|
Insert hepatic shunt (tips)
|
$20,354.09 |
$20,354.09 |
$20,354.09 |
$9,754.48
|
|
Insertion catheter bladder non indwelling
|
$139.11 |
$139.11 |
$139.11 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$216.25 |
$216.25 |
$216.25 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$6,921.79 |
$6,921.79 |
$6,921.79 |
$4,943.21
|
|
Insertion intra aortic balloon assist device percutaneous
|
$3,743.78 |
$3,743.78 |
$3,743.78 |
$2,549.95
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$11,794.64 |
$11,794.64 |
$11,794.64 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$7,964.52 |
$7,964.52 |
$7,964.52 |
$2,618.40
|
|
Insertion of catheter vein
|
$1,440.53 |
$1,440.53 |
$1,440.53 |
$1,749.80
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$39,104.28 |
$39,104.28 |
$39,104.28 |
$14,158.20
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$35,065.39 |
$35,065.39 |
$35,065.39 |
$12,813.28
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,007.60 |
$3,007.60 |
$3,007.60 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,843.00 |
$3,843.00 |
$3,843.00 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$124,672.58 |
$124,672.58 |
$124,672.58 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$24,176.12 |
$24,176.12 |
$24,176.12 |
$7,572.47
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$21,711.53 |
$21,711.53 |
$21,711.53 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$10,731.16 |
$10,731.16 |
$10,731.16 |
$5,470.54
|
|
Insert tunneled cv cath
|
$16,913.77 |
$16,913.77 |
$16,913.77 |
$6,028.07
|
|
Insert vad art access left hrt arterial access
|
$5,859.96 |
$5,859.96 |
$5,859.96 |
$5,062.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$234.53 |
$234.53 |
$234.53 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$302.52 |
$302.52 |
$302.52 |
$338.40
|
|
Ins pq tunnld ip cath w/img
|
$11,714.40 |
$11,714.40 |
$11,714.40 |
$5,593.60
|
|
Instill, bupivac and meloxic
|
$343.14 |
$343.14 |
$343.14 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$2,497.60 |
$2,497.60 |
$2,497.60 |
$4,748.00
|
|
Insulin total
|
$13.95 |
$13.95 |
$13.95 |
$67.60
|
|
Integra meshed bil wound mat
|
$607.75 |
$607.75 |
$607.75 |
$24,354.93
|
|
Interrog dev eval icpms ip
|
$228.72 |
$228.72 |
$228.72 |
$106.80
|
|
Interrog dev eval scrms ip
|
$87.61 |
$87.61 |
$87.61 |
$124.80
|
|
Interrog device eval heart
|
$132.07 |
$132.07 |
$132.07 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$103.04 |
$103.04 |
$103.04 |
$127.20
|
|
Intrapul surf admin endo tube
|
$606.84 |
$606.84 |
$606.84 |
$239.52
|
|
Intrinsic factor antibody
|
$26.28 |
$26.28 |
$26.28 |
$59.95
|
|
Intro cath dialysis circuit
|
$4,234.72 |
$4,234.72 |
$4,234.72 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$19,706.04 |
$19,706.04 |
$19,706.04 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$43,226.35 |
$43,226.35 |
$43,226.35 |
$15,625.00
|
|
Intro catheter aorta
|
$1,480.73 |
$1,480.73 |
$1,480.73 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,512.28 |
$1,512.28 |
$1,512.28 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$1,102.42 |
$1,102.42 |
$1,102.42 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,183.05 |
$4,183.05 |
$4,183.05 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,734.90 |
$3,734.90 |
$3,734.90 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$715.51 |
$715.51 |
$715.51 |
$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)
|
$28,002.21 |
$28,002.21 |
$28,002.21 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$6.78 |
$6.78 |
$6.78 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$185.09 |
$185.09 |
$185.09 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$2,499.82 |
$2,499.82 |
$2,499.82 |
$6,655.71
|
|
Iron
|
$155.09 |
$155.09 |
$155.09 |
$70.72
|
|
Iron binding capacity
|
$160.13 |
$160.13 |
$160.13 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$61.17 |
$61.17 |
$61.17 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$138.93 |
$138.93 |
$138.93 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$201.03 |
$201.03 |
$201.03 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$227.17 |
$227.17 |
$227.17 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$8,496.15 |
$8,496.15 |
$8,496.15 |
$13,419.80
|
|
Ivc venogram s&i
|
$11,911.49 |
$11,911.49 |
$11,911.49 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$378.53 |
$378.53 |
$378.53 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$378.53 |
$378.53 |
$378.53 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$799.77 |
$799.77 |
$799.77 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,343.20 |
$1,343.20 |
$1,343.20 |
$460.85
|
|
Ivp w/nephrotomography
|
$1,173.63 |
$1,173.63 |
$1,173.63 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,798.95 |
$1,798.95 |
$1,798.95 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$500.00 |
$500.00 |
$500.00 |
$378.30
|
|
John cunningham antibody
|
$58.65 |
$58.65 |
$58.65 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$70.23 |
$70.23 |
$70.23 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$2,987.87 |
$2,987.87 |
$2,987.87 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,614.97 |
$1,614.97 |
$1,614.97 |
$668.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$195.57 |
$195.57 |
$195.57 |
$100.00
|
|
Knee MRI (with and without contrast)
|
$7,720.66 |
$7,720.66 |
$7,720.66 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$11,063.10 |
$11,063.10 |
$11,063.10 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$7,000.85 |
$7,000.85 |
$7,000.85 |
$2,181.10
|
|
Knee X-ray
|
$896.90 |
$896.90 |
$896.90 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$81.26 |
$81.26 |
$81.26 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$70.58 |
$70.58 |
$70.58 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$163.75 |
$163.75 |
$163.75 |
$53.30
|
|
Lactated ringers intravenous solution
|
$114.81 |
$114.81 |
$114.81 |
$54.11
|
|
Lactic acid
|
$215.73 |
$215.73 |
$215.73 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$67.00 |
$67.00 |
$67.00 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$12,968.10 |
$12,968.10 |
$12,968.10 |
$22,903.90
|
|
Lead capillary
|
$70.10 |
$70.10 |
$70.10 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$3,123.67 |
$3,123.67 |
$3,123.67 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$440.98 |
$440.98 |
$440.98 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$159.75 |
$159.75 |
$159.75 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$70.23 |
$70.23 |
$70.23 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$97.63 |
$97.63 |
$97.63 |
$66.59
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$146.18 |
$146.18 |
$146.18 |
$177.90
|
|
Lipase
|
$187.10 |
$187.10 |
$187.10 |
$83.20
|
|
Lipoprotein blood quant
|
$103.90 |
$103.90 |
$103.90 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$111.23 |
$111.23 |
$111.23 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$111.20 |
$111.20 |
$111.20 |
$60.00
|
|
Lithium therapeutic drug level
|
$339.82 |
$339.82 |
$339.82 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$13,897.98 |
$13,897.98 |
$13,897.98 |
$4,371.12
|
|
Liver Function Test
|
$227.23 |
$227.23 |
$227.23 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$16.54 |
$16.54 |
$16.54 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$26.82 |
$26.82 |
$26.82 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,907.26 |
$5,907.26 |
$5,907.26 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,253.83 |
$4,253.83 |
$4,253.83 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,619.06 |
$3,619.06 |
$3,619.06 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$9,429.95 |
$9,429.95 |
$9,429.95 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$6,781.76 |
$6,781.76 |
$6,781.76 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$6,069.16 |
$6,069.16 |
$6,069.16 |
$2,060.27
|