|
Interrog&prgrmg ipnss polysm
|
$1,344.85 |
$1,344.85 |
$1,344.85 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$411.45 |
$411.45 |
$411.45 |
$147.00
|
|
Intrinsic factor antibody
|
$67.60 |
$67.60 |
$67.60 |
$65.00
|
|
Intrm oph exam est patient
|
$385.45 |
$385.45 |
$385.45 |
$161.25
|
|
Intro long gi tube
|
$2,803.45 |
$2,803.45 |
$2,803.45 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$410.80 |
$410.80 |
$410.80 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$694.20 |
$694.20 |
$694.20 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$15.13 |
$15.13 |
$15.13 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$13.40 |
$13.40 |
$13.40 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$2,825.08 |
$2,825.08 |
$2,825.08 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$26.78 |
$26.78 |
$26.78 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$952.54 |
$952.54 |
$952.54 |
$5,517.12
|
|
Iron
|
$29.25 |
$29.25 |
$29.25 |
$75.00
|
|
Iron binding capacity
|
$39.00 |
$39.00 |
$39.00 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$43.62 |
$43.62 |
$43.62 |
$80.67
|
|
Iron stain peripheral blood
|
$30.55 |
$30.55 |
$30.55 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$30.40 |
$30.40 |
$30.40 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$176.15 |
$176.15 |
$176.15 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$266.50 |
$266.50 |
$266.50 |
$146.11
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$578.11 |
$578.11 |
$578.11 |
$8,273.35
|
|
IV Fluids (each additional hour)
|
$206.70 |
$206.70 |
$206.70 |
$133.90
|
|
IV Fluids (first hour)
|
$945.10 |
$945.10 |
$945.10 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$495.30 |
$495.30 |
$495.30 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$319.15 |
$319.15 |
$319.15 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$206.70 |
$206.70 |
$206.70 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$945.10 |
$945.10 |
$945.10 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$206.70 |
$206.70 |
$206.70 |
$167.50
|
|
IV Push Injection (first drug)
|
$945.10 |
$945.10 |
$945.10 |
$252.76
|
|
Ixabepilone 15 mg intravenous solution
|
$18,856.29 |
$18,856.29 |
$18,856.29 |
$10,695.32
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$395.20 |
$395.20 |
$395.20 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$477.10 |
$477.10 |
$477.10 |
$362.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.40 |
$36.40 |
$36.40 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$15.29 |
$15.29 |
$15.29 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$477.10 |
$477.10 |
$477.10 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$477.10 |
$477.10 |
$477.10 |
$490.75
|
|
Kit gene analys d816 variant
|
$560.30 |
$560.30 |
$560.30 |
$374.61
|
|
Knee cap medial or lateral p
|
$72.15 |
$72.15 |
$72.15 |
$104.54
|
|
Knee MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,543.15 |
$3,543.15 |
$3,543.15 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,130.88
|
|
Knee X-ray
|
$477.10 |
$477.10 |
$477.10 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$395.20 |
$395.20 |
$395.20 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$395.20 |
$395.20 |
$395.20 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$395.20 |
$395.20 |
$395.20 |
$251.20
|
|
Ko single upright pre cst
|
$638.30 |
$638.30 |
$638.30 |
$988.40
|
|
Ko w adj flex/ext rotat mold
|
$912.60 |
$912.60 |
$912.60 |
$2,418.09
|
|
Kras gene addl variants
|
$866.45 |
$866.45 |
$866.45 |
$387.20
|
|
Kras gene variants exon 2
|
$866.45 |
$866.45 |
$866.45 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,894.83 |
$1,894.83 |
$1,894.83 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$9.36 |
$9.36 |
$9.36 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$11.60 |
$11.60 |
$11.60 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$27.30 |
$27.30 |
$27.30 |
$55.50
|
|
Lactated ringers intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$43.74
|
|
Lactic acid
|
$52.00 |
$52.00 |
$52.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$88.40 |
$88.40 |
$88.40 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$74,084.40 |
$74,084.40 |
$74,084.40 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$882.70 |
$882.70 |
$882.70 |
$740.40
|
|
Laronidase injection
|
$541.91 |
$541.91 |
$541.91 |
$1,927.01
|
|
Laryngeal function studies
|
$335.40 |
$335.40 |
$335.40 |
$342.60
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$1,160.90 |
$1,160.90 |
$1,160.90 |
$981.40
|
|
Lead capillary
|
$54.60 |
$54.60 |
$54.60 |
$57.50
|
|
Leg CT Scan (with contrast, both legs)
|
$798.20 |
$798.20 |
$798.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$477.10 |
$477.10 |
$477.10 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$903.50 |
$903.50 |
$903.50 |
$1,092.58
|
|
Leishmania antibody
|
$55.25 |
$55.25 |
$55.25 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$360.75 |
$360.75 |
$360.75 |
$955.30
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$201.69 |
$201.69 |
$201.69 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$30,134.50 |
$30,134.50 |
$30,134.50 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$30,414.64 |
$30,414.64 |
$30,414.64 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$1,737.45 |
$1,737.45 |
$1,737.45 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$31.92 |
$31.92 |
$31.92 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$59.15 |
$59.15 |
$59.15 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.27 |
$0.27 |
$0.27 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,235.31 |
$1,235.31 |
$1,235.31 |
$420.60
|
|
Lidocaine injection
|
$0.08 |
$0.08 |
$0.08 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$7.02 |
$7.02 |
$7.02 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.08 |
$0.08 |
$0.08 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$65.65 |
$65.65 |
$65.65 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$16,991.93 |
$16,991.93 |
$16,991.93 |
$30,744.64
|
|
Liletta, 52 mg
|
$1,453.50 |
$1,453.50 |
$1,453.50 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.25 |
$0.25 |
$0.25 |
$121.00
|
|
Lipase
|
$31.20 |
$31.20 |
$31.20 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$152.10 |
$152.10 |
$152.10 |
$87.00
|
|
Lipoprotein blood quant
|
$153.40 |
$153.40 |
$153.40 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$37.05 |
$37.05 |
$37.05 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$46.80 |
$46.80 |
$46.80 |
$61.60
|
|
Lisocabtagene mara car pos t
|
$1,740,703.90 |
$1,740,703.90 |
$1,740,703.90 |
$1,336,907.88
|
|
Lithium therapeutic drug level
|
$29.90 |
$29.90 |
$29.90 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,290.30 |
$3,290.30 |
$3,290.30 |
$4,371.12
|
|
Liver Function Test
|
$36.40 |
$36.40 |
$36.40 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$11.27 |
$11.27 |
$11.27 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$67,929.65 |
$67,929.65 |
$67,929.65 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.44 |
$37.44 |
$37.44 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$477.10 |
$477.10 |
$477.10 |
$359.20
|