|
Ionm in operatng room 15 min
|
$205.80 |
$205.80 |
$205.80 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$389.40 |
$389.40 |
$389.40 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$404.40 |
$404.40 |
$404.40 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$904.80 |
$904.80 |
$904.80 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$493.80 |
$493.80 |
$493.80 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$15.40 |
$15.40 |
$15.40 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$2,527.20 |
$2,527.20 |
$2,527.20 |
$173.98
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$133.80 |
$133.80 |
$133.80 |
$5,517.12
|
|
Iron
|
$97.20 |
$97.20 |
$97.20 |
$75.00
|
|
Iron binding capacity
|
$97.20 |
$97.20 |
$97.20 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$270.40 |
$270.40 |
$270.40 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$715.80 |
$715.80 |
$715.80 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$294.60 |
$294.60 |
$294.60 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$158.40 |
$158.40 |
$158.40 |
$146.11
|
|
Irrigation tray
|
$3.60 |
$3.60 |
$3.60 |
$9.67
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$161.40 |
$161.40 |
$161.40 |
$8,273.35
|
|
Ivc venogram s&i
|
$2,766.60 |
$2,766.60 |
$2,766.60 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$147.60 |
$147.60 |
$147.60 |
$133.90
|
|
IV Fluids (first hour)
|
$607.20 |
$607.20 |
$607.20 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$305.40 |
$305.40 |
$305.40 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$305.40 |
$305.40 |
$305.40 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$234.60 |
$234.60 |
$234.60 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$607.20 |
$607.20 |
$607.20 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$158.40 |
$158.40 |
$158.40 |
$167.50
|
|
IV Push Injection (first drug)
|
$158.40 |
$158.40 |
$158.40 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$543.60 |
$543.60 |
$543.60 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$152.40 |
$152.40 |
$152.40 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$389.40 |
$389.40 |
$389.40 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$307.80 |
$307.80 |
$307.80 |
$362.05
|
|
Jejunstmy tube plcmt
|
$5,083.20 |
$5,083.20 |
$5,083.20 |
$2,174.40
|
|
John cunningham antibody
|
$97.80 |
$97.80 |
$97.80 |
$78.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$111.60 |
$111.60 |
$111.60 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$101.60 |
$101.60 |
$101.60 |
$23.52
|
|
Kidney imaging morphology
|
$573.60 |
$573.60 |
$573.60 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,749.60 |
$1,749.60 |
$1,749.60 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,055.40 |
$1,055.40 |
$1,055.40 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$442.20 |
$442.20 |
$442.20 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$324.00 |
$324.00 |
$324.00 |
$490.75
|
|
Kit gene analys d816 variant
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$374.61
|
|
Kit lead specify 5-6-5
|
$24,616.20 |
$24,616.20 |
$24,616.20 |
$16,672.10
|
|
Kit sound processor cochlear osia 2
|
$5,662.80 |
$5,662.80 |
$5,662.80 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,245.60 |
$4,245.60 |
$4,245.60 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$2,415.00 |
$2,415.00 |
$2,415.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,948.80 |
$1,948.80 |
$1,948.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,045.40 |
$2,045.40 |
$2,045.40 |
$2,130.88
|
|
Knee X-ray
|
$473.40 |
$473.40 |
$473.40 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$253.80 |
$253.80 |
$253.80 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$411.60 |
$411.60 |
$411.60 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$192.00 |
$192.00 |
$192.00 |
$251.20
|
|
Kras gene addl variants
|
$1,324.20 |
$1,324.20 |
$1,324.20 |
$387.20
|
|
Kras gene variants exon 2
|
$1,561.20 |
$1,561.20 |
$1,561.20 |
$536.20
|
|
Kyleena, 19.5 mg
|
$2,561.60 |
$2,561.60 |
$2,561.60 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$5.60 |
$5.60 |
$5.60 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$260.40 |
$260.40 |
$260.40 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$104.40 |
$104.40 |
$104.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$122.40 |
$122.40 |
$122.40 |
$43.74
|
|
Lactic acid
|
$207.00 |
$207.00 |
$207.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$169.80 |
$169.80 |
$169.80 |
$82.16
|
|
Lactoferrin fecal quant
|
$283.20 |
$283.20 |
$283.20 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$321.60 |
$321.60 |
$321.60 |
$19,124.00
|
|
Laparoscopy remove adnexa
|
$7,082.40 |
$7,082.40 |
$7,082.40 |
$8,782.80
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$298.80 |
$298.80 |
$298.80 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$4,273.20 |
$4,273.20 |
$4,273.20 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,310.60 |
$2,310.60 |
$2,310.60 |
$2,514.60
|
|
Laryngoscopy w/fb removal
|
$4,066.20 |
$4,066.20 |
$4,066.20 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$3,065.40 |
$3,065.40 |
$3,065.40 |
$981.40
|
|
Lead acuity x4 spiral l 86cm
|
$11,832.00 |
$11,832.00 |
$11,832.00 |
$5,460.00
|
|
Lead capillary
|
$182.40 |
$182.40 |
$182.40 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$7,595.40 |
$7,595.40 |
$7,595.40 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$34,287.60 |
$34,287.60 |
$34,287.60 |
$8,202.66
|
|
Left compres band <3"/yd
|
$1.20 |
$1.20 |
$1.20 |
$3.64
|
|
Left compres band >=5"/yd
|
$12.00 |
$12.00 |
$12.00 |
$6.73
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,906.80 |
$1,906.80 |
$1,906.80 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$764.40 |
$764.40 |
$764.40 |
$1,065.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$202.80 |
$202.80 |
$202.80 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,614.40 |
$3,614.40 |
$3,614.40 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$543.00 |
$543.00 |
$543.00 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$91.20 |
$91.20 |
$91.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$455.40 |
$455.40 |
$455.40 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$16.80 |
$16.80 |
$16.80 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.60 |
$0.60 |
$0.60 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$193.20 |
$193.20 |
$193.20 |
$87.45
|
|
Ligation/major artery/extremity 37618
|
$3,520.20 |
$3,520.20 |
$3,520.20 |
$1,567.80
|
|
Ligation major artery neck
|
$3,943.20 |
$3,943.20 |
$3,943.20 |
$3,703.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$181.60 |
$181.60 |
$181.60 |
$121.00
|
|
Lipase
|
$190.80 |
$190.80 |
$190.80 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$361.80 |
$361.80 |
$361.80 |
$87.00
|
|
Lipoprotein blood quant
|
$501.00 |
$501.00 |
$501.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$138.00 |
$138.00 |
$138.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$37.80 |
$37.80 |
$37.80 |
$61.60
|
|
Lip surgery procedure
|
$297.00 |
$297.00 |
$297.00 |
$334.50
|
|
Lithium therapeutic drug level
|
$182.40 |
$182.40 |
$182.40 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$281.40 |
$281.40 |
$281.40 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$972.60 |
$972.60 |
$972.60 |
$365.28
|