|
Ins/rpl pm w/tv ld atrl
|
$18,504.31 |
$18,504.31 |
$18,504.31 |
$12,384.25
|
|
Insulin total
|
$71.35 |
$71.35 |
$71.35 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$10,179.63 |
$10,179.63 |
$10,179.63 |
$10,176.64
|
|
Integra meshed bil wound mat
|
$10,179.63 |
$10,179.63 |
$10,179.63 |
$24,354.93
|
|
Interrog dev eval icpms ip
|
$51.69 |
$51.69 |
$51.69 |
$106.80
|
|
Intracard echo interv w/s&i
|
$5,845.12 |
$5,845.12 |
$5,845.12 |
$3,982.59
|
|
Intrinsic factor antibody
|
$7.28 |
$7.28 |
$7.28 |
$59.95
|
|
Intubation endotracheal emergency procedure
|
$224.23 |
$224.23 |
$224.23 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$247.52 |
$247.52 |
$247.52 |
$180.03
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$186.70
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$105.20 |
$105.20 |
$105.20 |
$240.89
|
|
Iron
|
$233.69 |
$233.69 |
$233.69 |
$70.72
|
|
Iron binding capacity
|
$233.69 |
$233.69 |
$233.69 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$130.32 |
$130.32 |
$130.32 |
$69.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$174.72 |
$174.72 |
$174.72 |
$177.56
|
|
Irradiation of blood product each unit reference
|
$18.20 |
$18.20 |
$18.20 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$93.55 |
$93.55 |
$93.55 |
$154.50
|
|
Ivc venogram s&i
|
$2,665.94 |
$2,665.94 |
$2,665.94 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$577.67 |
$577.67 |
$577.67 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$338.16 |
$338.16 |
$338.16 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$386.94 |
$386.94 |
$386.94 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$577.67 |
$577.67 |
$577.67 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$36.40 |
$36.40 |
$36.40 |
$378.30
|
|
John cunningham antibody
|
$10.92 |
$10.92 |
$10.92 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$201.30 |
$201.30 |
$201.30 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$9.47 |
$9.47 |
$9.47 |
$29.05
|
|
Kidney img w/bldflw sgl without rx
|
$2,317.59 |
$2,317.59 |
$2,317.59 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$894.35 |
$894.35 |
$894.35 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,179.63 |
$10,179.63 |
$10,179.63 |
$9,317.28
|
|
Kit gene analys d816 variant
|
$64.80 |
$64.80 |
$64.80 |
$355.00
|
|
Kit ipg optimizer smart
|
$48,153.93 |
$48,153.93 |
$48,153.93 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$17,205.92 |
$17,205.92 |
$17,205.92 |
$16,625.73
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,245.61 |
$1,245.61 |
$1,245.61 |
$1,357.69
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$10,179.63 |
$10,179.63 |
$10,179.63 |
$4,425.63
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,619.80 |
$1,619.80 |
$1,619.80 |
$1,949.17
|
|
Kras gene addl variants
|
$67.60 |
$67.60 |
$67.60 |
$346.45
|
|
Kras gene variants exon 2
|
$67.60 |
$67.60 |
$67.60 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$12.38 |
$12.38 |
$12.38 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$182.18
|
|
Lactate dehydrogenase (ldh)
|
$294.84 |
$294.84 |
$294.84 |
$53.30
|
|
Lactated ringers intravenous solution
|
$33.13 |
$33.13 |
$33.13 |
$48.56
|
|
Lactic acid
|
$231.51 |
$231.51 |
$231.51 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$19.66 |
$19.66 |
$19.66 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$6,265.17 |
$6,265.17 |
$6,265.17 |
$24,143.75
|
|
Lanthanum carbonate oral 5mg
|
$30.58 |
$30.58 |
$30.58 |
$15.27
|
|
Lead acuity x4 spiral l 86cm
|
$7,830.01 |
$7,830.01 |
$7,830.01 |
$5,488.00
|
|
Lead capillary
|
$4.17 |
$4.17 |
$4.17 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$2,105.74 |
$2,105.74 |
$2,105.74 |
$3,638.47
|
|
Lead tachy durata sj4 58cm
|
$7,830.01 |
$7,830.01 |
$7,830.01 |
$6,446.90
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,100.74 |
$1,100.74 |
$1,100.74 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,105.74 |
$2,105.74 |
$2,105.74 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,105.74 |
$2,105.74 |
$2,105.74 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$255.90 |
$255.90 |
$255.90 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$139.78 |
$139.78 |
$139.78 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,271.64 |
$3,271.64 |
$3,271.64 |
$3,278.04
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$5,218.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$70.26 |
$70.26 |
$70.26 |
$78.05
|
|
Levetiracetam therapeutic drug level
|
$2.92 |
$2.92 |
$2.92 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$173.27 |
$173.27 |
$173.27 |
$64.88
|
|
Liberta rc ipg
|
$43,776.46 |
$43,776.46 |
$43,776.46 |
$38,725.40
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$66.25 |
$66.25 |
$66.25 |
$47.16
|
|
Lidocaine therapeutic drug level
|
$36.04 |
$36.04 |
$36.04 |
$83.85
|
|
Liletta, 52 mg
|
$2,174.18 |
$2,174.18 |
$2,174.18 |
$2,142.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$168.17 |
$168.17 |
$168.17 |
$158.42
|
|
Lipase
|
$156.89 |
$156.89 |
$156.89 |
$83.20
|
|
Lipoprotein blood quant
|
$20.53 |
$20.53 |
$20.53 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$172.90 |
$172.90 |
$172.90 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$28.76 |
$28.76 |
$28.76 |
$60.00
|
|
Lithium therapeutic drug level
|
$210.40 |
$210.40 |
$210.40 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$9,484.75 |
$9,484.75 |
$9,484.75 |
$4,371.12
|
|
Liver Function Test
|
$232.24 |
$232.24 |
$232.24 |
$110.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1,774.50 |
$1,774.50 |
$1,774.50 |
$44.68
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,359.00 |
$3,359.00 |
$3,359.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,037.95 |
$3,037.95 |
$3,037.95 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,921.10 |
$2,921.10 |
$2,921.10 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,938.85 |
$3,938.85 |
$3,938.85 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,477.30 |
$3,477.30 |
$3,477.30 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,077.26 |
$3,077.26 |
$3,077.26 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$530.72 |
$530.72 |
$530.72 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$84.45 |
$84.45 |
$84.45 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$409.50 |
$409.50 |
$409.50 |
$298.50
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$6,764.22 |
$6,764.22 |
$6,764.22 |
$29,435.46
|
|
Lymphatics/lymph node imaging
|
$1,924.47 |
$1,924.47 |
$1,924.47 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$123.36 |
$123.36 |
$123.36 |
$266.20
|
|
Macro exam dissect molec study ea
|
$2.90 |
$2.90 |
$2.90 |
$75.00
|
|
Macroscopic exam parasite
|
$6.43 |
$6.43 |
$6.43 |
$38.50
|
|
Magnesium
|
$247.52 |
$247.52 |
$247.52 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$34.95 |
$34.95 |
$34.95 |
$72.03
|
|
Mammosite ced
|
$6,022.02 |
$6,022.02 |
$6,022.02 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$152.52 |
$152.52 |
$152.52 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$152.52 |
$152.52 |
$152.52 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$13.11 |
$13.11 |
$13.11 |
$40.12
|
|
Manual diff wbc count b-coat
|
$199.84 |
$199.84 |
$199.84 |
$22.75
|
|
Marker biop eviva buckle ss
|
$1,619.80 |
$1,619.80 |
$1,619.80 |
$1,213.20
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$13,234.32 |
$13,234.32 |
$13,234.32 |
$6,785.68
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$4.01 |
$4.01 |
$4.01 |
$66.50
|
|
Mayo aathr protein s free
|
$10.92 |
$10.92 |
$10.92 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$7.65 |
$7.65 |
$7.65 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$53.69 |
$53.69 |
$53.69 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$10.92 |
$10.92 |
$10.92 |
$66.30
|