|
Interrogate subq defib
|
$106.40 |
$106.40 |
$106.40 |
$139.50
|
|
Interrog dev eval icpms ip
|
$77.60 |
$77.60 |
$77.60 |
$106.80
|
|
Interrog dev eval scrms ip
|
$72.00 |
$72.00 |
$72.00 |
$132.95
|
|
Interrog device eval heart
|
$105.60 |
$105.60 |
$105.60 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$86.40 |
$86.40 |
$86.40 |
$129.13
|
|
Int hrhc lig 1 hroid without img
|
$504.00 |
$504.00 |
$504.00 |
$3,157.41
|
|
Intrinsic factor antibody
|
$54.40 |
$54.40 |
$54.40 |
$59.66
|
|
Intro long gi tube
|
$548.00 |
$548.00 |
$548.00 |
$1,031.10
|
|
Intro long gi tube w/mult fluo
|
$552.00 |
$552.00 |
$552.00 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$468.80 |
$468.80 |
$468.80 |
$609.40
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$11,892.50 |
$11,892.50 |
$11,892.50 |
$52,277.70
|
|
Ipratropium bromide non-comp
|
$4.77 |
$4.77 |
$4.77 |
$9.93
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$396.60 |
$396.60 |
$396.60 |
$230.00
|
|
Iron
|
$304.00 |
$304.00 |
$304.00 |
$71.76
|
|
Iron binding capacity
|
$131.20 |
$131.20 |
$131.20 |
$61.47
|
|
Iron dextran 50 mg/ml injection solution
|
$112.38 |
$112.38 |
$112.38 |
$62.12
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$121.39 |
$121.39 |
$121.39 |
$210.49
|
|
Irradiation of blood product each unit reference
|
$234.40 |
$234.40 |
$234.40 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$108.80 |
$108.80 |
$108.80 |
$154.14
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$131.20 |
$131.20 |
$131.20 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$174.40 |
$174.40 |
$174.40 |
$178.17
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$94.40 |
$94.40 |
$94.40 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$516.80 |
$516.80 |
$516.80 |
$460.85
|
|
John cunningham antibody
|
$47.20 |
$47.20 |
$47.20 |
$48.57
|
|
J-tube placement
|
$208.80 |
$208.80 |
$208.80 |
$437.40
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$84.80 |
$84.80 |
$84.80 |
$54.16
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$70.04 |
$70.04 |
$70.04 |
$26.86
|
|
Kidney endoscopy
|
$1,047.20 |
$1,047.20 |
$1,047.20 |
$5,555.79
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$626.40 |
$626.40 |
$626.40 |
$668.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$62.40 |
$62.40 |
$62.40 |
$100.00
|
|
Kit gene analys d816 variant
|
$382.40 |
$382.40 |
$382.40 |
$355.00
|
|
Knee Arthroscopy (Cartilage Repair)
|
$917.60 |
$917.60 |
$917.60 |
$3,839.54
|
|
Knee arthroscopy/drainage
|
$787.20 |
$787.20 |
$787.20 |
$3,839.54
|
|
Knee arthroscopy dx
|
$841.60 |
$841.60 |
$841.60 |
$3,839.54
|
|
Knee Arthroscopy (Meniscus Repair)
|
$960.00 |
$960.00 |
$960.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,368.00 |
$1,368.00 |
$1,368.00 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$795.20 |
$795.20 |
$795.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$792.00 |
$792.00 |
$792.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$733.60 |
$733.60 |
$733.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$964.00 |
$964.00 |
$964.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$976.00 |
$976.00 |
$976.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$830.40 |
$830.40 |
$830.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$972.80 |
$972.80 |
$972.80 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$1,438.40 |
$1,438.40 |
$1,438.40 |
$7,807.24
|
|
Knee MRI (with and without contrast)
|
$2,171.20 |
$2,171.20 |
$2,171.20 |
$2,928.75
|
|
Knee MRI (with contrast)
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$2,384.25
|
|
Knee MRI (without contrast)
|
$1,724.00 |
$1,724.00 |
$1,724.00 |
$2,200.00
|
|
Knee X-ray
|
$260.80 |
$260.80 |
$260.80 |
$443.01
|
|
Kras gene variants exon 2
|
$603.20 |
$603.20 |
$603.20 |
$495.00
|
|
Kyleena, 19.5 mg
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$3,370.55
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$49.60 |
$49.60 |
$49.60 |
$102.70
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$75.96 |
$75.96 |
$75.96 |
$42.38
|
|
Labioplasty 56800
|
$373.60 |
$373.60 |
$373.60 |
$3,762.53
|
|
Lactate dehydrogenase (ldh)
|
$52.80 |
$52.80 |
$52.80 |
$53.00
|
|
Lactated ringers intravenous solution
|
$36.28 |
$36.28 |
$36.28 |
$51.80
|
|
Lactic acid
|
$118.40 |
$118.40 |
$118.40 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$83.20 |
$83.20 |
$83.20 |
$83.20
|
|
Laparo-asst vag hysterectomy
|
$1,300.80 |
$1,300.80 |
$1,300.80 |
$6,376.26
|
|
Laparo cholecystectomy/explr
|
$1,655.20 |
$1,655.20 |
$1,655.20 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$1,066.40 |
$1,066.40 |
$1,066.40 |
$6,904.15
|
|
Laparo partial colectomy 44204
|
$2,260.00 |
$2,260.00 |
$2,260.00 |
$3,790.40
|
|
Laparo proc abdm/per/oment 49329
|
$1,266.40 |
$1,266.40 |
$1,266.40 |
$6,622.75
|
|
Laparoscopic myomectomy
|
$1,329.60 |
$1,329.60 |
$1,329.60 |
$6,376.26
|
|
Laparoscopic salpingostomy 58673
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$5,214.15
|
|
Laparoscopy aspiration
|
$555.20 |
$555.20 |
$555.20 |
$5,855.00
|
|
Laparoscopy biopsy
|
$509.60 |
$509.60 |
$509.60 |
$5,954.23
|
|
Laparoscopy excise lesions
|
$1,049.60 |
$1,049.60 |
$1,049.60 |
$6,376.26
|
|
Laparoscopy lymph node biop
|
$773.60 |
$773.60 |
$773.60 |
$6,311.00
|
|
Laparoscopy lysis
|
$1,007.20 |
$1,007.20 |
$1,007.20 |
$5,057.88
|
|
Laparoscopy remove adnexa
|
$961.60 |
$961.60 |
$961.60 |
$6,904.15
|
|
Laparoscopy tubal block 58671
|
$549.60 |
$549.60 |
$549.60 |
$4,881.00
|
|
Laparo sling operation 51992
|
$1,223.20 |
$1,223.20 |
$1,223.20 |
$5,419.00
|
|
Laparo-vag hyst incl t/o
|
$1,445.60 |
$1,445.60 |
$1,445.60 |
$7,595.42
|
|
Laparo-vag hyst w/t/o compl
|
$1,922.40 |
$1,922.40 |
$1,922.40 |
$6,311.00
|
|
Lap enterectomy 44202
|
$2,046.40 |
$2,046.40 |
$2,046.40 |
$3,404.00
|
|
Lap enterolysis
|
$1,360.80 |
$1,360.80 |
$1,360.80 |
$5,741.00
|
|
Lap ing hernia repair init
|
$642.40 |
$642.40 |
$642.40 |
$5,741.00
|
|
Lap jejunostomy 44186
|
$966.40 |
$966.40 |
$966.40 |
$5,741.00
|
|
Lap paraesophag hern repair
|
$2,272.80 |
$2,272.80 |
$2,272.80 |
$8,681.04
|
|
Lap resect s/intestine addl 44203
|
$355.20 |
$355.20 |
$355.20 |
$592.00
|
|
Lap rmvl gastr adj all parts
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$4,214.73
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$2,445.96
|
|
Laryngoscopy telescopic
|
$293.60 |
$293.60 |
$293.60 |
$762.30
|
|
Laryngoscopy with biopsy
|
$397.60 |
$397.60 |
$397.60 |
$3,116.88
|
|
Lat retinacular release open
|
$672.80 |
$672.80 |
$672.80 |
$3,839.54
|
|
Lavage cannulation maxillary sinus
|
$276.00 |
$276.00 |
$276.00 |
$833.97
|
|
Lb with mastopexy 15839
|
$1,313.60 |
$1,313.60 |
$1,313.60 |
$3,386.84
|
|
Lead capillary
|
$112.80 |
$112.80 |
$112.80 |
$61.75
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$932.00 |
$932.00 |
$932.00 |
$1,092.58
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$161.66 |
$161.66 |
$161.66 |
$140.68
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,000.21 |
$2,000.21 |
$2,000.21 |
$3,844.90
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$10,680.33 |
$10,680.33 |
$10,680.33 |
$4,938.88
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$75.24 |
$75.24 |
$75.24 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$129.60 |
$129.60 |
$129.60 |
$72.00
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$79.34 |
$79.34 |
$79.34 |
$65.08
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$267.31 |
$267.31 |
$267.31 |
$302.07
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$53.13 |
$53.13 |
$53.13 |
$48.48
|
|
Lidocaine therapeutic drug level
|
$255.20 |
$255.20 |
$255.20 |
$83.85
|
|
Ligate oviduct(s) add-on 58611
|
$111.20 |
$111.20 |
$111.20 |
$213.00
|
