|
Insulin total
|
$46.80 |
$46.80 |
$46.80 |
$67.60
|
|
Ins vag brachytx device
|
$1,273.35 |
$1,273.35 |
$1,273.35 |
$909.35
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$3,691.72 |
$3,691.72 |
$3,691.72 |
$3,160.50
|
|
Interdiscal perq aspir dx
|
$9,781.85 |
$9,781.85 |
$9,781.85 |
$1,222.26
|
|
Interrogate subq defib
|
$160.55 |
$160.55 |
$160.55 |
$139.10
|
|
Interrogation vad in person
|
$255.45 |
$255.45 |
$255.45 |
$280.00
|
|
Interrog dev eval icpms ip
|
$60.45 |
$60.45 |
$60.45 |
$106.80
|
|
Interrog dev eval scrms ip
|
$72.80 |
$72.80 |
$72.80 |
$124.80
|
|
Interrog device eval heart
|
$130.00 |
$130.00 |
$130.00 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$76.70 |
$76.70 |
$76.70 |
$127.20
|
|
Interstitial brachy inter
|
$1,054.95 |
$1,054.95 |
$1,054.95 |
$1,244.40
|
|
Intra-atrial pacing
|
$4,091.10 |
$4,091.10 |
$4,091.10 |
$5,155.51
|
|
Intra-atrial recording
|
$4,046.25 |
$4,046.25 |
$4,046.25 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$3,429.40 |
$3,429.40 |
$3,429.40 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$16,055.00 |
$16,055.00 |
$16,055.00 |
$11,364.78
|
|
Intracranial angioplasty
|
$8,027.50 |
$8,027.50 |
$8,027.50 |
$7,149.60
|
|
Intracranial complete study
|
$576.55 |
$576.55 |
$576.55 |
$883.30
|
|
Intracranial limited study
|
$432.25 |
$432.25 |
$432.25 |
$423.52
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$289.25 |
$289.25 |
$289.25 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$120.25 |
$120.25 |
$120.25 |
$239.52
|
|
Intrauterine transfusion ftl
|
$679.25 |
$679.25 |
$679.25 |
$1,004.25
|
|
Intraventricular pacing
|
$4,717.05 |
$4,717.05 |
$4,717.05 |
$5,775.22
|
|
Intrinsic factor antibody
|
$35.75 |
$35.75 |
$35.75 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,183.05 |
$3,183.05 |
$3,183.05 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$10,823.80 |
$10,823.80 |
$10,823.80 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$23,255.05 |
$23,255.05 |
$23,255.05 |
$15,625.00
|
|
Intro catheter aorta
|
$4,173.00 |
$4,173.00 |
$4,173.00 |
$1,861.61
|
|
Intro cath svc/ivc
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$1,350.75
|
|
Intro long gi tube
|
$1,372.15 |
$1,372.15 |
$1,372.15 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$457.60 |
$457.60 |
$457.60 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,472.95 |
$3,472.95 |
$3,472.95 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,335.75 |
$1,335.75 |
$1,335.75 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,277.90 |
$1,277.90 |
$1,277.90 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$421.85 |
$421.85 |
$421.85 |
$677.98
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.70 |
$2.70 |
$2.70 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$46.28 |
$114.17 |
$230.07 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$97,709.14 |
$97,709.14 |
$97,709.14 |
$52,615.16
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$11.93 |
$96.40 |
$341.51 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$175.28 |
$8,285.03 |
$8,285.03 |
$6,655.71
|
|
Iron
|
$89.05 |
$89.05 |
$89.05 |
$70.72
|
|
Iron binding capacity
|
$32.50 |
$32.50 |
$32.50 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$56.58 |
$56.58 |
$56.58 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$128.44 |
$128.44 |
$128.44 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$235.95 |
$235.95 |
$235.95 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$153.09 |
$11,781.02 |
$11,781.02 |
$13,419.80
|
|
Ivc venogram s&i
|
$3,332.55 |
$3,332.55 |
$3,332.55 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$210.60 |
$210.60 |
$210.60 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$229.45 |
$229.45 |
$229.45 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$141.70 |
$141.70 |
$141.70 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$432.90 |
$432.90 |
$432.90 |
$460.85
|
|
IV inj ra drug dx study
|
$673.40 |
$673.40 |
$673.40 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$733.85 |
$733.85 |
$733.85 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$16,348.74 |
$16,348.74 |
$16,348.74 |
$7,216.15
|
|
Jak2 targeted sequence analysis
|
$497.90 |
$497.90 |
$497.90 |
$378.30
|
|
Jejunstmy tube plcmt
|
$3,792.75 |
$3,792.75 |
$3,792.75 |
$2,244.82
|
|
Ketamine and metabolite screen - quest
|
$566.15 |
$566.15 |
$566.15 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$94.25 |
$94.25 |
$94.25 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.50 |
$23.50 |
$23.50 |
$30.08
|
|
Kidney imaging morphology
|
$734.50 |
$734.50 |
$734.50 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,025.70 |
$1,025.70 |
$1,025.70 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$801.45 |
$801.45 |
$801.45 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$438.75 |
$438.75 |
$438.75 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$8,315.86 |
$8,315.86 |
$8,315.86 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,384.04 |
$9,384.04 |
$9,384.04 |
$9,384.04
|
|
Kit gene analys d816 variant
|
$870.35 |
$870.35 |
$870.35 |
$355.00
|
|
Kit hfx iq ipg bundle
|
$15,888.15 |
$15,888.15 |
$15,888.15 |
$28,974.93
|
|
Kit ipg optimizer smart
|
$51,911.73 |
$51,911.73 |
$51,911.73 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$16,625.73 |
$16,625.73 |
$16,625.73 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,357.69 |
$1,357.69 |
$1,357.69 |
$1,357.69
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$150.60 |
$150.60 |
$150.60 |
$5,329.23
|
|
Knee MRI (with and without contrast)
|
$3,376.10 |
$3,376.10 |
$3,376.10 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,447.90 |
$2,447.90 |
$2,447.90 |
$2,181.10
|
|
Knee X-ray
|
$527.80 |
$527.80 |
$527.80 |
$443.90
|
|
Kras gene addl variants
|
$443.95 |
$443.95 |
$443.95 |
$346.45
|
|
Kras gene variants exon 2
|
$1,946.10 |
$1,946.10 |
$1,946.10 |
$495.00
|
|
Kyleena, 19.5 mg
|
$2,211.85 |
$2,211.85 |
$2,211.85 |
$2,618.91
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$12.53 |
$42.38 |
$42.38 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$56.00 |
$56.00 |
$64.80 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$16.25 |
$16.25 |
$16.25 |
$53.30
|
|
Lactated ringers intravenous solution
|
$44.91 |
$44.91 |
$44.91 |
$54.11
|
|
Lactic acid
|
$118.30 |
$118.30 |
$118.30 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$209.30 |
$209.30 |
$209.30 |
$88.40
|
|
Lactoferrin fecal quant
|
$425.10 |
$425.10 |
$425.10 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,766.24 |
$19,766.24 |
$19,766.24 |
$22,903.90
|
|
Laryngoscopy telescopic
|
$1,281.80 |
$1,281.80 |
$1,281.80 |
$762.30
|
|
Lead acuity x4 spiral l 86cm
|
$2,880.40 |
$2,880.40 |
$2,880.40 |
$5,831.00
|
|
Lead capillary
|
$8.45 |
$8.45 |
$8.45 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$604.55 |
$604.55 |
$604.55 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$4,772.98 |
$4,772.98 |
$4,772.98 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$931.45 |
$931.45 |
$931.45 |
$1,100.74
|
|
Leishmania antibody
|
$68.25 |
$68.25 |
$68.25 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$91.55 |
$91.55 |
$157.07 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,852.85 |
$2,852.85 |
$2,852.85 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$14,291.19 |
$14,291.19 |
$34,302.16 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$98.12 |
$98.12 |
$98.12 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$190.45 |
$190.45 |
$190.45 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.91 |
$53.72 |
$53.72 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$23.63 |
$23.63 |
$274.85 |
$319.12
|
|
Liberta rc ipg
|
$25,995.57 |
$25,995.57 |
$25,995.57 |
$39,406.68
|