|
Inst fibrinolysis agent ini day
|
$603.33 |
$603.33 |
$603.33 |
$948.00
|
|
Instillation anticarcinogenic agent bladder
|
$351.31 |
$351.31 |
$351.31 |
$721.50
|
|
Inst via cath agent pleurds
|
$614.79 |
$614.79 |
$614.79 |
$1,029.00
|
|
Insulin total
|
$59.40 |
$59.40 |
$59.40 |
$67.50
|
|
Interdental fixation
|
$1,339.04 |
$1,339.04 |
$1,339.04 |
$2,052.18
|
|
Interrog evl pm/ldls pm ip
|
$26.31 |
$26.31 |
$26.31 |
$124.80
|
|
Intrauterine transfusion ftl
|
$411.13 |
$411.13 |
$411.13 |
$963.95
|
|
Intrinsic factor antibody
|
$94.62 |
$94.62 |
$94.62 |
$59.95
|
|
Intro long gi tube
|
$58.56 |
$58.56 |
$58.56 |
$930.31
|
|
Intro long gi tube w/mult fluo
|
$212.57 |
$212.57 |
$212.57 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$792.14 |
$792.14 |
$792.14 |
$592.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$36.83 |
$36.83 |
$36.83 |
$184.87
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$125.04 |
$125.04 |
$125.04 |
$222.75
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$89,890.17 |
$89,890.17 |
$89,890.17 |
$51,535.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$174.47 |
$174.47 |
$174.47 |
$236.99
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,350.00 |
$7,350.00 |
$7,350.00 |
$5,328.52
|
|
Iron
|
$51.77 |
$51.77 |
$51.77 |
$72.15
|
|
Iron binding capacity
|
$77.65 |
$77.65 |
$77.65 |
$61.47
|
|
Iron dextran 50 mg/ml injection solution
|
$69.95 |
$69.95 |
$69.95 |
$61.17
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$69.65 |
$69.65 |
$69.65 |
$255.91
|
|
Irradiation of blood product each unit reference
|
$834.99 |
$834.99 |
$834.99 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$105.23 |
$105.23 |
$105.23 |
$153.75
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$58.98 |
$58.98 |
$58.98 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$62.37 |
$62.37 |
$62.37 |
$181.26
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$49.22 |
$49.22 |
$49.22 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$450.17 |
$450.17 |
$450.17 |
$460.85
|
|
Ivp w/nephrotomography
|
$580.42 |
$580.42 |
$580.42 |
$712.53
|
|
Jak2 targeted sequence analysis
|
$247.36 |
$247.36 |
$247.36 |
$379.87
|
|
John cunningham antibody
|
$30.13 |
$30.13 |
$30.13 |
$43.90
|
|
Ketamine and metabolite screen - quest
|
$15.70 |
$15.70 |
$15.70 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$41.16 |
$41.16 |
$41.16 |
$52.80
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$30.60 |
$30.60 |
$30.60 |
$24.33
|
|
Kidney imaging morphology
|
$1,065.37 |
$1,065.37 |
$1,065.37 |
$769.51
|
|
Kidney imag w/bld flow multi
|
$629.21 |
$629.21 |
$629.21 |
$1,574.40
|
|
Kidney img w/bldflw sgl without rx
|
$918.15 |
$918.15 |
$918.15 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,193.08 |
$1,193.08 |
$1,193.08 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$1,994.13 |
$1,994.13 |
$1,994.13 |
$9,391.25
|
|
Kit hfx iq ipg bundle
|
$3,839.75 |
$3,839.75 |
$3,839.75 |
$33,331.72
|
|
Kit lead specify 5-6-5
|
$2,002.61 |
$2,002.61 |
$2,002.61 |
$12,101.04
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$311.85 |
$311.85 |
$311.85 |
$1,139.55
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$209.53 |
$209.53 |
$209.53 |
$1,554.88
|
|
Knee MRI (with and without contrast)
|
$2,090.01 |
$2,090.01 |
$2,090.01 |
$2,879.37
|
|
Knee MRI (with contrast)
|
$1,096.35 |
$1,096.35 |
$1,096.35 |
$2,384.25
|
|
Knee MRI (without contrast)
|
$1,461.65 |
$1,461.65 |
$1,461.65 |
$2,200.00
|
|
Knee X-ray
|
$661.46 |
$661.46 |
$661.46 |
$440.00
|
|
Kras gene variants exon 2
|
$290.21 |
$290.21 |
$290.21 |
$495.00
|
|
Lab draw <3 yrs scalp vein 36405
|
$9.76 |
$9.76 |
$9.76 |
$52.80
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$113.93 |
$113.93 |
$113.93 |
$207.29
|
|
Lactate dehydrogenase (ldh)
|
$72.56 |
$72.56 |
$72.56 |
$52.80
|
|
Lactated ringers intravenous solution
|
$10.55 |
$10.55 |
$10.55 |
$47.66
|
|
Lactic acid
|
$61.53 |
$61.53 |
$61.53 |
$100.65
|
|
Lactoferrin fecal qualitative
|
$115.83 |
$115.83 |
$115.83 |
$85.83
|
|
Lactoferrin fecal quant
|
$88.26 |
$88.26 |
$88.26 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$26,312.02 |
$26,312.02 |
$26,312.02 |
$22,903.90
|
|
Laparo cholecystectomy/graph
|
$589.33 |
$589.33 |
$589.33 |
$6,904.15
|
|
Laparoscopye procstom 43659
|
$5,755.38 |
$5,755.38 |
$5,755.38 |
$6,827.25
|
|
Lap ing hernia repair init
|
$1,070.47 |
$1,070.47 |
$1,070.47 |
$6,311.00
|
|
Lap sleeve gastrectomy
|
$2,004.73 |
$2,004.73 |
$2,004.73 |
$2,733.60
|
|
Largsc w/rmvl foreign bdy(s)
|
$495.14 |
$495.14 |
$495.14 |
$765.97
|
|
Laryngeal function studies
|
$152.75 |
$152.75 |
$152.75 |
$335.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$563.87 |
$563.87 |
$563.87 |
$2,342.89
|
|
Lead capillary
|
$23.34 |
$23.34 |
$23.34 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$90.16 |
$90.16 |
$90.16 |
$1,913.57
|
|
Lead tachy durata sj4 58cm
|
$1,197.33 |
$1,197.33 |
$1,197.33 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$840.93 |
$840.93 |
$840.93 |
$1,090.23
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$422.16 |
$422.16 |
$422.16 |
$810.60
|
|
Lens iol ant bicnvx 24.0 multi
|
$816.75 |
$816.75 |
$816.75 |
$910.16
|
|
Lens iol ant chamb 10.5
|
$40.31 |
$40.31 |
$40.31 |
$191.25
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$101.39 |
$101.39 |
$101.39 |
$120.34
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$15,197.86 |
$15,197.86 |
$15,197.86 |
$4,313.88
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$12,776.55 |
$12,776.55 |
$12,776.55 |
$4,799.28
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$44.61 |
$44.61 |
$44.61 |
$89.50
|
|
Levetiracetam therapeutic drug level
|
$29.28 |
$29.28 |
$29.28 |
$74.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$44.61 |
$44.61 |
$44.61 |
$64.88
|
|
Liberta rc ipg
|
$7,212.78 |
$7,212.78 |
$7,212.78 |
$38,207.25
|
|
Lidocaine therapeutic drug level
|
$59.40 |
$59.40 |
$59.40 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$794.68 |
$794.68 |
$794.68 |
$3,212.87
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$57.39 |
$57.39 |
$57.39 |
$130.49
|
|
Lipase
|
$106.92 |
$106.92 |
$106.92 |
$81.25
|
|
Lipoprotein blood quant
|
$95.04 |
$95.04 |
$95.04 |
$104.45
|
|
Lipoprotein direct measurement hdl
|
$33.95 |
$33.95 |
$33.95 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$26.31 |
$26.31 |
$26.31 |
$60.00
|
|
Listeria monocytogenes
|
$217.24 |
$217.24 |
$217.24 |
$95.40
|
|
Lithium therapeutic drug level
|
$67.47 |
$67.47 |
$67.47 |
$66.43
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,161.26 |
$1,161.26 |
$1,161.26 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$186.69 |
$186.69 |
$186.69 |
$365.28
|
|
Liver Function Test
|
$103.53 |
$103.53 |
$103.53 |
$111.13
|
|
Liver/spleen imag static only
|
$659.76 |
$659.76 |
$659.76 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$749.29 |
$749.29 |
$749.29 |
$928.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.64 |
$37.64 |
$37.64 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,433.65 |
$1,433.65 |
$1,433.65 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,280.06 |
$1,280.06 |
$1,280.06 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,902.48 |
$1,902.48 |
$1,902.48 |
$2,893.15
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,728.10 |
$1,728.10 |
$1,728.10 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,339.88 |
$1,339.88 |
$1,339.88 |
$2,013.08
|
|
Lower Back (Lumbar Spine) X-ray
|
$574.06 |
$574.06 |
$574.06 |
$341.64
|
|
Low frequency non-thermal Ultrasound
|
$224.03 |
$224.03 |
$224.03 |
$272.22
|
|
L/s ratio fetal lung
|
$284.27 |
$284.27 |
$284.27 |
$168.00
|
|
Lumizyme injection
|
$2,573.07 |
$2,573.07 |
$2,573.07 |
$1,283.52
|
|
Lung Function Test (Spirometry)
|
$109.47 |
$109.47 |
$109.47 |
$295.35
|