|
Intubation endotracheal emergency procedure
|
$6,552.00 |
$6,552.00 |
$6,552.00 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.97 |
$0.97 |
$0.97 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.47 |
$0.47 |
$0.47 |
$182.21
|
|
Io rad tx delivery by x-ray
|
$7,862.00 |
$7,862.00 |
$7,862.00 |
$10,127.56
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$3,046.10 |
$3,046.10 |
$3,046.10 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.81 |
$2.81 |
$2.81 |
$4.77
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$8.40 |
$8.40 |
$8.40 |
$203.92
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$1,017.10 |
$1,017.10 |
$1,017.10 |
$5,837.00
|
|
Iron
|
$118.00 |
$118.00 |
$118.00 |
$70.72
|
|
Iron binding capacity
|
$132.00 |
$132.00 |
$132.00 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$58.07 |
$58.07 |
$58.07 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$24.98 |
$24.98 |
$24.98 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$15.00 |
$15.00 |
$15.00 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$395.00 |
$395.00 |
$395.00 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$554.04 |
$554.04 |
$554.04 |
$8,335.70
|
|
Ivc venogram s&i
|
$4,975.00 |
$4,975.00 |
$4,975.00 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$334.00 |
$334.00 |
$334.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$315.00 |
$315.00 |
$315.00 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$2,967.00 |
$2,967.00 |
$2,967.00 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$4,377.00 |
$4,377.00 |
$4,377.00 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$20,738.13 |
$20,738.13 |
$20,738.13 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$137.00 |
$137.00 |
$137.00 |
$378.30
|
|
John cunningham antibody
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$153.00 |
$153.00 |
$153.00 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$1.55 |
$1.55 |
$1.55 |
$29.52
|
|
Kidney img w/bldflw sgl without rx
|
$2,784.00 |
$2,784.00 |
$2,784.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$5,904.00 |
$5,904.00 |
$5,904.00 |
$668.25
|
|
Kit gene analys d816 variant
|
$790.00 |
$790.00 |
$790.00 |
$355.00
|
|
Knee Arthroscopy (Meniscus Repair)
|
$5,576.19 |
$5,576.19 |
$5,576.19 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,751.25 |
$5,751.25 |
$5,751.25 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,386.28 |
$5,386.28 |
$5,386.28 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$7,315.78 |
$7,315.78 |
$7,315.78 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$8,734.35 |
$8,734.35 |
$8,734.35 |
$7,807.24
|
|
Knee MRI (with and without contrast)
|
$1,899.00 |
$1,899.00 |
$1,899.00 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$3,403.00 |
$3,403.00 |
$3,403.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$2,181.10
|
|
Knee X-ray
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$443.90
|
|
Kras gene addl variants
|
$349.00 |
$349.00 |
$349.00 |
$346.45
|
|
Kras gene variants exon 2
|
$509.00 |
$509.00 |
$509.00 |
$495.00
|
|
Kyleena, 19.5 mg
|
$4,048.77 |
$4,048.77 |
$4,048.77 |
$2,211.85
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$0.33 |
$0.33 |
$0.33 |
$39.72
|
|
Lactate dehydrogenase (ldh)
|
$162.00 |
$162.00 |
$162.00 |
$53.30
|
|
Lactated ringers intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$48.56
|
|
Lactic acid
|
$431.00 |
$431.00 |
$431.00 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$259.00 |
$259.00 |
$259.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$208.00 |
$208.00 |
$208.00 |
$106.10
|
|
Lam facetec & foramot lumbar
|
$8,762.23 |
$8,762.23 |
$8,762.23 |
$7,907.11
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$106,540.00 |
$106,540.00 |
$106,540.00 |
$21,487.67
|
|
Lanthanum carbonate oral 5mg
|
$39.29 |
$39.29 |
$39.29 |
$14.41
|
|
Laparo cholecystectomy/graph
|
$7,220.90 |
$7,220.90 |
$7,220.90 |
$7,220.90
|
|
Laparoscopy aspiration
|
$7,925.85 |
$7,925.85 |
$7,925.85 |
$5,855.00
|
|
Laparoscopy excise lesions
|
$8,260.40 |
$8,260.40 |
$8,260.40 |
$6,376.26
|
|
Laparoscopy remove adnexa
|
$6,754.91 |
$6,754.91 |
$6,754.91 |
$6,904.15
|
|
Lap ing hernia repair init
|
$8,186.96 |
$8,186.96 |
$8,186.96 |
$5,741.00
|
|
Lap ing hernia repair recur
|
$8,547.16 |
$8,547.16 |
$8,547.16 |
$5,741.00
|
|
Lap rmvl gastr adj all parts
|
$5,650.88 |
$5,650.88 |
$5,650.88 |
$4,214.73
|
|
Laronidase injection
|
$749.39 |
$749.39 |
$749.39 |
$1,927.01
|
|
Laryngoscopy with biopsy
|
$5,653.00 |
$5,653.00 |
$5,653.00 |
$2,954.40
|
|
Laser surgery of prostate
|
$5,680.99 |
$5,680.99 |
$5,680.99 |
$5,741.00
|
|
Lead capillary
|
$383.00 |
$383.00 |
$383.00 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$7,950.00 |
$7,950.00 |
$7,950.00 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$79.35 |
$79.35 |
$79.35 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$329.00 |
$329.00 |
$329.00 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$36,780.03 |
$36,780.03 |
$36,780.03 |
$6,694.24
|
|
Leuprolide acetate injeciton
|
$1,824.80 |
$1,824.80 |
$1,824.80 |
$1,346.20
|
|
Levalbuterol non-comp con
|
$17.54 |
$17.54 |
$17.54 |
$20.06
|
|
Levalbuterol non-comp unit
|
$3.05 |
$3.05 |
$3.05 |
$8.13
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.78 |
$0.78 |
$0.78 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$8.00 |
$8.00 |
$8.00 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.23 |
$0.23 |
$0.23 |
$64.88
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,727.60 |
$1,727.60 |
$1,727.60 |
$420.60
|
|
Lidocaine therapeutic drug level
|
$33.00 |
$33.00 |
$33.00 |
$83.85
|
|
Lifileucel til/dose 7.5b-72b snij
|
$0.35 |
$0.35 |
$0.35 |
$25,349.40
|
|
Liletta, 52 mg
|
$3,105.76 |
$3,105.76 |
$3,105.76 |
$1,790.04
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.10 |
$0.10 |
$0.10 |
$172.25
|
|
Lipase
|
$107.00 |
$107.00 |
$107.00 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$15.00 |
$15.00 |
$15.00 |
$89.52
|
|
Lipoprotein blood quant
|
$68.00 |
$68.00 |
$68.00 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$181.00 |
$181.00 |
$181.00 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$154.00 |
$154.00 |
$154.00 |
$60.00
|
|
Listeria monocytogenes
|
$232.00 |
$232.00 |
$232.00 |
$95.40
|
|
Lithium therapeutic drug level
|
$206.00 |
$206.00 |
$206.00 |
$67.60
|
|
Liver elastography 91200
|
$303.00 |
$303.00 |
$303.00 |
$291.74
|
|
Liver Function Test
|
$162.00 |
$162.00 |
$162.00 |
$110.50
|
|
Liver/spleen imag static only
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$1,140.78
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$94,581.41 |
$94,581.41 |
$94,581.41 |
$67,929.65
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$3.50 |
$3.50 |
$3.50 |
$43.95
|
|
Low back disk surgery
|
$8,148.88 |
$8,148.88 |
$8,148.88 |
$7,907.11
|
|
Low cost skin substitute app
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$1,030.00
|
|
Low cost skin substitute app
|
$2,894.00 |
$2,894.00 |
$2,894.00 |
$2,164.64
|
|
Low cost skin substitute app
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$1,132.56
|
|
Low cost skin substitute app
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$1,030.00
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$515.00
|
|
Low cost skin substitute app
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$652.86
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$408.45
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$447.96
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,911.00 |
$3,911.00 |
$3,911.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$1,504.05
|
