|
In situ hybridization per specimen each additional single probe stain
|
$46.75 |
$46.75 |
$46.75 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$62.81 |
$62.81 |
$62.81 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$4,498.63 |
$4,498.63 |
$4,498.63 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$1,173.28 |
$1,173.28 |
$1,173.28 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$518.49 |
$518.49 |
$518.49 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$10,513.80 |
$10,513.80 |
$10,513.80 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$8,013.10 |
$8,013.10 |
$8,013.10 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$2,683.05 |
$2,683.05 |
$2,683.05 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$7,269.81 |
$7,269.81 |
$7,269.81 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$4,948.60 |
$4,948.60 |
$4,948.60 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$3,662.21 |
$3,662.21 |
$3,662.21 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$7,577.76 |
$7,577.76 |
$7,577.76 |
$12,384.25
|
|
Inst fibrinolysis agent ini day
|
$497.79 |
$497.79 |
$497.79 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$483.16 |
$483.16 |
$483.16 |
$898.12
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$1,467.67 |
$1,467.67 |
$1,467.67 |
$6,396.57
|
|
Inst via cath agent pleurds
|
$507.07 |
$507.07 |
$507.07 |
$1,074.68
|
|
Insulin total
|
$46.39 |
$46.39 |
$46.39 |
$67.60
|
|
Interdiscal perq aspir dx
|
$540.61 |
$540.61 |
$540.61 |
$1,222.26
|
|
Interrog evl pm/ldls pm ip
|
$21.77 |
$21.77 |
$21.77 |
$127.20
|
|
Intra-atrial pacing
|
$2,392.59 |
$2,392.59 |
$2,392.59 |
$5,155.51
|
|
Intra-atrial recording
|
$2,392.59 |
$2,392.59 |
$2,392.59 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$1,420.57 |
$1,420.57 |
$1,420.57 |
$3,982.59
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$380.75 |
$380.75 |
$380.75 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$84.93 |
$84.93 |
$84.93 |
$239.52
|
|
Intraventricular pacing
|
$2,392.59 |
$2,392.59 |
$2,392.59 |
$5,775.22
|
|
Intrinsic factor antibody
|
$94.57 |
$94.57 |
$94.57 |
$59.95
|
|
Intro cath dialysis circuit
|
$673.35 |
$673.35 |
$673.35 |
$2,317.80
|
|
Intro cath svc/ivc
|
$193.05 |
$193.05 |
$193.05 |
$1,350.75
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,782.04 |
$1,782.04 |
$1,782.04 |
$3,510.75
|
|
Intubation endotracheal emergency procedure
|
$418.22 |
$418.22 |
$418.22 |
$617.60
|
|
Ionm in operatng room 15 min
|
$81.01 |
$81.01 |
$81.01 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$30.98 |
$30.98 |
$30.98 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$105.16 |
$105.16 |
$105.16 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$75,600.82 |
$75,600.82 |
$75,600.82 |
$52,615.16
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$146.73 |
$146.73 |
$146.73 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$6,181.61 |
$6,181.61 |
$6,181.61 |
$6,655.71
|
|
Iron
|
$43.90 |
$43.90 |
$43.90 |
$70.72
|
|
Iron binding capacity
|
$33.55 |
$33.55 |
$33.55 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$58.83 |
$58.83 |
$58.83 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$58.58 |
$58.58 |
$58.58 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$59.95 |
$59.95 |
$59.95 |
$154.50
|
|
Ivc venogram s&i
|
$1,281.76 |
$1,281.76 |
$1,281.76 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$134.53 |
$134.53 |
$134.53 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$123.11 |
$123.11 |
$123.11 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$141.31 |
$141.31 |
$141.31 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$204.83 |
$204.83 |
$204.83 |
$460.85
|
|
Ivp w/nephrotomography
|
$695.12 |
$695.12 |
$695.12 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$332.58 |
$332.58 |
$332.58 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$208.04 |
$208.04 |
$208.04 |
$378.30
|
|
John cunningham antibody
|
$472.10 |
$472.10 |
$472.10 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$9.28 |
$9.28 |
$9.28 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$38.90 |
$38.90 |
$38.90 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$25.73 |
$25.73 |
$25.73 |
$30.08
|
|
Kidney imag w/bld flow multi
|
$518.84 |
$518.84 |
$518.84 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$496.36 |
$496.36 |
$496.36 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,773.48 |
$1,773.48 |
$1,773.48 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$1,677.13 |
$1,677.13 |
$1,677.13 |
$9,384.04
|
|
Kit gene analys d816 variant
|
$205.90 |
$205.90 |
$205.90 |
$355.00
|
|
Kit hfx iq ipg bundle
|
$3,229.36 |
$3,229.36 |
$3,229.36 |
$28,974.93
|
|
Kit lead specify 5-6-5
|
$1,684.27 |
$1,684.27 |
$1,684.27 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$262.28 |
$262.28 |
$262.28 |
$1,357.69
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$176.22 |
$176.22 |
$176.22 |
$2,087.65
|
|
Knee MRI (with and without contrast)
|
$1,319.58 |
$1,319.58 |
$1,319.58 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,257.85 |
$1,257.85 |
$1,257.85 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,234.66 |
$1,234.66 |
$1,234.66 |
$2,181.10
|
|
Knee X-ray
|
$361.84 |
$361.84 |
$361.84 |
$443.90
|
|
Kras gene variants exon 2
|
$484.94 |
$484.94 |
$484.94 |
$495.00
|
|
Lab draw <3 yrs scalp vein 36405
|
$1,322.44 |
$1,322.44 |
$1,322.44 |
$58.40
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$95.82 |
$95.82 |
$95.82 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$55.67 |
$55.67 |
$55.67 |
$53.30
|
|
Lactated ringers intravenous solution
|
$8.87 |
$8.87 |
$8.87 |
$54.11
|
|
Lactic acid
|
$51.75 |
$51.75 |
$51.75 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$50.68 |
$50.68 |
$50.68 |
$88.40
|
|
Lactoferrin fecal quant
|
$19.63 |
$19.63 |
$19.63 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$22,129.34 |
$22,129.34 |
$22,129.34 |
$22,903.90
|
|
Laparo cholecystectomy/graph
|
$486.37 |
$486.37 |
$486.37 |
$7,220.90
|
|
Laparoscopye procstom 43659
|
$4,748.41 |
$4,748.41 |
$4,748.41 |
$6,827.25
|
|
Lap sleeve gastrectomy
|
$1,653.94 |
$1,653.94 |
$1,653.94 |
$2,733.60
|
|
Lead capillary
|
$51.39 |
$51.39 |
$51.39 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$75.83 |
$75.83 |
$75.83 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$1,006.99 |
$1,006.99 |
$1,006.99 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$957.75 |
$957.75 |
$957.75 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$355.06 |
$355.06 |
$355.06 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$686.91 |
$686.91 |
$686.91 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$33.90 |
$33.90 |
$33.90 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$85.27 |
$85.27 |
$85.27 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$12,781.94 |
$12,781.94 |
$12,781.94 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$10,745.53 |
$10,745.53 |
$10,745.53 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$37.52 |
$37.52 |
$37.52 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$97.42 |
$97.42 |
$97.42 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$37.52 |
$37.52 |
$37.52 |
$66.59
|
|
L hrt cath chd nm/abn nt cnj
|
$1,340.28 |
$1,340.28 |
$1,340.28 |
$6,242.85
|
|
Liberta rc ipg
|
$6,066.21 |
$6,066.21 |
$6,066.21 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$56.38 |
$56.38 |
$56.38 |
$83.85
|
|
Ligate/strip long leg vein
|
$1,276.05 |
$1,276.05 |
$1,276.05 |
$3,724.63
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$48.27 |
$48.27 |
$48.27 |
$177.90
|
|
Lipase
|
$72.09 |
$72.09 |
$72.09 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$80.29 |
$80.29 |
$80.29 |
$89.52
|
|
Lipoprotein blood quant
|
$61.02 |
$61.02 |
$61.02 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$36.76 |
$36.76 |
$36.76 |
$55.90
|