|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$20,342.57 |
$20,342.57 |
$20,342.57 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$967.56 |
$967.56 |
$967.56 |
$7,572.47
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$4,298.73 |
$4,298.73 |
$4,298.73 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,179.12 |
$2,179.12 |
$2,179.12 |
$5,470.54
|
|
Insert swan-ganz cath
|
$2,245.08 |
$2,245.08 |
$2,245.08 |
$2,164.52
|
|
Insert vad art access left hrt arterial access
|
$1,414.89 |
$1,414.89 |
$1,414.89 |
$5,062.80
|
|
Insitu hybridization auto
|
$1,538.88 |
$1,538.88 |
$1,538.88 |
$398.16
|
|
Insitu hybridization (fish)
|
$471.14 |
$471.14 |
$471.14 |
$481.60
|
|
Insitu hybridization manual
|
$113.08 |
$113.08 |
$113.08 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$230.12 |
$230.12 |
$230.12 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$268.30 |
$268.30 |
$268.30 |
$338.40
|
|
Ins pq tunnld ip cath w/img
|
$2,000.59 |
$2,000.59 |
$2,000.59 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$12,081.36 |
$12,081.36 |
$12,081.36 |
$24,135.54
|
|
Inst fibrinolysis agent ini day
|
$522.22 |
$522.22 |
$522.22 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$522.22 |
$522.22 |
$522.22 |
$898.12
|
|
Ins tun cv cath wo subq prt/pm
|
$2,576.86 |
$2,576.86 |
$2,576.86 |
$4,748.00
|
|
Insulin total
|
$77.87 |
$77.87 |
$77.87 |
$67.60
|
|
Intens cardiac rehab w/exerc
|
$81.34 |
$81.34 |
$81.34 |
$226.98
|
|
Interdiscal perq aspir dx
|
$421.55 |
$421.55 |
$421.55 |
$1,222.26
|
|
Interferon alfa-2b inj
|
$923.92 |
$923.92 |
$923.92 |
$494.64
|
|
Interferon beta-1a inj
|
$1,778.41 |
$1,778.41 |
$1,778.41 |
$2,203.14
|
|
Interrog evl pm/ldls pm ip
|
$28.27 |
$28.27 |
$28.27 |
$127.20
|
|
Intra-atrial pacing
|
$4,967.24 |
$4,967.24 |
$4,967.24 |
$5,155.51
|
|
Intracard echo interv w/s&i
|
$290.12 |
$290.12 |
$290.12 |
$3,982.59
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$2,562.97 |
$2,562.97 |
$2,562.97 |
$3,690.00
|
|
Intraventricular pacing
|
$4,967.24 |
$4,967.24 |
$4,967.24 |
$5,775.22
|
|
Intrinsic factor antibody
|
$99.69 |
$99.69 |
$99.69 |
$59.95
|
|
Intro cath dialysis circuit
|
$1,547.31 |
$1,547.31 |
$1,547.31 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$5,572.28 |
$5,572.28 |
$5,572.28 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,263.57 |
$11,263.57 |
$11,263.57 |
$15,625.00
|
|
Intro catheter aorta
|
$323.35 |
$323.35 |
$323.35 |
$1,861.61
|
|
Intro cath svc/ivc
|
$113.08 |
$113.08 |
$113.08 |
$1,350.75
|
|
Intro long gi tube
|
$534.12 |
$534.12 |
$534.12 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$408.65 |
$408.65 |
$408.65 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$937.31 |
$937.31 |
$937.31 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$737.95 |
$737.95 |
$737.95 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$367.99 |
$367.99 |
$367.99 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$83.82 |
$83.82 |
$83.82 |
$677.98
|
|
Ionm in operatng room 15 min
|
$17.86 |
$17.86 |
$17.86 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$70.43 |
$70.43 |
$70.43 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$132.42 |
$132.42 |
$132.42 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$139.36 |
$139.36 |
$139.36 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$11,272.50 |
$11,272.50 |
$11,272.50 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$2.98 |
$2.98 |
$2.98 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$37.70 |
$37.70 |
$37.70 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$44.14 |
$44.14 |
$44.14 |
$6,655.71
|
|
Iron
|
$193.42 |
$193.42 |
$193.42 |
$70.72
|
|
Iron binding capacity
|
$61.00 |
$61.00 |
$61.00 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$43.65 |
$43.65 |
$43.65 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$45.13 |
$45.13 |
$45.13 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$88.78 |
$88.78 |
$88.78 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$217.72 |
$217.72 |
$217.72 |
$154.50
|
|
Ivc venogram s&i
|
$1,866.19 |
$1,866.19 |
$1,866.19 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$134.40 |
$134.40 |
$134.40 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$131.92 |
$131.92 |
$131.92 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$134.40 |
$134.40 |
$134.40 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$295.08 |
$295.08 |
$295.08 |
$460.85
|
|
Ivp w/nephrotomography
|
$1,266.61 |
$1,266.61 |
$1,266.61 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,037.99 |
$1,037.99 |
$1,037.99 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$5,190.41 |
$5,190.41 |
$5,190.41 |
$7,216.15
|
|
Jak2 targeted sequence analysis
|
$321.37 |
$321.37 |
$321.37 |
$378.30
|
|
John cunningham antibody
|
$1,635.58 |
$1,635.58 |
$1,635.58 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$188.95 |
$188.95 |
$188.95 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$125.97 |
$125.97 |
$125.97 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$8.44 |
$8.44 |
$8.44 |
$30.08
|
|
Kidney imaging morphology
|
$1,049.89 |
$1,049.89 |
$1,049.89 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,248.06 |
$2,248.06 |
$2,248.06 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,410.43 |
$1,410.43 |
$1,410.43 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$489.49 |
$489.49 |
$489.49 |
$668.25
|
|
Kit hfx iq ipg bundle
|
$14,580.36 |
$14,580.36 |
$14,580.36 |
$28,974.93
|
|
Kit lead specify 5-6-5
|
$11,108.84 |
$11,108.84 |
$11,108.84 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$576.28 |
$576.28 |
$576.28 |
$1,357.69
|
|
Kras gene addl variants
|
$744.40 |
$744.40 |
$744.40 |
$346.45
|
|
Kras gene variants exon 2
|
$925.41 |
$925.41 |
$925.41 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$100.18 |
$100.18 |
$100.18 |
$100.75
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$76.38 |
$76.38 |
$76.38 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$77.87 |
$77.87 |
$77.87 |
$53.30
|
|
Lactated ringers intravenous solution
|
$36.21 |
$36.21 |
$36.21 |
$54.11
|
|
Lactic acid
|
$95.22 |
$95.22 |
$95.22 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$70.92 |
$70.92 |
$70.92 |
$88.40
|
|
Lactoferrin fecal quant
|
$205.32 |
$205.32 |
$205.32 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$99.77 |
$99.77 |
$99.77 |
$22,903.90
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$2,448.41 |
$2,448.41 |
$2,448.41 |
$660.10
|
|
Lead acuity x4 spiral l 86cm
|
$7,201.41 |
$7,201.41 |
$7,201.41 |
$5,831.00
|
|
Lead capillary
|
$77.37 |
$77.37 |
$77.37 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,877.60 |
$1,877.60 |
$1,877.60 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$4,459.91 |
$4,459.91 |
$4,459.91 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$578.76 |
$578.76 |
$578.76 |
$1,100.74
|
|
Leishmania antibody
|
$69.93 |
$69.93 |
$69.93 |
$58.50
|
|
Lens iol ant bicnvx 24.0 multi
|
$99.19 |
$99.19 |
$99.19 |
$1,546.87
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$46.13 |
$46.13 |
$46.13 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$8,669.86 |
$8,669.86 |
$8,669.86 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$5,862.89 |
$5,862.89 |
$5,862.89 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$45.63 |
$45.63 |
$45.63 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$139.36 |
$139.36 |
$139.36 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$12.40 |
$12.40 |
$12.40 |
$66.59
|
|
Liberta rc ipg
|
$19,698.85 |
$19,698.85 |
$19,698.85 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$51.58 |
$51.58 |
$51.58 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$102.66 |
$102.66 |
$102.66 |
$83.85
|
|
Lift heel adjustable med
|
$73.90 |
$73.90 |
$73.90 |
$59.90
|