|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$4,591.57 |
$4,591.57 |
$4,591.57 |
$7,504.00
|
|
Insert swan-ganz cath
|
$1,018.10 |
$1,018.10 |
$1,018.10 |
$2,164.52
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$3,380.65 |
$3,380.65 |
$3,380.65 |
$4,705.13
|
|
Insert vad art access left hrt arterial access
|
$918.80 |
$918.80 |
$918.80 |
$5,135.65
|
|
In situ hybridization per specimen initial single probe stain
|
$181.26 |
$181.26 |
$181.26 |
$341.90
|
|
Ins picad w subq port 5yr>
|
$1,442.79 |
$1,442.79 |
$1,442.79 |
$4,228.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$665.24 |
$665.24 |
$665.24 |
$1,483.95
|
|
Inst fibrinolysis agent ini day
|
$685.49 |
$685.49 |
$685.49 |
$948.00
|
|
Instillation anticarcinogenic agent bladder
|
$273.33 |
$273.33 |
$273.33 |
$721.50
|
|
Inst via cath agent pleurds
|
$698.50 |
$698.50 |
$698.50 |
$1,029.00
|
|
Insulin total
|
$85.33 |
$85.33 |
$85.33 |
$67.50
|
|
Interdental fixation
|
$546.17 |
$546.17 |
$546.17 |
$2,052.18
|
|
Interrog evl pm/ldls pm ip
|
$29.89 |
$29.89 |
$29.89 |
$124.80
|
|
Intrapul surf admin endo tube
|
$221.27 |
$221.27 |
$221.27 |
$239.52
|
|
Intrinsic factor antibody
|
$52.55 |
$52.55 |
$52.55 |
$59.95
|
|
Intro long gi tube
|
$209.22 |
$209.22 |
$209.22 |
$930.31
|
|
Intubation endotracheal emergency procedure
|
$454.10 |
$454.10 |
$454.10 |
$592.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$41.85 |
$41.85 |
$41.85 |
$184.87
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$142.07 |
$142.07 |
$142.07 |
$222.75
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$102,130.29 |
$102,130.29 |
$102,130.29 |
$51,535.10
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$198.22 |
$198.22 |
$198.22 |
$236.99
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,350.83 |
$8,350.83 |
$8,350.83 |
$5,328.52
|
|
Iron
|
$42.43 |
$42.43 |
$42.43 |
$72.15
|
|
Iron binding capacity
|
$41.94 |
$41.94 |
$41.94 |
$61.47
|
|
Iron dextran 50 mg/ml injection solution
|
$79.47 |
$79.47 |
$79.47 |
$61.17
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$79.14 |
$79.14 |
$79.14 |
$255.91
|
|
Irradiation of blood product each unit reference
|
$117.14 |
$117.14 |
$117.14 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$78.10 |
$78.10 |
$78.10 |
$153.75
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$247.30 |
$247.30 |
$247.30 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$154.26 |
$154.26 |
$154.26 |
$181.26
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$80.51 |
$80.51 |
$80.51 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$235.73 |
$235.73 |
$235.73 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$294.54 |
$294.54 |
$294.54 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$268.51 |
$268.51 |
$268.51 |
$379.87
|
|
John cunningham antibody
|
$24.11 |
$24.11 |
$24.11 |
$43.90
|
|
Ketamine and metabolite screen - quest
|
$13.02 |
$13.02 |
$13.02 |
$72.14
|
|
Ketogenic steroids fract
|
$79.54 |
$79.54 |
$79.54 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$46.76 |
$46.76 |
$46.76 |
$52.80
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$34.76 |
$34.76 |
$34.76 |
$24.33
|
|
Kidney imaging morphology
|
$526.41 |
$526.41 |
$526.41 |
$769.51
|
|
Kidney imag w/bld flow multi
|
$714.89 |
$714.89 |
$714.89 |
$1,574.40
|
|
Kidney img w/bldflw sgl without rx
|
$605.47 |
$605.47 |
$605.47 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$418.91 |
$418.91 |
$418.91 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$2,265.66 |
$2,265.66 |
$2,265.66 |
$9,391.25
|
|
Kit hfx iq ipg bundle
|
$4,362.60 |
$4,362.60 |
$4,362.60 |
$33,331.72
|
|
Kit lead specify 5-6-5
|
$2,275.30 |
$2,275.30 |
$2,275.30 |
$12,101.04
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$354.31 |
$354.31 |
$354.31 |
$1,139.55
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$238.06 |
$238.06 |
$238.06 |
$1,554.88
|
|
Knee MRI (with and without contrast)
|
$1,644.77 |
$1,644.77 |
$1,644.77 |
$2,879.37
|
|
Knee MRI (with contrast)
|
$1,241.29 |
$1,241.29 |
$1,241.29 |
$2,384.25
|
|
Knee MRI (without contrast)
|
$1,034.49 |
$1,034.49 |
$1,034.49 |
$2,200.00
|
|
Knee X-ray
|
$328.77 |
$328.77 |
$328.77 |
$440.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$129.45 |
$129.45 |
$129.45 |
$207.29
|
|
Lactate dehydrogenase (ldh)
|
$30.37 |
$30.37 |
$30.37 |
$52.80
|
|
Lactated ringers intravenous solution
|
$11.98 |
$11.98 |
$11.98 |
$47.66
|
|
Lactic acid
|
$58.82 |
$58.82 |
$58.82 |
$100.65
|
|
Lactoferrin fecal qualitative
|
$46.76 |
$46.76 |
$46.76 |
$85.83
|
|
Lactoferrin fecal quant
|
$124.86 |
$124.86 |
$124.86 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$29,894.86 |
$29,894.86 |
$29,894.86 |
$22,903.90
|
|
Laparoscopye procstom 43659
|
$6,539.07 |
$6,539.07 |
$6,539.07 |
$6,827.25
|
|
Lap ing hernia repair init
|
$2,370.75 |
$2,370.75 |
$2,370.75 |
$6,311.00
|
|
Lap sleeve gastrectomy
|
$2,277.71 |
$2,277.71 |
$2,277.71 |
$2,733.60
|
|
Largsc w/rmvl foreign bdy(s)
|
$275.26 |
$275.26 |
$275.26 |
$765.97
|
|
Laryngeal function studies
|
$161.98 |
$161.98 |
$161.98 |
$335.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,090.89 |
$1,090.89 |
$1,090.89 |
$2,342.89
|
|
Lead capillary
|
$59.78 |
$59.78 |
$59.78 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$102.44 |
$102.44 |
$102.44 |
$1,913.57
|
|
Lead tachy durata sj4 58cm
|
$1,360.36 |
$1,360.36 |
$1,360.36 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$658.49 |
$658.49 |
$658.49 |
$1,090.23
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$479.65 |
$479.65 |
$479.65 |
$810.60
|
|
Lens iol ant bicnvx 24.0 multi
|
$927.96 |
$927.96 |
$927.96 |
$910.16
|
|
Lens iol ant chamb 10.5
|
$271.40 |
$271.40 |
$271.40 |
$191.25
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$115.19 |
$115.19 |
$115.19 |
$120.34
|
|
Leukocyte phagocytosis
|
$48.21 |
$48.21 |
$48.21 |
$23.20
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$17,267.31 |
$17,267.31 |
$17,267.31 |
$4,313.88
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$14,516.30 |
$14,516.30 |
$14,516.30 |
$4,799.28
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$50.69 |
$50.69 |
$50.69 |
$89.50
|
|
Levetiracetam therapeutic drug level
|
$31.82 |
$31.82 |
$31.82 |
$74.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$50.69 |
$50.69 |
$50.69 |
$64.88
|
|
Liberta rc ipg
|
$8,194.93 |
$8,194.93 |
$8,194.93 |
$38,207.25
|
|
Lidocaine therapeutic drug level
|
$90.15 |
$90.15 |
$90.15 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$798.77 |
$798.77 |
$798.77 |
$3,212.87
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$65.21 |
$65.21 |
$65.21 |
$130.49
|
|
Lipase
|
$59.30 |
$59.30 |
$59.30 |
$81.25
|
|
Lipoprotein blood high res frac & quant
|
$117.63 |
$117.63 |
$117.63 |
$87.00
|
|
Lipoprotein blood quant
|
$96.42 |
$96.42 |
$96.42 |
$104.45
|
|
Lipoprotein direct measurement hdl
|
$66.53 |
$66.53 |
$66.53 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$40.98 |
$40.98 |
$40.98 |
$60.00
|
|
Lithium therapeutic drug level
|
$36.16 |
$36.16 |
$36.16 |
$66.43
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,319.39 |
$1,319.39 |
$1,319.39 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$212.11 |
$212.11 |
$212.11 |
$365.28
|
|
Liver Function Test
|
$50.62 |
$50.62 |
$50.62 |
$111.13
|
|
Liver imaging
|
$438.19 |
$438.19 |
$438.19 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$522.07 |
$522.07 |
$522.07 |
$1,255.15
|
|
Liver/spleen imag static only
|
$522.07 |
$522.07 |
$522.07 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$42.77 |
$42.77 |
$42.77 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,494.37 |
$1,494.37 |
$1,494.37 |
$1,892.15
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$940.01 |
$940.01 |
$940.01 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$583.77 |
$583.77 |
$583.77 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$2,893.15
|