|
Iron binding capacity
|
$4.48 |
$4.48 |
$57.81 |
$63.91
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$153.75 |
$153.75 |
$153.75 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$105.95 |
$105.95 |
$111.44 |
$146.11
|
|
Ivc venogram s&i
|
$1,462.13 |
$1,462.13 |
$2,331.10 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$58.97 |
$58.97 |
$225.83 |
$133.90
|
|
IV Fluids (first hour)
|
$188.45 |
$188.45 |
$295.70 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$83.62 |
$83.62 |
$154.25 |
$162.68
|
|
IV inj ra drug dx study
|
$191.90 |
$191.90 |
$521.52 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$108.58 |
$108.58 |
$153.51 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$72.38 |
$72.38 |
$242.31 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$203.74 |
$203.74 |
$295.70 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$87.05 |
$87.05 |
$253.88 |
$167.50
|
|
IV Push Injection (first drug)
|
$157.56 |
$157.56 |
$304.80 |
$252.76
|
|
Ivp w/nephrotomography
|
$810.81 |
$810.81 |
$810.81 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$449.96 |
$449.96 |
$449.96 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$158.06 |
$158.06 |
$182.24 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$116.72 |
$116.72 |
$149.82 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$115.53 |
$115.53 |
$249.20 |
$362.05
|
|
John cunningham antibody
|
$7.50 |
$7.50 |
$386.60 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$24.07 |
$24.07 |
$24.07 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$10.13 |
$10.13 |
$29.52 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$23.37 |
$23.37 |
$23.37 |
$23.52
|
|
Kidney function study
|
$382.35 |
$382.35 |
$382.35 |
$935.22
|
|
Kidney imaging morphology
|
$486.96 |
$486.96 |
$486.96 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$786.66 |
$786.66 |
$1,463.70 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$621.65 |
$621.65 |
$665.57 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$234.93 |
$234.93 |
$340.71 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$151.55 |
$151.55 |
$224.85 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$3,025.07 |
$3,025.07 |
$3,025.07 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,244.17 |
$11,244.17 |
$11,244.17 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$106.55 |
$106.55 |
$122.88 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$58,508.64 |
$58,508.64 |
$58,508.64 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$14,618.31 |
$14,618.31 |
$15,769.20 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$808.50 |
$808.50 |
$1,375.39 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$11,244.17 |
$11,244.17 |
$11,244.17 |
$360.12
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,789.16 |
$1,789.16 |
$1,831.50 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$603.16 |
$603.16 |
$603.16 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$502.61 |
$502.61 |
$502.61 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$402.05 |
$402.05 |
$402.05 |
$2,130.88
|
|
Knee X-ray
|
$133.06 |
$133.06 |
$133.06 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$100.98 |
$100.98 |
$100.98 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$118.80 |
$118.80 |
$118.80 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$117.61 |
$117.61 |
$312.42 |
$251.20
|
|
Kras gene addl variants
|
$102.66 |
$102.66 |
$190.16 |
$387.20
|
|
Kras gene variants exon 2
|
$164.96 |
$164.96 |
$190.16 |
$536.20
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$15.66 |
$15.66 |
$15.66 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$86.10 |
$86.10 |
$86.10 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$232.23 |
$232.23 |
$232.23 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$27.72 |
$27.72 |
$75.53 |
$55.50
|
|
Lactated ringers intravenous solution
|
$86.10 |
$86.10 |
$86.10 |
$43.74
|
|
Lactic acid
|
$25.40 |
$25.40 |
$80.69 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$16.27 |
$16.27 |
$19.39 |
$82.16
|
|
Lactoferrin fecal quant
|
$33.86 |
$33.86 |
$33.86 |
$108.93
|
|
Lanthanum carbonate oral 5mg
|
$21.90 |
$21.90 |
$21.90 |
$14.53
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$286.43 |
$286.43 |
$434.44 |
$740.40
|
|
Laryngeal function studies
|
$127.57 |
$127.57 |
$127.57 |
$342.60
|
|
Laryngoscopic sensory vid
|
$222.32 |
$222.32 |
$222.32 |
$323.79
|
|
Laryngoscopy telescopic
|
$320.82 |
$320.82 |
$320.82 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$8,316.03 |
$8,316.03 |
$9,199.20 |
$5,460.00
|
|
Lead capillary
|
$11.92 |
$11.92 |
$13.11 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$8,648.63 |
$8,648.63 |
$9,199.20 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$5,914.20 |
$5,914.20 |
$14,056.20 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$528.62 |
$528.62 |
$705.29 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$267.24 |
$267.24 |
$267.24 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$213.79 |
$213.79 |
$213.79 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$530.40 |
$530.40 |
$707.99 |
$1,092.58
|
|
Leishmania antibody
|
$5.44 |
$5.44 |
$12.06 |
$58.50
|
|
Lens, intraocular (new tech)
|
$487.00 |
$487.00 |
$487.00 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$367.77 |
$367.77 |
$367.77 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$743.43 |
$743.43 |
$2,325.69 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$216.48 |
$216.48 |
$743.43 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$86.10 |
$86.10 |
$86.10 |
$163.62
|
|
Leukocyte phagocytosis
|
$8.08 |
$8.08 |
$8.08 |
$80.64
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,133.57 |
$1,133.57 |
$1,133.57 |
$6,360.76
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$23.62 |
$23.62 |
$23.62 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$10.46 |
$10.46 |
$13.04 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$86.10 |
$86.10 |
$86.10 |
$55.69
|
|
Liberta rc ipg
|
$26,281.20 |
$26,281.20 |
$70,794.62 |
$39,189.70
|
|
Lidocaine injection
|
$11.81 |
$11.81 |
$11.81 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$22.39 |
$22.39 |
$22.39 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$86.10 |
$86.10 |
$86.10 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$7.47 |
$7.47 |
$97.42 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$1,295,750.65 |
$1,295,750.65 |
$1,295,750.65 |
$30,744.64
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$87.83 |
$87.83 |
$87.83 |
$121.00
|
|
Lipase
|
$41.33 |
$41.33 |
$179.58 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$16.93 |
$16.93 |
$16.93 |
$87.00
|
|
Lipoprotein blood quant
|
$17.10 |
$17.10 |
$33.65 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$20.42 |
$20.42 |
$40.59 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$10.34 |
$10.34 |
$15.60 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$17.10 |
$17.10 |
$17.10 |
$47.18
|
|
Lisocabtagene mara car pos t
|
$1,336,907.88 |
$1,336,907.88 |
$1,336,907.88 |
$1,336,907.88
|
|
Lithium therapeutic drug level
|
$8.63 |
$8.63 |
$149.33 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,829.25 |
$2,829.25 |
$2,829.25 |
$4,371.12
|
|
Liver elastography 91200
|
$325.37 |
$325.37 |
$325.37 |
$285.18
|
|
Liver Function Test
|
$47.64 |
$47.64 |
$110.21 |
$115.44
|
|
Liver imaging
|
$461.82 |
$461.82 |
$1,282.89 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$498.81 |
$498.81 |
$692.74 |
$1,227.60
|
|
Liver/spleen imag static only
|
$423.10 |
$423.10 |
$448.95 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$372.23 |
$372.23 |
$372.23 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.77 |
$0.77 |
$0.77 |
$49.70
|