|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$275.66 |
$275.66 |
$275.66 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$295.09 |
$295.09 |
$295.09 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$304.33 |
$304.33 |
$304.33 |
$141.60
|
|
Inj efgart-alfa 2mg hya-qvfc
|
$307,794.10 |
$307,794.10 |
$307,794.10 |
$66,229.74
|
|
Inj for ext venography
|
$1,033.26 |
$1,033.26 |
$1,033.26 |
$737.55
|
|
Inj, fulvestrant (fresenius)
|
$2,976.15 |
$2,976.15 |
$2,976.15 |
$1,713.99
|
|
Inj glycopyrrolate fres kabi
|
$151.13 |
$151.13 |
$151.13 |
$96.70
|
|
Inj ivig privigen 500 mg
|
$41,354.80 |
$41,354.80 |
$41,354.80 |
$7,298.71
|
|
Inj mepivacaine hcl/10 ml
|
$21.33 |
$21.33 |
$21.33 |
$28.41
|
|
Inj multihance
|
$374.22 |
$374.22 |
$374.22 |
$119.25
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$9,120.64 |
$9,120.64 |
$9,120.64 |
$1,522.56
|
|
Inj proc myelogram lumbar
|
$1,687.00 |
$1,687.00 |
$1,687.00 |
$922.80
|
|
Inj secukinumab intrav 1mg
|
$42,116.52 |
$42,116.52 |
$42,116.52 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$1,017,725.45 |
$1,017,725.45 |
$1,017,725.45 |
$253,022.14
|
|
Inj testosterone cypionate
|
$354.19 |
$354.19 |
$354.19 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$89,613.26 |
$89,613.26 |
$89,613.26 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$103.68 |
$103.68 |
$103.68 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$23,702.88 |
$23,702.88 |
$23,702.88 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$1,123.44 |
$1,123.44 |
$1,123.44 |
$588.90
|
|
Ins cath ren art 1st bi
|
$35,429.76 |
$35,429.76 |
$35,429.76 |
$6,033.75
|
|
Insert and remove bone pin
|
$40,959.20 |
$40,959.20 |
$40,959.20 |
$4,335.60
|
|
Insert cath pleura with image
|
$17,119.04 |
$17,119.04 |
$17,119.04 |
$2,239.02
|
|
Insert cath pleura without image
|
$22,780.00 |
$22,780.00 |
$22,780.00 |
$2,212.00
|
|
Insertion catheter bladder non indwelling
|
$1,651.84 |
$1,651.84 |
$1,651.84 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$804.53 |
$804.53 |
$804.53 |
$273.60
|
|
Insertion intra aortic balloon assist device percutaneous
|
$5,833.70 |
$5,833.70 |
$5,833.70 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$16,562.51 |
$16,562.51 |
$16,562.51 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$62,169.76 |
$62,169.76 |
$62,169.76 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$43,727.06 |
$43,727.06 |
$43,727.06 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$75,080.89 |
$75,080.89 |
$75,080.89 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$17,119.04 |
$17,119.04 |
$17,119.04 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$17,119.04 |
$17,119.04 |
$17,119.04 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$125,917.02 |
$125,917.02 |
$125,917.02 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$18,911.46 |
$18,911.46 |
$18,911.46 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$37,235.68 |
$37,235.68 |
$37,235.68 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$37,235.68 |
$37,235.68 |
$37,235.68 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$11,517.28 |
$11,517.28 |
$11,517.28 |
$5,470.54
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$35,429.76 |
$35,429.76 |
$35,429.76 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$16,711.83 |
$16,711.83 |
$16,711.83 |
$5,062.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$815.97 |
$815.97 |
$815.97 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$2,198.56 |
$2,198.56 |
$2,198.56 |
$338.40
|
|
Ins pq tunnld ip cath w/img
|
$11,082.59 |
$11,082.59 |
$11,082.59 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$59,188.03 |
$59,188.03 |
$59,188.03 |
$24,135.54
|
|
Instill, bupivac and meloxic
|
$2,707.69 |
$2,707.69 |
$2,707.69 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$9,790.50 |
$9,790.50 |
$9,790.50 |
$4,748.00
|
|
Insulin total
|
$40.01 |
$40.01 |
$40.01 |
$67.60
|
|
Intraventricular pacing
|
$13,997.32 |
$13,997.32 |
$13,997.32 |
$5,775.22
|
|
Intrinsic factor antibody
|
$104.83 |
$104.83 |
$104.83 |
$59.95
|
|
Intro catheter aorta
|
$2,508.49 |
$2,508.49 |
$2,508.49 |
$1,861.61
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,329.07 |
$3,329.07 |
$3,329.07 |
$3,510.75
|
|
Intubation endotracheal emergency procedure
|
$799.13 |
$799.13 |
$799.13 |
$617.60
|
|
Ionm in operatng room 15 min
|
$110.11 |
$110.11 |
$110.11 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$448.91 |
$448.91 |
$448.91 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$699.60 |
$699.60 |
$699.60 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$102,061.25 |
$102,061.25 |
$102,061.25 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$12.12 |
$12.12 |
$12.12 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$481.70 |
$481.70 |
$481.70 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,839.60 |
$7,839.60 |
$7,839.60 |
$6,655.71
|
|
Iron
|
$32.76 |
$32.76 |
$32.76 |
$70.72
|
|
Iron binding capacity
|
$353.69 |
$353.69 |
$353.69 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$336.15 |
$336.15 |
$336.15 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$896.85 |
$896.85 |
$896.85 |
$198.01
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$30,911.42 |
$30,911.42 |
$30,911.42 |
$13,419.80
|
|
Ivc venogram s&i
|
$35,429.76 |
$35,429.76 |
$35,429.76 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$138.30 |
$138.30 |
$138.30 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$559.82 |
$559.82 |
$559.82 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$276.95 |
$276.95 |
$276.95 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$619.83 |
$619.83 |
$619.83 |
$460.85
|
|
IV inj ra drug dx study
|
$5,213.60 |
$5,213.60 |
$5,213.60 |
$560.00
|
|
John cunningham antibody
|
$270.24 |
$270.24 |
$270.24 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$78.63 |
$78.63 |
$78.63 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$223.17 |
$223.17 |
$223.17 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$5,579.04 |
$5,579.04 |
$5,579.04 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$4,538.56 |
$4,538.56 |
$4,538.56 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$6,593.67 |
$6,593.67 |
$6,593.67 |
$2,950.00
|
|
Knee MRI (without contrast)
|
$5,560.11 |
$5,560.11 |
$5,560.11 |
$2,181.10
|
|
Knee X-ray
|
$2,209.24 |
$2,209.24 |
$2,209.24 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$485.79 |
$485.79 |
$485.79 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$409.66 |
$409.66 |
$409.66 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$319.99 |
$319.99 |
$319.99 |
$53.30
|
|
Lactated ringers intravenous solution
|
$240.85 |
$240.85 |
$240.85 |
$54.11
|
|
Lactic acid
|
$53.63 |
$53.63 |
$53.63 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$68.95 |
$68.95 |
$68.95 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$106,390.24 |
$106,390.24 |
$106,390.24 |
$22,903.90
|
|
Lead capillary
|
$193.76 |
$193.76 |
$193.76 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$3,738.08 |
$3,738.08 |
$3,738.08 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1,252.66 |
$1,252.66 |
$1,252.66 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$446.79 |
$446.79 |
$446.79 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$46.38 |
$46.38 |
$46.38 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$261.75 |
$261.75 |
$261.75 |
$66.59
|
|
Lidocaine therapeutic drug level
|
$235.04 |
$235.04 |
$235.04 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$406.38 |
$406.38 |
$406.38 |
$177.90
|
|
Lipase
|
$39.69 |
$39.69 |
$39.69 |
$83.20
|
|
Lipoprotein blood quant
|
$547.04 |
$547.04 |
$547.04 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$131.04 |
$131.04 |
$131.04 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$53.16 |
$53.16 |
$53.16 |
$60.00
|
|
Lithium therapeutic drug level
|
$434.18 |
$434.18 |
$434.18 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$20,118.91 |
$20,118.91 |
$20,118.91 |
$4,371.12
|
|
Liver Function Test
|
$727.58 |
$727.58 |
$727.58 |
$110.50
|