|
Inj nephrosto/ureterogram w/img exstng access
|
$1,844.99 |
$1,844.99 |
$1,844.99 |
$1,522.56
|
|
Inj proc myelogram lumbar
|
$721.69 |
$721.69 |
$721.69 |
$922.80
|
|
Inj secukinumab intrav 1mg
|
$7,381.40 |
$7,381.40 |
$7,381.40 |
$9,077.39
|
|
Inj, spesolimab-sbzo, 1 mg
|
$178,150.09 |
$178,150.09 |
$178,150.09 |
$253,022.14
|
|
Inj testosterone cypionate
|
$74.34 |
$74.34 |
$74.34 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$34,867.32 |
$34,867.32 |
$34,867.32 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$30.98 |
$30.98 |
$30.98 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$9,996.77 |
$9,996.77 |
$9,996.77 |
$10,892.59
|
|
Inj w/fluor eval cv device
|
$720.71 |
$720.71 |
$720.71 |
$588.90
|
|
Ins cath ren art 1st bi
|
$10,120.82 |
$10,120.82 |
$10,120.82 |
$6,033.75
|
|
Ins cath ren art 1st uni
|
$10,918.89 |
$10,918.89 |
$10,918.89 |
$4,667.63
|
|
Ins cath ren art 2nd+ uni
|
$7,219.15 |
$7,219.15 |
$7,219.15 |
$5,528.94
|
|
Insert cath pleura with image
|
$1,687.95 |
$1,687.95 |
$1,687.95 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$132.49 |
$132.49 |
$132.49 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$186.84 |
$186.84 |
$186.84 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,678.41 |
$6,678.41 |
$6,678.41 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$5,392.52 |
$5,392.52 |
$5,392.52 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$14,429.08 |
$14,429.08 |
$14,429.08 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$15,926.86 |
$15,926.86 |
$15,926.86 |
$2,618.40
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$42,771.02 |
$42,771.02 |
$42,771.02 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$35,752.72 |
$35,752.72 |
$35,752.72 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$42,771.02 |
$42,771.02 |
$42,771.02 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$4,833.54 |
$4,833.54 |
$4,833.54 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,567.72 |
$2,567.72 |
$2,567.72 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$98,946.50 |
$98,946.50 |
$98,946.50 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$24,650.01 |
$24,650.01 |
$24,650.01 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$24,650.01 |
$24,650.01 |
$24,650.01 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$18,591.42 |
$18,591.42 |
$18,591.42 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,450.19 |
$5,450.19 |
$5,450.19 |
$5,470.54
|
|
Insert pm/icd lead dual
|
$14,904.04 |
$14,904.04 |
$14,904.04 |
$7,562.63
|
|
Insert vad art access left hrt arterial access
|
$2,523.61 |
$2,523.61 |
$2,523.61 |
$5,062.80
|
|
Insitu hybridization auto
|
$211.07 |
$211.07 |
$211.07 |
$398.16
|
|
In situ hybridization per specimen each additional single probe stain
|
$136.97 |
$136.97 |
$136.97 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$1,032.52 |
$1,032.52 |
$1,032.52 |
$338.40
|
|
Ins pq tunnld ip cath w/img
|
$8,927.00 |
$8,927.00 |
$8,927.00 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$33,396.52 |
$33,396.52 |
$33,396.52 |
$24,135.54
|
|
Inst fibrinolysis agent ini day
|
$1,660.05 |
$1,660.05 |
$1,660.05 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$1,660.05 |
$1,660.05 |
$1,660.05 |
$898.12
|
|
Instill, bupivac and meloxic
|
$483.36 |
$483.36 |
$483.36 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$8,929.32 |
$8,929.32 |
$8,929.32 |
$4,748.00
|
|
Insulin total
|
$33.09 |
$33.09 |
$33.09 |
$67.60
|
|
Intens cardiac rehab no exer
|
$305.98 |
$305.98 |
$305.98 |
$149.00
|
|
Intens cardiac rehab w/exerc
|
$392.10 |
$392.10 |
$392.10 |
$226.98
|
|
Interdiscal perq aspir dx
|
$917.45 |
$917.45 |
$917.45 |
$1,222.26
|
|
Interrog dev eval icpms ip
|
$208.05 |
$208.05 |
$208.05 |
$106.80
|
|
Interrog dev eval scrms ip
|
$83.44 |
$83.44 |
$83.44 |
$124.80
|
|
Interrog device eval heart
|
$125.78 |
$125.78 |
$125.78 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$98.13 |
$98.13 |
$98.13 |
$127.20
|
|
Intrinsic factor antibody
|
$25.03 |
$25.03 |
$25.03 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,054.46 |
$3,054.46 |
$3,054.46 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$15,639.76 |
$15,639.76 |
$15,639.76 |
$8,761.00
|
|
Intro catheter aorta
|
$1,282.03 |
$1,282.03 |
$1,282.03 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,282.03 |
$1,282.03 |
$1,282.03 |
$1,350.75
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,196.75 |
$4,196.75 |
$4,196.75 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$700.02 |
$700.02 |
$700.02 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$601.28 |
$601.28 |
$601.28 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$184.87 |
$184.87 |
$184.87 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$288.11 |
$288.11 |
$288.11 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$39,708.20 |
$39,708.20 |
$39,708.20 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$7.17 |
$7.17 |
$7.17 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$242.37 |
$242.37 |
$242.37 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$3,462.40 |
$3,462.40 |
$3,462.40 |
$6,655.71
|
|
Iron
|
$103.67 |
$103.67 |
$103.67 |
$70.72
|
|
Iron binding capacity
|
$141.95 |
$141.95 |
$141.95 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$73.90 |
$73.90 |
$73.90 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$174.05 |
$174.05 |
$174.05 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$186.17 |
$186.17 |
$186.17 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$404.19 |
$404.19 |
$404.19 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$12,038.82 |
$12,038.82 |
$12,038.82 |
$13,419.80
|
|
Ivc venogram s&i
|
$9,669.90 |
$9,669.90 |
$9,669.90 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$344.13 |
$344.13 |
$344.13 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$590.68 |
$590.68 |
$590.68 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$279.32 |
$279.32 |
$279.32 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$991.58 |
$991.58 |
$991.58 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$500.00 |
$500.00 |
$500.00 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$70.23 |
$70.23 |
$70.23 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$52.12 |
$52.12 |
$52.12 |
$30.08
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,860.59 |
$1,860.59 |
$1,860.59 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$7,370.84 |
$7,370.84 |
$7,370.84 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$5,556.92 |
$5,556.92 |
$5,556.92 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$5,302.94 |
$5,302.94 |
$5,302.94 |
$2,181.10
|
|
Knee X-ray
|
$1,092.80 |
$1,092.80 |
$1,092.80 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$98.52 |
$98.52 |
$98.52 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$84.53 |
$84.53 |
$84.53 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$155.95 |
$155.95 |
$155.95 |
$53.30
|
|
Lactated ringers intravenous solution
|
$79.66 |
$79.66 |
$79.66 |
$54.11
|
|
Lactic acid
|
$195.38 |
$195.38 |
$195.38 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$67.00 |
$67.00 |
$67.00 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$18,631.75 |
$18,631.75 |
$18,631.75 |
$22,903.90
|
|
Lead capillary
|
$66.76 |
$66.76 |
$66.76 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,453.08 |
$2,453.08 |
$2,453.08 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$593.90 |
$593.90 |
$593.90 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$160.76 |
$160.76 |
$160.76 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$62.04 |
$62.04 |
$62.04 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$98.21 |
$98.21 |
$98.21 |
$66.59
|
|
Lidocaine therapeutic drug level
|
$44.66 |
$44.66 |
$44.66 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$147.10 |
$147.10 |
$147.10 |
$177.90
|
|
Lipase
|
$215.52 |
$215.52 |
$215.52 |
$83.20
|
|
Lipoprotein blood quant
|
$98.95 |
$98.95 |
$98.95 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$106.40 |
$106.40 |
$106.40 |
$55.90
|