|
Ins mark abd/pel for right perq
|
$1,693.74 |
$1,693.74 |
$1,693.74 |
$2,070.00
|
|
Ins mark thor for right perq
|
$1,045.47 |
$1,045.47 |
$1,045.47 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$5,499.86 |
$5,499.86 |
$5,499.86 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,486.47 |
$1,486.47 |
$1,486.47 |
$1,483.95
|
|
Ins pm gen w/exist mlt leads
|
$8,284.92 |
$8,284.92 |
$8,284.92 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$4,397.07 |
$4,397.07 |
$4,397.07 |
$5,593.60
|
|
Ins/rplc spi npg/rcvr pocket
|
$21,097.15 |
$21,097.15 |
$21,097.15 |
$21,097.15
|
|
Ins/rpl ldless pm right vent w img & eval
|
$16,491.05 |
$16,491.05 |
$16,491.05 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,223.96 |
$9,223.96 |
$9,223.96 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$8,370.18 |
$8,370.18 |
$8,370.18 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$9,655.55 |
$9,655.55 |
$9,655.55 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$19,590.99 |
$19,590.99 |
$19,590.99 |
$25,106.90
|
|
Instll rx agnt into rnal tub
|
$458.35 |
$458.35 |
$458.35 |
$619.20
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$5,957.33 |
$5,957.33 |
$5,957.33 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$3,638.25 |
$3,638.25 |
$3,638.25 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$3,789.96 |
$3,789.96 |
$3,789.96 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$5,989.37 |
$5,989.37 |
$5,989.37 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$830.55 |
$830.55 |
$830.55 |
$1,074.68
|
|
Insulin total
|
$17.35 |
$17.35 |
$31.41 |
$67.60
|
|
Ins vag brachytx device
|
$247.26 |
$247.26 |
$247.26 |
$909.35
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$1,123.67 |
$1,123.67 |
$1,123.67 |
$2,908.50
|
|
Interdiscal perq aspir dx
|
$801.15 |
$801.15 |
$801.15 |
$1,222.26
|
|
Interrog device eval heart
|
$38.22 |
$38.22 |
$38.22 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$32.64 |
$32.64 |
$32.64 |
$127.20
|
|
Intra-atrial pacing
|
$7,464.66 |
$7,464.66 |
$7,464.66 |
$5,155.51
|
|
Intra-atrial recording
|
$2,394.93 |
$2,394.93 |
$2,394.93 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$6,139.02 |
$6,139.02 |
$6,139.02 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$11,596.83 |
$11,596.83 |
$11,596.83 |
$11,364.78
|
|
Intracranial angioplasty
|
$4,621.68 |
$4,621.68 |
$4,621.68 |
$7,149.60
|
|
Intracranial complete study
|
$372.30 |
$372.30 |
$494.81 |
$883.30
|
|
Intracranial limited study
|
$221.39 |
$221.39 |
$261.52 |
$423.52
|
|
Intraventricular pacing
|
$2,394.93 |
$2,394.93 |
$2,394.93 |
$5,775.22
|
|
Intrinsic factor antibody
|
$8.82 |
$8.82 |
$17.13 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,448.25 |
$1,448.25 |
$1,448.25 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$7,171.55 |
$7,171.55 |
$7,171.55 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$13,929.43 |
$13,929.43 |
$13,929.43 |
$15,625.00
|
|
Intro catheter aorta
|
$2,647.18 |
$2,647.18 |
$2,647.18 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,457.07 |
$1,457.07 |
$1,457.07 |
$1,350.75
|
|
Intro long gi tube
|
$372.80 |
$372.80 |
$372.80 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$380.15 |
$380.15 |
$380.15 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$251.08 |
$251.08 |
$251.08 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$251.08 |
$251.08 |
$251.08 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$424.54 |
$424.54 |
$437.39 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$710.01 |
$710.01 |
$710.01 |
$677.98
|
|
Ionm in operatng room 15 min
|
$111.72 |
$111.72 |
$111.72 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$721.77 |
$721.77 |
$721.77 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$121.43 |
$121.43 |
$121.43 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$561.84 |
$561.84 |
$561.84 |
$182.21
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$32,901.54 |
$32,901.54 |
$32,901.54 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$264.02 |
$264.02 |
$264.02 |
$203.92
|
|
Iron
|
$179.05 |
$179.05 |
$346.60 |
$70.72
|
|
Iron binding capacity
|
$80.27 |
$80.27 |
$154.75 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$70.27 |
$70.27 |
$70.27 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$14.70 |
$14.70 |
$14.70 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$47.93 |
$47.93 |
$47.93 |
$154.50
|
|
Ivc venogram s&i
|
$1,558.50 |
$1,558.50 |
$1,558.50 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$409.84 |
$409.84 |
$409.84 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$224.91 |
$224.91 |
$224.91 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$288.12 |
$288.12 |
$288.12 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$450.41 |
$450.41 |
$450.41 |
$460.85
|
|
IV inj ra drug dx study
|
$280.77 |
$280.77 |
$280.77 |
$560.00
|
|
Ivp w/nephrotomography
|
$1,074.28 |
$1,074.28 |
$1,074.28 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$2,046.24 |
$2,046.24 |
$2,046.24 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$86.73 |
$86.73 |
$168.45 |
$378.30
|
|
J-tube placement
|
$2,215.59 |
$2,215.59 |
$2,215.59 |
$502.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$98.79 |
$98.79 |
$190.72 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$25.29 |
$25.29 |
$25.29 |
$29.52
|
|
Kidney imaging morphology
|
$2,458.14 |
$2,458.14 |
$2,458.14 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,205.99 |
$1,205.99 |
$1,205.99 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$3,293.10 |
$3,293.10 |
$3,293.10 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,409.04 |
$2,409.04 |
$2,409.04 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$4,654.32 |
$4,654.32 |
$4,654.32 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$24,217.08 |
$24,217.08 |
$24,217.08 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$22,015.61 |
$22,015.61 |
$22,015.61 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$6,050.52 |
$6,050.52 |
$6,050.52 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$664.74 |
$664.74 |
$664.74 |
$1,391.79
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$864.36 |
$864.36 |
$864.36 |
$2,306.56
|
|
Kras gene addl variants
|
$99.96 |
$99.96 |
$99.96 |
$346.45
|
|
Kras gene variants exon 2
|
$117.68 |
$117.68 |
$117.68 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$59.98 |
$59.98 |
$59.98 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$343.98 |
$343.98 |
$343.98 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$34.26 |
$34.26 |
$218.15 |
$53.30
|
|
Lactated ringers intravenous solution
|
$19.11 |
$19.11 |
$19.11 |
$48.56
|
|
Lactic acid
|
$311.94 |
$311.94 |
$613.26 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$25.88 |
$25.88 |
$50.25 |
$88.40
|
|
Lanthanum carbonate oral 5mg
|
$12.65 |
$12.65 |
$12.65 |
$14.41
|
|
Lead acuity x4 spiral l 86cm
|
$4,176.86 |
$4,176.86 |
$4,176.86 |
$5,831.00
|
|
Lead capillary
|
$5.46 |
$5.46 |
$10.60 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,899.54 |
$1,899.54 |
$1,899.54 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$4,654.32 |
$4,654.32 |
$4,654.32 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,356.41 |
$2,356.41 |
$2,356.41 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$156.41 |
$156.41 |
$156.41 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$583.30 |
$583.30 |
$583.30 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$156.41 |
$156.41 |
$156.41 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$80.27 |
$80.27 |
$80.27 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,680.30 |
$3,680.30 |
$3,680.30 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$819.09 |
$819.09 |
$1,493.17 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$64.68 |
$64.68 |
$64.68 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$4.25 |
$4.25 |
$8.24 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$57.92 |
$57.92 |
$57.92 |
$64.88
|