|
Intro cath svc/ivc
|
$8,246.91 |
$8,246.91 |
$8,246.91 |
$1,350.75
|
|
Intro long gi tube
|
$2,580.34 |
$2,580.34 |
$2,580.34 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$1,703.73 |
$1,703.73 |
$1,703.73 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$8,653.72 |
$8,653.72 |
$8,653.72 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$8,974.23 |
$8,974.23 |
$8,974.23 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$3,590.76 |
$3,590.76 |
$3,590.76 |
$617.60
|
|
Ionm in operatng room 15 min
|
$413.47 |
$413.47 |
$413.47 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$491.84 |
$491.84 |
$491.84 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$757.58 |
$757.58 |
$757.58 |
$182.21
|
|
Io rad tx delivery by x-ray
|
$12,438.79 |
$12,438.79 |
$12,438.79 |
$10,127.56
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$52,277.70 |
$52,277.70 |
$52,277.70 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$29.20 |
$29.20 |
$29.20 |
$4.77
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$547.39 |
$547.39 |
$547.39 |
$203.92
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$13,777.38 |
$13,777.38 |
$13,777.38 |
$5,837.00
|
|
Iron
|
$249.45 |
$249.45 |
$249.45 |
$70.72
|
|
Iron binding capacity
|
$189.84 |
$189.84 |
$189.84 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$481.37 |
$481.37 |
$481.37 |
$73.22
|
|
Iron stain peripheral blood
|
$98.05 |
$98.05 |
$98.05 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$877.70 |
$877.70 |
$877.70 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$690.71 |
$690.71 |
$690.71 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$216.45 |
$216.45 |
$216.45 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$19,493.01 |
$19,493.01 |
$19,493.01 |
$8,335.70
|
|
Ivc venogram s&i
|
$6,392.07 |
$6,392.07 |
$6,392.07 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$1,144.31 |
$1,144.31 |
$1,144.31 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$1,144.31 |
$1,144.31 |
$1,144.31 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$982.46 |
$982.46 |
$982.46 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,150.93 |
$1,150.93 |
$1,150.93 |
$460.85
|
|
IV inj ra drug dx study
|
$1,041.94 |
$1,041.94 |
$1,041.94 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$603.57 |
$603.57 |
$603.57 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$379.87 |
$379.87 |
$379.87 |
$378.30
|
|
John cunningham antibody
|
$2,550.94 |
$2,550.94 |
$2,550.94 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$161.88 |
$161.88 |
$161.88 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$275.94 |
$275.94 |
$275.94 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$318.33 |
$318.33 |
$318.33 |
$29.52
|
|
Kidney function study
|
$1,828.21 |
$1,828.21 |
$1,828.21 |
$549.70
|
|
Kidney imag w/bld flow multi
|
$7,347.98 |
$7,347.98 |
$7,347.98 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$4,975.20 |
$4,975.20 |
$4,975.20 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,370.61 |
$2,370.61 |
$2,370.61 |
$668.25
|
|
Kit gene analys d816 variant
|
$374.61 |
$374.61 |
$374.61 |
$355.00
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$154.95 |
$154.95 |
$154.95 |
$234.08
|
|
Knee MRI (with and without contrast)
|
$7,022.59 |
$7,022.59 |
$7,022.59 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$5,852.15 |
$5,852.15 |
$5,852.15 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$5,395.84 |
$5,395.84 |
$5,395.84 |
$2,181.10
|
|
Knee X-ray
|
$1,617.15 |
$1,617.15 |
$1,617.15 |
$443.90
|
|
Kras gene addl variants
|
$364.90 |
$364.90 |
$364.90 |
$346.45
|
|
Kras gene variants exon 2
|
$986.69 |
$986.69 |
$986.69 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$9,141.33 |
$9,141.33 |
$9,141.33 |
$100.75
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$477.39 |
$477.39 |
$477.39 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$403.26 |
$403.26 |
$403.26 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$105.95 |
$105.95 |
$105.95 |
$53.30
|
|
Lactated ringers intravenous solution
|
$164.10 |
$164.10 |
$164.10 |
$48.56
|
|
Lactic acid
|
$249.28 |
$249.28 |
$249.28 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$253.52 |
$253.52 |
$253.52 |
$88.40
|
|
Lam facetec & foramot crv
|
$19,279.01 |
$19,279.01 |
$19,279.01 |
$7,807.24
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$22,903.90 |
$22,903.90 |
$22,903.90 |
$21,487.67
|
|
Laparo cholecystectomy/graph
|
$15,191.33 |
$15,191.33 |
$15,191.33 |
$7,220.90
|
|
Laparoscopy excise lesions
|
$15,191.33 |
$15,191.33 |
$15,191.33 |
$6,376.26
|
|
Laparoscopy remove adnexa
|
$15,191.33 |
$15,191.33 |
$15,191.33 |
$6,904.15
|
|
Laparo-vag hyst incl t/o
|
$26,485.84 |
$26,485.84 |
$26,485.84 |
$7,595.42
|
|
Laryngoscopy w/fb removal
|
$6,316.54 |
$6,316.54 |
$6,316.54 |
$3,390.75
|
|
Lb with mastopexy 15839
|
$7,529.14 |
$7,529.14 |
$7,529.14 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$10,015.12 |
$10,015.12 |
$10,015.12 |
$5,831.00
|
|
Lead capillary
|
$264.30 |
$264.30 |
$264.30 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,559.23 |
$2,559.23 |
$2,559.23 |
$1,100.74
|
|
Leishmania antibody
|
$201.79 |
$201.79 |
$201.79 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$843.00 |
$843.00 |
$843.00 |
$1,489.57
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1,532.06 |
$1,532.06 |
$1,532.06 |
$164.09
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$503.06 |
$503.06 |
$503.06 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$253.52 |
$253.52 |
$253.52 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$300.18 |
$300.18 |
$300.18 |
$64.88
|
|
L hrt cath chd nm/abn nt cnj
|
$23,223.30 |
$23,223.30 |
$23,223.30 |
$6,242.85
|
|
Lidocaine therapeutic drug level
|
$226.86 |
$226.86 |
$226.86 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$458.76 |
$458.76 |
$458.76 |
$172.25
|
|
Lipase
|
$388.53 |
$388.53 |
$388.53 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$394.82 |
$394.82 |
$394.82 |
$89.52
|
|
Lipoprotein blood quant
|
$511.62 |
$511.62 |
$511.62 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$439.29 |
$439.29 |
$439.29 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$196.52 |
$196.52 |
$196.52 |
$60.00
|
|
Listeria monocytogenes
|
$209.80 |
$209.80 |
$209.80 |
$95.40
|
|
Lithium therapeutic drug level
|
$245.56 |
$245.56 |
$245.56 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$23,113.41 |
$23,113.41 |
$23,113.41 |
$4,371.12
|
|
Liver elastography 91200
|
$9,985.54 |
$9,985.54 |
$9,985.54 |
$291.74
|
|
Liver Function Test
|
$280.33 |
$280.33 |
$280.33 |
$110.50
|
|
Liver imaging
|
$2,660.71 |
$2,660.71 |
$2,660.71 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$2,660.71 |
$2,660.71 |
$2,660.71 |
$1,255.15
|
|
Liver/spleen imag static only
|
$2,591.51 |
$2,591.51 |
$2,591.51 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$2,591.51 |
$2,591.51 |
$2,591.51 |
$949.00
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$8,675.77 |
$8,675.77 |
$8,675.77 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$58.57 |
$58.57 |
$58.57 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$86.95 |
$86.95 |
$86.95 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$6,273.88 |
$6,273.88 |
$6,273.88 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$6,207.41 |
$6,207.41 |
$6,207.41 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$5,672.28 |
$5,672.28 |
$5,672.28 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$7,768.59 |
$7,768.59 |
$7,768.59 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$6,882.84 |
$6,882.84 |
$6,882.84 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$5,983.94 |
$5,983.94 |
$5,983.94 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,669.25 |
$1,669.25 |
$1,669.25 |
$344.00
|
|
Lumbar diskogram s&i
|
$7,308.79 |
$7,308.79 |
$7,308.79 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$193.28 |
$193.28 |
$193.28 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$1,685.71 |
$1,685.71 |
$1,685.71 |
$298.50
|