00 |
$11,309.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$6,932.50 |
$6,932.50 |
$6,932.50 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$29,131.26 |
$29,131.26 |
$29,131.26 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$14,553.34 |
$14,553.34 |
$14,553.34 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$7,154.50 |
$7,154.50 |
$7,154.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$6,769.50 |
$6,769.50 |
$6,769.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$22,346.25 |
$22,346.25 |
$22,346.25 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$36,062.67 |
$36,062.67 |
$36,062.67 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$3,765.00 |
$3,765.00 |
$3,765.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,932.00 |
$2,932.00 |
$2,932.00 |
$2,110.76
|
|
Knee X-ray
|
$579.00 |
$579.00 |
$579.00 |
$425.55
|
|
Ko swedish type pre ots
|
$604.50 |
$604.50 |
$604.50 |
$581.60
|
|
Kras gene addl variants
|
$393.50 |
$393.50 |
$393.50 |
$386.75
|
|
Kras gene variants exon 2
|
$887.50 |
$887.50 |
$887.50 |
$509.00
|
|
Kyleena, 19.5 mg
|
$5,465.92 |
$5,465.92 |
$5,465.92 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$8.87 |
$8.87 |
$8.87 |
$33.60
|
|
Labioplasty 56800
|
$7,048.50 |
$7,048.50 |
$7,048.50 |
$3,786.00
|
|
Lactate dehydrogenase (ldh)
|
$32.00 |
$32.00 |
$32.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$240.00 |
$240.00 |
$240.00 |
$44.91
|
|
Lactic acid
|
$472.60 |
$472.60 |
$472.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$92.50 |
$92.50 |
$92.50 |
$81.00
|
|
Lactoferrin fecal quant
|
$78.00 |
$78.00 |
$78.00 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$6,480.70 |
$6,480.70 |
$6,480.70 |
$582.40
|
|
Lam facetec & foramot crv
|
$27,877.50 |
$27,877.50 |
$27,877.50 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$15,513.00 |
$15,513.00 |
$15,513.00 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$27,368.00 |
$27,368.00 |
$27,368.00 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$4,741.38 |
$4,741.38 |
$4,741.38 |
$492.80
|
|
Lamie bx/exc idrl spine lesn lmbr 63282
|
$18,833.75 |
$18,833.75 |
$18,833.75 |
$4,650.40
|
|
Laminotomy single lumbar
|
$23,993.34 |
$23,993.34 |
$23,993.34 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,124.00 |
$19,124.00 |
$19,124.00 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$10,964.67 |
$10,964.67 |
$10,964.67 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$20,395.00 |
$20,395.00 |
$20,395.00 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$20,559.50 |
$20,559.50 |
$20,559.50 |
$6,839.00
|
|
Laparo cholecystectomy/graph
|
$23,685.00 |
$23,685.00 |
$23,685.00 |
$8,346.00
|
|
Laparo ligate spermatic vein
|
$10,080.50 |
$10,080.50 |
$10,080.50 |
$6,604.38
|
|
Laparo-myomectomy complex
|
$40,628.50 |
$40,628.50 |
$40,628.50 |
$11,523.76
|
|
Laparo new ureter/bladder
|
$39,148.00 |
$39,148.00 |
$39,148.00 |
$9,116.80
|
|
Laparo new ureter/bladder
|
$37,832.00 |
$37,832.00 |
$37,832.00 |
$11,523.76
|
|
Laparo partial colectomy 44204
|
$10,144.13 |
$10,144.13 |
$10,144.13 |
$2,917.80
|
|
Laparo partial nephrectomy
|
$34,706.50 |
$34,706.50 |
$34,706.50 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$7,982.50 |
$7,982.50 |
$7,982.50 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$35,035.50 |
$35,035.50 |
$35,035.50 |
$6,360.80
|
|
Laparo remove w/ureter
|
$46,715.00 |
$46,715.00 |
$46,715.00 |
$6,593.60
|
|
Laparoscopic myomectomy
|
$27,962.00 |
$27,962.00 |
$27,962.00 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$40,562.00 |
$40,562.00 |
$40,562.00 |
$5,686.20
|
|
Laparoscopic proc
|
$13,213.83 |
$13,213.83 |
$13,213.83 |
$2,215.20
|
|
Laparoscopy adrenalectomy
|
$25,823.50 |
$25,823.50 |
$25,823.50 |
$5,888.00
|