|
Insti hexaminolevulinate hcl
|
$2,370.59 |
$2,370.59 |
$2,370.59 |
$2,359.80
|
|
Insulin total
|
$31.45 |
$31.45 |
$237.00 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$6,866.28 |
$9,297.00 |
$9,666.81 |
$10,179.63
|
|
Integra meshed bil wound mat
|
$7,357.17 |
$7,357.17 |
$12,045.26 |
$24,354.93
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$3,853.81
|
|
Interrogate subq defib
|
$322.00 |
$322.00 |
$322.00 |
$139.10
|
|
Interrog dev eval icpms ip
|
$106.01 |
$106.01 |
$106.01 |
$106.80
|
|
Interrog evl pm/ldls pm ip
|
$129.13 |
$129.13 |
$131.00 |
$127.20
|
|
Intra-atrial pacing
|
$30,447.00 |
$30,447.00 |
$30,447.00 |
$5,155.51
|
|
Intra-atrial recording
|
$30,447.00 |
$30,447.00 |
$30,447.00 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$4,328.45 |
$4,328.45 |
$34,072.00 |
$3,982.59
|
|
Intracranial complete study
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$883.30
|
|
Intracranial limited study
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$423.52
|
|
Intrapul surf admin endo tube
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$239.52
|
|
Intraventricular pacing
|
$30,447.00 |
$30,447.00 |
$30,447.00 |
$5,775.22
|
|
Intrinsic factor antibody
|
$13.00 |
$43.94 |
$43.94 |
$59.95
|
|
Ionm in operatng room 15 min
|
$16,436.00 |
$16,436.00 |
$16,436.00 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$65,716.00 |
$65,716.00 |
$65,716.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.37 |
$0.37 |
$0.37 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$14.25 |
$14.25 |
$14.25 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$603.00 |
$603.00 |
$12,514.99 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$3.00 |
$3.00 |
$3.00 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$4.67 |
$4.67 |
$7.04 |
$227.39
|
|
Iron
|
$43.48 |
$43.48 |
$43.48 |
$70.72
|
|
Iron binding capacity
|
$148.00 |
$148.00 |
$148.00 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$45.22 |
$50.64 |
$59.00 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.04 |
$34.49 |
$177.00 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$118.86 |
$118.86 |
$136.72 |
$154.50
|
|
Ivc venogram s&i
|
$1,115.09 |
$1,115.09 |
$1,115.09 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$76.41 |
$76.41 |
$87.88 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$701.61 |
$701.61 |
$806.88 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$119.70 |
$119.70 |
$119.70 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$754.71 |
$754.71 |
$754.71 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$743.33 |
$743.33 |
$743.33 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$127.00 |
$127.00 |
$127.00 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$17.85 |
$17.85 |
$90.00 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$47.66 |
$47.66 |
$47.97 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$565.36 |
$565.36 |
$565.36 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$654.35 |
$654.35 |
$654.35 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$622.25 |
$622.25 |
$622.25 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$590.15 |
$590.15 |
$590.15 |
$2,181.10
|
|
Knee X-ray
|
$275.74 |
$275.74 |
$275.74 |
$443.90
|
|
Kras gene addl variants
|
$334.00 |
$334.00 |
$334.00 |
$346.45
|
|
Kras gene variants exon 2
|
$144.30 |
$144.30 |
$334.00 |
$495.00
|
|
Kyleena, 19.5 mg
|
$3,746.00 |
$3,746.00 |
$3,746.00 |
$2,618.91
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$104.00 |
$104.00 |
$104.00 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.50 |
$0.50 |
$0.66 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$61.88 |
$61.88 |
$61.88 |
$53.30
|
|
Lactated ringers intravenous solution
|
$105.36 |
$105.36 |
$108.63 |
$54.11
|
|
Lactic acid
|
$56.33 |
$56.33 |
$56.33 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$57.81 |
$57.81 |
$324.00 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$196.00 |
$196.00 |
$196.00 |
$22,903.90
|
|
Lead capillary
|
$4.44 |
$4.44 |
$39.96 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,088.26 |
$1,088.26 |
$1,088.26 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$9.58 |
$9.58 |
$31.44 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,091.84 |
$1,091.84 |
$2,050.48 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,435.11 |
$1,440.90 |
$3,997.00 |
$6,208.50
|
|
Levalbuterol non-comp unit
|
$7.00 |
$7.00 |
$7.00 |
$11.90
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$27.06 |
$27.06 |
$30.36 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$19.61 |
$19.61 |
$19.61 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$77.82 |
$77.82 |
$79.92 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$21.31 |
$21.31 |
$21.57 |
$319.12
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$741.00 |
$741.00 |
$741.00 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$9.62 |
$9.62 |
$15.00 |
$83.85
|
|
Liletta, 52 mg
|
$3,168.00 |
$3,168.00 |
$3,168.00 |
$2,360.29
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$49.15 |
$49.15 |
$49.15 |
$177.90
|
|
Lipase
|
$66.79 |
$66.79 |
$1,285.00 |
$83.20
|
|
Lipoprotein blood quant
|
$29.69 |
$29.69 |
$29.69 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$45.88 |
$45.88 |
$1,470.00 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$21.37 |
$21.37 |
$21.37 |
$60.00
|
|
Lithium therapeutic drug level
|
$80.38 |
$80.38 |
$994.00 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,496.21 |
$2,496.21 |
$2,496.21 |
$4,371.12
|
|
Liver Function Test
|
$50.14 |
$50.14 |
$1,094.00 |
$110.50
|
|
Liver imaging
|
$3,239.00 |
$3,239.00 |
$3,239.00 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$4,229.00 |
$4,229.00 |
$4,229.00 |
$1,255.15
|
|
Liver/spleen imag static only
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$4,229.00 |
$4,229.00 |
$4,229.00 |
$949.00
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.37 |
$37.37 |
$38.99 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$693.10 |
$693.10 |
$693.10 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$647.32 |
$647.32 |
$647.32 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$601.44 |
$601.44 |
$601.44 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$654.35 |
$654.35 |
$654.35 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$622.25 |
$622.25 |
$622.25 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,136.27 |
$1,136.27 |
$1,136.27 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$261.78 |
$261.78 |
$327.27 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$352.89 |
$352.89 |
$352.89 |
$275.88
|
|
Lumbar diskogram s&i
|
$2,805.80 |
$2,805.80 |
$9,880.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$93.98 |
$93.98 |
$745.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$233.56 |
$233.56 |
$233.56 |
$298.50
|
|
Lung perfusion imaging
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$791.73 |
$791.73 |
$791.73 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$52.47 |
$52.47 |
$52.47 |
$29,435.46
|
|
Lymphatics/lymph node imaging
|
$1,550.95 |
$1,550.95 |
$1,550.95 |
$1,543.75
|
|
Lymph vessel x-ray trunk
|
$11,980.00 |
$11,980.00 |
$11,980.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$15,991.00 |
$15,991.00 |
$15,991.00 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$25.25 |
$25.25 |
$25.25 |
$38.58
|
|
Macroscopic exam parasite
|
$670.00 |
$670.00 |
$670.00 |
$38.50
|
|
Magnesium
|
$40.05 |
$40.05 |
$40.05 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$24.14 |
$24.14 |
$50.14 |
$65.49
|