|
Inst via cath agent pleurds
|
$278.31 |
$278.31 |
$278.31 |
$1,074.68
|
|
Insulin total
|
$8.61 |
$8.61 |
$8.61 |
$66.64
|
|
Ins vag brachytx device
|
$211.84 |
$211.84 |
$211.84 |
$950.00
|
|
Interdiscal perq aspir dx
|
$592.74 |
$592.74 |
$592.74 |
$1,222.26
|
|
Interrogate subq defib
|
$515.94 |
$515.94 |
$515.94 |
$119.60
|
|
Intra-atrial pacing
|
$1,591.39 |
$1,591.39 |
$1,591.39 |
$4,850.82
|
|
Intra-atrial recording
|
$1,421.02 |
$1,421.02 |
$1,421.02 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,322.29 |
$1,322.29 |
$1,322.29 |
$3,436.00
|
|
Intraventricular pacing
|
$1,689.16 |
$1,689.16 |
$1,689.16 |
$5,456.17
|
|
Intrinsic factor antibody
|
$10.80 |
$10.80 |
$10.80 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,199.93 |
$1,199.93 |
$1,199.93 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$3,724.92 |
$3,724.92 |
$3,724.92 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$7,272.11 |
$7,272.11 |
$7,272.11 |
$16,262.40
|
|
Intro catheter aorta
|
$402.29 |
$402.29 |
$402.29 |
$1,678.05
|
|
Intro cath svc/ivc
|
$359.52 |
$359.52 |
$359.52 |
$1,323.27
|
|
Intro long gi tube
|
$144.50 |
$144.50 |
$144.50 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$129.08 |
$129.08 |
$129.08 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,567.25 |
$1,567.25 |
$1,567.25 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,253.97 |
$1,253.97 |
$1,253.97 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$187.25 |
$187.25 |
$187.25 |
$601.28
|
|
Ionm in operatng room 15 min
|
$81.75 |
$81.75 |
$81.75 |
$200.78
|
|
Iron
|
$31.41 |
$31.41 |
$31.41 |
$75.00
|
|
Iron binding capacity
|
$4.08 |
$4.08 |
$4.08 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$68.11 |
$68.11 |
$68.11 |
$146.11
|
|
Ivc venogram s&i
|
$1,201.21 |
$1,201.21 |
$1,201.21 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$41.39 |
$41.39 |
$41.39 |
$133.90
|
|
IV Fluids (first hour)
|
$132.28 |
$132.28 |
$132.28 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$58.69 |
$58.69 |
$58.69 |
$162.68
|
|
IV inj ra drug dx study
|
$140.77 |
$140.77 |
$140.77 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$76.21 |
$76.21 |
$76.21 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$50.81 |
$50.81 |
$50.81 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$143.01 |
$143.01 |
$143.01 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$61.10 |
$61.10 |
$61.10 |
$167.50
|
|
IV Push Injection (first drug)
|
$110.60 |
$110.60 |
$110.60 |
$252.76
|
|
Ivp w/nephrotomography
|
$666.12 |
$666.12 |
$666.12 |
$748.15
|
|
Jak2 targeted sequence analysis
|
$202.71 |
$202.71 |
$202.71 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$95.89 |
$95.89 |
$95.89 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$94.92 |
$94.92 |
$94.92 |
$362.05
|
|
John cunningham antibody
|
$9.33 |
$9.33 |
$9.33 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$21.90 |
$21.90 |
$21.90 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$9.21 |
$9.21 |
$9.21 |
$58.56
|
|
Kidney imag w/bld flow multi
|
$577.06 |
$577.06 |
$577.06 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$488.24 |
$488.24 |
$488.24 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$100.49 |
$100.49 |
$100.49 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$64.82 |
$64.82 |
$64.82 |
$490.75
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$3,417.02 |
$3,417.02 |
$3,417.02 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$136.65 |
$136.65 |
$136.65 |
$374.61
|
|
Kit ipg optimizer smart
|
$43,523.06 |
$43,523.06 |
$43,523.06 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$8,620.82 |
$8,620.82 |
$8,620.82 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$662.97 |
$662.97 |
$662.97 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$93.28 |
$93.28 |
$93.28 |
$360.12
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,501.83 |
$1,501.83 |
$1,501.83 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$524.64 |
$524.64 |
$524.64 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$437.18 |
$437.18 |
$437.18 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$349.71 |
$349.71 |
$349.71 |
$2,130.88
|
|
Knee X-ray
|
$109.31 |
$109.31 |
$109.31 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$82.96 |
$82.96 |
$82.96 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$97.60 |
$97.60 |
$97.60 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$96.62 |
$96.62 |
$96.62 |
$251.20
|
|
Kras gene addl variants
|
$131.66 |
$131.66 |
$131.66 |
$387.20
|
|
Kras gene variants exon 2
|
$211.56 |
$211.56 |
$211.56 |
$536.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$0.06 |
$0.06 |
$0.06 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$25.22 |
$25.22 |
$25.22 |
$55.50
|
|
Lactic acid
|
$23.10 |
$23.10 |
$23.10 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$14.80 |
$14.80 |
$14.80 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$269.64 |
$269.64 |
$269.64 |
$740.40
|
|
Lead acuity x4 spiral l 86cm
|
$7,543.34 |
$7,543.34 |
$7,543.34 |
$5,460.00
|
|
Lead capillary
|
$11.93 |
$11.93 |
$11.93 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$7,543.34 |
$7,543.34 |
$7,543.34 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$4,849.64 |
$4,849.64 |
$4,849.64 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$379.36 |
$379.36 |
$379.36 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$324.36 |
$324.36 |
$324.36 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$259.49 |
$259.49 |
$259.49 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$380.64 |
$380.64 |
$380.64 |
$1,092.58
|
|
Leishmania antibody
|
$6.77 |
$6.77 |
$6.77 |
$58.50
|
|
Lens, intraocular (new tech)
|
$340.76 |
$340.76 |
$340.76 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$520.18 |
$520.18 |
$520.18 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$520.18 |
$520.18 |
$520.18 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$9.51 |
$9.51 |
$9.51 |
$88.92
|
|
Liberta rc ipg
|
$32,325.38 |
$32,325.38 |
$32,325.38 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$6.80 |
$6.80 |
$6.80 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$906,641.98 |
$906,641.98 |
$906,641.98 |
$30,744.64
|
|
Lipase
|
$37.60 |
$37.60 |
$37.60 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$15.40 |
$15.40 |
$15.40 |
$87.00
|
|
Lipoprotein blood quant
|
$15.55 |
$15.55 |
$15.55 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$18.57 |
$18.57 |
$18.57 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$14.19 |
$14.19 |
$14.19 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$15.55 |
$15.55 |
$15.55 |
$47.18
|
|
Lithium therapeutic drug level
|
$7.85 |
$7.85 |
$7.85 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,419.13 |
$3,419.13 |
$3,419.13 |
$4,371.12
|
|
Liver Function Test
|
$43.34 |
$43.34 |
$43.34 |
$115.44
|
|
Liver imaging
|
$338.78 |
$338.78 |
$338.78 |
$1,109.00
|
|
Liver/spleen imag static only
|
$310.37 |
$310.37 |
$310.37 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$273.06 |
$273.06 |
$273.06 |
$1,069.20
|
|
Low cost skin substitute app
|
$159.17 |
$159.17 |
$159.17 |
$933.60
|
|
Low cost skin substitute app
|
$280.23 |
$280.23 |
$280.23 |
$2,164.64
|
|
Low cost skin substitute app
|
$150.48 |
$150.48 |
$150.48 |
$1,012.00
|
|
Low cost skin substitute app
|
$300.97 |
$300.97 |
$300.97 |
$1,016.16
|
|
Low cost skin substitute app
|
$19.78 |
$19.78 |
$19.78 |
$466.80
|
|
Low cost skin substitute app
|
$80.07 |
$80.07 |
$80.07 |
$756.00
|