|
Intrinsic factor antibody
|
$73.04 |
$73.04 |
$73.04 |
$63.15
|
|
Intubation endotracheal emergency procedure
|
$548.63 |
$548.63 |
$548.63 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$3.37 |
$3.37 |
$3.37 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$485.55 |
$485.55 |
$485.55 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$736.81 |
$736.81 |
$736.81 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$207.50 |
$207.50 |
$207.50 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$301.29 |
$301.29 |
$301.29 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$362.71 |
$362.71 |
$362.71 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$134.46 |
$134.46 |
$134.46 |
$134.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$8.21 |
$8.21 |
$8.21 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$224.02 |
$224.02 |
$224.02 |
$5,517.12
|
|
Iron
|
$79.68 |
$79.68 |
$79.68 |
$72.29
|
|
Iron binding capacity
|
$63.91 |
$63.91 |
$63.91 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$14.15 |
$14.15 |
$14.15 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$9.58 |
$9.58 |
$9.58 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$129.48 |
$129.48 |
$129.48 |
$144.62
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$126.16 |
$126.16 |
$126.16 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$200.86 |
$200.86 |
$200.86 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$118.69 |
$118.69 |
$118.69 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$318.72 |
$318.72 |
$318.72 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$798.46 |
$798.46 |
$798.46 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$4,821.46 |
$4,821.46 |
$4,821.46 |
$10,695.32
|
|
Jejunstmy tube plcmt
|
$550.29 |
$550.29 |
$550.29 |
$2,174.40
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$56.44 |
$56.44 |
$56.44 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$3.92 |
$3.92 |
$3.92 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$1,296.46 |
$1,296.46 |
$1,296.46 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$760.28 |
$760.28 |
$760.28 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$7,000.33 |
$7,000.33 |
$7,000.33 |
$7,751.14
|
|
Kit cath f 8f w/glv + wipe ster
|
$20.96 |
$20.96 |
$20.96 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,777.25 |
$8,777.25 |
$8,777.25 |
$9,482.25
|
|
Kit lead specify 5-6-5
|
$56,427.14 |
$56,427.14 |
$56,427.14 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$902.23 |
$902.23 |
$902.23 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$1,932.87 |
$1,932.87 |
$1,932.87 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$5,916.24 |
$5,916.24 |
$5,916.24 |
$8,425.00
|
|
Knee MRI (with and without contrast)
|
$3,910.96 |
$3,910.96 |
$3,910.96 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,338.26 |
$3,338.26 |
$3,338.26 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,490.83 |
$2,490.83 |
$2,490.83 |
$2,110.76
|
|
Knee X-ray
|
$401.72 |
$401.72 |
$401.72 |
$425.55
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$63.91 |
$63.91 |
$63.91 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$56.44 |
$56.44 |
$56.44 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$3.77 |
$3.77 |
$3.77 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$61.42 |
$61.42 |
$61.42 |
$55.50
|
|
Lactated ringers intravenous solution
|
$0.01 |
$0.01 |
$0.01 |
$44.91
|
|
Lactic acid
|
$120.35 |
$120.35 |
$120.35 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$86.32 |
$86.32 |
$86.32 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$15,189.00 |
$15,189.00 |
$15,189.00 |
$19,124.00
|
|
Laparo cholecystectomy/explr
|
$2,494.98 |
$2,494.98 |
$2,494.98 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$1,607.71 |
$1,607.71 |
$1,607.71 |
$8,346.00
|
|
Laparo cholecystoenterostomy
|
$1,733.04 |
$1,733.04 |
$1,733.04 |
$1,108.77
|
|
Laparo drng lymphocele 49323
|
$1,427.60 |
$1,427.60 |
$1,427.60 |
$5,741.00
|
|
Laparo partial colectomy 44204
|
$3,443.67 |
$3,443.67 |
$3,443.67 |
$2,917.80
|
|
Laparoscopy aspiration
|
$843.28 |
$843.28 |
$843.28 |
$6,839.00
|
|
Laparoscopy biopsy
|
$776.05 |
$776.05 |
$776.05 |
$6,376.26
|
|
Laparoscopy splenectomy
|
$2,356.37 |
$2,356.37 |
$2,356.37 |
$10,488.40
|
|
Laparotomy; inject/aspirate liver cyst 47015
|
$2,605.37 |
$2,605.37 |
$2,605.37 |
$1,659.80
|
|
Laparo-vag hyst incl t/o
|
$2,253.45 |
$2,253.45 |
$2,253.45 |
$12,100.40
|
|
Lap colectomy part w/ileum 44205
|
$2,998.79 |
$2,998.79 |
$2,998.79 |
$2,938.32
|
|
Lap enterectomy 44202
|
$3,094.24 |
$3,094.24 |
$3,094.24 |
$2,142.00
|
|
Lap enterolysis
|
$2,053.42 |
$2,053.42 |
$2,053.42 |
$6,376.26
|
|
Lap inc hernia repair 49654
|
$1,886.59 |
$1,886.59 |
$1,886.59 |
$1,932.05
|
|
Lap inc hernia repair recurr 49656
|
$2,047.61 |
$2,047.61 |
$2,047.61 |
$2,072.28
|
|
Lap ing hernia repair init
|
$972.76 |
$972.76 |
$972.76 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$1,269.07 |
$1,269.07 |
$1,269.07 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$865.69 |
$865.69 |
$865.69 |
$6,895.20
|
|
Lap part colectomy w/stoma 44206
|
$3,904.32 |
$3,904.32 |
$3,904.32 |
$4,307.20
|
|
Lap resect s/intestine addl 44203
|
$531.20 |
$531.20 |
$531.20 |
$516.78
|
|
Lap w/omentopexy add-on 49326
|
$415.00 |
$415.00 |
$415.00 |
$463.20
|
|
Largsc w/rmvl foreign bdy(s)
|
$661.51 |
$661.51 |
$661.51 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$880.63 |
$880.63 |
$880.63 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$1,210.14 |
$1,210.14 |
$1,210.14 |
$2,854.09
|
|
Lateral canthopexy
|
$2,217.76 |
$2,217.76 |
$2,217.76 |
$3,837.72
|
|
Lavage cannulation maxillary sinus
|
$430.77 |
$430.77 |
$430.77 |
$728.00
|
|
Lead acuity x4 spiral l 86cm
|
$5,602.50 |
$5,602.50 |
$5,602.50 |
$5,534.00
|
|
Lead capillary
|
$55.61 |
$55.61 |
$55.61 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$4,860.48 |
$4,860.48 |
$4,860.48 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$11,239.86 |
$11,239.86 |
$11,239.86 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,404.51 |
$2,404.51 |
$2,404.51 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$983.55 |
$983.55 |
$983.55 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$410.85 |
$410.85 |
$410.85 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,064.63 |
$2,064.63 |
$2,064.63 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$724.87 |
$724.87 |
$724.87 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$65.43 |
$65.43 |
$65.43 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$806.52 |
$806.52 |
$806.52 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,101.80 |
$4,101.80 |
$4,101.80 |
$9,107.80
|
|
Leuprolide depot cipla 7.5mg
|
$1,035.52 |
$1,035.52 |
$1,035.52 |
$623.81
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$8.72 |
$8.72 |
$8.72 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$170.15 |
$170.15 |
$170.15 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.10 |
$0.10 |
$0.10 |
$55.60
|
|
Liberta rc ipg
|
$56,837.24 |
$56,837.24 |
$56,837.24 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$1.11 |
$1.11 |
$1.11 |
$46.02
|
|
Lifileucel til/dose 7.5b-72b snij
|
$3,525.46 |
$3,525.46 |
$3,525.46 |
$30,744.64
|
|
Ligation/biopsy of temporal artery 37609
|
$724.59 |
$724.59 |
$724.59 |
$3,322.80
|
|
Liletta, 52 mg
|
$494.94 |
$494.94 |
$494.94 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.09 |
$0.09 |
$0.09 |
$121.00
|
|
Lipase
|
$86.32 |
$86.32 |
$86.32 |
$91.65
|
|
Lipoprotein direct measurement hdl
|
$120.35 |
$120.35 |
$120.35 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$57.27 |
$57.27 |
$57.27 |
$61.60
|
|
Lip surgery procedure
|
$117.86 |
$117.86 |
$117.86 |
$335.50
|
|
Lithium therapeutic drug level
|
$117.86 |
$117.86 |
$117.86 |
$69.42
|