|
Intracranial limited study
|
$991.18 |
$991.18 |
$991.18 |
$465.01
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$8,323.95 |
$8,323.95 |
$8,323.95 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$463.76 |
$463.76 |
$463.76 |
$220.80
|
|
Intraventricular pacing
|
$21,655.74 |
$21,655.74 |
$21,655.74 |
$5,456.17
|
|
Intrinsic factor antibody
|
$189.96 |
$189.96 |
$189.96 |
$63.15
|
|
Intro cath svc/ivc
|
$3,354.26 |
$3,354.26 |
$3,354.26 |
$1,323.27
|
|
Intro long gi tube w/mult fluo
|
$696.38 |
$696.38 |
$696.38 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$8,398.02 |
$8,398.02 |
$8,398.02 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$7,654.63 |
$7,654.63 |
$7,654.63 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$1,004.25 |
$1,004.25 |
$1,004.25 |
$598.80
|
|
Ionm in operatng room 15 min
|
$1,184.29 |
$1,184.29 |
$1,184.29 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$1,904.22 |
$1,904.22 |
$1,904.22 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$445.72 |
$445.72 |
$445.72 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,183.32 |
$1,183.32 |
$1,183.32 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$1,899.08 |
$1,899.08 |
$1,899.08 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,341.98 |
$1,341.98 |
$1,341.98 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$732.38 |
$732.38 |
$732.38 |
$5,517.12
|
|
Iron
|
$495.30 |
$495.30 |
$495.30 |
$72.29
|
|
Iron binding capacity
|
$107.18 |
$107.18 |
$107.18 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$180.83 |
$180.83 |
$180.83 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$330.45 |
$330.45 |
$330.45 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$178.25 |
$178.25 |
$178.25 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$211.58 |
$211.58 |
$211.58 |
$144.62
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$922.75 |
$922.75 |
$922.75 |
$8,273.35
|
|
Ivc venogram s&i
|
$11,809.81 |
$11,809.81 |
$11,809.81 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$871.59 |
$871.59 |
$871.59 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$891.94 |
$891.94 |
$891.94 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$372.28 |
$372.28 |
$372.28 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,519.28 |
$1,519.28 |
$1,519.28 |
$437.45
|
|
IV inj ra drug dx study
|
$1,070.66 |
$1,070.66 |
$1,070.66 |
$552.60
|
|
Ivp w/wo kub w/wo tomography
|
$3,034.39 |
$3,034.39 |
$3,034.39 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$62,733.40 |
$62,733.40 |
$62,733.40 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$2,225.84 |
$2,225.84 |
$2,225.84 |
$393.43
|
|
John cunningham antibody
|
$2,212.96 |
$2,212.96 |
$2,212.96 |
$66.31
|
|
Ketogenic steroids fract
|
$166.66 |
$166.66 |
$166.66 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$102.59 |
$102.59 |
$102.59 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$70.74 |
$70.74 |
$70.74 |
$23.77
|
|
Kidney function study
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$968.50
|
|
Kidney imaging morphology
|
$1,651.28 |
$1,651.28 |
$1,651.28 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,595.89 |
$2,595.89 |
$2,595.89 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$4,592.23 |
$4,592.23 |
$4,592.23 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$859.06 |
$859.06 |
$859.06 |
$673.36
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$45,602.63 |
$45,602.63 |
$45,602.63 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$814.13 |
$814.13 |
$814.13 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$190,026.00 |
$190,026.00 |
$190,026.00 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$228,735.00 |
$228,735.00 |
$228,735.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$83,532.26 |
$83,532.26 |
$83,532.26 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$6,466.16 |
$6,466.16 |
$6,466.16 |
$1,667.50
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$10,649.07 |
$10,649.07 |
$10,649.07 |
$2,254.50
|
|
Knee jnt ratchet lock ea jnt
|
$1,940.54 |
$1,940.54 |
$1,940.54 |
$309.90
|
|
Knee MRI (with and without contrast)
|
$8,469.40 |
$8,469.40 |
$8,469.40 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$6,702.13 |
$6,702.13 |
$6,702.13 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$6,516.07 |
$6,516.07 |
$6,516.07 |
$2,110.76
|
|
Knee X-ray
|
$2,691.05 |
$2,691.05 |
$2,691.05 |
$425.55
|
|
Ko elastic w/joints pre ots
|
$532.19 |
$532.19 |
$532.19 |
$137.05
|
|
Kras gene addl variants
|
$1,815.59 |
$1,815.59 |
$1,815.59 |
$386.75
|
|
Kras gene variants exon 2
|
$2,433.26 |
$2,433.26 |
$2,433.26 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$70.38 |
$70.38 |
$70.38 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$182.90 |
$182.90 |
$182.90 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$75.77 |
$75.77 |
$75.77 |
$55.50
|
|
Lactated ringers intravenous solution
|
$119.23 |
$119.23 |
$119.23 |
$44.91
|
|
Lactic acid
|
$382.27 |
$382.27 |
$382.27 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$244.76 |
$244.76 |
$244.76 |
$81.00
|
|
Lactoferrin fecal quant
|
$247.01 |
$247.01 |
$247.01 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$82,697.46 |
$82,697.46 |
$82,697.46 |
$19,124.00
|
|
Laryngeal function studies
|
$675.51 |
$675.51 |
$675.51 |
$335.40
|
|
Laryngoscopic sensory vid
|
$267.47 |
$267.47 |
$267.47 |
$336.00
|
|
Laryngoscopy telescopic
|
$1,322.03 |
$1,322.03 |
$1,322.03 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$14,570.86 |
$14,570.86 |
$14,570.86 |
$5,534.00
|
|
Lead capillary
|
$151.55 |
$151.55 |
$151.55 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$6,158.25 |
$6,158.25 |
$6,158.25 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$52,741.01 |
$52,741.01 |
$52,741.01 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,964.50 |
$2,964.50 |
$2,964.50 |
$1,092.58
|
|
Leishmania antibody
|
$144.53 |
$144.53 |
$144.53 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,149.75 |
$1,149.75 |
$1,149.75 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$128,865.78 |
$128,865.78 |
$128,865.78 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$747.79 |
$747.79 |
$747.79 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1,489.53 |
$1,489.53 |
$1,489.53 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$4,688.54 |
$4,688.54 |
$4,688.54 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$18,194.72 |
$18,194.72 |
$18,194.72 |
$9,107.80
|
|
Leuprolide inj, camcevi, 1mg
|
$867.93 |
$867.93 |
$867.93 |
$55.00
|
|
Levalbuterol non-comp unit
|
$226.39 |
$226.39 |
$226.39 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$679.37 |
$679.37 |
$679.37 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$464.96 |
$464.96 |
$464.96 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$277.15 |
$277.15 |
$277.15 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,304.15 |
$1,304.15 |
$1,304.15 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$12,033.26 |
$12,033.26 |
$12,033.26 |
$6,095.95
|
|
Liberta rc ipg
|
$272,150.66 |
$272,150.66 |
$272,150.66 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$16.09 |
$16.09 |
$16.09 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$72.66 |
$72.66 |
$72.66 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$185.29 |
$185.29 |
$185.29 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$36.29 |
$36.29 |
$36.29 |
$133.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$647.72 |
$647.72 |
$647.72 |
$121.00
|
|
Lipase
|
$87.38 |
$87.38 |
$87.38 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$312.35 |
$312.35 |
$312.35 |
$86.42
|
|
Lipoprotein blood quant
|
$396.20 |
$396.20 |
$396.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$101.42 |
$101.42 |
$101.42 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$141.53 |
$141.53 |
$141.53 |
$61.60
|
|
Listeria monocytogenes
|
$151.55 |
$151.55 |
$151.55 |
$106.15
|
|
Lithium therapeutic drug level
|
$81.63 |
$81.63 |
$81.63 |
$69.42
|