|
Irradiation of blood product each unit reference
|
$206.25 |
$206.25 |
$206.25 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$153.75 |
$153.75 |
$153.75 |
$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
|
$4,438.50 |
$4,438.50 |
$4,438.50 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$456.75 |
$456.75 |
$456.75 |
$133.90
|
|
IV Fluids (first hour)
|
$722.25 |
$722.25 |
$722.25 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$454.50 |
$454.50 |
$454.50 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$456.75 |
$456.75 |
$456.75 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$456.75 |
$456.75 |
$456.75 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$722.25 |
$722.25 |
$722.25 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$573.00 |
$573.00 |
$573.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$609.75 |
$609.75 |
$609.75 |
$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)
|
$636.00 |
$636.00 |
$636.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$421.50 |
$421.50 |
$421.50 |
$362.05
|
|
Jejunstmy tube plcmt
|
$3,895.50 |
$3,895.50 |
$3,895.50 |
$2,174.40
|
|
J-tube placement
|
$904.50 |
$904.50 |
$904.50 |
$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
|
$1,133.25 |
$1,133.25 |
$1,133.25 |
$935.22
|
|
Kidney imaging morphology
|
$1,238.25 |
$1,238.25 |
$1,238.25 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,584.75 |
$1,584.75 |
$1,584.75 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$972.75 |
$972.75 |
$972.75 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$718.50 |
$718.50 |
$718.50 |
$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)
|
$2,628.75 |
$2,628.75 |
$2,628.75 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,628.75 |
$2,628.75 |
$2,628.75 |
$2,130.88
|
|
Knee X-ray
|
$508.50 |
$508.50 |
$508.50 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$283.50 |
$283.50 |
$283.50 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$420.75 |
$420.75 |
$420.75 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$388.50 |
$388.50 |
$388.50 |
$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)
|
$65.25 |
$65.25 |
$65.25 |
$55.50
|
|
Lactated ringers intravenous solution
|
$22.19 |
$22.19 |
$22.19 |
$43.74
|
|
Lactic acid
|
$209.25 |
$209.25 |
$209.25 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$72.75 |
$72.75 |
$72.75 |
$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
|
$6,827.25 |
$6,827.25 |
$6,827.25 |
$6,448.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$696.00 |
$696.00 |
$696.00 |
$740.40
|
|
Largsc w/laser dstrj les
|
$6,297.75 |
$6,297.75 |
$6,297.75 |
$4,931.00
|
|
Largsc w/njx augmentation
|
$3,180.00 |
$3,180.00 |
$3,180.00 |
$3,288.75
|
|
Largsc w/removal lesion
|
$8,732.25 |
$8,732.25 |
$8,732.25 |
$4,362.99
|
|
Largsc w/ther injection
|
$3,151.50 |
$3,151.50 |
$3,151.50 |
$2,447.43
|
|
Laronidase injection
|
$4,116.73 |
$4,116.73 |
$4,116.73 |
$1,927.01
|
|
Laryngeal function studies
|
$360.00 |
$360.00 |
$360.00 |
$342.60
|
|
Laryngoscope w/vc inj
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$4,108.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,968.00 |
$1,968.00 |
$1,968.00 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$1,185.75 |
$1,185.75 |
$1,185.75 |
$852.80
|
|
Laryngoscopy w/exc of tumor
|
$7,290.00 |
$7,290.00 |
$7,290.00 |
$5,137.60
|
|
Laryngoscopy w/fb removal
|
$2,017.50 |
$2,017.50 |
$2,017.50 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$8,027.25 |
$8,027.25 |
$8,027.25 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$473.25 |
$473.25 |
$473.25 |
$981.40
|
|
Lavage cannulation maxillary sinus
|
$1,871.25 |
$1,871.25 |
$1,871.25 |
$728.00
|
|
Lead acuity x4 spiral l 86cm
|
$4,863.24 |
$4,863.24 |
$4,863.24 |
$5,460.00
|
|
Lead capillary
|
$101.25 |
$101.25 |
$101.25 |
$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)
|
$1,207.50 |
$1,207.50 |
$1,207.50 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,553.25 |
$1,553.25 |
$1,553.25 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,372.50 |
$1,372.50 |
$1,372.50 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$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
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$30,791.46 |
$30,791.46 |
$30,791.46 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$42,325.47 |
$42,325.47 |
$42,325.47 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$1,901.89 |
$1,901.89 |
$1,901.89 |
$1,322.50
|
|
Levalbuterol non-comp con
|
$9.80 |
$9.80 |
$9.80 |
$20.06
|
|
Levalbuterol non-comp unit
|
$5.40 |
$5.40 |
$5.40 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$97.62 |
$97.62 |
$97.62 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$215.25 |
$215.25 |
$215.25 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$47.70 |
$47.70 |
$47.70 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$652.50 |
$652.50 |
$652.50 |
$420.60
|
|
Liberta rc ipg
|
$63,376.43 |
$63,376.43 |
$63,376.43 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$74.62 |
$74.62 |
$74.62 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$25.89 |
$25.89 |
$25.89 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$78.00 |
$78.00 |
$78.00 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$38,415.18 |
$38,415.18 |
$38,415.18 |
$30,744.64
|
|
Lig/band angioaccess av fistula
|
$3,213.75 |
$3,213.75 |
$3,213.75 |
$4,676.50
|
|
Liletta, 52 mg
|
$3,445.08 |
$3,445.08 |
$3,445.08 |
$1,514.24
|
|
Limited visual field xm
|
$96.75 |
$96.75 |
$96.75 |
$79.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$119.81 |
$119.81 |
$119.81 |
$121.00
|
|
Lipase
|
$177.75 |
$177.75 |
$177.75 |
$93.58
|
|
Lipoprotein blood quant
|
$254.25 |
$254.25 |
$254.25 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$93.75 |
$93.75 |
$93.75 |
$57.50
|
