|
Inst fibrinolysis agent ini day
|
$1,486.00 |
$1,486.00 |
$1,486.00 |
$1,095.00
|
|
Instillation anticarcinogenic agent bladder
|
$907.00 |
$907.00 |
$907.00 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$3,908.00 |
$3,908.00 |
$3,908.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$5,521.00 |
$5,521.00 |
$5,521.00 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$1,739.00 |
$1,739.00 |
$1,739.00 |
$1,074.68
|
|
Insulin total
|
$152.00 |
$152.00 |
$152.00 |
$67.60
|
|
Interdiscal perq aspir dx
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$1,222.26
|
|
Interrogate subq defib
|
$615.00 |
$615.00 |
$615.00 |
$139.10
|
|
Interrog device eval heart
|
$238.00 |
$238.00 |
$238.00 |
$150.00
|
|
Interstitial brachy inter
|
$7,865.00 |
$7,865.00 |
$7,865.00 |
$1,244.40
|
|
Intracran angioplsty w/stent
|
$14,228.00 |
$14,228.00 |
$14,228.00 |
$11,364.78
|
|
Intracranial complete study
|
$882.00 |
$882.00 |
$882.00 |
$883.30
|
|
Intracranial limited study
|
$490.00 |
$490.00 |
$490.00 |
$423.52
|
|
Intrinsic factor antibody
|
$155.00 |
$155.00 |
$155.00 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,327.00 |
$1,327.00 |
$1,327.00 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$9,472.00 |
$9,472.00 |
$9,472.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$18,565.00 |
$18,565.00 |
$18,565.00 |
$15,625.00
|
|
Intro catheter aorta
|
$623.00 |
$623.00 |
$623.00 |
$1,861.61
|
|
Intro cath svc/ivc
|
$604.00 |
$604.00 |
$604.00 |
$1,350.75
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$10,430.00 |
$10,430.00 |
$10,430.00 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$10,430.00 |
$10,430.00 |
$10,430.00 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,631.00 |
$1,631.00 |
$1,631.00 |
$617.60
|
|
Ionm in operatng room 15 min
|
$242.00 |
$242.00 |
$242.00 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$962.00 |
$962.00 |
$962.00 |
$622.70
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,971.00 |
$1,971.00 |
$1,971.00 |
$182.21
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$129.25 |
$129.25 |
$129.25 |
$203.92
|
|
Iron
|
$121.00 |
$121.00 |
$121.00 |
$70.72
|
|
Iron binding capacity
|
$117.00 |
$117.00 |
$117.00 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$416.25 |
$416.25 |
$416.25 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$243.00 |
$243.00 |
$243.00 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$204.00 |
$204.00 |
$204.00 |
$154.50
|
|
Ivc venogram s&i
|
$5,047.00 |
$5,047.00 |
$5,047.00 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$320.00 |
$320.00 |
$320.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$186.00 |
$186.00 |
$186.00 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$276.00 |
$276.00 |
$276.00 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$744.00 |
$744.00 |
$744.00 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$2,108.00 |
$2,108.00 |
$2,108.00 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$8,654.75 |
$8,654.75 |
$8,654.75 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$749.00 |
$749.00 |
$749.00 |
$378.30
|
|
John cunningham antibody
|
$141.00 |
$141.00 |
$141.00 |
$48.57
|
|
J-tube placement
|
$646.00 |
$646.00 |
$646.00 |
$502.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$106.00 |
$106.00 |
$106.00 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$54.25 |
$54.25 |
$54.25 |
$29.52
|
|
Kidney imag w/bld flow multi
|
$3,344.00 |
$3,344.00 |
$3,344.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,098.00 |
$2,098.00 |
$2,098.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$738.00 |
$738.00 |
$738.00 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$18,800.00 |
$18,800.00 |
$18,800.00 |
$9,400.00
|
|
Kit ipg optimizer smart
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$13,500.00 |
$13,500.00 |
$13,500.00 |
$15,875.64
|
|
Kras gene variants exon 2
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$429.00 |
$429.00 |
$429.00 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$94.00 |
$94.00 |
$94.00 |
$53.30
|
|
Lactated ringers intravenous solution
|
$113.00 |
$113.00 |
$113.00 |
$48.56
|
|
Lactic acid
|
$159.00 |
$159.00 |
$159.00 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$192.00 |
$192.00 |
$192.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$218.00 |
$218.00 |
$218.00 |
$106.10
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$4,820.00 |
$4,820.00 |
$4,820.00 |
$2,480.71
|
|
Lead acuity x4 spiral l 86cm
|
$6,200.00 |
$6,200.00 |
$6,200.00 |
$5,831.00
|
|
Lead capillary
|
$148.00 |
$148.00 |
$148.00 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$8,000.00 |
$8,000.00 |
$8,000.00 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,283.00 |
$1,283.00 |
$1,283.00 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$780.50 |
$780.50 |
$780.50 |
$164.09
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$26.50 |
$26.50 |
$26.50 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$153.00 |
$153.00 |
$153.00 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$72.50 |
$72.50 |
$72.50 |
$64.88
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$697.00 |
$697.00 |
$697.00 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$6,242.85
|
|
Liberta rc ipg
|
$20,200.00 |
$20,200.00 |
$20,200.00 |
$39,840.21
|
|
Lidocaine injection
|
$17.75 |
$17.75 |
$17.75 |
$47.23
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$99.00 |
$99.00 |
$99.00 |
$50.70
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$39.75 |
$39.75 |
$39.75 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$188.00 |
$188.00 |
$188.00 |
$83.85
|
|
Limited ankle motion ea jnt
|
$117.00 |
$117.00 |
$117.00 |
$102.40
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$412.00 |
$412.00 |
$412.00 |
$172.25
|
|
Lipase
|
$128.00 |
$128.00 |
$128.00 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$314.00 |
$314.00 |
$314.00 |
$89.52
|
|
Lipoprotein blood quant
|
$103.00 |
$103.00 |
$103.00 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$105.00 |
$105.00 |
$105.00 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$117.00 |
$117.00 |
$117.00 |
$60.00
|
|
Lithium therapeutic drug level
|
$77.00 |
$77.00 |
$77.00 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$23,042.00 |
$23,042.00 |
$23,042.00 |
$4,371.12
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,212.00 |
$1,212.00 |
$1,212.00 |
$1,882.80
|
|
Liver Function Test
|
$139.00 |
$139.00 |
$139.00 |
$110.50
|
|
Liver imaging
|
$1,412.00 |
$1,412.00 |
$1,412.00 |
$1,241.25
|
|
Liver/spleen imag w/vasclr flow
|
$1,130.00 |
$1,130.00 |
$1,130.00 |
$949.00
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$175.50 |
$175.50 |
$175.50 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,984.00 |
$3,984.00 |
$3,984.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,367.00 |
$3,367.00 |
$3,367.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,570.00 |
$2,570.00 |
$2,570.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,555.00 |
$6,555.00 |
$6,555.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$5,547.00 |
$5,547.00 |
$5,547.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,879.00 |
$3,879.00 |
$3,879.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$458.00 |
$458.00 |
$458.00 |
$344.00
|
|
Lso sag-coronal panel custom
|
$2,875.00 |
$2,875.00 |
$2,875.00 |
$2,236.86
|
|
Lso s/c shell/panel prefab
|
$1,587.00 |
$1,587.00 |
$1,587.00 |
$1,615.90
|
|
L/s ratio fetal lung
|
$284.00 |
$284.00 |
$284.00 |
$168.00
|
|
Lumbar diskogram s&i
|
$3,470.00 |
$3,470.00 |
$3,470.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$205.00 |
$205.00 |
$205.00 |
$182.91
|
