|
Intro cath dialysis circuit w/stent plcmnt
|
$24,495.84 |
$24,495.84 |
$24,495.84 |
$16,262.40
|
|
Intro catheter aorta
|
$4,932.72 |
$4,932.72 |
$4,932.72 |
$1,654.05
|
|
Intro cath svc/ivc
|
$2,229.84 |
$2,229.84 |
$2,229.84 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,608.08 |
$5,608.08 |
$5,608.08 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,746.24 |
$4,746.24 |
$4,746.24 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$1,056.24 |
$1,056.24 |
$1,056.24 |
$598.80
|
|
Ionm in operatng room 15 min
|
$175.68 |
$175.68 |
$175.68 |
$193.05
|
|
Ionm remote/>1 pt or per hr
|
$311.04 |
$311.04 |
$311.04 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$19.55 |
$19.55 |
$19.55 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1.76 |
$1.76 |
$1.76 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$274.54 |
$274.54 |
$274.54 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$73.80 |
$73.80 |
$73.80 |
$174.67
|
|
Iron
|
$126.72 |
$126.72 |
$126.72 |
$72.29
|
|
Iron binding capacity
|
$149.04 |
$149.04 |
$149.04 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$120.28 |
$120.28 |
$120.28 |
$81.70
|
|
Iron stain peripheral blood
|
$113.76 |
$113.76 |
$113.76 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$3.15 |
$3.15 |
$3.15 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$138.24 |
$138.24 |
$138.24 |
$113.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$150.48 |
$150.48 |
$150.48 |
$144.30
|
|
Ivc venogram s&i
|
$6,372.72 |
$6,372.72 |
$6,372.72 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$133.92 |
$133.92 |
$133.92 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$100.80 |
$100.80 |
$100.80 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$261.36 |
$261.36 |
$261.36 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$605.52 |
$605.52 |
$605.52 |
$437.45
|
|
Jak2 targeted sequence analysis
|
$545.04 |
$545.04 |
$545.04 |
$393.43
|
|
John cunningham antibody
|
$1,409.76 |
$1,409.76 |
$1,409.76 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$10.08 |
$10.08 |
$10.08 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$176.40 |
$176.40 |
$176.40 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$50.80 |
$50.80 |
$50.80 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,203.12 |
$1,203.12 |
$1,203.12 |
$673.36
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,908.00 |
$10,908.00 |
$10,908.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$876.24 |
$876.24 |
$876.24 |
$366.03
|
|
Kit lead specify 5-6-5
|
$19,440.00 |
$19,440.00 |
$19,440.00 |
$16,965.41
|
|
Knee MRI (with and without contrast)
|
$5,202.00 |
$5,202.00 |
$5,202.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,858.48 |
$3,858.48 |
$3,858.48 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,795.84 |
$3,795.84 |
$3,795.84 |
$2,110.76
|
|
Knee X-ray
|
$634.32 |
$634.32 |
$634.32 |
$425.55
|
|
Kras gene addl variants
|
$1,511.28 |
$1,511.28 |
$1,511.28 |
$384.80
|
|
Kras gene variants exon 2
|
$793.44 |
$793.44 |
$793.44 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$20.16 |
$20.16 |
$20.16 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$2.48 |
$2.48 |
$2.48 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$155.52 |
$155.52 |
$155.52 |
$55.50
|
|
Lactated ringers intravenous solution
|
$70.56 |
$70.56 |
$70.56 |
$44.91
|
|
Lactation class
|
$301.68 |
$301.68 |
$301.68 |
$93.71
|
|
Lactic acid
|
$183.60 |
$183.60 |
$183.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$136.08 |
$136.08 |
$136.08 |
$80.60
|
|
Lactoferrin fecal quant
|
$218.88 |
$218.88 |
$218.88 |
$106.10
|
|
Largsc w/rmvl foreign bdy(s)
|
$838.80 |
$838.80 |
$838.80 |
$765.97
|
|
Lead acuity x4 spiral l 86cm
|
$5,400.00 |
$5,400.00 |
$5,400.00 |
$5,602.50
|
|
Lead capillary
|
$92.16 |
$92.16 |
$92.16 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$6,264.00 |
$6,264.00 |
$6,264.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,690.56 |
$1,690.56 |
$1,690.56 |
$1,091.30
|
|
Leishmania antibody
|
$193.68 |
$193.68 |
$193.68 |
$58.50
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,708.86 |
$3,708.86 |
$3,708.86 |
$6,236.52
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$2.69 |
$2.69 |
$2.69 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$70.56 |
$70.56 |
$70.56 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$67.10 |
$67.10 |
$67.10 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$53.78 |
$53.78 |
$53.78 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$3.27 |
$3.27 |
$3.27 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$77.04 |
$77.04 |
$77.04 |
$87.45
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$44.83 |
$44.83 |
$44.83 |
$121.00
|
|
Lipase
|
$195.12 |
$195.12 |
$195.12 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$42.48 |
$42.48 |
$42.48 |
$86.42
|
|
Lipoprotein blood quant
|
$110.16 |
$110.16 |
$110.16 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$183.60 |
$183.60 |
$183.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$100.80 |
$100.80 |
$100.80 |
$61.60
|
|
Lithium therapeutic drug level
|
$329.04 |
$329.04 |
$329.04 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$10,743.84 |
$10,743.84 |
$10,743.84 |
$4,113.20
|
|
Liver Function Test
|
$234.00 |
$234.00 |
$234.00 |
$115.44
|
|
Liver/spleen imag static only
|
$1,278.72 |
$1,278.72 |
$1,278.72 |
$1,123.00
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$319.84 |
$319.84 |
$319.84 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$73.26 |
$73.26 |
$73.26 |
$37.25
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,317.92 |
$5,317.92 |
$5,317.92 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,254.48 |
$4,254.48 |
$4,254.48 |
$1,798.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,403.44 |
$3,403.44 |
$3,403.44 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,309.36 |
$6,309.36 |
$6,309.36 |
$3,054.10
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,544.64 |
$4,544.64 |
$4,544.64 |
$2,429.00
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,450.32 |
$4,450.32 |
$4,450.32 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$601.92 |
$601.92 |
$601.92 |
$355.85
|
|
L/s ratio fetal lung
|
$290.16 |
$290.16 |
$290.16 |
$176.15
|
|
Lumbar diskogram s&i
|
$4,217.76 |
$4,217.76 |
$4,217.76 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$293.76 |
$293.76 |
$293.76 |
$295.35
|
|
Lung perfusion imaging
|
$1,061.28 |
$1,061.28 |
$1,061.28 |
$1,057.60
|
|
Lurbinectedin 4 mg intravenous solution
|
$312.75 |
$312.75 |
$312.75 |
$19,139.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$97.84 |
$97.84 |
$97.84 |
$22,394.40
|
|
Lymphatics/lymph node imaging
|
$1,645.20 |
$1,645.20 |
$1,645.20 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$894.96 |
$894.96 |
$894.96 |
$267.30
|
|
Macro exam dissect molec study ea
|
$108.00 |
$108.00 |
$108.00 |
$67.08
|
|
Macroscopic exam arthropod
|
$87.12 |
$87.12 |
$87.12 |
$38.58
|
|
Macroscopic exam parasite
|
$215.28 |
$215.28 |
$215.28 |
$36.55
|
|
Magnesium
|
$149.76 |
$149.76 |
$149.76 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$39.38 |
$39.38 |
$39.38 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$278.64 |
$278.64 |
$278.64 |
$131.04
|
|
Manipulation chest wall initial demonstration/evaluation
|
$278.64 |
$278.64 |
$278.64 |
$160.80
|
|
Mastoids complete
|
$252.72 |
$252.72 |
$252.72 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$106.56 |
$106.56 |
$106.56 |
$65.00
|
|
Mayo aathr protein s free
|
$273.60 |
$273.60 |
$273.60 |
$130.00
|