|
Intro cath dialysis circuit w/pta
|
$1,534.50 |
$1,534.50 |
$1,534.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$3,102.00 |
$3,102.00 |
$3,102.00 |
$16,262.40
|
|
Intro catheter aorta
|
$277.05 |
$277.05 |
$277.05 |
$1,654.05
|
|
Intro cath svc/ivc
|
$340.20 |
$340.20 |
$340.20 |
$1,323.27
|
|
Intro long gi tube
|
$247.20 |
$247.20 |
$247.20 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$68.10 |
$68.10 |
$68.10 |
$466.00
|
|
Intro windpipe wire/tube
|
$423.45 |
$423.45 |
$423.45 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,507.50 |
$1,507.50 |
$1,507.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,507.50 |
$1,507.50 |
$1,507.50 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$222.60 |
$222.60 |
$222.60 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$210.44 |
$210.44 |
$210.44 |
$371.18
|
|
Ionm in operatng room 15 min
|
$45.00 |
$45.00 |
$45.00 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$42.19 |
$42.19 |
$42.19 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$157.11 |
$157.11 |
$157.11 |
$288.11
|
|
Io radiation tx management
|
$174.75 |
$174.75 |
$174.75 |
$593.60
|
|
Io rad tx deliver by elctrns
|
$4,016.40 |
$4,016.40 |
$4,016.40 |
$9,332.31
|
|
Io rad tx delivery by x-ray
|
$4,016.40 |
$4,016.40 |
$4,016.40 |
$9,046.18
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$47.87 |
$47.87 |
$47.87 |
$174.47
|
|
Iron
|
$23.85 |
$23.85 |
$23.85 |
$72.29
|
|
Iron binding capacity
|
$17.70 |
$17.70 |
$17.70 |
$63.60
|
|
Iron stain peripheral blood
|
$37.50 |
$37.50 |
$37.50 |
$30.55
|
|
Irradiation of blood product each unit reference
|
$16.95 |
$16.95 |
$16.95 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$30.75 |
$30.75 |
$30.75 |
$144.62
|
|
Ivc venogram s&i
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$62.70 |
$62.70 |
$62.70 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$39.30 |
$39.30 |
$39.30 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$41.55 |
$41.55 |
$41.55 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$120.00 |
$120.00 |
$120.00 |
$437.45
|
|
IV inj ra drug dx study
|
$103.95 |
$103.95 |
$103.95 |
$552.60
|
|
Ivp w/nephrotomography
|
$275.70 |
$275.70 |
$275.70 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$226.20 |
$226.20 |
$226.20 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$97.35 |
$97.35 |
$97.35 |
$393.43
|
|
John cunningham antibody
|
$8.70 |
$8.70 |
$8.70 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$55.65 |
$55.65 |
$55.65 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$32.40 |
$32.40 |
$32.40 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$9.51 |
$9.51 |
$9.51 |
$23.77
|
|
Kidney imaging morphology
|
$209.10 |
$209.10 |
$209.10 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$478.95 |
$478.95 |
$478.95 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$298.80 |
$298.80 |
$298.80 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$174.45 |
$174.45 |
$174.45 |
$673.36
|
|
Kit gene analys d816 variant
|
$34.35 |
$34.35 |
$34.35 |
$366.03
|
|
Kit lead specify 5-6-5
|
$5,241.60 |
$5,241.60 |
$5,241.60 |
$16,965.41
|
|
Knee MRI (with and without contrast)
|
$924.30 |
$924.30 |
$924.30 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$643.80 |
$643.80 |
$643.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$561.60 |
$561.60 |
$561.60 |
$2,110.76
|
|
Knee X-ray
|
$67.50 |
$67.50 |
$67.50 |
$425.55
|
|
Kras gene addl variants
|
$57.15 |
$57.15 |
$57.15 |
$386.75
|
|
Kras gene variants exon 2
|
$57.15 |
$57.15 |
$57.15 |
$509.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$5.40 |
$5.40 |
$5.40 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$5.40 |
$5.40 |
$5.40 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$22.91 |
$22.91 |
$22.91 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$572.40 |
$572.40 |
$572.40 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$35.40 |
$35.40 |
$35.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$255.30 |
$255.30 |
$255.30 |
$44.91
|
|
Lactic acid
|
$141.45 |
$141.45 |
$141.45 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$30.15 |
$30.15 |
$30.15 |
$81.00
|
|
Lactoferrin fecal quant
|
$10.80 |
$10.80 |
$10.80 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$2,786.43 |
$2,786.43 |
$2,786.43 |
$19,124.00
|
|
Laparscpy ablat 1>lvr tum cryo
|
$4,259.55 |
$4,259.55 |
$4,259.55 |
$11,221.60
|
|
Laryngeal function studies
|
$117.30 |
$117.30 |
$117.30 |
$335.40
|
|
Lead acuity x4 spiral l 86cm
|
$689.10 |
$689.10 |
$689.10 |
$5,534.00
|
|
Lead capillary
|
$32.70 |
$32.70 |
$32.70 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$157.35 |
$157.35 |
$157.35 |
$3,047.96
|
|
Leads any type vad, rep only
|
$114.45 |
$114.45 |
$114.45 |
$406.56
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$309.00 |
$309.00 |
$309.00 |
$1,092.58
|
|
Leishmania antibody
|
$6.00 |
$6.00 |
$6.00 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$35.88 |
$35.88 |
$35.88 |
$164.09
|
|
Leuprolide acetate injeciton
|
$742.55 |
$742.55 |
$742.55 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$24.86 |
$24.86 |
$24.86 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$69.75 |
$69.75 |
$69.75 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$22.17 |
$22.17 |
$22.17 |
$55.60
|
|
L hrt cath chd nm/abn nt cnj
|
$1,360.50 |
$1,360.50 |
$1,360.50 |
$6,095.95
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$10.12 |
$10.12 |
$10.12 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$43.05 |
$43.05 |
$43.05 |
$87.45
|
|
Lincomycin injection
|
$98.89 |
$98.89 |
$98.89 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$25.99 |
$25.99 |
$25.99 |
$121.00
|
|
Lipase
|
$53.70 |
$53.70 |
$53.70 |
$91.65
|
|
Lipoprotein blood quant
|
$26.25 |
$26.25 |
$26.25 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$25.95 |
$25.95 |
$25.95 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$22.65 |
$22.65 |
$22.65 |
$61.60
|
|
Lip surgery procedure
|
$46.80 |
$46.80 |
$46.80 |
$335.50
|
|
Lithium therapeutic drug level
|
$32.70 |
$32.70 |
$32.70 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$235.50 |
$235.50 |
$235.50 |
$365.28
|
|
Liver Function Test
|
$113.25 |
$113.25 |
$113.25 |
$115.44
|
|
Liver imag w/vasclr flow
|
$238.80 |
$238.80 |
$238.80 |
$1,227.60
|
|
Liver/spleen imag static only
|
$152.55 |
$152.55 |
$152.55 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$215.25 |
$215.25 |
$215.25 |
$1,069.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$22.59 |
$22.59 |
$22.59 |
$37.37
|
|
Lo rig pos pnl l1-l5 pre ots
|
$24.90 |
$24.90 |
$24.90 |
$414.13
|
|
Low cost skin substitute app
|
$248.85 |
$248.85 |
$248.85 |
$933.60
|
|
Low cost skin substitute app
|
$798.45 |
$798.45 |
$798.45 |
$2,147.57
|
|
Low cost skin substitute app
|
$248.85 |
$248.85 |
$248.85 |
$1,012.00
|
|
Low cost skin substitute app
|
$248.85 |
$248.85 |
$248.85 |
$1,009.49
|
|
Low cost skin substitute app
|
$124.35 |
$124.35 |
$124.35 |
$428.35
|
|
Low cost skin substitute app
|
$399.00 |
$399.00 |
$399.00 |
$727.77
|
|
Low cost skin substitute app
|
$124.35 |
$124.35 |
$124.35 |
$408.04
|
|
Low cost skin substitute app
|
$124.35 |
$124.35 |
$124.35 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$562.05 |
$562.05 |
$562.05 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$539.40 |
$539.40 |
$539.40 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$526.65 |
$526.65 |
$526.65 |
$1,470.00
|