|
Irrigation implantable venous access device for drug delivery systems
|
$142.20 |
$142.20 |
$142.20 |
$146.11
|
|
IV Fluids (each additional hour)
|
$322.20 |
$322.20 |
$322.20 |
$133.90
|
|
IV Fluids (first hour)
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$388.20 |
$388.20 |
$388.20 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$285.60 |
$285.60 |
$285.60 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$285.60 |
$285.60 |
$285.60 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$147.00 |
$147.00 |
$147.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$165.60 |
$165.60 |
$165.60 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$1,283.40 |
$1,283.40 |
$1,283.40 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$16,246.20 |
$16,246.20 |
$16,246.20 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$1,011.00 |
$1,011.00 |
$1,011.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$675.60 |
$675.60 |
$675.60 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$412.80 |
$412.80 |
$412.80 |
$362.05
|
|
John cunningham antibody
|
$3,164.40 |
$3,164.40 |
$3,164.40 |
$78.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$174.60 |
$174.60 |
$174.60 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$24.60 |
$24.60 |
$24.60 |
$23.52
|
|
Kidney function study
|
$1,179.60 |
$1,179.60 |
$1,179.60 |
$935.22
|
|
Kidney imaging morphology
|
$1,702.20 |
$1,702.20 |
$1,702.20 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,161.00 |
$1,161.00 |
$1,161.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,552.20 |
$1,552.20 |
$1,552.20 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$732.60 |
$732.60 |
$732.60 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$697.80 |
$697.80 |
$697.80 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$7,686.60 |
$7,686.60 |
$7,686.60 |
$7,177.60
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$9.60 |
$9.60 |
$9.60 |
$174.00
|
|
Kit gene analys d816 variant
|
$901.80 |
$901.80 |
$901.80 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$55,218.60 |
$55,218.60 |
$55,218.60 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$11,398.80 |
$11,398.80 |
$11,398.80 |
$16,672.10
|
|
Kit sound processor cochlear osia 2
|
$5,556.60 |
$5,556.60 |
$5,556.60 |
$8,425.00
|
|
Knee MRI (with and without contrast)
|
$4,010.40 |
$4,010.40 |
$4,010.40 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,051.00 |
$3,051.00 |
$3,051.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,130.88
|
|
Knee X-ray
|
$477.00 |
$477.00 |
$477.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$608.40 |
$608.40 |
$608.40 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$399.00 |
$399.00 |
$399.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$237.60 |
$237.60 |
$237.60 |
$251.20
|
|
Kyleena, 19.5 mg
|
$2,489.60 |
$2,489.60 |
$2,489.60 |
$2,125.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$327.00 |
$327.00 |
$327.00 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$42.60 |
$42.60 |
$42.60 |
$55.50
|
|
Lactated ringers intravenous solution
|
$32.40 |
$32.40 |
$32.40 |
$43.74
|
|
Lactic acid
|
$121.80 |
$121.80 |
$121.80 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$351.60 |
$351.60 |
$351.60 |
$82.16
|
|
Lactoferrin fecal quant
|
$166.80 |
$166.80 |
$166.80 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$33,573.60 |
$33,573.60 |
$33,573.60 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,473.60 |
$1,473.60 |
$1,473.60 |
$740.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$4,228.80 |
$4,228.80 |
$4,228.80 |
$2,514.60
|
|
Lead capillary
|
$165.60 |
$165.60 |
$165.60 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,351.80 |
$1,351.80 |
$1,351.80 |
$2,928.00
|
|
Left compres band <3"/yd
|
$1.20 |
$1.20 |
$1.20 |
$3.64
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,678.20 |
$1,678.20 |
$1,678.20 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,680.20 |
$2,680.20 |
$2,680.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,358.60 |
$2,358.60 |
$2,358.60 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$283.80 |
$283.80 |
$283.80 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,974.60 |
$1,974.60 |
$1,974.60 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$289.80 |
$289.80 |
$289.80 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$87.60 |
$87.60 |
$87.60 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$6,275.40 |
$6,275.40 |
$6,275.40 |
$6,360.76
|
|
Levalbuterol non-comp con
|
$12.60 |
$12.60 |
$12.60 |
$20.06
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$276.00 |
$276.00 |
$276.00 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$330.60 |
$330.60 |
$330.60 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$37.00 |
$37.00 |
$37.00 |
$55.69
|
|
Liberta rc ipg
|
$39,513.60 |
$39,513.60 |
$39,513.60 |
$39,189.70
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.16 |
$0.16 |
$0.16 |
$39.75
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$370.20 |
$370.20 |
$370.20 |
$121.00
|
|
Lipase
|
$139.80 |
$139.80 |
$139.80 |
$93.58
|
|
Lipoprotein blood quant
|
$394.20 |
$394.20 |
$394.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$63.60 |
$63.60 |
$63.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$164.40 |
$164.40 |
$164.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$82.80 |
$82.80 |
$82.80 |
$69.75
|
|
Liver ds alys 3 bmrk srm alg
|
$944.40 |
$944.40 |
$944.40 |
$365.28
|
|
Liver Function Test
|
$232.20 |
$232.20 |
$232.20 |
$115.44
|
|
Liver imag w/vasclr flow
|
$1,510.20 |
$1,510.20 |
$1,510.20 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,308.60 |
$1,308.60 |
$1,308.60 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$1,069.20
|
|
Loop ostmy bridg ster
|
$64.80 |
$64.80 |
$64.80 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$31.20 |
$31.20 |
$31.20 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$253.20 |
$253.20 |
$253.20 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,574.80 |
$3,574.80 |
$3,574.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,555.40 |
$2,555.40 |
$2,555.40 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,051.40 |
$2,051.40 |
$2,051.40 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,010.40 |
$4,010.40 |
$4,010.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,051.00 |
$3,051.00 |
$3,051.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$417.00 |
$417.00 |
$417.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$710.40 |
$710.40 |
$710.40 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$828.00 |
$828.00 |
$828.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$646.80 |
$646.80 |
$646.80 |
$338.40
|
|
L/s ratio fetal lung
|
$405.00 |
$405.00 |
$405.00 |
$176.15
|
|
Lumbar diskogram s&i
|
$1,968.60 |
$1,968.60 |
$1,968.60 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$526.80 |
$526.80 |
$526.80 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$228.00 |
$228.00 |
$228.00 |
$296.91
|
|
Lung perfusion imaging
|
$479.40 |
$479.40 |
$479.40 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,172.40 |
$1,172.40 |
$1,172.40 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$630.00 |
$630.00 |
$630.00 |
$271.88
|
|
Macroscopic exam arthropod
|
$75.00 |
$75.00 |
$75.00 |
$38.58
|
|
Macroscopic exam parasite
|
$51.00 |
$51.00 |
$51.00 |
$37.05
|
|
Magnesium
|
$124.80 |
$124.80 |
$124.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$74.40 |
$74.40 |
$74.40 |
$58.70
|
|
Mammosite ced
|
$11,007.00 |
$11,007.00 |
$11,007.00 |
$5,031.60
|
