|
Inj proc elbow arthro
|
$618.00 |
$618.00 |
$618.00 |
$432.00
|
|
Inj progesterone per 50 mg
|
$1.43 |
$1.43 |
$1.43 |
$13.76
|
|
Inj prohance multipack
|
$1,160.78 |
$1,160.78 |
$1,160.78 |
$10.40
|
|
Inj, releuko 1 mcg
|
$943.32 |
$943.32 |
$943.32 |
$475.36
|
|
Inj retacrit esrd on dialysi
|
$1,635.97 |
$1,635.97 |
$1,635.97 |
$349.45
|
|
Inj, rykindo, 0.5 mg
|
$1,474.94 |
$1,474.94 |
$1,474.94 |
$13.03
|
|
Inj secretin synthetic human
|
$1,586.40 |
$1,586.40 |
$1,586.40 |
$1,253.09
|
|
Inj, spesolimab-sbzo, 1 mg
|
$66,967.88 |
$66,967.88 |
$66,967.88 |
$90,007.62
|
|
Inj sulf hexa lipid microsph
|
$406.03 |
$406.03 |
$406.03 |
$256.14
|
|
Inj teclistamab cqyv 0.5 mg
|
$25,074.12 |
$25,074.12 |
$25,074.12 |
$17,517.56
|
|
Inj tedizolid phosphate
|
$1,556.03 |
$1,556.03 |
$1,556.03 |
$664.72
|
|
Inj. teprotumumab-trbw 10 mg
|
$37,131.84 |
$37,131.84 |
$37,131.84 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$15.69 |
$15.69 |
$15.69 |
$123.09
|
|
Inj testosterone cypionate
|
$99.93 |
$99.93 |
$99.93 |
$64.96
|
|
Inj. tigecycline (accord)
|
$591.51 |
$591.51 |
$591.51 |
$188.03
|
|
Inj tofersen intrathec 1 mg
|
$28,479.90 |
$28,479.90 |
$28,479.90 |
$293.34
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,649.98 |
$1,649.98 |
$1,649.98 |
$1,090.75
|
|
Inj vancomycin (xellia) 10mg
|
$103.82 |
$103.82 |
$103.82 |
$76.59
|
|
Inj w/fluor eval cv device
|
$764.00 |
$764.00 |
$764.00 |
$504.40
|
|
Inj zanidatamab-hrii, 2 mg
|
$8,532.00 |
$8,532.00 |
$8,532.00 |
$8,532.00
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$57,398.28 |
$57,398.28 |
$57,398.28 |
$41,083.73
|
|
Insertion catheter bladder non indwelling
|
$466.00 |
$466.00 |
$466.00 |
$208.01
|
|
Insertion intra aortic balloon assist device percutaneous
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$2,447.63
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$11,968.00 |
$11,968.00 |
$11,968.00 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$5,978.00 |
$5,978.00 |
$5,978.00 |
$2,103.75
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$29,750.00 |
$29,750.00 |
$29,750.00 |
$7,183.68
|
|
Insitu hybridization auto
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$377.37
|
|
Insitu hybridization manual
|
$1,358.00 |
$1,358.00 |
$1,358.00 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$423.00 |
$423.00 |
$423.00 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$659.00 |
$659.00 |
$659.00 |
$338.40
|
|
Ins/rpl ldless pm right vent w img & eval
|
$67,645.00 |
$67,645.00 |
$67,645.00 |
$24,135.54
|
|
Insti hexaminolevulinate hcl
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$2,356.80
|
|
Instill, bupivac and meloxic
|
$553.91 |
$553.91 |
$553.91 |
$687.60
|
|
Insulin for insulin pump use
|
$3,568.80 |
$3,568.80 |
$3,568.80 |
$67.93
|
|
Insulin total
|
$53.00 |
$53.00 |
$53.00 |
$66.64
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$5,354.19 |
$5,354.19 |
$5,354.19 |
$3,803.11
|
|
Interferon alfa-2b inj
|
$3,687.60 |
$3,687.60 |
$3,687.60 |
$1,409.92
|
|
Intra-atrial pacing
|
$24,538.00 |
$24,538.00 |
$24,538.00 |
$4,850.82
|
|
Intra-atrial recording
|
$24,538.00 |
$24,538.00 |
$24,538.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$3,436.00
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$785.00 |
$785.00 |
$785.00 |
$220.80
|
|
Intraventricular pacing
|
$24,538.00 |
$24,538.00 |
$24,538.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$69.00 |
$69.00 |
$69.00 |
$65.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,175.00 |
$5,175.00 |
$5,175.00 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,575.00 |
$1,575.00 |
$1,575.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$877.00 |
$877.00 |
$877.00 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$579.81 |
$579.81 |
$579.81 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$844.20 |
$844.20 |
$844.20 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$126,553.55 |
$126,553.55 |
$126,553.55 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$6.47 |
$6.47 |
$6.47 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$477.49 |
$477.49 |
$477.49 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,149.60 |
$7,149.60 |
$7,149.60 |
$5,517.12
|
|
Iron
|
$30.00 |
$30.00 |
$30.00 |
$75.00
|
|
Iron binding capacity
|
$40.00 |
$40.00 |
$40.00 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$131.66 |
$131.66 |
$131.66 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$545.51 |
$545.51 |
$545.51 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$239.00 |
$239.00 |
$239.00 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$10,439.00 |
$10,439.00 |
$10,439.00 |
$8,273.35
|
|
Ivc venogram s&i
|
$10,857.00 |
$10,857.00 |
$10,857.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$308.00 |
$308.00 |
$308.00 |
$133.90
|
|
IV Fluids (first hour)
|
$678.00 |
$678.00 |
$678.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$206.00 |
$206.00 |
$206.00 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$308.00 |
$308.00 |
$308.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$206.00 |
$206.00 |
$206.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$678.00 |
$678.00 |
$678.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$348.00 |
$348.00 |
$348.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$678.00 |
$678.00 |
$678.00 |
$252.76
|
|
Ivp w/nephrotomography
|
$938.00 |
$938.00 |
$938.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$938.00 |
$938.00 |
$938.00 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$4,834.94 |
$4,834.94 |
$4,834.94 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$852.00 |
$852.00 |
$852.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$440.00 |
$440.00 |
$440.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$566.00 |
$566.00 |
$566.00 |
$362.05
|
|
John cunningham antibody
|
$78.00 |
$78.00 |
$78.00 |
$78.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$40.00 |
$40.00 |
$40.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$27.44 |
$27.44 |
$27.44 |
$23.52
|
|
Kidney imag w/bld flow multi
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$606.00 |
$606.00 |
$606.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$606.00 |
$606.00 |
$606.00 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$5,791.69 |
$5,791.69 |
$5,791.69 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$19,364.00 |
$19,364.00 |
$19,364.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$574.00 |
$574.00 |
$574.00 |
$374.61
|
|
Kit lead specify 5-6-5
|
$6,332.44 |
$6,332.44 |
$6,332.44 |
$16,672.10
|
|
Knee MRI (with and without contrast)
|
$3,806.00 |
$3,806.00 |
$3,806.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,130.88
|
|
Knee X-ray
|
$566.00 |
$566.00 |
$566.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$440.00 |
$440.00 |
$440.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$440.00 |
$440.00 |
$440.00 |
$363.60
|
|
Kras gene addl variants
|
$889.00 |
$889.00 |
$889.00 |
$387.20
|
|
Kras gene variants exon 2
|
$889.00 |
$889.00 |
$889.00 |
$536.20
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$81.00 |
$81.00 |
$81.00 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$64.00 |
$64.00 |
$64.00 |
$70.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.68 |
$33.68 |
$33.68 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$416.15 |
$416.15 |
$416.15 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$28.00 |
$28.00 |
$28.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$35.00 |
$35.00 |
$35.00 |
$43.74
|
|
Lactic acid
|
$53.00 |
$53.00 |
$53.00 |
$107.10
|
