|
Ins pq tunnld ip cath w/img
|
$4,656.29 |
$4,656.29 |
$4,656.29 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$28,105.55 |
$28,105.55 |
$28,105.55 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$12,435.19 |
$12,435.19 |
$12,435.19 |
$12,384.25
|
|
Inst fibrinolysis agent ini day
|
$727.55 |
$727.55 |
$727.55 |
$1,095.00
|
|
Ins tun cv cath wo subq prt/pm
|
$5,097.38 |
$5,097.38 |
$5,097.38 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$4,013.92 |
$4,013.92 |
$4,013.92 |
$4,657.46
|
|
Insulin total
|
$9.21 |
$9.21 |
$9.21 |
$67.60
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$2,518.78 |
$2,518.78 |
$2,518.78 |
$2,908.50
|
|
Intens cardiac rehab w/exerc
|
$225.11 |
$225.11 |
$225.11 |
$238.40
|
|
Interdiscal perq aspir dx
|
$764.56 |
$764.56 |
$764.56 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$696.62 |
$696.62 |
$696.62 |
$559.83
|
|
Interrog dev eval icpms ip
|
$55.77 |
$55.77 |
$55.77 |
$106.80
|
|
Intracard echo interv w/s&i
|
$2,314.46 |
$2,314.46 |
$2,314.46 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$13,551.61 |
$13,551.61 |
$13,551.61 |
$11,364.78
|
|
Intracranial angioplasty
|
$10,576.53 |
$10,576.53 |
$10,576.53 |
$7,149.60
|
|
Intracranial complete study
|
$1,320.23 |
$1,320.23 |
$1,320.23 |
$883.30
|
|
Intracranial limited study
|
$884.72 |
$884.72 |
$884.72 |
$423.52
|
|
Intraventricular pacing
|
$8,530.79 |
$8,530.79 |
$8,530.79 |
$5,775.22
|
|
Intrinsic factor antibody
|
$10.14 |
$10.14 |
$10.14 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,732.93 |
$1,732.93 |
$1,732.93 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$11,554.03 |
$11,554.03 |
$11,554.03 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,286.95 |
$13,286.95 |
$13,286.95 |
$15,625.00
|
|
Intro catheter aorta
|
$890.80 |
$890.80 |
$890.80 |
$1,861.61
|
|
Intro cath svc/ivc
|
$622.60 |
$622.60 |
$622.60 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$681.92 |
$681.92 |
$681.92 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,929.14 |
$1,929.14 |
$1,929.14 |
$3,510.75
|
|
Intubation endotracheal emergency procedure
|
$733.13 |
$733.13 |
$733.13 |
$617.60
|
|
Ionm in operatng room 15 min
|
$454.78 |
$454.78 |
$454.78 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$649.98 |
$649.98 |
$649.98 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$168.84 |
$168.84 |
$168.84 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2,281.50 |
$2,281.50 |
$2,281.50 |
$163.53
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$26,187.06 |
$26,187.06 |
$26,187.06 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$171.37 |
$171.37 |
$171.37 |
$205.26
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$2,652.12 |
$2,652.12 |
$2,652.12 |
$5,837.00
|
|
Iron
|
$77.07 |
$77.07 |
$77.07 |
$70.72
|
|
Iron binding capacity
|
$88.22 |
$88.22 |
$88.22 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$314.34 |
$314.34 |
$314.34 |
$163.28
|
|
Irradiation of blood product each unit reference
|
$34.48 |
$34.48 |
$34.48 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$211.93 |
$211.93 |
$211.93 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$2,965.95 |
$2,965.95 |
$2,965.95 |
$9,856.39
|
|
Ivc venogram s&i
|
$5,390.43 |
$5,390.43 |
$5,390.43 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$873.57 |
$873.57 |
$873.57 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$1,112.87 |
$1,112.87 |
$1,112.87 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$535.90 |
$535.90 |
$535.90 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,984.91 |
$1,984.91 |
$1,984.91 |
$460.85
|
|
Ixabepilone 15 mg intravenous solution
|
$3,076.99 |
$3,076.99 |
$3,076.99 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$152.10 |
$152.10 |
$152.10 |
$378.30
|
|
John cunningham antibody
|
$15.21 |
$15.21 |
$15.21 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$7.61 |
$7.61 |
$7.61 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$60.34 |
$60.34 |
$60.34 |
$29.52
|
|
Kidney img w/bldflw sgl without rx
|
$2,323.08 |
$2,323.08 |
$2,323.08 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,611.25 |
$1,611.25 |
$1,611.25 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,363.28 |
$9,363.28 |
$9,363.28 |
$9,391.25
|
|
Kit gene analys d816 variant
|
$141.96 |
$141.96 |
$141.96 |
$355.00
|
|
Kit hfx iq ipg bundle
|
$44,292.54 |
$44,292.54 |
$44,292.54 |
$29,925.00
|
|
Kit lead specify 5-6-5
|
$27,503.23 |
$27,503.23 |
$27,503.23 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,145.32 |
$1,145.32 |
$1,145.32 |
$1,391.79
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,489.57 |
$1,489.57 |
$1,489.57 |
$2,249.23
|
|
Kras gene addl variants
|
$185.06 |
$185.06 |
$185.06 |
$346.45
|
|
Kras gene variants exon 2
|
$219.54 |
$219.54 |
$219.54 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$142.98 |
$142.98 |
$142.98 |
$39.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$821.34 |
$821.34 |
$821.34 |
$172.80
|
|
Lactate dehydrogenase (ldh)
|
$107.49 |
$107.49 |
$107.49 |
$53.30
|
|
Lactated ringers intravenous solution
|
$39.55 |
$39.55 |
$39.55 |
$48.00
|
|
Lactic acid
|
$174.92 |
$174.92 |
$174.92 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$217.00 |
$217.00 |
$217.00 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$8,726.49 |
$8,726.49 |
$8,726.49 |
$21,470.76
|
|
Lead acuity x4 spiral l 86cm
|
$7,201.94 |
$7,201.94 |
$7,201.94 |
$5,831.00
|
|
Lead capillary
|
$5.85 |
$5.85 |
$5.85 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,936.74 |
$1,936.74 |
$1,936.74 |
$3,854.16
|
|
Lead tachy durata sj4 58cm
|
$9,363.28 |
$9,363.28 |
$9,363.28 |
$6,656.44
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,627.47 |
$1,627.47 |
$1,627.47 |
$1,100.74
|
|
Leishmania antibody
|
$19.54 |
$19.54 |
$19.54 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,489.57 |
$1,489.57 |
$1,489.57 |
$1,654.19
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,275.73 |
$3,275.73 |
$3,275.73 |
$1,164.69
|
|
Lens iol ant chamb 10.5
|
$519.17 |
$519.17 |
$519.17 |
$228.07
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$273.78 |
$273.78 |
$273.78 |
$166.49
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$7,071.13 |
$7,071.13 |
$7,071.13 |
$3,576.66
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,458.45 |
$2,458.45 |
$2,458.45 |
$6,337.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$154.13 |
$154.13 |
$154.13 |
$78.00
|
|
Levetiracetam therapeutic drug level
|
$4.06 |
$4.06 |
$4.06 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$138.42 |
$138.42 |
$138.42 |
$64.88
|
|
Liberta rc ipg
|
$64,847.33 |
$64,847.33 |
$64,847.33 |
$39,513.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$27.38 |
$27.38 |
$27.38 |
$38.00
|
|
Lidocaine therapeutic drug level
|
$50.20 |
$50.20 |
$50.20 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$306.23 |
$306.23 |
$306.23 |
$155.52
|
|
Liletta, 52 mg
|
$1,145.32 |
$1,145.32 |
$1,145.32 |
$1,660.12
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$19,689.35 |
$19,689.35 |
$19,689.35 |
$159.18
|
|
Lipase
|
$150.58 |
$150.58 |
$150.58 |
$83.20
|
|
Lipoprotein blood quant
|
$28.90 |
$28.90 |
$28.90 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$120.67 |
$120.67 |
$120.67 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$99.88 |
$99.88 |
$99.88 |
$60.00
|
|
Lithium therapeutic drug level
|
$132.84 |
$132.84 |
$132.84 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$13,012.16 |
$13,012.16 |
$13,012.16 |
$4,371.12
|
|
Liver Function Test
|
$208.89 |
$208.89 |
$208.89 |
$110.50
|
|
Liver/spleen imag static only
|
$2,023.44 |
$2,023.44 |
$2,023.44 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$219.54 |
$219.54 |
$219.54 |
$16.54
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$21,446.10 |
$21,446.10 |
$21,446.10 |
$67,929.65
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$83.15 |
$83.15 |
$83.15 |
$43.75
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$9,883.97 |
$9,883.97 |
$9,883.97 |
$1,921.40
|