|
Insertion catheter bladder temporary simple
|
$286.31 |
$286.31 |
$286.31 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$4,537.30 |
$4,537.30 |
$4,537.30 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,259.82 |
$3,259.82 |
$3,259.82 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,989.56 |
$6,989.56 |
$6,989.56 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,684.37 |
$1,684.37 |
$1,684.37 |
$2,618.40
|
|
Insertion of catheter vein
|
$870.59 |
$870.59 |
$870.59 |
$858.05
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,773.84 |
$1,773.84 |
$1,773.84 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,779.80 |
$2,779.80 |
$2,779.80 |
$2,527.91
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$3,804.42 |
$3,804.42 |
$3,804.42 |
$5,470.54
|
|
Insert swan-ganz cath
|
$3,660.49 |
$3,660.49 |
$3,660.49 |
$2,164.52
|
|
Insert tunneled cv cath
|
$4,070.50 |
$4,070.50 |
$4,070.50 |
$6,028.07
|
|
Insitu hybridization auto
|
$101.14 |
$101.14 |
$101.14 |
$398.16
|
|
Insitu hybridization manual
|
$188.28 |
$188.28 |
$188.28 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$85.58 |
$85.58 |
$85.58 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$194.50 |
$194.50 |
$194.50 |
$338.40
|
|
Ins picad w subq port 5yr>
|
$6,676.80 |
$6,676.80 |
$6,676.80 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,779.80 |
$2,779.80 |
$2,779.80 |
$1,483.95
|
|
Ins pq tunnld ip cath w/img
|
$4,537.30 |
$4,537.30 |
$4,537.30 |
$5,593.60
|
|
Inst fibrinolysis agent ini day
|
$810.68 |
$810.68 |
$810.68 |
$1,095.00
|
|
Ins tun cv cath wo subq prt/pm
|
$5,354.98 |
$5,354.98 |
$5,354.98 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$4,468.84 |
$4,468.84 |
$4,468.84 |
$4,657.46
|
|
Insulin total
|
$14.13 |
$14.13 |
$14.13 |
$67.60
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,704.57 |
$4,704.57 |
$4,704.57 |
$2,959.60
|
|
Interdiscal perq aspir dx
|
$850.36 |
$850.36 |
$850.36 |
$1,222.26
|
|
Interrog dev eval icpms ip
|
$85.58 |
$85.58 |
$85.58 |
$106.80
|
|
Intracran angioplsty w/stent
|
$21,128.15 |
$21,128.15 |
$21,128.15 |
$11,364.78
|
|
Intracranial angioplasty
|
$16,490.49 |
$16,490.49 |
$16,490.49 |
$7,149.60
|
|
Intracranial complete study
|
$286.31 |
$286.31 |
$286.31 |
$883.30
|
|
Intracranial limited study
|
$129.93 |
$129.93 |
$129.93 |
$423.52
|
|
Intrinsic factor antibody
|
$15.56 |
$15.56 |
$15.56 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,540.44 |
$1,540.44 |
$1,540.44 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$12,038.78 |
$12,038.78 |
$12,038.78 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,115.80 |
$12,115.80 |
$12,115.80 |
$15,625.00
|
|
Intro catheter aorta
|
$868.25 |
$868.25 |
$868.25 |
$1,861.61
|
|
Intro cath svc/ivc
|
$606.84 |
$606.84 |
$606.84 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$570.28 |
$570.28 |
$570.28 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,149.62 |
$2,149.62 |
$2,149.62 |
$3,510.75
|
|
Intubation endotracheal emergency procedure
|
$1,015.29 |
$1,015.29 |
$1,015.29 |
$617.60
|
|
Ionm in operatng room 15 min
|
$852.69 |
$852.69 |
$852.69 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$958.50 |
$958.50 |
$958.50 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$664.42 |
$664.42 |
$664.42 |
$153.03
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3,202.25 |
$3,202.25 |
$3,202.25 |
$153.98
|
|
Iron
|
$126.04 |
$126.04 |
$126.04 |
$70.72
|
|
Iron binding capacity
|
$38.13 |
$38.13 |
$38.13 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$245.07 |
$245.07 |
$245.07 |
$73.22
|
|
Irradiation of blood product each unit reference
|
$52.91 |
$52.91 |
$52.91 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$253.63 |
$253.63 |
$253.63 |
$154.50
|
|
Ivc venogram s&i
|
$4,619.77 |
$4,619.77 |
$4,619.77 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$294.09 |
$294.09 |
$294.09 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$178.17 |
$178.17 |
$178.17 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$191.39 |
$191.39 |
$191.39 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$682.31 |
$682.31 |
$682.31 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$233.40 |
$233.40 |
$233.40 |
$378.30
|
|
John cunningham antibody
|
$23.34 |
$23.34 |
$23.34 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$11.67 |
$11.67 |
$11.67 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$143.93 |
$143.93 |
$143.93 |
$29.52
|
|
Kidney img w/bldflw sgl without rx
|
$1,267.37 |
$1,267.37 |
$1,267.37 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$858.14 |
$858.14 |
$858.14 |
$668.25
|
|
Kit gene analys d816 variant
|
$217.84 |
$217.84 |
$217.84 |
$355.00
|
|
Kit hfx iq ipg bundle
|
$82,726.30 |
$82,726.30 |
$82,726.30 |
$31,178.99
|
|
Kit lead specify 5-6-5
|
$51,368.23 |
$51,368.23 |
$51,368.23 |
$15,889.84
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,139.50 |
$2,139.50 |
$2,139.50 |
$1,391.79
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,782.13 |
$2,782.13 |
$2,782.13 |
$2,306.56
|
|
Kras gene addl variants
|
$283.97 |
$283.97 |
$283.97 |
$346.45
|
|
Kras gene variants exon 2
|
$336.88 |
$336.88 |
$336.88 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$170.39 |
$170.39 |
$170.39 |
$39.60
|
|
Lactate dehydrogenase (ldh)
|
$115.93 |
$115.93 |
$115.93 |
$53.30
|
|
Lactated ringers intravenous solution
|
$69.25 |
$69.25 |
$69.25 |
$48.00
|
|
Lactic acid
|
$221.73 |
$221.73 |
$221.73 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$138.49 |
$138.49 |
$138.49 |
$88.40
|
|
Lead acuity x4 spiral l 86cm
|
$7,955.83 |
$7,955.83 |
$7,955.83 |
$5,831.00
|
|
Lead capillary
|
$8.97 |
$8.97 |
$8.97 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$2,139.50 |
$2,139.50 |
$2,139.50 |
$3,854.16
|
|
Lead tachy durata sj4 58cm
|
$13,450.85 |
$13,450.85 |
$13,450.85 |
$6,656.44
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$728.21 |
$728.21 |
$728.21 |
$1,100.74
|
|
Leishmania antibody
|
$29.98 |
$29.98 |
$29.98 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,782.13 |
$2,782.13 |
$2,782.13 |
$1,654.19
|
|
Lens iol ant bicnvx 24.0 multi
|
$6,118.20 |
$6,118.20 |
$6,118.20 |
$1,136.25
|
|
Lens iol ant chamb 10.5
|
$969.39 |
$969.39 |
$969.39 |
$213.82
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$368.00 |
$368.00 |
$368.00 |
$80.94
|
|
Levetiracetam therapeutic drug level
|
$6.23 |
$6.23 |
$6.23 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$330.65 |
$330.65 |
$330.65 |
$62.72
|
|
Liberta rc ipg
|
$121,116.71 |
$121,116.71 |
$121,116.71 |
$39,580.38
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$69.25 |
$69.25 |
$69.25 |
$38.00
|
|
Lidocaine therapeutic drug level
|
$77.03 |
$77.03 |
$77.03 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$571.83 |
$571.83 |
$571.83 |
$155.52
|
|
Liletta, 52 mg
|
$2,139.50 |
$2,139.50 |
$2,139.50 |
$1,790.04
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$30,213.63 |
$30,213.63 |
$30,213.63 |
$159.12
|
|
Lipase
|
$163.38 |
$163.38 |
$163.38 |
$83.20
|
|
Lipoprotein blood quant
|
$44.35 |
$44.35 |
$44.35 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$106.59 |
$106.59 |
$106.59 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$186.72 |
$186.72 |
$186.72 |
$60.00
|
|
Lithium therapeutic drug level
|
$146.27 |
$146.27 |
$146.27 |
$67.60
|
|
Liver Function Test
|
$238.85 |
$238.85 |
$238.85 |
$110.50
|
|
Liver/spleen imag static only
|
$1,354.50 |
$1,354.50 |
$1,354.50 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$47.46 |
$47.46 |
$47.46 |
$43.75
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$6,231.78 |
$6,231.78 |
$6,231.78 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,025.38 |
$4,025.38 |
$4,025.38 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,043.03 |
$2,043.03 |
$2,043.03 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,422.93 |
$4,422.93 |
$4,422.93 |
$2,995.20
|