|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3.52 |
$3.52 |
$3.52 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$14,999.00 |
$14,999.00 |
$14,999.00 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$59.18 |
$59.18 |
$59.18 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$75.02 |
$75.02 |
$75.02 |
$284.45
|
|
Ip/obs consltj new/est sf 35
|
$37.40 |
$37.40 |
$37.40 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$108.29 |
$108.29 |
$108.29 |
$163.87
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$1,466.67 |
$1,466.67 |
$1,466.67 |
$5,476.68
|
|
Iron
|
$141.46 |
$141.46 |
$141.46 |
$74.40
|
|
Iron binding capacity
|
$36.96 |
$36.96 |
$36.96 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$124.21 |
$124.21 |
$124.21 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$27.50 |
$27.50 |
$27.50 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$82.06 |
$82.06 |
$82.06 |
$142.20
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$2,115.44 |
$2,115.44 |
$2,115.44 |
$8,273.35
|
|
Ivc venogram s&i
|
$1,665.40 |
$1,665.40 |
$1,665.40 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$129.14 |
$129.14 |
$129.14 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$129.14 |
$129.14 |
$129.14 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$129.14 |
$129.14 |
$129.14 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$246.84 |
$246.84 |
$246.84 |
$439.56
|
|
Ivp w/nephrotomography
|
$952.82 |
$952.82 |
$952.82 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$227.26 |
$227.26 |
$227.26 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$64.90 |
$64.90 |
$64.90 |
$379.87
|
|
John cunningham antibody
|
$6.60 |
$6.60 |
$6.60 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$23.32 |
$23.32 |
$23.32 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$63.80 |
$63.80 |
$63.80 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$16.78 |
$16.78 |
$16.78 |
$23.50
|
|
Kidney imag w/bld flow multi
|
$807.84 |
$807.84 |
$807.84 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$531.08 |
$531.08 |
$531.08 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$889.90 |
$889.90 |
$889.90 |
$666.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$4,220.48 |
$4,220.48 |
$4,220.48 |
$9,482.25
|
|
Kit lead specify 5-6-5
|
$5,955.84 |
$5,955.84 |
$5,955.84 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,025.20 |
$1,025.20 |
$1,025.20 |
$1,543.50
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,497.98 |
$1,497.98 |
$1,497.98 |
$2,089.15
|
|
Knee MRI (with and without contrast)
|
$2,702.70 |
$2,702.70 |
$2,702.70 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$2,220.90 |
$2,220.90 |
$2,220.90 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,980.66 |
$1,980.66 |
$1,980.66 |
$2,169.60
|
|
Knee X-ray
|
$580.80 |
$580.80 |
$580.80 |
$425.55
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$14.92 |
$14.92 |
$14.92 |
$32.34
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$124.21 |
$124.21 |
$124.21 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$128.70 |
$128.70 |
$128.70 |
$55.50
|
|
Lactated ringers intravenous solution
|
$15.19 |
$15.19 |
$15.19 |
$45.56
|
|
Lactation class
|
$11.44 |
$11.44 |
$11.44 |
$93.71
|
|
Lactic acid
|
$129.36 |
$129.36 |
$129.36 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$47.74 |
$47.74 |
$47.74 |
$80.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$5,280.00 |
$5,280.00 |
$5,280.00 |
$19,124.00
|
|
Laparoscopy excise lesions
|
$470.73 |
$470.73 |
$470.73 |
$6,904.15
|
|
Laparoscopy lysis
|
$443.52 |
$443.52 |
$443.52 |
$5,057.88
|
|
Laparoscopy remove adnexa
|
$433.07 |
$433.07 |
$433.07 |
$8,312.83
|
|
Lead acuity x4 spiral l 86cm
|
$6,270.00 |
$6,270.00 |
$6,270.00 |
$5,488.00
|
|
Lead capillary
|
$5.72 |
$5.72 |
$5.72 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$2,684.66 |
$2,684.66 |
$2,684.66 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$5,940.00 |
$5,940.00 |
$5,940.00 |
$8,000.00
|
|
Left compres band <3"/yd
|
$3.30 |
$3.30 |
$3.30 |
$3.64
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$839.74 |
$839.74 |
$839.74 |
$1,088.26
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$25.96 |
$25.96 |
$25.96 |
$1,050.40
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$120.34 |
$120.34 |
$120.34 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$5,310.15 |
$5,310.15 |
$5,310.15 |
$7,052.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,751.09 |
$2,751.09 |
$2,751.09 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$37.92 |
$37.92 |
$37.92 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$27.94 |
$27.94 |
$27.94 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$13.84 |
$13.84 |
$13.84 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$214.62 |
$214.62 |
$214.62 |
$385.62
|
|
Liberta rc ipg
|
$11,935.22 |
$11,935.22 |
$11,935.22 |
$36,300.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$27.74 |
$27.74 |
$27.74 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$24.86 |
$24.86 |
$24.86 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$21.78 |
$21.78 |
$21.78 |
$89.70
|
|
Ligate oviduct(s) add-on 58611
|
$29.09 |
$29.09 |
$29.09 |
$192.80
|
|
Limited autopsy
|
$110.00 |
$110.00 |
$110.00 |
$352.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$36.61 |
$36.61 |
$36.61 |
$125.66
|
|
Lipase
|
$171.60 |
$171.60 |
$171.60 |
$93.58
|
|
Lipoprotein blood quant
|
$25.74 |
$25.74 |
$25.74 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$122.98 |
$122.98 |
$122.98 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$128.04 |
$128.04 |
$128.04 |
$61.60
|
|
Lithium therapeutic drug level
|
$155.54 |
$155.54 |
$155.54 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,602.84 |
$4,602.84 |
$4,602.84 |
$3,900.00
|
|
Liver Function Test
|
$163.02 |
$163.02 |
$163.02 |
$115.44
|
|
Liver imag w/vasclr flow
|
$763.62 |
$763.62 |
$763.62 |
$1,238.65
|
|
Liver/spleen imag static only
|
$418.88 |
$418.88 |
$418.88 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$302.06 |
$302.06 |
$302.06 |
$1,067.48
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.88 |
$0.88 |
$0.88 |
$45.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$12.75 |
$12.75 |
$12.75 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,323.32 |
$3,323.32 |
$3,323.32 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,825.02 |
$2,825.02 |
$2,825.02 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,238.28 |
$2,238.28 |
$2,238.28 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,938.32 |
$2,938.32 |
$2,938.32 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,689.50 |
$2,689.50 |
$2,689.50 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,654.96 |
$2,654.96 |
$2,654.96 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$476.74 |
$476.74 |
$476.74 |
$352.32
|
|
L/s ratio fetal lung
|
$12.54 |
$12.54 |
$12.54 |
$176.15
|
|
Lung Function Test (Spirometry)
|
$156.86 |
$156.86 |
$156.86 |
$295.35
|
|
Lung perfusion imaging
|
$554.62 |
$554.62 |
$554.62 |
$1,075.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$20,101.00
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$5,371.98 |
$5,371.98 |
$5,371.98 |
$21,867.91
|
|
Lymphatics/lymph node imaging
|
$889.46 |
$889.46 |
$889.46 |
$1,448.00
|
|
Lymphocyte transformation mitogen
|
$9.59 |
$9.59 |
$9.59 |
$266.20
|
|
Macroscopic exam arthropod
|
$98.56 |
$98.56 |
$98.56 |
$38.50
|
|
Macroscopic exam parasite
|
$128.04 |
$128.04 |
$128.04 |
$36.40
|
|
Magnesium
|
$191.84 |
$191.84 |
$191.84 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$20.03 |
$20.03 |
$20.03 |
$58.70
|
|
Magnetic image bone marrow
|
$925.54 |
$925.54 |
$925.54 |
$1,301.65
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$55.00 |
$55.00 |
$55.00 |
$128.40
|