|
Intro cath dialysis circuit
|
$1,164.00 |
$1,809.50 |
$6,548.00 |
|
|
Intro cath dialysis circuit w/pta
|
$248.00 |
$4,732.50 |
$12,536.50 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$329.50 |
$7,965.50 |
$24,410.50 |
|
|
Intro catheter aorta
|
$588.00 |
$1,888.50 |
$38,062.00 |
|
|
Intro cath svc/ivc
|
$113.50 |
$581.50 |
$1,483.50 |
|
|
Intro long gi tube
|
$19.00 |
$20.00 |
$1,695.50 |
|
|
Intro long gi tube w/mult fluo
|
$26.50 |
$112.00 |
$1,510.50 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$94.50 |
$801.00 |
$2,054.50 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$75.00 |
$120.00 |
$2,139.50 |
|
|
Intubation endotracheal emergency procedure
|
$273.00 |
$407.00 |
$5,299.67 |
|
|
Io anal gast n-stim subsq
|
$345.50 |
$345.50 |
$345.50 |
|
|
Iodine i-123 sod iodide mil
|
$370.50 |
$370.50 |
$4,876.50 |
|
|
Io ga n-stim subsq w/reprog
|
$345.50 |
$345.50 |
$345.50 |
|
|
Ionm in operatng room 15 min
|
$76.00 |
$134.50 |
$1,740.00 |
|
|
Ionm remote/>1 pt or per hr
|
$78.00 |
$78.00 |
$118.00 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.00 |
$53.85 |
$621.68 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.65 |
$248.63 |
$1,578.00 |
|
|
Io rad tx delivery by x-ray
|
$9,274.50 |
$11,366.00 |
$17,384.50 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$20,595.06 |
$36,218.96 |
$116,523.60 |
|
|
Ip/obs cnsltj new/est low 45
|
$102.50 |
$111.00 |
$177.60 |
|
|
Ip/obs cnsltj new/est mod 60
|
$141.50 |
$154.00 |
$246.40 |
|
|
Ip/obs consltj new/est hi 80
|
$191.00 |
$208.00 |
$332.80 |
|
|
Ip/obs consltj new/est sf 35
|
$72.50 |
$79.00 |
$126.40 |
|
|
Ipratropium bromide non-comp
|
$1.50 |
$2.00 |
$2.40 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$42.12 |
$99.54 |
$143.98 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,718.00 |
$13,425.72 |
$15,518.04 |
|
|
Iron
|
$25.50 |
$54.00 |
$340.00 |
|
|
Iron binding capacity
|
$24.00 |
$55.50 |
$135.60 |
|
|
Iron dextran 50 mg/ml injection solution
|
$89.40 |
$733.64 |
$770.13 |
|
|
Iron stain peripheral blood
|
$66.50 |
$66.50 |
$66.50 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.50 |
$210.33 |
$404.40 |
|
|
Irradiation of blood product each unit reference
|
$102.00 |
$145.50 |
$335.50 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$39.50 |
$112.00 |
$171.50 |
|
|
Irrigation vagina and/or appl medicament tx disease
|
$68.00 |
$78.50 |
$103.50 |
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$8,904.32 |
$8,904.32 |
$8,904.32 |
|
|
Island pedicle flap graft
|
$3,960.75 |
$3,960.75 |
$3,960.75 |
|
|
Ivc venogram s&i
|
$2,168.50 |
$3,762.50 |
$7,104.50 |
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$86.00 |
$228.00 |
$615.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$35.20 |
$137.50 |
$302.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$45.00 |
$420.00 |
$1,620.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$204.00 |
$491.00 |
$5,302.50 |
|
|
IV njx tst vasc flo flap/grf
|
$3,643.25 |
$3,643.25 |
$4,633.33 |
|
|
Ivp w/nephrotomography
|
$696.50 |
$715.00 |
$900.00 |
|
|
Ivp w/wo kub w/wo tomography
|
$550.50 |
$877.50 |
$990.50 |
|
|
Jak2 targeted sequence analysis
|
$134.50 |
$144.00 |
$553.00 |
|
|
Jejunstmy tube plcmt
|
$1,758.00 |
$3,688.50 |
$4,475.50 |
|
|
John cunningham antibody
|
$8.50 |
$1,019.50 |
$2,686.00 |
|
|
Keratomileusis
|
$734.50 |
$734.50 |
$734.50 |
|
|
Keratoprosthesis
|
$1,306.00 |
$1,306.00 |
$10,936.01 |
|
|
Ketamine and metabolite screen - quest
|
$5.00 |
$150.00 |
$150.00 |
|
|
Ketogenic steroids fract
|
$80.00 |
$80.00 |
$80.00 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$30.50 |
$51.00 |
$251.40 |
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$1.50 |
$6.22 |
$40.50 |
|
|
Kidney endoscopy & treatment
|
$10,087.34 |
$10,087.34 |
$10,087.34 |
|
|
Kidney imaging morphology
|
$604.00 |
$873.00 |
$873.00 |
|
|
Kidney imag w/bld flow multi
|
$1,444.80 |
$2,227.50 |
$2,375.00 |
|
|
Kidney img w/bldflw sgl without rx
|
$696.50 |
$1,130.00 |
$2,227.50 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$254.00 |
$468.00 |
$659.50 |
|
|
Kit case 4.2mm spinejack
|
$4,251.36 |
$4,251.36 |
$4,251.36 |
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$57.00 |
$58.50 |
$1,725.00 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$4,863.00 |
$6,462.50 |
$9,726.00 |
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,708.80 |
|
|
Kit hfx iq ipg bundle
|
$1,050.50 |
$1,075.00 |
$18,821.60 |
|
|
Kit ipg optimizer smart
|
$20,865.00 |
$20,865.00 |
$20,865.00 |
|
|
Kit lead specify 5-6-5
|
$2,951.25 |
$6,027.50 |
$15,070.47 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,146.50 |
$1,261.88 |
$1,436.50 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$119.50 |
$143.50 |
$923.90 |
|
|
Kit sound processor cochlear osia 2
|
$26.99 |
$26.99 |
$4,166.59 |
|
|
Knee Arthroscopy (Cartilage Repair)
|
$656.00 |
$3,261.00 |
$7,084.50 |
|
|
Knee arthroscopy/drainage
|
$551.00 |
$566.00 |
$3,521.18 |
|
|
Knee arthroscopy dx
|
$436.50 |
$450.00 |
$9,828.00 |
|
|
Knee Arthroscopy (Meniscus Repair)
|
$578.00 |
$4,960.50 |
$11,662.00 |
|
|
Knee arthroscopy/surgery
|
$7,207.67 |
$7,207.67 |
$7,207.67 |
|
|
Knee arthroscopy/surgery
|
$14,657.50 |
$14,657.50 |
$14,657.50 |
|
|
Knee arthroscopy/surgery
|
$563.50 |
$2,793.50 |
$12,643.26 |
|
|
Knee arthroscopy/surgery
|
$569.00 |
$592.00 |
$7,084.50 |
|
|
Knee arthroscopy/surgery
|
$524.50 |
$4,659.20 |
$11,235.50 |
|
|
Knee arthroscopy/surgery
|
$690.50 |
$3,754.00 |
$14,657.50 |
|
|
Knee arthroscopy/surgery
|
$703.00 |
$3,408.00 |
$11,309.00 |
|
|
Knee arthroscopy/surgery
|
$598.00 |
$6,610.00 |
$9,062.50 |
|
|
Knee arthroscopy/surgery
|
$725.50 |
$4,484.67 |
$29,131.26 |
|
|
Knee arthroscopy/surgery
|
$886.50 |
$891.50 |
$19,134.50 |
|
|
Knee arthroscopy/surgery
|
$654.50 |
$659.50 |
$14,339.00 |
|
|
Knee arthroscopy/surgery
|
$6,769.50 |
$6,769.50 |
$6,769.50 |
|
|
Knee arthroscopy/surgery
|
$798.00 |
$802.00 |
$1,283.20 |
|
|
Knee arthroscopy/surgery
|
$1,013.50 |
$11,835.00 |
$22,862.50 |
|
|
Knee arthroscopy/surgery
|
$1,289.50 |
$1,349.00 |
$36,062.67 |
|
|
Knee MRI (with and without contrast)
|
$1,191.50 |
$1,974.00 |
$4,688.00 |
|
|
Knee MRI (with contrast)
|
$1,128.00 |
$1,794.00 |
$3,403.50 |
|
|
Knee MRI (without contrast)
|
$868.50 |
$1,466.00 |
$6,122.40 |
|
|
Knee X-ray
|
$156.50 |
$368.00 |
$1,052.00 |
|
|
Ko single upright pre cst
|
$641.00 |
$641.00 |
$641.00 |
|
|
Ko swedish type pre ots
|
$594.50 |
$607.00 |
$671.00 |
|
|
Kras gene addl variants
|
$95.00 |
$235.00 |
$628.00 |
|
|
Kras gene variants exon 2
|
$28.00 |
$265.00 |
$2,116.20 |
|
|
Kyleena, 19.5 mg
|
$1,822.00 |
$2,733.00 |
$5,465.92 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$1.14 |
$13.31 |
$33.60 |
|
|
Labioplasty 56800
|
$3,344.00 |
$7,048.50 |
$7,984.00 |
|
|
Lactate dehydrogenase (ldh)
|
$10.40 |
$36.00 |
$89.40 |
|
|
Lactated ringers intravenous solution
|
$7.00 |
$24.00 |
$240.00 |
|