|
Intro long gi tube w/mult fluo
|
$1,673.00 |
$1,673.00 |
$1,673.00 |
$477.85
|
|
Intro windpipe wire/tube
|
$1,256.15 |
$1,256.15 |
$1,256.15 |
$2,316.30
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$896.00 |
$896.00 |
$896.00 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$655.20 |
$655.20 |
$655.20 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$753.20 |
$753.20 |
$753.20 |
$617.60
|
|
Ionm in operatng room 15 min
|
$88.20 |
$88.20 |
$88.20 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$32.41 |
$32.41 |
$32.41 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$71.66 |
$71.66 |
$71.66 |
$182.21
|
|
Ipratropium bromide non-comp
|
$0.61 |
$0.61 |
$0.61 |
$4.77
|
|
Iron
|
$103.60 |
$103.60 |
$103.60 |
$70.72
|
|
Iron binding capacity
|
$103.60 |
$103.60 |
$103.60 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$41.34 |
$41.34 |
$41.34 |
$169.30
|
|
Irrigation implantable venous access device for drug delivery systems
|
$80.85 |
$80.85 |
$80.85 |
$154.50
|
|
Ivc venogram s&i
|
$2,325.40 |
$2,325.40 |
$2,325.40 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$128.45 |
$128.45 |
$128.45 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$128.45 |
$128.45 |
$128.45 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$185.50 |
$185.50 |
$185.50 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$248.50 |
$248.50 |
$248.50 |
$460.85
|
|
IV inj ra drug dx study
|
$423.50 |
$423.50 |
$423.50 |
$560.00
|
|
Ivp w/nephrotomography
|
$930.65 |
$930.65 |
$930.65 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$622.65 |
$622.65 |
$622.65 |
$713.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$28.35 |
$28.35 |
$28.35 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$29.52
|
|
Kidney imaging morphology
|
$861.35 |
$861.35 |
$861.35 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$863.45 |
$863.45 |
$863.45 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$752.15 |
$752.15 |
$752.15 |
$668.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$3.99 |
$3.99 |
$3.99 |
$8.68
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,941.90 |
$6,941.90 |
$6,941.90 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$21,787.50 |
$21,787.50 |
$21,787.50 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$37,492.00 |
$37,492.00 |
$37,492.00 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$27,234.38 |
$27,234.38 |
$27,234.38 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$1,391.79
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$3,931.62 |
$3,931.62 |
$3,931.62 |
$234.08
|
|
Kit sound processor cochlear osia 2
|
$8,308.44 |
$8,308.44 |
$8,308.44 |
$10,653.60
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,659.84 |
$1,659.84 |
$1,659.84 |
$2,306.56
|
|
Knee MRI (with and without contrast)
|
$2,267.30 |
$2,267.30 |
$2,267.30 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$2,061.15 |
$2,061.15 |
$2,061.15 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,874.95 |
$1,874.95 |
$1,874.95 |
$2,181.10
|
|
Knee X-ray
|
$289.10 |
$289.10 |
$289.10 |
$443.90
|
|
Kras gene variants exon 2
|
$136.50 |
$136.50 |
$136.50 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$93.10 |
$93.10 |
$93.10 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$93.10 |
$93.10 |
$93.10 |
$58.40
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.78 |
$33.78 |
$33.78 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$43.75 |
$43.75 |
$43.75 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$109.20 |
$109.20 |
$109.20 |
$53.30
|
|
Lactated ringers intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$48.56
|
|
Lactic acid
|
$203.70 |
$203.70 |
$203.70 |
$102.90
|
|
Laparo cholecystectomy/graph
|
$2,874.90 |
$2,874.90 |
$2,874.90 |
$7,220.90
|
|
Largsc w/removal lesion
|
$2,148.30 |
$2,148.30 |
$2,148.30 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$245.70 |
$245.70 |
$245.70 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$3,390.75
|
|
Laryngoscopy with biopsy
|
$1,467.20 |
$1,467.20 |
$1,467.20 |
$2,954.40
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$245.70 |
$245.70 |
$245.70 |
$660.10
|
|
Lateral canthopexy
|
$1,879.15 |
$1,879.15 |
$1,879.15 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$1,990.80 |
$1,990.80 |
$1,990.80 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$5,831.00 |
$5,831.00 |
$5,831.00 |
$5,831.00
|
|
Lead ingevity 45cm pfret MRI
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$4,905.95 |
$4,905.95 |
$4,905.95 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$889.70 |
$889.70 |
$889.70 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,654.19 |
$1,654.19 |
$1,654.19 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,654.19 |
$1,654.19 |
$1,654.19 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$175.00 |
$175.00 |
$175.00 |
$216.48
|
|
Leukocyte phagocytosis
|
$224.91 |
$224.91 |
$224.91 |
$49.28
|
|
Levalbuterol non-comp unit
|
$0.78 |
$0.78 |
$0.78 |
$8.13
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$245.14 |
$245.14 |
$245.14 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$87.33 |
$87.33 |
$87.33 |
$64.88
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$302.07 |
$302.07 |
$302.07 |
$420.60
|
|
Liberta rc ipg
|
$32,673.99 |
$32,673.99 |
$32,673.99 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$39.75
|
|
Ligation/biopsy of temporal artery 37609
|
$1,068.90 |
$1,068.90 |
$1,068.90 |
$2,968.00
|
|
Ligation/major artery/extremity 37618
|
$2,575.65 |
$2,575.65 |
$2,575.65 |
$1,567.80
|
|
Ligation major artery neck
|
$2,008.65 |
$2,008.65 |
$2,008.65 |
$3,724.63
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$228.98 |
$228.98 |
$228.98 |
$172.25
|
|
Lipase
|
$112.00 |
$112.00 |
$112.00 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$127.75 |
$127.75 |
$127.75 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$53.90 |
$53.90 |
$53.90 |
$60.00
|
|
Lithium therapeutic drug level
|
$163.10 |
$163.10 |
$163.10 |
$67.60
|
|
Liver Function Test
|
$128.10 |
$128.10 |
$128.10 |
$110.50
|
|
Liver imaging
|
$903.00 |
$903.00 |
$903.00 |
$1,241.25
|
|
Liver/spleen imag static only
|
$1,138.55 |
$1,138.55 |
$1,138.55 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,184.75 |
$1,184.75 |
$1,184.75 |
$949.00
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$43.75 |
$43.75 |
$43.75 |
$43.95
|
|
Low cost skin substitute app
|
$397.95 |
$397.95 |
$397.95 |
$1,030.00
|
|
Low cost skin substitute app
|
$1,626.10 |
$1,626.10 |
$1,626.10 |
$2,164.64
|
|
Low cost skin substitute app
|
$397.95 |
$397.95 |
$397.95 |
$1,132.56
|
|
Low cost skin substitute app
|
$397.95 |
$397.95 |
$397.95 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,098.25 |
$2,098.25 |
$2,098.25 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,953.35 |
$1,953.35 |
$1,953.35 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,802.85 |
$1,802.85 |
$1,802.85 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,599.45 |
$2,599.45 |
$2,599.45 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,350.95 |
$2,350.95 |
$2,350.95 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,178.75 |
$2,178.75 |
$2,178.75 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$311.50 |
$311.50 |
$311.50 |
$344.00
|
|
Lumbar diskogram s&i
|
$2,012.50 |
$2,012.50 |
$2,012.50 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$140.70 |
$140.70 |
$140.70 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$302.40 |
$302.40 |
$302.40 |
$298.50
|
|
Lung perfusion imaging
|
$1,242.15 |
$1,242.15 |
$1,242.15 |
$1,100.39
|
|
Lvad shower bag heartmate
|
$833.49 |
$833.49 |
$833.49 |
$972.60
|
|
Lymphatics/lymph node imaging
|
$814.10 |
$814.10 |
$814.10 |
$1,543.75
|