|
Intro cath dialysis circuit w/stent plcmnt
|
$20,374.40 |
$20,374.40 |
$20,374.40 |
$16,262.40
|
|
Intro catheter aorta
|
$2,548.80 |
$2,548.80 |
$2,548.80 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,003.20 |
$2,003.20 |
$2,003.20 |
$1,323.27
|
|
Intro long gi tube
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$646.40 |
$646.40 |
$646.40 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$600.00 |
$600.00 |
$600.00 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$2,287.20 |
$2,287.20 |
$2,287.20 |
$386.37
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$4.00 |
$4.00 |
$4.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$27,921.36 |
$27,921.36 |
$27,921.36 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.40 |
$2.40 |
$2.40 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$215.59 |
$215.59 |
$215.59 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$2,438.00 |
$2,438.00 |
$2,438.00 |
$5,517.12
|
|
Iron dextran 50 mg/ml injection solution
|
$60.80 |
$60.80 |
$60.80 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$32.78 |
$32.78 |
$32.78 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$174.40 |
$174.40 |
$174.40 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$4,229.45 |
$4,229.45 |
$4,229.45 |
$8,273.35
|
|
Ivc venogram s&i
|
$4,319.20 |
$4,319.20 |
$4,319.20 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$158.40 |
$158.40 |
$158.40 |
$133.90
|
|
IV Fluids (first hour)
|
$466.40 |
$466.40 |
$466.40 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$196.80 |
$196.80 |
$196.80 |
$162.68
|
|
IV inj ra drug dx study
|
$560.00 |
$560.00 |
$560.00 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$276.80 |
$276.80 |
$276.80 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$176.00 |
$176.00 |
$176.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$648.00 |
$648.00 |
$648.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$183.20 |
$183.20 |
$183.20 |
$167.50
|
|
IV Push Injection (first drug)
|
$340.80 |
$340.80 |
$340.80 |
$252.76
|
|
Ivp w/nephrotomography
|
$542.40 |
$542.40 |
$542.40 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$452.00 |
$452.00 |
$452.00 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$4,926.00 |
$4,926.00 |
$4,926.00 |
$10,695.32
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$212.00 |
$212.00 |
$212.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$251.20 |
$251.20 |
$251.20 |
$362.05
|
|
Kerecis marigen shld sq cm
|
$1,298.88 |
$1,298.88 |
$1,298.88 |
$1.00
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$78.16 |
$78.16 |
$78.16 |
$23.52
|
|
Kidney imaging morphology
|
$996.00 |
$996.00 |
$996.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$569.60 |
$569.60 |
$569.60 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$499.20 |
$499.20 |
$499.20 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$7,330.40 |
$7,330.40 |
$7,330.40 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,272.00 |
$8,272.00 |
$8,272.00 |
$9,423.50
|
|
Kit hfx iq ipg bundle
|
$48,366.56 |
$48,366.56 |
$48,366.56 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$15,875.64 |
$15,875.64 |
$15,875.64 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$145.75 |
$145.75 |
$145.75 |
$360.12
|
|
Kit sound processor cochlear osia 2
|
$4,868.16 |
$4,868.16 |
$4,868.16 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,218.45 |
$2,218.45 |
$2,218.45 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$3,437.60 |
$3,437.60 |
$3,437.60 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,088.00 |
$3,088.00 |
$3,088.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,737.60 |
$2,737.60 |
$2,737.60 |
$2,130.88
|
|
Knee X-ray
|
$223.20 |
$223.20 |
$223.20 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$160.80 |
$160.80 |
$160.80 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$193.60 |
$193.60 |
$193.60 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$160.80 |
$160.80 |
$160.80 |
$251.20
|
|
Ko elastic w/joints pre ots
|
$1,119.98 |
$1,119.98 |
$1,119.98 |
$137.05
|
|
Ko single upright pre cst
|
$998.63 |
$998.63 |
$998.63 |
$988.40
|
|
Ko w adj flex/ext rotat mold
|
$901.41 |
$901.41 |
$901.41 |
$2,418.09
|
|
Kyleena, 19.5 mg
|
$898.33 |
$898.33 |
$898.33 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$90.40 |
$90.40 |
$90.40 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$45.40 |
$45.40 |
$45.40 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$33.48 |
$33.48 |
$33.48 |
$175.92
|
|
Lactated ringers intravenous solution
|
$40.00 |
$40.00 |
$40.00 |
$43.74
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$9,756.04 |
$9,756.04 |
$9,756.04 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$693.60 |
$693.60 |
$693.60 |
$740.40
|
|
Largsc w/njx augmentation
|
$3,644.00 |
$3,644.00 |
$3,644.00 |
$3,288.75
|
|
Largsc w/rmvl foreign bdy(s)
|
$998.40 |
$998.40 |
$998.40 |
$765.97
|
|
Laronidase injection
|
$1,913.39 |
$1,913.39 |
$1,913.39 |
$1,927.01
|
|
Laryngeal function studies
|
$308.00 |
$308.00 |
$308.00 |
$342.60
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,803.20 |
$3,803.20 |
$3,803.20 |
$2,514.60
|
|
Laryngoscopy w/biopsy
|
$5,720.80 |
$5,720.80 |
$5,720.80 |
$4,362.99
|
|
Laryngoscopy w/fb & op scope
|
$4,176.00 |
$4,176.00 |
$4,176.00 |
$4,004.00
|
|
Laryngoscopy w/fb removal
|
$4,061.60 |
$4,061.60 |
$4,061.60 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$3,572.00 |
$3,572.00 |
$3,572.00 |
$981.40
|
|
Lead acuity x4 spiral l 86cm
|
$8,592.32 |
$8,592.32 |
$8,592.32 |
$5,460.00
|
|
Lead ingevity 45cm pfret MRI
|
$1,805.76 |
$1,805.76 |
$1,805.76 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$12,735.36 |
$12,735.36 |
$12,735.36 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,176.80 |
$1,176.80 |
$1,176.80 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$570.00 |
$570.00 |
$570.00 |
$1,065.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$162.76 |
$162.76 |
$162.76 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,576.66 |
$3,576.66 |
$3,576.66 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$7,864.12 |
$7,864.12 |
$7,864.12 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$874.88 |
$874.88 |
$874.88 |
$1,322.50
|
|
Levalbuterol non-comp unit
|
$8.21 |
$8.21 |
$8.21 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$108.80 |
$108.80 |
$108.80 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$89.72 |
$89.72 |
$89.72 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$228.44 |
$228.44 |
$228.44 |
$420.60
|
|
Liberta rc ipg
|
$53,004.16 |
$53,004.16 |
$53,004.16 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$29.56 |
$29.56 |
$29.56 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$71.60 |
$71.60 |
$71.60 |
$39.75
|
|
Lift heel adj small gl60404sm
|
$26.87 |
$26.87 |
$26.87 |
$133.50
|
|
Ligation/biopsy of temporal artery 37609
|
$3,744.80 |
$3,744.80 |
$3,744.80 |
$3,322.80
|
|
Ligation major artery neck
|
$1,888.00 |
$1,888.00 |
$1,888.00 |
$3,703.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$193.20 |
$193.20 |
$193.20 |
$121.00
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,743.20 |
$3,743.20 |
$3,743.20 |
$4,371.12
|
|
Liver imaging
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$1,109.00
|