|
Ins/rpl pm gen exist sgl lead
|
$9,845.72 |
$9,845.72 |
$9,845.72 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$38,626.58 |
$38,626.58 |
$38,626.58 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$4,895.47 |
$4,895.47 |
$4,895.47 |
$25,106.90
|
|
Install spinal shunt 63741
|
$5,800.69 |
$5,800.69 |
$5,800.69 |
$6,839.00
|
|
Inst fibrinolysis agent ini day
|
$802.93 |
$802.93 |
$802.93 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$802.93 |
$802.93 |
$802.93 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$386.49 |
$386.49 |
$386.49 |
$721.50
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$7,408.26 |
$7,408.26 |
$7,408.26 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$4,093.40 |
$4,093.40 |
$4,093.40 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$4,220.51 |
$4,220.51 |
$4,220.51 |
$4,748.00
|
|
Inst via cath agent pleurds
|
$1,169.73 |
$1,169.73 |
$1,169.73 |
$1,074.68
|
|
Insulin total
|
$33.17 |
$33.17 |
$33.17 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$7,817.85 |
$7,817.85 |
$7,817.85 |
$9,970.16
|
|
Interdiscal perq aspir dx
|
$702.35 |
$702.35 |
$702.35 |
$1,222.26
|
|
Interrog dev eval icpms ip
|
$50.08 |
$50.08 |
$50.08 |
$106.80
|
|
Intracard echo interv w/s&i
|
$1,374.74 |
$1,374.74 |
$1,374.74 |
$3,982.59
|
|
Intrauterine transfusion ftl
|
$485.36 |
$485.36 |
$485.36 |
$1,004.25
|
|
Intrinsic factor antibody
|
$8.56 |
$8.56 |
$8.56 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,842.54 |
$1,842.54 |
$1,842.54 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$14,586.24 |
$14,586.24 |
$14,586.24 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$14,893.12 |
$14,893.12 |
$14,893.12 |
$15,625.00
|
|
Intro catheter aorta
|
$582.94 |
$582.94 |
$582.94 |
$1,861.61
|
|
Intro cath svc/ivc
|
$383.92 |
$383.92 |
$383.92 |
$1,350.75
|
|
Intro long gi tube
|
$1,047.75 |
$1,047.75 |
$1,047.75 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$442.98 |
$442.98 |
$442.98 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$6,762.40 |
$6,762.40 |
$6,762.40 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$6,762.40 |
$6,762.40 |
$6,762.40 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$543.14 |
$543.14 |
$543.14 |
$617.60
|
|
Ionm remote/>1 pt or per hr
|
$342.83 |
$342.83 |
$342.83 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$521.74 |
$521.74 |
$521.74 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$805.07 |
$805.07 |
$805.07 |
$182.21
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$23,112.00 |
$23,112.00 |
$23,112.00 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$154.51 |
$154.51 |
$154.51 |
$203.92
|
|
Iron
|
$13.70 |
$13.70 |
$13.70 |
$70.72
|
|
Iron binding capacity
|
$168.64 |
$168.64 |
$168.64 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$256.80 |
$256.80 |
$256.80 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$100.16 |
$100.16 |
$100.16 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$150.23 |
$150.23 |
$150.23 |
$154.50
|
|
Ivc venogram s&i
|
$7,790.03 |
$7,790.03 |
$7,790.03 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$153.23 |
$153.23 |
$153.23 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$107.86 |
$107.86 |
$107.86 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$93.74 |
$93.74 |
$93.74 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$493.92 |
$493.92 |
$493.92 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$944.60 |
$944.60 |
$944.60 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$16,050.00 |
$16,050.00 |
$16,050.00 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$210.26 |
$210.26 |
$210.26 |
$378.30
|
|
John cunningham antibody
|
$606.52 |
$606.52 |
$606.52 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$30.39 |
$30.39 |
$30.39 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.12 |
$23.12 |
$23.12 |
$29.52
|
|
Kidney imag w/bld flow multi
|
$2,906.98 |
$2,906.98 |
$2,906.98 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,642.48 |
$2,642.48 |
$2,642.48 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$759.70 |
$759.70 |
$759.70 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,163.72 |
$10,163.72 |
$10,163.72 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$119.84 |
$119.84 |
$119.84 |
$355.00
|
|
Kit ipg optimizer smart
|
$43,704.80 |
$43,704.80 |
$43,704.80 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$13,212.36 |
$13,212.36 |
$13,212.36 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,244.20 |
$1,244.20 |
$1,244.20 |
$1,391.79
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,617.84 |
$1,617.84 |
$1,617.84 |
$2,306.56
|
|
Kras gene addl variants
|
$156.22 |
$156.22 |
$156.22 |
$346.45
|
|
Kras gene variants exon 2
|
$156.22 |
$156.22 |
$156.22 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$6.85 |
$6.85 |
$6.85 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$475.51 |
$475.51 |
$475.51 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$164.78 |
$164.78 |
$164.78 |
$53.30
|
|
Lactated ringers intravenous solution
|
$48.80 |
$48.80 |
$48.80 |
$48.56
|
|
Lactic acid
|
$133.11 |
$133.11 |
$133.11 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$41.95 |
$41.95 |
$41.95 |
$88.40
|
|
Lactoferrin fecal quant
|
$74.64 |
$74.64 |
$74.64 |
$106.10
|
|
Lead acuity x4 spiral l 86cm
|
$7,817.85 |
$7,817.85 |
$7,817.85 |
$5,831.00
|
|
Lead capillary
|
$5.06 |
$5.06 |
$5.06 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$7,817.85 |
$7,817.85 |
$7,817.85 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$10,163.72 |
$10,163.72 |
$10,163.72 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$775.54 |
$775.54 |
$775.54 |
$1,100.74
|
|
Leishmania antibody
|
$16.50 |
$16.50 |
$16.50 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$955.30 |
$955.30 |
$955.30 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,555.40 |
$3,555.40 |
$3,555.40 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$256.38 |
$256.38 |
$256.38 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$834.60 |
$834.60 |
$834.60 |
$164.09
|
|
Leukocyte phagocytosis
|
$141.57 |
$141.57 |
$141.57 |
$49.28
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$234.55 |
$234.55 |
$234.55 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$3.43 |
$3.43 |
$3.43 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$254.24 |
$254.24 |
$254.24 |
$64.88
|
|
Liberta rc ipg
|
$43,704.80 |
$43,704.80 |
$43,704.80 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$35.53 |
$35.53 |
$35.53 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$42.38 |
$42.38 |
$42.38 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$9.85 |
$9.85 |
$9.85 |
$155.52
|
|
Liletta, 52 mg
|
$3,195.45 |
$3,195.45 |
$3,195.45 |
$1,790.04
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$246.96 |
$246.96 |
$246.96 |
$172.25
|
|
Lipase
|
$234.55 |
$234.55 |
$234.55 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$13.25 |
$13.25 |
$13.25 |
$89.52
|
|
Lipoprotein blood quant
|
$29.96 |
$29.96 |
$29.96 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$218.28 |
$218.28 |
$218.28 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$33.39 |
$33.39 |
$33.39 |
$60.00
|
|
Lithium therapeutic drug level
|
$122.41 |
$122.41 |
$122.41 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$7,833.26 |
$7,833.26 |
$7,833.26 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$77.04 |
$77.04 |
$77.04 |
$365.28
|
|
Liver Function Test
|
$306.02 |
$306.02 |
$306.02 |
$110.50
|
|
Liver/spleen imag static only
|
$1,536.10 |
$1,536.10 |
$1,536.10 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,536.10 |
$1,536.10 |
$1,536.10 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$101.44 |
$101.44 |
$101.44 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$526.02 |
$526.02 |
$526.02 |
$43.95
|