|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,929.00 |
$4,929.00 |
$4,929.00 |
$4,782.00
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,001.50 |
$3,001.50 |
$3,001.50 |
$2,529.45
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,840.00 |
$7,840.00 |
$7,840.00 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$6,095.00 |
$6,095.00 |
$6,095.00 |
$2,505.60
|
|
Insertion of heart electrode 33211
|
$3,228.50 |
$3,228.50 |
$3,228.50 |
$6,903.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$6,425.50 |
$6,425.50 |
$6,425.50 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$8,751.50 |
$8,751.50 |
$8,751.50 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$7,889.00 |
$7,889.00 |
$7,889.00 |
$10,100.35
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,227.50 |
$2,227.50 |
$2,227.50 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,227.50 |
$2,227.50 |
$2,227.50 |
$2,419.65
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$11,646.50 |
$11,646.50 |
$11,646.50 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$3,097.00 |
$3,097.00 |
$3,097.00 |
$7,200.05
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$7,312.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,283.67 |
$4,283.67 |
$4,283.67 |
$5,223.20
|
|
Insert nasal septal button
|
$2,126.00 |
$2,126.00 |
$2,126.00 |
$1,783.50
|
|
Insert pm/icd lead dual
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$7,115.20
|
|
Insert/repl sq defib w/eltrd
|
$10,482.00 |
$10,482.00 |
$10,482.00 |
$32,800.04
|
|
Insert spine infusion device 62360
|
$5,125.50 |
$5,125.50 |
$5,125.50 |
$17,262.84
|
|
Insert sq defib electrode
|
$3,003.00 |
$3,003.00 |
$3,003.00 |
$8,167.68
|
|
Insert swan-ganz cath
|
$1,745.50 |
$1,745.50 |
$1,745.50 |
$2,210.50
|
|
Insert vad art access left hrt arterial access
|
$4,115.00 |
$4,115.00 |
$4,115.00 |
$4,270.75
|
|
Insitu hybridization manual
|
$201.50 |
$201.50 |
$201.50 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$240.00 |
$240.00 |
$240.00 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$179.50 |
$179.50 |
$179.50 |
$331.69
|
|
Insj rx elut implt lac canal
|
$2,615.00 |
$2,615.00 |
$2,615.00 |
$2,572.70
|
|
Insj stablj dev without dcmprn
|
$7,347.50 |
$7,347.50 |
$7,347.50 |
$15,226.08
|
|
Insj stablj dev without dcmprn
|
$3,671.50 |
$3,671.50 |
$3,671.50 |
$10,418.40
|
|
Ins lv lead exist pm/icd
|
$5,363.00 |
$5,363.00 |
$5,363.00 |
$12,384.25
|
|
Ins pq tunnld ip cath w/img
|
$3,426.50 |
$3,426.50 |
$3,426.50 |
$5,377.00
|
|
Ins/rplcmt prq eltrd ra pn 1
|
$9,382.50 |
$9,382.50 |
$9,382.50 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$5,997.50 |
$5,997.50 |
$5,997.50 |
$24,061.80
|
|
Ins/rpl pm gen exist dual lead
|
$5,363.00 |
$5,363.00 |
$5,363.00 |
$11,005.50
|
|
Ins/rpl pm w/tv ld atrl
|
$5,862.00 |
$5,862.00 |
$5,862.00 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$11,111.00 |
$11,111.00 |
$11,111.00 |
$21,857.50
|
|
Inst fibrinolysis agent ini day
|
$1,321.50 |
$1,321.50 |
$1,321.50 |
$1,036.05
|
|
Instillation anticarcinogenic agent bladder
|
$991.50 |
$991.50 |
$991.50 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$5,218.00 |
$5,218.00 |
$5,218.00 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,608.00 |
$3,608.00 |
$3,608.00 |
$4,570.00
|
|
Insulin total
|
$59.00 |
$59.00 |
$59.00 |
$66.64
|
|
Intens behave ther cardio dx
|
$34.50 |
$34.50 |
$34.50 |
$47.60
|
|
Interdiscal perq aspir dx
|
$791.50 |
$791.50 |
$791.50 |
$1,222.26
|
|
Interrogate subq defib
|
$45.50 |
$45.50 |
$45.50 |
$119.60
|
|
Interrog device eval heart
|
$114.00 |
$114.00 |
$114.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$22.50 |
$22.50 |
$22.50 |
$124.80
|
|
Interrog without prgrmg ipnss
|
$109.50 |
$109.50 |
$109.50 |
$147.00
|
|
Int hrhc lig 2+hroid without img
|
$3,190.50 |
$3,190.50 |
$3,190.50 |
$3,245.23
|
|
Intranasal biopsy 30100
|
$1,105.75 |
$1,105.75 |
$1,105.75 |
$2,133.48
|
|
Intrinsic factor antibody
|
$78.00 |
$78.00 |
$78.00 |
$63.15
|
|
Intro catheter aorta
|
$1,888.50 |
$1,888.50 |
$1,888.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,483.50 |
$1,483.50 |
$1,483.50 |
$1,323.27
|
|
Intubation endotracheal emergency procedure
|
$5,299.67 |
$5,299.67 |
$5,299.67 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$78.07 |
$78.07 |
$78.07 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$208.35 |
$208.35 |
$208.35 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$23,790.85 |
$23,790.85 |
$23,790.85 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.00 |
$2.00 |
$2.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$104.17 |
$104.17 |
$104.17 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$13,425.72 |
$13,425.72 |
$13,425.72 |
$5,517.12
|
|
Iron
|
$114.00 |
$114.00 |
$114.00 |
$72.29
|
|
Iron binding capacity
|
$27.00 |
$27.00 |
$27.00 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$750.88 |
$750.88 |
$750.88 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$350.55 |
$350.55 |
$350.55 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$39.50 |
$39.50 |
$39.50 |
$144.62
|
|
Ivc venogram s&i
|
$6,102.50 |
$6,102.50 |
$6,102.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$301.00 |
$301.00 |
$301.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$130.00 |
$130.00 |
$130.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$574.50 |
$574.50 |
$574.50 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$668.50 |
$668.50 |
$668.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$134.50 |
$134.50 |
$134.50 |
$393.43
|
|
Ketamine and metabolite screen - quest
|
$5.00 |
$5.00 |
$5.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$32.50 |
$32.50 |
$32.50 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$3.55 |
$3.55 |
$3.55 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$1,552.00 |
$1,552.00 |
$1,552.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$600.00 |
$600.00 |
$600.00 |
$673.36
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,354.50 |
$6,354.50 |
$6,354.50 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit lead specify 5-6-5
|
$3,753.00 |
$3,753.00 |
$3,753.00 |
$16,965.41
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$923.90
|
|
Knee Arthroscopy (Cartilage Repair)
|
$4,735.00 |
$4,735.00 |
$4,735.00 |
$4,499.12
|
|
Knee arthroscopy dx
|
$4,654.50 |
$4,654.50 |
$4,654.50 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$5,942.50 |
$5,942.50 |
$5,942.50 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$7,188.50 |
$7,188.50 |
$7,188.50 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$6,779.00 |
$6,779.00 |
$6,779.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$6,345.00 |
$6,345.00 |
$6,345.00 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$6,908.50 |
$6,908.50 |
$6,908.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$7,472.00 |
$7,472.00 |
$7,472.00 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$7,386.50 |
$7,386.50 |
$7,386.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$12,934.00 |
$12,934.00 |
$12,934.00 |
$8,979.74
|
|
Knee MRI (with and without contrast)
|
$2,992.50 |
$2,992.50 |
$2,992.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,992.50 |
$2,992.50 |
$2,992.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,724.50 |
$1,724.50 |
$1,724.50 |
$2,110.76
|
|
Knee X-ray
|
$645.00 |
$645.00 |
$645.00 |
$425.55
|
|
Kras gene addl variants
|
$628.00 |
$628.00 |
$628.00 |
$386.75
|
|
Kras gene variants exon 2
|
$628.00 |
$628.00 |
$628.00 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$8.87 |
$8.87 |
$8.87 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$31.50 |
$31.50 |
$31.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$120.00 |
$120.00 |
$120.00 |
$44.91
|
|
Lactic acid
|
$364.00 |
$364.00 |
$364.00 |
$107.00
|
