|
Ins/rpl wireless pulm art sensor incl s&i
|
$16,704.15 |
$16,704.15 |
$16,704.15 |
$25,694.00
|
|
Instillation anticarcinogenic agent bladder
|
$201.90 |
$201.90 |
$201.90 |
$621.40
|
|
Instll rx agnt into rnal tub
|
$129.00 |
$129.00 |
$129.00 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$775.65 |
$775.65 |
$775.65 |
$4,202.70
|
|
Insulin total
|
$19.95 |
$19.95 |
$19.95 |
$66.64
|
|
Ins vag brachytx device
|
$335.10 |
$335.10 |
$335.10 |
$935.50
|
|
Integra meshed bil wound mat
|
$74.73 |
$74.73 |
$74.73 |
$9,924.16
|
|
Intens cardiac rehab no exer
|
$56.85 |
$56.85 |
$56.85 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$56.85 |
$56.85 |
$56.85 |
$238.40
|
|
Interdiscal perq aspir dx
|
$267.00 |
$267.00 |
$267.00 |
$1,222.26
|
|
Interrog dev eval scrms ip
|
$513.90 |
$513.90 |
$513.90 |
$124.80
|
|
Interrog device eval heart
|
$513.90 |
$513.90 |
$513.90 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$513.90 |
$513.90 |
$513.90 |
$124.80
|
|
Interrog&prgrmg ipnss
|
$47.55 |
$47.55 |
$47.55 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$147.00 |
$147.00 |
$147.00 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$147.00 |
$147.00 |
$147.00 |
$147.00
|
|
Intra-atrial pacing
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$4,780.80
|
|
Intra-atrial recording
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$513.90 |
$513.90 |
$513.90 |
$3,461.04
|
|
Intracranial angioplasty
|
$1,912.80 |
$1,912.80 |
$1,912.80 |
$4,962.40
|
|
Intracranial complete study
|
$317.55 |
$317.55 |
$317.55 |
$874.99
|
|
Intracranial limited study
|
$229.50 |
$229.50 |
$229.50 |
$465.01
|
|
Intrapul surf admin endo tube
|
$58.65 |
$58.65 |
$58.65 |
$220.80
|
|
Intraventricular pacing
|
$1,142.25 |
$1,142.25 |
$1,142.25 |
$5,456.17
|
|
Intrinsic factor antibody
|
$26.40 |
$26.40 |
$26.40 |
$63.15
|
|
Intrm oph exam est patient
|
$58.35 |
$58.35 |
$58.35 |
$161.25
|
|
Intro cath dialysis circuit
|
$736.65 |
$736.65 |
$736.65 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$2,648.25 |
$2,648.25 |
$2,648.25 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$5,352.30 |
$5,352.30 |
$5,352.30 |
$16,262.40
|
|
Intro catheter aorta
|
$67.35 |
$67.35 |
$67.35 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,323.27
|
|
Intro long gi tube
|
$329.25 |
$329.25 |
$329.25 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$71.70 |
$71.70 |
$71.70 |
$466.00
|
|
Intubation endotracheal emergency procedure
|
$235.05 |
$235.05 |
$235.05 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$49.95 |
$49.95 |
$49.95 |
$371.18
|
|
Iodine i-125 sodium iodide
|
$30.75 |
$30.75 |
$30.75 |
$245.64
|
|
Ionm in operatng room 15 min
|
$77.55 |
$77.55 |
$77.55 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$45.83 |
$45.83 |
$45.83 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$174.99 |
$174.99 |
$174.99 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$72.15 |
$72.15 |
$72.15 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$91.95 |
$91.95 |
$91.95 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$106.50 |
$106.50 |
$106.50 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$56.85 |
$56.85 |
$56.85 |
$134.46
|
|
Ipratropium bromide non-comp
|
$1.09 |
$1.09 |
$1.09 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$48.94 |
$48.94 |
$48.94 |
$174.47
|
|
Iron
|
$11.40 |
$11.40 |
$11.40 |
$72.29
|
|
Iron binding capacity
|
$15.45 |
$15.45 |
$15.45 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$19.69 |
$19.69 |
$19.69 |
$81.70
|
|
Iron stain peripheral blood
|
$11.40 |
$11.40 |
$11.40 |
$30.55
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$282.45 |
$282.45 |
$282.45 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$122.10 |
$122.10 |
$122.10 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$29.40 |
$29.40 |
$29.40 |
$144.62
|
|
Ivc venogram s&i
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$43.95 |
$43.95 |
$43.95 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$25.65 |
$25.65 |
$25.65 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$36.00 |
$36.00 |
$36.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$92.55 |
$92.55 |
$92.55 |
$437.45
|
|
IV inj ra drug dx study
|
$452.25 |
$452.25 |
$452.25 |
$552.60
|
|
Ivp w/nephrotomography
|
$105.90 |
$105.90 |
$105.90 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$119.55 |
$119.55 |
$119.55 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$5,734.52 |
$5,734.52 |
$5,734.52 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$121.05 |
$121.05 |
$121.05 |
$393.43
|
|
John cunningham antibody
|
$25.20 |
$25.20 |
$25.20 |
$66.31
|
|
J-tube placement
|
$73.50 |
$73.50 |
$73.50 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$20.25 |
$20.25 |
$20.25 |
$72.14
|
|
Ketogenic steroids fract
|
$24.15 |
$24.15 |
$24.15 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$14.40 |
$14.40 |
$14.40 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$9.17 |
$9.17 |
$9.17 |
$23.77
|
|
Kidney imaging morphology
|
$452.25 |
$452.25 |
$452.25 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$452.25 |
$452.25 |
$452.25 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$452.25 |
$452.25 |
$452.25 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$101.55 |
$101.55 |
$101.55 |
$673.36
|
|
Kit gene analys d816 variant
|
$108.15 |
$108.15 |
$108.15 |
$366.03
|
|
Knee MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$614.85 |
$614.85 |
$614.85 |
$2,110.76
|
|
Knee X-ray
|
$80.10 |
$80.10 |
$80.10 |
$425.55
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$325.25 |
$325.25 |
$325.25 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$10.50 |
$10.50 |
$10.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$7.26 |
$7.26 |
$7.26 |
$44.91
|
|
Lactic acid
|
$18.75 |
$18.75 |
$18.75 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$34.35 |
$34.35 |
$34.35 |
$81.00
|
|
Lactoferrin fecal quant
|
$21.00 |
$21.00 |
$21.00 |
$108.93
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$398.85 |
$398.85 |
$398.85 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$599.25 |
$599.25 |
$599.25 |
$2,854.09
|
|
Lb with mastopexy 15839
|
$1,223.85 |
$1,223.85 |
$1,223.85 |
$3,386.84
|
|
Lead capillary
|
$21.15 |
$21.15 |
$21.15 |
$55.25
|
|
Legion pneumo dna dir prob
|
$35.10 |
$35.10 |
$35.10 |
$49.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$344.25 |
$344.25 |
$344.25 |
$1,092.58
|
|
Leishmania antibody
|
$20.70 |
$20.70 |
$20.70 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$113.74 |
$113.74 |
$113.74 |
$164.09
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,727.60 |
$1,727.60 |
$1,727.60 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$24.08 |
$24.08 |
$24.08 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$23.10 |
$23.10 |
$23.10 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.86 |
$7.86 |
$7.86 |
$55.60
|
|
Lidocaine therapeutic drug level
|
$25.80 |
$25.80 |
$25.80 |
$87.45
|
|
Ligation/major artery/extremity 37618
|
$644.55 |
$644.55 |
$644.55 |
$1,525.00
|
|
Ligation of inf vena cava
|
$1,690.80 |
$1,690.80 |
$1,690.80 |
$5,983.35
|
|
Ligation vericose vein cluster(s) 1 leg
|
$1,070.70 |
$1,070.70 |
$1,070.70 |
$3,724.63
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$28.90 |
$28.90 |
$28.90 |
$121.00
|
