|
Intro long gi tube
|
$451.50 |
$451.50 |
$451.50 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$281.40 |
$281.40 |
$281.40 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,126.46 |
$2,126.46 |
$2,126.46 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$170.10 |
$170.10 |
$170.10 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$454.02 |
$454.02 |
$454.02 |
$598.80
|
|
Ionm remote/>1 pt or per hr
|
$708.54 |
$708.54 |
$708.54 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$170.06 |
$170.06 |
$170.06 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$488.25 |
$488.25 |
$488.25 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$74,568.32 |
$74,568.32 |
$74,568.32 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$68.96 |
$68.96 |
$68.96 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$5,667.90 |
$5,667.90 |
$5,667.90 |
$5,517.12
|
|
Iron
|
$65.52 |
$65.52 |
$65.52 |
$72.29
|
|
Iron binding capacity
|
$79.38 |
$79.38 |
$79.38 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$71.58 |
$71.58 |
$71.58 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$136.86 |
$136.86 |
$136.86 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$76.86 |
$76.86 |
$76.86 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$71.40 |
$71.40 |
$71.40 |
$144.62
|
|
Ivc venogram s&i
|
$1,691.76 |
$1,691.76 |
$1,691.76 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$128.10 |
$128.10 |
$128.10 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$100.80 |
$100.80 |
$100.80 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$26.88 |
$26.88 |
$26.88 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$313.32 |
$313.32 |
$313.32 |
$437.45
|
|
Ivp w/nephrotomography
|
$757.68 |
$757.68 |
$757.68 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$338.52 |
$338.52 |
$338.52 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$12,198.86 |
$12,198.86 |
$12,198.86 |
$10,695.32
|
|
Ketogenic steroids fract
|
$82.74 |
$82.74 |
$82.74 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$96.60 |
$96.60 |
$96.60 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$41.79 |
$41.79 |
$41.79 |
$23.77
|
|
Kidney endoscopy & treatment
|
$3,312.96 |
$3,312.96 |
$3,312.96 |
$5,626.86
|
|
Kidney imaging morphology
|
$382.62 |
$382.62 |
$382.62 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,126.86 |
$1,126.86 |
$1,126.86 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$861.00 |
$861.00 |
$861.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$488.04 |
$488.04 |
$488.04 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$3,542.34 |
$3,542.34 |
$3,542.34 |
$7,751.14
|
|
Kit cath f 8f w/glv + wipe ster
|
$10.61 |
$10.61 |
$10.61 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$4,441.50 |
$4,441.50 |
$4,441.50 |
$9,482.25
|
|
Kit lead specify 5-6-5
|
$28,553.49 |
$28,553.49 |
$28,553.49 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$456.55 |
$456.55 |
$456.55 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$978.08 |
$978.08 |
$978.08 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$2,993.76 |
$2,993.76 |
$2,993.76 |
$8,425.00
|
|
Knee MRI (with and without contrast)
|
$1,647.66 |
$1,647.66 |
$1,647.66 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,546.86 |
$1,546.86 |
$1,546.86 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,257.90 |
$1,257.90 |
$1,257.90 |
$2,110.76
|
|
Knee X-ray
|
$268.80 |
$268.80 |
$268.80 |
$425.55
|
|
Kras gene variants exon 2
|
$926.10 |
$926.10 |
$926.10 |
$509.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$148.68 |
$148.68 |
$148.68 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$44.57 |
$44.57 |
$44.57 |
$33.60
|
|
Lab pathology consultation
|
$26.46 |
$26.46 |
$26.46 |
$48.44
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$190.31 |
$190.31 |
$190.31 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$50.82 |
$50.82 |
$50.82 |
$55.50
|
|
Lactated ringers intravenous solution
|
$86.84 |
$86.84 |
$86.84 |
$44.91
|
|
Lactic acid
|
$110.04 |
$110.04 |
$110.04 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$51.66 |
$51.66 |
$51.66 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,215.00 |
$19,215.00 |
$19,215.00 |
$19,124.00
|
|
Lap insert tunnel ip cath
|
$3,848.88 |
$3,848.88 |
$3,848.88 |
$6,895.20
|
|
Largsc w/rmvl foreign bdy(s)
|
$223.86 |
$223.86 |
$223.86 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,076.04 |
$1,076.04 |
$1,076.04 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$770.70 |
$770.70 |
$770.70 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$754.32 |
$754.32 |
$754.32 |
$800.25
|
|
Lateral canthopexy
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$3,837.72
|
|
Lavage cannulation maxillary sinus
|
$153.30 |
$153.30 |
$153.30 |
$728.00
|
|
Lead acuity x4 spiral l 86cm
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$5,534.00
|
|
Lead capillary
|
$64.68 |
$64.68 |
$64.68 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$12,309.78 |
$12,309.78 |
$12,309.78 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$5,687.64 |
$5,687.64 |
$5,687.64 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,451.94 |
$1,451.94 |
$1,451.94 |
$1,092.58
|
|
Leishmania antibody
|
$119.28 |
$119.28 |
$119.28 |
$58.50
|
|
Lens, intraocular (new tech)
|
$497.70 |
$497.70 |
$497.70 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$207.90 |
$207.90 |
$207.90 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,044.75 |
$1,044.75 |
$1,044.75 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$366.80 |
$366.80 |
$366.80 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$165.55 |
$165.55 |
$165.55 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,040.57 |
$2,040.57 |
$2,040.57 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$10,378.04 |
$10,378.04 |
$10,378.04 |
$9,107.80
|
|
Leuprolide depot cipla 7.5mg
|
$2,619.99 |
$2,619.99 |
$2,619.99 |
$623.81
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$110.27 |
$110.27 |
$110.27 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$91.14 |
$91.14 |
$91.14 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$86.84 |
$86.84 |
$86.84 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$153.79 |
$153.79 |
$153.79 |
$420.60
|
|
Liberta rc ipg
|
$28,761.02 |
$28,761.02 |
$28,761.02 |
$39,406.68
|
|
Lidocaine injection
|
$41.79 |
$41.79 |
$41.79 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$41.79 |
$41.79 |
$41.79 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$85.26 |
$85.26 |
$85.26 |
$87.45
|
|
Ligate leg veins open
|
$2,505.30 |
$2,505.30 |
$2,505.30 |
$3,724.63
|
|
Ligation/biopsy of temporal artery 37609
|
$1,002.12 |
$1,002.12 |
$1,002.12 |
$3,322.80
|
|
Ligation of inf vena cava
|
$3,426.36 |
$3,426.36 |
$3,426.36 |
$5,983.35
|
|
Ligation vericose vein cluster(s) 1 leg
|
$2,038.68 |
$2,038.68 |
$2,038.68 |
$3,724.63
|
|
Liletta, 52 mg
|
$1,001.81 |
$1,001.81 |
$1,001.81 |
$1,514.24
|
|
Lincomycin injection
|
$326.49 |
$326.49 |
$326.49 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$153.72 |
$153.72 |
$153.72 |
$121.00
|
|
Lipase
|
$95.76 |
$95.76 |
$95.76 |
$91.65
|
|
Lipoprotein blood quant
|
$265.44 |
$265.44 |
$265.44 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$95.76 |
$95.76 |
$95.76 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$86.94 |
$86.94 |
$86.94 |
$61.60
|
|
Lithium therapeutic drug level
|
$109.62 |
$109.62 |
$109.62 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,001.74 |
$3,001.74 |
$3,001.74 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,207.08 |
$1,207.08 |
$1,207.08 |
$1,714.14
|
|
Liver elastography 91200
|
$151.20 |
$151.20 |
$151.20 |
$280.00
|
|
Liver Function Test
|
$133.56 |
$133.56 |
$133.56 |
$115.44
|
|
Liver imaging
|
$357.42 |
$357.42 |
$357.42 |
$1,143.00
|