|
Intracranial complete study
|
$586.30 |
$586.30 |
$586.30 |
$883.30
|
|
Intracranial limited study
|
$443.30 |
$443.30 |
$443.30 |
$423.52
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$288.60 |
$288.60 |
$288.60 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$121.55 |
$121.55 |
$121.55 |
$239.52
|
|
Intrauterine transfusion ftl
|
$753.35 |
$753.35 |
$753.35 |
$1,004.25
|
|
Intraventricular pacing
|
$5,131.10 |
$5,131.10 |
$5,131.10 |
$5,775.22
|
|
Intrinsic factor antibody
|
$47.45 |
$47.45 |
$47.45 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,461.90 |
$3,461.90 |
$3,461.90 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$11,774.10 |
$11,774.10 |
$11,774.10 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$25,296.70 |
$25,296.70 |
$25,296.70 |
$15,625.00
|
|
Intro catheter aorta
|
$3,500.90 |
$3,500.90 |
$3,500.90 |
$1,861.61
|
|
Intro cath svc/ivc
|
$2,093.00 |
$2,093.00 |
$2,093.00 |
$1,350.75
|
|
Intro long gi tube
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$728.00 |
$728.00 |
$728.00 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,930.55 |
$3,930.55 |
$3,930.55 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,726.40 |
$1,726.40 |
$1,726.40 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$643.50 |
$643.50 |
$643.50 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$421.85 |
$421.85 |
$421.85 |
$677.98
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$16.12 |
$16.12 |
$16.12 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$46.28 |
$46.28 |
$46.28 |
$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)
|
$90.97 |
$90.97 |
$90.97 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,285.03 |
$8,285.03 |
$8,285.03 |
$6,655.71
|
|
Iron
|
$98.15 |
$98.15 |
$98.15 |
$70.72
|
|
Iron binding capacity
|
$40.30 |
$40.30 |
$40.30 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$55.81 |
$55.81 |
$55.81 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$236.18 |
$236.18 |
$236.18 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$252.20 |
$252.20 |
$252.20 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$11,781.02 |
$11,781.02 |
$11,781.02 |
$13,419.80
|
|
Ivc venogram s&i
|
$3,154.45 |
$3,154.45 |
$3,154.45 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$150.15 |
$150.15 |
$150.15 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$163.80 |
$163.80 |
$163.80 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$100.75 |
$100.75 |
$100.75 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$307.45 |
$307.45 |
$307.45 |
$460.85
|
|
IV inj ra drug dx study
|
$612.30 |
$612.30 |
$612.30 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$713.05 |
$713.05 |
$713.05 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$622.70 |
$622.70 |
$622.70 |
$378.30
|
|
Jejunstmy tube plcmt
|
$3,095.30 |
$3,095.30 |
$3,095.30 |
$2,244.82
|
|
John cunningham antibody
|
$3,677.70 |
$3,677.70 |
$3,677.70 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$729.95 |
$729.95 |
$729.95 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$110.50 |
$110.50 |
$110.50 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$30.45 |
$30.45 |
$30.45 |
$30.08
|
|
Kidney imaging morphology
|
$1,420.25 |
$1,420.25 |
$1,420.25 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,940.25 |
$1,940.25 |
$1,940.25 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,539.85 |
$1,539.85 |
$1,539.85 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$586.30 |
$586.30 |
$586.30 |
$668.25
|
|
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
|
$967.20 |
$967.20 |
$967.20 |
$355.00
|
|
Kit hfx iq ipg bundle
|
$31,178.99 |
$31,178.99 |
$31,178.99 |
$28,974.93
|
|
Kit lead specify 5-6-5
|
$4,539.68 |
$4,539.68 |
$4,539.68 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,316.26 |
$1,316.26 |
$1,316.26 |
$1,357.69
|
|
Knee MRI (with and without contrast)
|
$5,489.90 |
$5,489.90 |
$5,489.90 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$4,989.40 |
$4,989.40 |
$4,989.40 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,535.70 |
$4,535.70 |
$4,535.70 |
$2,181.10
|
|
Knee X-ray
|
$756.60 |
$756.60 |
$756.60 |
$443.90
|
|
Kras gene addl variants
|
$467.35 |
$467.35 |
$467.35 |
$346.45
|
|
Kras gene variants exon 2
|
$2,273.70 |
$2,273.70 |
$2,273.70 |
$495.00
|
|
Kyleena, 19.5 mg
|
$2,211.85 |
$2,211.85 |
$2,211.85 |
$2,618.91
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$42.38 |
$42.38 |
$42.38 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$64.80 |
$64.80 |
$64.80 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$29.90 |
$29.90 |
$29.90 |
$53.30
|
|
Lactated ringers intravenous solution
|
$44.45 |
$44.45 |
$44.45 |
$54.11
|
|
Lactic acid
|
$128.70 |
$128.70 |
$128.70 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$133.90 |
$133.90 |
$133.90 |
$88.40
|
|
Lactoferrin fecal quant
|
$459.55 |
$459.55 |
$459.55 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$268.96 |
$268.96 |
$268.96 |
$22,903.90
|
|
Laryngoscopy telescopic
|
$970.45 |
$970.45 |
$970.45 |
$762.30
|
|
Lead acuity x4 spiral l 86cm
|
$3,061.46 |
$3,061.46 |
$3,061.46 |
$5,831.00
|
|
Lead capillary
|
$9.10 |
$9.10 |
$9.10 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$604.12 |
$604.12 |
$604.12 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$5,282.77 |
$5,282.77 |
$5,282.77 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$920.40 |
$920.40 |
$920.40 |
$1,100.74
|
|
Leishmania antibody
|
$91.00 |
$91.00 |
$91.00 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$157.07 |
$157.07 |
$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
|
$4,799.28 |
$4,799.28 |
$4,799.28 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$61.62 |
$61.62 |
$61.62 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$150.80 |
$150.80 |
$150.80 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$53.72 |
$53.72 |
$53.72 |
$66.59
|
|
Liberta rc ipg
|
$33,582.70 |
$33,582.70 |
$33,582.70 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$49.11 |
$49.11 |
$49.11 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$144.30 |
$144.30 |
$144.30 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$16.64 |
$16.64 |
$16.64 |
$155.52
|
|
Lift heel adjustable med
|
$57.90 |
$57.90 |
$57.90 |
$59.90
|
|
Ligation/biopsy of temporal artery 37609
|
$2,447.90 |
$2,447.90 |
$2,447.90 |
$2,968.00
|
|
Liletta, 52 mg
|
$1,160.93 |
$1,160.93 |
$1,160.93 |
$2,360.29
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$55.35 |
$55.35 |
$55.35 |
$177.90
|
|
Lipase
|
$57.85 |
$57.85 |
$57.85 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$144.95 |
$144.95 |
$144.95 |
$89.52
|
|
Lipoprotein blood quant
|
$79.30 |
$79.30 |
$79.30 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$39.00 |
$39.00 |
$39.00 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$48.10 |
$48.10 |
$48.10 |
$60.00
|
|
Listeria monocytogenes
|
$213.20 |
$213.20 |
$213.20 |
$95.40
|
|
Lithium therapeutic drug level
|
$53.30 |
$53.30 |
$53.30 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$4,371.12
|
|
Liver Function Test
|
$24.05 |
$24.05 |
$24.05 |
$110.50
|
|
Liver imaging
|
$1,665.95 |
$1,665.95 |
$1,665.95 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$1,665.95 |
$1,665.95 |
$1,665.95 |
$1,255.15
|
|
Liver/spleen imag static only
|
$1,605.50 |
$1,605.50 |
$1,605.50 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$6.76 |
$6.76 |
$6.76 |
$16.54
|
