|
Intracard echo interv w/s&i
|
$3,290.25 |
$3,290.25 |
$3,290.25 |
$3,436.00
|
|
Intracranial angioplasty
|
$7,578.00 |
$7,578.00 |
$7,578.00 |
$5,181.00
|
|
Intracranial complete study
|
$1,215.75 |
$1,215.75 |
$1,215.75 |
$881.50
|
|
Intracranial limited study
|
$905.25 |
$905.25 |
$905.25 |
$467.50
|
|
Intrapul surf admin endo tube
|
$256.50 |
$256.50 |
$256.50 |
$220.80
|
|
Intrauterine transfusion ftl
|
$645.00 |
$645.00 |
$645.00 |
$1,063.50
|
|
Intrinsic factor antibody
|
$57.00 |
$57.00 |
$57.00 |
$65.00
|
|
Intro cath dialysis circuit
|
$8,576.25 |
$8,576.25 |
$8,576.25 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$6,781.50 |
$6,781.50 |
$6,781.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$10,578.00 |
$10,578.00 |
$10,578.00 |
$16,262.40
|
|
Intro catheter aorta
|
$2,110.50 |
$2,110.50 |
$2,110.50 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,134.00 |
$1,134.00 |
$1,134.00 |
$1,323.27
|
|
Intro long gi tube
|
$647.25 |
$647.25 |
$647.25 |
$974.17
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,968.75 |
$1,968.75 |
$1,968.75 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$822.75 |
$822.75 |
$822.75 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$422.25 |
$422.25 |
$422.25 |
$601.28
|
|
Ionm in operatng room 15 min
|
$320.25 |
$320.25 |
$320.25 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$1,070.25 |
$1,070.25 |
$1,070.25 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$199.60 |
$199.60 |
$199.60 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$244.04 |
$244.04 |
$244.04 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$133,919.31 |
$133,919.31 |
$133,919.31 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.43 |
$2.43 |
$2.43 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$378.32 |
$378.32 |
$378.32 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$11,014.86 |
$11,014.86 |
$11,014.86 |
$5,517.12
|
|
Iron
|
$309.00 |
$309.00 |
$309.00 |
$75.00
|
|
Iron binding capacity
|
$72.75 |
$72.75 |
$72.75 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$140.34 |
$140.34 |
$140.34 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$133.11 |
$133.11 |
$133.11 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$138.75 |
$138.75 |
$138.75 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$227.25 |
$227.25 |
$227.25 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$15,760.97 |
$15,760.97 |
$15,760.97 |
$8,273.35
|
|
Ivc venogram s&i
|
$3,076.50 |
$3,076.50 |
$3,076.50 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$156.00 |
$156.00 |
$156.00 |
$133.90
|
|
IV Fluids (first hour)
|
$422.25 |
$422.25 |
$422.25 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$355.50 |
$355.50 |
$355.50 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$383.25 |
$383.25 |
$383.25 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$114.75 |
$114.75 |
$114.75 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$611.25 |
$611.25 |
$611.25 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$510.00 |
$510.00 |
$510.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$201.75 |
$201.75 |
$201.75 |
$252.76
|
|
Ixabepilone 15 mg intravenous solution
|
$22,346.52 |
$22,346.52 |
$22,346.52 |
$10,695.32
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$349.50 |
$349.50 |
$349.50 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$288.75 |
$288.75 |
$288.75 |
$362.05
|
|
Jejunstmy tube plcmt
|
$2,244.75 |
$2,244.75 |
$2,244.75 |
$2,174.40
|
|
J-tube placement
|
$462.00 |
$462.00 |
$462.00 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$136.50 |
$136.50 |
$136.50 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$285.75 |
$285.75 |
$285.75 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$17.11 |
$17.11 |
$17.11 |
$23.52
|
|
Kidney function study
|
$549.75 |
$549.75 |
$549.75 |
$935.22
|
|
Kidney imaging morphology
|
$627.00 |
$627.00 |
$627.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$704.25 |
$704.25 |
$704.25 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$806.25 |
$806.25 |
$806.25 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$674.25 |
$674.25 |
$674.25 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$9,652.39 |
$9,652.39 |
$9,652.39 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,575.00 |
$10,575.00 |
$10,575.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$268.50 |
$268.50 |
$268.50 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$58,500.00 |
$58,500.00 |
$58,500.00 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$51,750.00 |
$51,750.00 |
$51,750.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$73,912.50 |
$73,912.50 |
$73,912.50 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$801.57 |
$801.57 |
$801.57 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,836.08 |
$2,836.08 |
$2,836.08 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$2,854.50 |
$2,854.50 |
$2,854.50 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,682.75 |
$2,682.75 |
$2,682.75 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,854.50 |
$2,854.50 |
$2,854.50 |
$2,130.88
|
|
Knee X-ray
|
$267.75 |
$267.75 |
$267.75 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$184.50 |
$184.50 |
$184.50 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$210.75 |
$210.75 |
$210.75 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$192.00 |
$192.00 |
$192.00 |
$251.20
|
|
Kyleena, 19.5 mg
|
$4,491.10 |
$4,491.10 |
$4,491.10 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$22.19 |
$22.19 |
$22.19 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$237.75 |
$237.75 |
$237.75 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$52.50 |
$52.50 |
$52.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$22.19 |
$22.19 |
$22.19 |
$43.74
|
|
Lactic acid
|
$164.25 |
$164.25 |
$164.25 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$33.75 |
$33.75 |
$33.75 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$35,355.50 |
$35,355.50 |
$35,355.50 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$2,066.54 |
$2,066.54 |
$2,066.54 |
$14.53
|
|
Laparoscopye procstom 43659
|
$5,688.75 |
$5,688.75 |
$5,688.75 |
$6,448.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$794.25 |
$794.25 |
$794.25 |
$740.40
|
|
Laronidase injection
|
$4,116.73 |
$4,116.73 |
$4,116.73 |
$1,927.01
|
|
Laryngeal function studies
|
$359.25 |
$359.25 |
$359.25 |
$342.60
|
|
Laryngoscope w/vc inj
|
$3,737.25 |
$3,737.25 |
$3,737.25 |
$4,108.00
|
|
Laryngoscopy telescopic
|
$725.25 |
$725.25 |
$725.25 |
$852.80
|
|
Laryngoscopy w/exc of tumor
|
$7,290.00 |
$7,290.00 |
$7,290.00 |
$5,137.60
|
|
Laryngoscopy w/fb removal
|
$1,681.50 |
$1,681.50 |
$1,681.50 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$473.25 |
$473.25 |
$473.25 |
$981.40
|
|
Lead acuity x4 spiral l 86cm
|
$4,863.24 |
$4,863.24 |
$4,863.24 |
$5,460.00
|
|
Lead capillary
|
$79.50 |
$79.50 |
$79.50 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$7,616.25 |
$7,616.25 |
$7,616.25 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$13,488.75 |
$13,488.75 |
$13,488.75 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$908.25 |
$908.25 |
$908.25 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,555.50 |
$1,555.50 |
$1,555.50 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,169.25 |
$1,169.25 |
$1,169.25 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$832.50 |
$832.50 |
$832.50 |
$1,092.58
|
|
Leishmania antibody
|
$182.25 |
$182.25 |
$182.25 |
$58.50
|
|
Lens, intraocular (new tech)
|
$2,238.75 |
$2,238.75 |
$2,238.75 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,238.75 |
$2,238.75 |
$2,238.75 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,136.25 |
$1,136.25 |
$1,136.25 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$191.25 |
$191.25 |
$191.25 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$83.13 |
$83.13 |
$83.13 |
$163.62
|
