|
Insert swan-ganz cath
|
$4,044.95 |
$4,044.95 |
$4,044.95 |
$2,269.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$13,991.45 |
$13,991.45 |
$13,991.45 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$15,355.76 |
$15,355.76 |
$15,355.76 |
$364.00
|
|
Ins pq tunnld ip cath w/img
|
$10,458.32 |
$10,458.32 |
$10,458.32 |
$5,597.45
|
|
Insti hexaminolevulinate hcl
|
$5,703.75 |
$5,703.75 |
$5,703.75 |
$2,356.80
|
|
Instillation anticarcinogenic agent bladder
|
$19,486.68 |
$19,486.68 |
$19,486.68 |
$721.50
|
|
Ins tun intraperit dia cath
|
$14,044.15 |
$14,044.15 |
$14,044.15 |
$4,657.46
|
|
Insulin total
|
$69.55 |
$69.55 |
$69.55 |
$72.15
|
|
Interrog dev eval scrms ip
|
$48.75 |
$48.75 |
$48.75 |
$152.50
|
|
Interrog device eval heart
|
$95.55 |
$95.55 |
$95.55 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$94.25 |
$94.25 |
$94.25 |
$130.00
|
|
Intracard echo interv w/s&i
|
$3,829.80 |
$3,829.80 |
$3,829.80 |
$4,328.45
|
|
Intro catheter aorta
|
$8,525.17 |
$8,525.17 |
$8,525.17 |
$1,963.80
|
|
Intro long gi tube w/mult fluo
|
$852.80 |
$852.80 |
$852.80 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$494.00 |
$494.00 |
$494.00 |
$565.00
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$33.12 |
$33.12 |
$33.12 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$189.46 |
$189.46 |
$189.46 |
$145.52
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$16,516.85 |
$16,516.85 |
$16,516.85 |
$261.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$47.07 |
$47.07 |
$47.07 |
$254.59
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,465.04 |
$5,465.04 |
$5,465.04 |
$111.98
|
|
Iron
|
$63.05 |
$63.05 |
$63.05 |
$67.50
|
|
Iron binding capacity
|
$84.50 |
$84.50 |
$84.50 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$41.35 |
$41.35 |
$41.35 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$274.37 |
$274.37 |
$274.37 |
$211.09
|
|
Irrigation implantable venous access device for drug delivery systems
|
$72.80 |
$72.80 |
$72.80 |
$149.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$225.55 |
$225.55 |
$225.55 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$225.55 |
$225.55 |
$225.55 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$225.55 |
$225.55 |
$225.55 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$259.35 |
$259.35 |
$259.35 |
$476.50
|
|
Ivp w/nephrotomography
|
$681.20 |
$681.20 |
$681.20 |
$673.90
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$256.10 |
$256.10 |
$256.10 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$21.09 |
$21.09 |
$21.09 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$553.80 |
$553.80 |
$553.80 |
$618.54
|
|
Knee Arthroscopy (Cartilage Repair)
|
$11,762.18 |
$11,762.18 |
$11,762.18 |
$3,594.44
|
|
Knee arthroscopy dx
|
$11,745.71 |
$11,745.71 |
$11,745.71 |
$3,591.33
|
|
Knee Arthroscopy (Meniscus Repair)
|
$12,372.13 |
$12,372.13 |
$12,372.13 |
$3,705.22
|
|
Knee arthroscopy/surgery
|
$12,226.08 |
$12,226.08 |
$12,226.08 |
$3,591.33
|
|
Knee arthroscopy/surgery
|
$11,238.40 |
$11,238.40 |
$11,238.40 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$12,345.39 |
$12,345.39 |
$12,345.39 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$12,183.14 |
$12,183.14 |
$12,183.14 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$12,226.08 |
$12,226.08 |
$12,226.08 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$15,200.30 |
$15,200.30 |
$15,200.30 |
$3,743.15
|
|
Knee arthroscopy/surgery
|
$15,705.07 |
$15,705.07 |
$15,705.07 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$40,032.32 |
$40,032.32 |
$40,032.32 |
$7,907.11
|
|
Knee MRI (with and without contrast)
|
$3,641.30 |
$3,641.30 |
$3,641.30 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$3,443.70 |
$3,443.70 |
$3,443.70 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$4,353.05 |
$4,353.05 |
$4,353.05 |
$2,120.00
|
|
Knee X-ray
|
$493.35 |
$493.35 |
$493.35 |
$387.20
|
|
Kyleena, 19.5 mg
|
$5,789.60 |
$5,789.60 |
$5,789.60 |
$4,491.10
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$16.90 |
$16.90 |
$16.90 |
$13.00
|
|
Lactate dehydrogenase (ldh)
|
$53.30 |
$53.30 |
$53.30 |
$50.55
|
|
Lactated ringers intravenous solution
|
$25.35 |
$25.35 |
$25.35 |
$46.35
|
|
Lactic acid
|
$104.00 |
$104.00 |
$104.00 |
$85.20
|
|
Laparo cholecystectomy/graph
|
$16,498.25 |
$16,498.25 |
$16,498.25 |
$6,870.89
|
|
Laparoscopy excise lesions
|
$15,121.47 |
$15,121.47 |
$15,121.47 |
$5,747.73
|
|
Laparoscopy lysis
|
$12,207.33 |
$12,207.33 |
$12,207.33 |
$5,057.88
|
|
Laparoscopy remove adnexa
|
$15,849.00 |
$15,849.00 |
$15,849.00 |
$6,672.53
|
|
Laparo-vag hyst incl t/o
|
$24,602.70 |
$24,602.70 |
$24,602.70 |
$7,595.42
|
|
Lap enterolysis
|
$24,330.83 |
$24,330.83 |
$24,330.83 |
$5,868.27
|
|
Lap ing hernia repair init
|
$20,893.36 |
$20,893.36 |
$20,893.36 |
$6,457.82
|
|
Lap ing hernia repair recur
|
$19,431.87 |
$19,431.87 |
$19,431.87 |
$6,376.26
|
|
Lap insert tunnel ip cath
|
$14,067.35 |
$14,067.35 |
$14,067.35 |
$6,457.82
|
|
Lap revision perm ip cath
|
$13,278.97 |
$13,278.97 |
$13,278.97 |
$6,376.26
|
|
Larynscop w/tumr exc + scope
|
$10,015.00 |
$10,015.00 |
$10,015.00 |
$4,029.39
|
|
Laser surgery of prostate
|
$14,864.62 |
$14,864.62 |
$14,864.62 |
$5,983.74
|
|
Lead capillary
|
$61.10 |
$61.10 |
$61.10 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$535.60 |
$535.60 |
$535.60 |
$1,053.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$499.61 |
$499.61 |
$499.61 |
$115.27
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$4,852.16 |
$4,852.16 |
$4,852.16 |
$5,001.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$126.75 |
$126.75 |
$126.75 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$130.00 |
$130.00 |
$130.00 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$20.70 |
$20.70 |
$20.70 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$387.90 |
$387.90 |
$387.90 |
$343.13
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$29.57 |
$29.57 |
$29.57 |
$25.89
|
|
Liletta, 52 mg
|
$4,451.36 |
$4,451.36 |
$4,451.36 |
$3,445.08
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$59.57 |
$59.57 |
$59.57 |
$84.28
|
|
Lipase
|
$124.15 |
$124.15 |
$124.15 |
$67.68
|
|
Lipoprotein blood quant
|
$136.50 |
$136.50 |
$136.50 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$46.80 |
$46.80 |
$46.80 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$81.25 |
$81.25 |
$81.25 |
$61.60
|
|
Lithium therapeutic drug level
|
$59.15 |
$59.15 |
$59.15 |
$62.40
|
|
Liver Function Test
|
$176.15 |
$176.15 |
$176.15 |
$92.85
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$14.04 |
$14.04 |
$14.04 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,892.15 |
$1,892.15 |
$1,892.15 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,627.60 |
$1,627.60 |
$1,627.60 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,436.50 |
$1,436.50 |
$1,436.50 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,177.20 |
$3,177.20 |
$3,177.20 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,905.50 |
$2,905.50 |
$2,905.50 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,811.25 |
$2,811.25 |
$2,811.25 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$440.05 |
$440.05 |
$440.05 |
$328.23
|
|
Lung Function Test (Spirometry)
|
$213.20 |
$213.20 |
$213.20 |
$290.89
|
|
Lung perfusion imaging
|
$1,392.95 |
$1,392.95 |
$1,392.95 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$22,314.68 |
$22,314.68 |
$22,314.68 |
$1,330.00
|
|
Macroscopic exam arthropod
|
$80.60 |
$80.60 |
$80.60 |
$38.50
|
|
Magnesium
|
$83.20 |
$83.20 |
$83.20 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$65.49 |
$65.49 |
$65.49 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$98.15 |
$98.15 |
$98.15 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$158.60 |
$158.60 |
$158.60 |
$147.72
|
|
Mapping io sentinel lymph node
|
$22,314.68 |
$22,314.68 |
$22,314.68 |
$505.67
|
|
Mayo aathr protein s free
|
$176.80 |
$176.80 |
$176.80 |
$139.23
|