|
Inj, sutimlimab-jome, 10 mg
|
$4,820.02 |
$4,820.02 |
$4,820.02 |
$3,453.73
|
|
Inj. tagraxofusp-erzs 10 mcg
|
$80,398.50 |
$80,398.50 |
$80,398.50 |
$67,538.30
|
|
Inj teclistamab cqyv 0.5 mg
|
$17,678.92 |
$17,678.92 |
$17,678.92 |
$17,517.56
|
|
Inj teplizumab mzwv 5 mcg
|
$19,420.00 |
$19,420.00 |
$19,420.00 |
$22,340.08
|
|
Inj. teprotumumab-trbw 10 mg
|
$42,570.05 |
$42,570.05 |
$42,570.05 |
$35,034.78
|
|
Inj testostero enanthate 1mg
|
$227.37 |
$227.37 |
$227.37 |
$123.24
|
|
Inj testosterone cypionate
|
$60.05 |
$60.05 |
$60.05 |
$64.80
|
|
Inj., tildrakizumab, 1 mg
|
$24,162.46 |
$24,162.46 |
$24,162.46 |
$26,635.60
|
|
Inj tofersen intrathec 1 mg
|
$19,952.01 |
$19,952.01 |
$19,952.01 |
$422.10
|
|
Inj triamcinolone ace X-ray 1mg
|
$1,878.22 |
$1,878.22 |
$1,878.22 |
$1,090.75
|
|
Inj, vancomycin hcl (mylan)
|
$70.84 |
$70.84 |
$70.84 |
$76.59
|
|
Inj, vegzelma, 10 mg
|
$5,170.88 |
$5,170.88 |
$5,170.88 |
$1,291.28
|
|
Inj vocal cord bulking agent
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$1,480.00
|
|
Inj w/fluor eval cv device
|
$637.50 |
$637.50 |
$637.50 |
$503.92
|
|
Inotuzumab ozogamicin 0.9 mg(0.25 mg/ml initial concentration) IV soln
|
$62,655.04 |
$62,655.04 |
$62,655.04 |
$44,026.28
|
|
Insert intrauterine device iud
|
$63.18 |
$63.18 |
$63.18 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$37.45 |
$37.45 |
$37.45 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$181.12 |
$181.12 |
$181.12 |
$232.25
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,880.25 |
$1,880.25 |
$1,880.25 |
$2,419.65
|
|
In situ hybridization per specimen each additional single probe stain
|
$232.50 |
$232.50 |
$232.50 |
$240.35
|
|
In situ hybridization per specimen initial single probe stain
|
$188.50 |
$188.50 |
$188.50 |
$326.04
|
|
Insulin total
|
$79.00 |
$79.00 |
$79.00 |
$66.64
|
|
Integra meshed bil wound mat
|
$9,924.16 |
$9,924.16 |
$9,924.16 |
$9,924.16
|
|
Interferon alfa-n3 inj
|
$661.02 |
$661.02 |
$661.02 |
$59.64
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$19,967.35 |
$19,967.35 |
$19,967.35 |
$10,427.90
|
|
Interferon beta-1b / .25 mg
|
$841.69 |
$841.69 |
$841.69 |
$1,662.71
|
|
Intrinsic factor antibody
|
$49.50 |
$49.50 |
$49.50 |
$63.15
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$212.28 |
$212.28 |
$212.28 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$764.75 |
$764.75 |
$764.75 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$87,057.20 |
$87,057.20 |
$87,057.20 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$109.59 |
$109.59 |
$109.59 |
$174.67
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,113.50 |
$7,113.50 |
$7,113.50 |
$5,517.12
|
|
Iron
|
$40.75 |
$40.75 |
$40.75 |
$72.29
|
|
Iron binding capacity
|
$43.50 |
$43.50 |
$43.50 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$113.28 |
$113.28 |
$113.28 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$535.58 |
$535.58 |
$535.58 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$129.62 |
$129.62 |
$129.62 |
$144.30
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$9,919.62 |
$9,919.62 |
$9,919.62 |
$8,273.35
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$137.12 |
$137.12 |
$137.12 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$122.38 |
$122.38 |
$122.38 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$95.75 |
$95.75 |
$95.75 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$389.62 |
$389.62 |
$389.62 |
$437.45
|
|
Ixabepilone 15 mg intravenous solution
|
$2,835.60 |
$2,835.60 |
$2,835.60 |
$10,695.32
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$24.50 |
$24.50 |
$24.50 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$27.20 |
$27.20 |
$27.20 |
$23.77
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$393.62 |
$393.62 |
$393.62 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$11,056.60 |
$11,056.60 |
$11,056.60 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$13,865.00 |
$13,865.00 |
$13,865.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$67,500.00 |
$67,500.00 |
$67,500.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$27,426.00 |
$27,426.00 |
$27,426.00 |
$16,965.41
|
|
Knee MRI (with and without contrast)
|
$1,457.50 |
$1,457.50 |
$1,457.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,119.50 |
$1,119.50 |
$1,119.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,436.50 |
$1,436.50 |
$1,436.50 |
$2,110.76
|
|
Kyleena, 19.5 mg
|
$1,447.36 |
$1,447.36 |
$1,447.36 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$57.34 |
$57.34 |
$57.34 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$500.32 |
$500.32 |
$500.32 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$34.00 |
$34.00 |
$34.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$64.00 |
$64.00 |
$64.00 |
$44.91
|
|
Lactic acid
|
$71.12 |
$71.12 |
$71.12 |
$107.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$20,293.00 |
$20,293.00 |
$20,293.00 |
$19,124.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$128.80 |
$128.80 |
$128.80 |
$2,480.71
|
|
Lead acuity x4 spiral l 86cm
|
$7,814.40 |
$7,814.40 |
$7,814.40 |
$5,602.50
|
|
Lead capillary
|
$57.50 |
$57.50 |
$57.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$8,260.00 |
$8,260.00 |
$8,260.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$16,786.00 |
$16,786.00 |
$16,786.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$629.00 |
$629.00 |
$629.00 |
$1,091.30
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,383.00 |
$3,383.00 |
$3,383.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$462.50 |
$462.50 |
$462.50 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$130.80 |
$130.80 |
$130.80 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$29,611.72 |
$29,611.72 |
$29,611.72 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$29,889.80 |
$29,889.80 |
$29,889.80 |
$9,023.58
|
|
Leuprolide acetate injeciton
|
$2,491.23 |
$2,491.23 |
$2,491.23 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$88.10 |
$88.10 |
$88.10 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$97.75 |
$97.75 |
$97.75 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$33.60 |
$33.60 |
$33.60 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$353.88 |
$353.88 |
$353.88 |
$420.60
|
|
Liberta rc ipg
|
$50,000.00 |
$50,000.00 |
$50,000.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$70.86 |
$70.86 |
$70.86 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$54.80 |
$54.80 |
$54.80 |
$40.54
|
|
Lifileucel til/dose 7.5b-72b snij
|
$96,906.66 |
$96,906.66 |
$96,906.66 |
$30,744.64
|
|
Liletta, 52 mg
|
$1,110.58 |
$1,110.58 |
$1,110.58 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$62.75 |
$62.75 |
$62.75 |
$121.00
|
|
Lipase
|
$60.88 |
$60.88 |
$60.88 |
$91.65
|
|
Lipoprotein blood quant
|
$57.00 |
$57.00 |
$57.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$51.75 |
$51.75 |
$51.75 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$33.38 |
$33.38 |
$33.38 |
$61.60
|
|
Lithium therapeutic drug level
|
$71.00 |
$71.00 |
$71.00 |
$69.42
|
|
Liver elastography 91200
|
$35.75 |
$35.75 |
$35.75 |
$280.00
|
|
Liver Function Test
|
$43.00 |
$43.00 |
$43.00 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$95.83 |
$95.83 |
$95.83 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$67,584.15 |
$67,584.15 |
$67,584.15 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.20 |
$37.20 |
$37.20 |
$37.25
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$990.50 |
$990.50 |
$990.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$810.50 |
$810.50 |
$810.50 |
$1,798.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$481.12 |
$481.12 |
$481.12 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$795.00 |
$795.00 |
$795.00 |
$3,054.10
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$742.75 |
$742.75 |
$742.75 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$176.00 |
$176.00 |
$176.00 |
$355.85
|
|
Lung Function Test (Spirometry)
|
$218.88 |
$218.88 |
$218.88 |
$295.35
|