|
Ins tun cv cath wo subq prt/pm
|
$11,132.79 |
$11,132.79 |
$11,132.79 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$6,153.66 |
$6,153.66 |
$6,153.66 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$7,717.83 |
$7,717.83 |
$7,717.83 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$909.33 |
$909.33 |
$909.33 |
$1,074.68
|
|
Insulin total
|
$13.80 |
$13.80 |
$13.80 |
$67.60
|
|
Ins vag brachytx device
|
$750.72 |
$750.72 |
$750.72 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$18,177.26 |
$18,177.26 |
$18,177.26 |
$9,970.16
|
|
Integra meshed bil wound mat
|
$53,973.90 |
$53,973.90 |
$53,973.90 |
$25,450.30
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$4,469.64 |
$4,469.64 |
$4,469.64 |
$2,908.50
|
|
Interdental fixation
|
$3,396.09 |
$3,396.09 |
$3,396.09 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$1,867.11 |
$1,867.11 |
$1,867.11 |
$1,222.26
|
|
Interrog device eval heart
|
$86.19 |
$86.19 |
$86.19 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$86.19 |
$86.19 |
$86.19 |
$127.20
|
|
Int hrhc lig 1 hroid without img
|
$5,565.63 |
$5,565.63 |
$5,565.63 |
$3,245.23
|
|
Intra-atrial recording
|
$10,451.94 |
$10,451.94 |
$10,451.94 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$3,282.87 |
$3,282.87 |
$3,282.87 |
$3,982.59
|
|
Intranasal biopsy 30100
|
$3,006.96 |
$3,006.96 |
$3,006.96 |
$1,850.94
|
|
Intraoral i+d tongue/floor lingual 41000
|
$807.33 |
$807.33 |
$807.33 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$221.85 |
$221.85 |
$221.85 |
$239.52
|
|
Intrinsic factor antibody
|
$48.20 |
$48.20 |
$48.20 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,567.74 |
$1,567.74 |
$1,567.74 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$5,525.85 |
$5,525.85 |
$5,525.85 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,198.58 |
$11,198.58 |
$11,198.58 |
$15,625.00
|
|
Intro catheter aorta
|
$1,039.89 |
$1,039.89 |
$1,039.89 |
$1,861.61
|
|
Intro cath svc/ivc
|
$812.43 |
$812.43 |
$812.43 |
$1,350.75
|
|
Intro long gi tube
|
$1,787.55 |
$1,787.55 |
$1,787.55 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$1,372.41 |
$1,372.41 |
$1,372.41 |
$477.85
|
|
Intro windpipe wire/tube
|
$3,483.81 |
$3,483.81 |
$3,483.81 |
$2,316.30
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$6,545.85 |
$6,545.85 |
$6,545.85 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,452.19 |
$3,452.19 |
$3,452.19 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,108.74 |
$1,108.74 |
$1,108.74 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$180.03 |
$180.03 |
$180.03 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$112.91 |
$112.91 |
$112.91 |
$182.21
|
|
Ipratropium bromide non-comp
|
$5.61 |
$5.61 |
$5.61 |
$4.77
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$507.20 |
$507.20 |
$507.20 |
$203.92
|
|
Iron
|
$119.34 |
$119.34 |
$119.34 |
$70.72
|
|
Iron binding capacity
|
$196.86 |
$196.86 |
$196.86 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$107.76 |
$107.76 |
$107.76 |
$169.30
|
|
Irrigation implantable venous access device for drug delivery systems
|
$111.18 |
$111.18 |
$111.18 |
$154.50
|
|
Ivc venogram s&i
|
$4,012.17 |
$4,012.17 |
$4,012.17 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$118.83 |
$118.83 |
$118.83 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$50.49 |
$50.49 |
$50.49 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$1,054.17 |
$1,054.17 |
$1,054.17 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,330.59 |
$1,330.59 |
$1,330.59 |
$460.85
|
|
Ivp w/nephrotomography
|
$1,004.19 |
$1,004.19 |
$1,004.19 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,020.51 |
$1,020.51 |
$1,020.51 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$199.92 |
$199.92 |
$199.92 |
$378.30
|
|
John cunningham antibody
|
$770.65 |
$770.65 |
$770.65 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$5.56 |
$5.56 |
$5.56 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$168.81 |
$168.81 |
$168.81 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$29.52
|
|
Kidney function study
|
$1,640.67 |
$1,640.67 |
$1,640.67 |
$549.70
|
|
Kidney img w/bldflw sgl without rx
|
$2,353.65 |
$2,353.65 |
$2,353.65 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,656.08 |
$2,656.08 |
$2,656.08 |
$668.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$11.53 |
$11.53 |
$11.53 |
$8.68
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$14,621.70 |
$14,621.70 |
$14,621.70 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$46,206.00 |
$46,206.00 |
$46,206.00 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$79,825.20 |
$79,825.20 |
$79,825.20 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$57,757.50 |
$57,757.50 |
$57,757.50 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,369.05 |
$2,369.05 |
$2,369.05 |
$1,391.79
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$8,207.02 |
$8,207.02 |
$8,207.02 |
$234.08
|
|
Kit sound processor cochlear osia 2
|
$17,525.72 |
$17,525.72 |
$17,525.72 |
$10,653.60
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,212.95 |
$3,212.95 |
$3,212.95 |
$2,306.56
|
|
Knee MRI (with and without contrast)
|
$8,086.05 |
$8,086.05 |
$8,086.05 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$5,237.70 |
$5,237.70 |
$5,237.70 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,281.45 |
$4,281.45 |
$4,281.45 |
$2,181.10
|
|
Knee X-ray
|
$1,481.04 |
$1,481.04 |
$1,481.04 |
$443.90
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$168.81 |
$168.81 |
$168.81 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$74.97 |
$74.97 |
$74.97 |
$58.40
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$132.74 |
$132.74 |
$132.74 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$143.31 |
$143.31 |
$143.31 |
$53.30
|
|
Lactated ringers intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$48.56
|
|
Lactic acid
|
$163.71 |
$163.71 |
$163.71 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$107.61 |
$107.61 |
$107.61 |
$88.40
|
|
Lactoferrin fecal quant
|
$171.36 |
$171.36 |
$171.36 |
$106.10
|
|
Laparo cholecystectomy/graph
|
$11,357.19 |
$11,357.19 |
$11,357.19 |
$7,220.90
|
|
Largsc w/removal lesion
|
$6,550.95 |
$6,550.95 |
$6,550.95 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,127.61 |
$1,127.61 |
$1,127.61 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,934.65 |
$3,934.65 |
$3,934.65 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$4,780.74 |
$4,780.74 |
$4,780.74 |
$3,390.75
|
|
Laryngoscopy with biopsy
|
$4,780.74 |
$4,780.74 |
$4,780.74 |
$2,954.40
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$1,127.61 |
$1,127.61 |
$1,127.61 |
$660.10
|
|
Lateral canthopexy
|
$6,199.05 |
$6,199.05 |
$6,199.05 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$5,628.87 |
$5,628.87 |
$5,628.87 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$11,704.50 |
$11,704.50 |
$11,704.50 |
$5,831.00
|
|
Lead capillary
|
$52.02 |
$52.02 |
$52.02 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$14,543.93 |
$14,543.93 |
$14,543.93 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$14,543.93 |
$14,543.93 |
$14,543.93 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,385.27 |
$2,385.27 |
$2,385.27 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,202.80 |
$3,202.80 |
$3,202.80 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,202.80 |
$3,202.80 |
$3,202.80 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$368.48 |
$368.48 |
$368.48 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$327.88 |
$327.88 |
$327.88 |
$164.09
|
|
Levalbuterol non-comp unit
|
$5.61 |
$5.61 |
$5.61 |
$8.13
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$153.61 |
$153.61 |
$153.61 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$33.28 |
$33.28 |
$33.28 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$64.88
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,582.49 |
$1,582.49 |
$1,582.49 |
$420.60
|
|
Liberta rc ipg
|
$69,293.60 |
$69,293.60 |
$69,293.60 |
$39,840.21
|