|
Intro cath dialysis circuit w/stent plcmnt
|
$15,762.09 |
$15,762.09 |
$15,762.09 |
$15,625.00
|
|
Intro catheter aorta
|
$839.45 |
$839.45 |
$839.45 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,331.28 |
$1,331.28 |
$1,331.28 |
$1,350.75
|
|
Intro long gi tube
|
$1,281.84 |
$1,281.84 |
$1,281.84 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$735.42 |
$735.42 |
$735.42 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$445.48 |
$445.48 |
$445.48 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$445.48 |
$445.48 |
$445.48 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$748.30 |
$748.30 |
$748.30 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$1,243.73 |
$1,243.73 |
$1,243.73 |
$677.98
|
|
Ionm in operatng room 15 min
|
$228.66 |
$228.66 |
$228.66 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$914.64 |
$914.64 |
$914.64 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$241.02 |
$241.02 |
$241.02 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$182.21
|
|
Io rad tx delivery by x-ray
|
$13,769.04 |
$13,769.04 |
$13,769.04 |
$10,127.56
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$35,467.02 |
$35,467.02 |
$35,467.02 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$554.66 |
$554.66 |
$554.66 |
$203.92
|
|
Iron
|
$124.63 |
$124.63 |
$124.63 |
$70.72
|
|
Iron binding capacity
|
$78.80 |
$78.80 |
$78.80 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$90.64 |
$90.64 |
$90.64 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$147.81 |
$147.81 |
$147.81 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$25.75 |
$25.75 |
$25.75 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$252.35 |
$252.35 |
$252.35 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$8,335.70
|
|
Ivc venogram s&i
|
$3,475.22 |
$3,475.22 |
$3,475.22 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$395.52 |
$395.52 |
$395.52 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$319.30 |
$319.30 |
$319.30 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$242.57 |
$242.57 |
$242.57 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$899.19 |
$899.19 |
$899.19 |
$460.85
|
|
IV inj ra drug dx study
|
$573.20 |
$573.20 |
$573.20 |
$560.00
|
|
Ivp w/nephrotomography
|
$169.95 |
$169.95 |
$169.95 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$751.39 |
$751.39 |
$751.39 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$4,167.38 |
$4,167.38 |
$4,167.38 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$151.93 |
$151.93 |
$151.93 |
$378.30
|
|
J-tube placement
|
$4,138.54 |
$4,138.54 |
$4,138.54 |
$502.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$176.65 |
$176.65 |
$176.65 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$53.05 |
$53.05 |
$53.05 |
$29.52
|
|
Kidney imaging morphology
|
$556.20 |
$556.20 |
$556.20 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$5,168.03 |
$5,168.03 |
$5,168.03 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$3,270.77 |
$3,270.77 |
$3,270.77 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,437.37 |
$1,437.37 |
$1,437.37 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,152.97 |
$8,152.97 |
$8,152.97 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$28,974.93 |
$28,974.93 |
$28,974.93 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$25,709.83 |
$25,709.83 |
$25,709.83 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$7,065.80 |
$7,065.80 |
$7,065.80 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$665.38 |
$665.38 |
$665.38 |
$1,391.79
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$865.20 |
$865.20 |
$865.20 |
$2,306.56
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$125.66 |
$125.66 |
$125.66 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$723.06 |
$723.06 |
$723.06 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$34.51 |
$34.51 |
$34.51 |
$53.30
|
|
Lactated ringers intravenous solution
|
$27.81 |
$27.81 |
$27.81 |
$48.56
|
|
Lactic acid
|
$646.33 |
$646.33 |
$646.33 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$48.93 |
$48.93 |
$48.93 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$11,818.74 |
$11,818.74 |
$11,818.74 |
$21,487.67
|
|
Lanthanum carbonate oral 5mg
|
$26.78 |
$26.78 |
$26.78 |
$14.41
|
|
Lead acuity x4 spiral l 86cm
|
$4,180.77 |
$4,180.77 |
$4,180.77 |
$5,831.00
|
|
Lead capillary
|
$12.36 |
$12.36 |
$12.36 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,901.38 |
$1,901.38 |
$1,901.38 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$5,435.31 |
$5,435.31 |
$5,435.31 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$3,083.31 |
$3,083.31 |
$3,083.31 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$136.99 |
$136.99 |
$136.99 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$510.88 |
$510.88 |
$510.88 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$136.99 |
$136.99 |
$136.99 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$168.92 |
$168.92 |
$168.92 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$9,576.94 |
$9,576.94 |
$9,576.94 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,017.00 |
$4,017.00 |
$4,017.00 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$135.96 |
$135.96 |
$135.96 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$7.44 |
$7.44 |
$7.44 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$122.06 |
$122.06 |
$122.06 |
$64.88
|
|
Liberta rc ipg
|
$31,871.81 |
$31,871.81 |
$31,871.81 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$40.69 |
$40.69 |
$40.69 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$184.89 |
$184.89 |
$184.89 |
$83.85
|
|
Ligate/strip long leg vein
|
$4,026.79 |
$4,026.79 |
$4,026.79 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$4,026.79 |
$4,026.79 |
$4,026.79 |
$3,724.63
|
|
Ligation/divis of long saph vein 37700
|
$4,026.79 |
$4,026.79 |
$4,026.79 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$5,127.34 |
$5,127.34 |
$5,127.34 |
$4,240.23
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$26,666.70 |
$26,666.70 |
$26,666.70 |
$172.25
|
|
Lipase
|
$288.40 |
$288.40 |
$288.40 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$63.35 |
$63.35 |
$63.35 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$111.76 |
$111.76 |
$111.76 |
$60.00
|
|
Lithium therapeutic drug level
|
$156.05 |
$156.05 |
$156.05 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$7,171.38 |
$7,171.38 |
$7,171.38 |
$4,371.12
|
|
Liver Function Test
|
$396.04 |
$396.04 |
$396.04 |
$110.50
|
|
Liver imaging
|
$1,957.00 |
$1,957.00 |
$1,957.00 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$2,131.59 |
$2,131.59 |
$2,131.59 |
$1,255.15
|
|
Liver/spleen imag static only
|
$2,252.61 |
$2,252.61 |
$2,252.61 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$2,556.98 |
$2,556.98 |
$2,556.98 |
$949.00
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$73.13 |
$73.13 |
$73.13 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,961.00 |
$4,961.00 |
$4,961.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$10,269.10 |
$10,269.10 |
$10,269.10 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$4,961.00 |
$4,961.00 |
$4,961.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,308.49 |
$4,308.49 |
$4,308.49 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$9,545.53 |
$9,545.53 |
$9,545.53 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,579.64 |
$2,579.64 |
$2,579.64 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$979.53 |
$979.53 |
$979.53 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$218.36 |
$218.36 |
$218.36 |
$275.88
|
|
Lumbar diskogram s&i
|
$3,967.56 |
$3,967.56 |
$3,967.56 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$406.85 |
$406.85 |
$406.85 |
$298.50
|
|
Lung perfusion imaging
|
$488.22 |
$488.22 |
$488.22 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$8,198.80 |
$8,198.80 |
$8,198.80 |
$20,686.05
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$12,760.16 |
$12,760.16 |
$12,760.16 |
$25,341.71
|