|
Insert vad art access left hrt arterial access
|
$557.21 |
$557.21 |
$557.21 |
$5,135.65
|
|
Ins icd gen exist mlt leads
|
$14,799.87 |
$14,799.87 |
$14,799.87 |
$31,488.80
|
|
Ins icd gen exist sgl lead
|
$10,568.81 |
$10,568.81 |
$10,568.81 |
$26,433.98
|
|
In situ hybridization per specimen each additional single probe stain
|
$251.55 |
$251.55 |
$251.55 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$251.55 |
$251.55 |
$251.55 |
$364.00
|
|
Insj perq vad r hrt venous
|
$557.21 |
$557.21 |
$557.21 |
$5,375.00
|
|
Ins lv lead exist pm/icd
|
$7,557.30 |
$7,557.30 |
$7,557.30 |
$12,270.00
|
|
Ins mark abd/pel for right perq
|
$1,342.05 |
$1,342.05 |
$1,342.05 |
$2,000.78
|
|
Ins picad w subq port 5yr>
|
$3,160.46 |
$3,160.46 |
$3,160.46 |
$4,312.97
|
|
Ins pm gen exist dual lead
|
$10,568.81 |
$10,568.81 |
$10,568.81 |
$25,546.94
|
|
Ins pm gen w/exist mlt leads
|
$8,405.85 |
$8,405.85 |
$8,405.85 |
$17,191.21
|
|
Ins pq tunnld ip cath w/img
|
$3,024.83 |
$3,024.83 |
$3,024.83 |
$5,597.45
|
|
Ins/rpl ldless pm right vent w img & eval
|
$7,657.76 |
$7,657.76 |
$7,657.76 |
$24,705.20
|
|
Ins/rpl pm gen exist dual lead
|
$4,659.54 |
$4,659.54 |
$4,659.54 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$4,069.52 |
$4,069.52 |
$4,069.52 |
$9,824.59
|
|
Ins/rpl pm w/tv ld atrl
|
$4,659.54 |
$4,659.54 |
$4,659.54 |
$12,442.95
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$13,701.56 |
$13,701.56 |
$13,701.56 |
$28,931.50
|
|
Instillation anticarcinogenic agent bladder
|
$491.82 |
$491.82 |
$491.82 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$1,842.26 |
$1,842.26 |
$1,842.26 |
$4,314.75
|
|
Insulin total
|
$72.20 |
$72.20 |
$72.20 |
$72.15
|
|
Integra meshed bil wound mat
|
$266.48 |
$266.48 |
$266.48 |
$11,119.26
|
|
Interdiscal perq aspir dx
|
$1,658.43 |
$1,658.43 |
$1,658.43 |
$1,222.26
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$124.05 |
$124.05 |
$124.05 |
$104.31
|
|
Interrogation vad in person
|
$98.48 |
$98.48 |
$98.48 |
$301.98
|
|
Intra-atrial pacing
|
$2,231.60 |
$2,231.60 |
$2,231.60 |
$4,614.35
|
|
Intra-atrial recording
|
$623.19 |
$623.19 |
$623.19 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$1,029.87 |
$1,029.87 |
$1,029.87 |
$4,328.45
|
|
Intracranial complete study
|
$330.20 |
$330.20 |
$330.20 |
$903.50
|
|
Intracranial limited study
|
$192.15 |
$192.15 |
$192.15 |
$398.34
|
|
Intrapul surf admin endo tube
|
$130.50 |
$130.50 |
$130.50 |
$220.80
|
|
Intraventricular pacing
|
$2,231.60 |
$2,231.60 |
$2,231.60 |
$5,625.00
|
|
Intrinsic factor antibody
|
$74.40 |
$74.40 |
$74.40 |
$76.77
|
|
Intro cath dialysis circuit
|
$1,087.38 |
$1,087.38 |
$1,087.38 |
$2,161.90
|
|
Intro cath dialysis circuit w/pta
|
$9,926.10 |
$9,926.10 |
$9,926.10 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,851.48 |
$12,851.48 |
$12,851.48 |
$18,260.50
|
|
Intro catheter aorta
|
$658.41 |
$658.41 |
$658.41 |
$1,963.80
|
|
Intro cath svc/ivc
|
$720.09 |
$720.09 |
$720.09 |
$1,942.50
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,436.50 |
$3,436.50 |
$3,436.50 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$776.69 |
$776.69 |
$776.69 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$412.28 |
$412.28 |
$412.28 |
$565.00
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.24 |
$2.24 |
$2.24 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$12.03 |
$12.03 |
$12.03 |
$145.52
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$249.32 |
$249.32 |
$249.32 |
$261.10
|
|
Ipratropium bromide non-comp
|
$0.29 |
$0.29 |
$0.29 |
$2.43
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$21.83 |
$21.83 |
$21.83 |
$254.59
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$145.25 |
$145.25 |
$145.25 |
$111.98
|
|
Iron
|
$449.37 |
$449.37 |
$449.37 |
$67.50
|
|
Iron binding capacity
|
$49.31 |
$49.31 |
$49.31 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$38.16 |
$38.16 |
$38.16 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.37 |
$1.37 |
$1.37 |
$211.09
|
|
Irrigation implantable venous access device for drug delivery systems
|
$46.80 |
$46.80 |
$46.80 |
$149.00
|
|
Ivc venogram s&i
|
$2,712.93 |
$2,712.93 |
$2,712.93 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$148.44 |
$148.44 |
$148.44 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$36.90 |
$36.90 |
$36.90 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$36.93 |
$36.93 |
$36.93 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$148.43 |
$148.43 |
$148.43 |
$476.50
|
|
IV inj ra drug dx study
|
$251.81 |
$251.81 |
$251.81 |
$473.22
|
|
Ivp w/wo kub w/wo tomography
|
$284.01 |
$284.01 |
$284.01 |
$687.80
|
|
Jejunstmy tube plcmt
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
$2,174.40
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$44.42 |
$44.42 |
$44.42 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$7.02 |
$7.02 |
$7.02 |
$17.11
|
|
Kidney imag w/bld flow multi
|
$607.40 |
$607.40 |
$607.40 |
$1,319.61
|
|
Kidney img w/bldflw sgl without rx
|
$567.90 |
$567.90 |
$567.90 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$280.17 |
$280.17 |
$280.17 |
$618.54
|
|
Kit case 4.2mm spinejack
|
$2,575.71 |
$2,575.71 |
$2,575.71 |
$7,751.14
|
|
Knee MRI (with and without contrast)
|
$972.87 |
$972.87 |
$972.87 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$846.02 |
$846.02 |
$846.02 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$735.74 |
$735.74 |
$735.74 |
$2,120.00
|
|
Knee X-ray
|
$120.17 |
$120.17 |
$120.17 |
$387.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$4.89 |
$4.89 |
$4.89 |
$13.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.71 |
$0.71 |
$0.71 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$34.23 |
$34.23 |
$34.23 |
$50.55
|
|
Lactated ringers intravenous solution
|
$46.35 |
$46.35 |
$46.35 |
$46.35
|
|
Lactic acid
|
$68.00 |
$68.00 |
$68.00 |
$85.20
|
|
Laryngoscopy with biopsy
|
$1,404.29 |
$1,404.29 |
$1,404.29 |
$3,297.83
|
|
Lead capillary
|
$66.27 |
$66.27 |
$66.27 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$556.46 |
$556.46 |
$556.46 |
$1,053.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$21.50 |
$21.50 |
$21.50 |
$115.27
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$970.77 |
$970.77 |
$970.77 |
$5,001.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.57 |
$0.57 |
$0.57 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$148.74 |
$148.74 |
$148.74 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$14.63 |
$14.63 |
$14.63 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$22.70 |
$22.70 |
$22.70 |
$343.13
|
|
Lidocaine therapeutic drug level
|
$77.45 |
$77.45 |
$77.45 |
$82.50
|
|
Lig/band angioaccess av fistula
|
$4,686.93 |
$4,686.93 |
$4,686.93 |
$4,240.23
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$46.65 |
$46.65 |
$46.65 |
$84.28
|
|
Lipase
|
$41.90 |
$41.90 |
$41.90 |
$67.68
|
|
Lipoprotein blood quant
|
$28.82 |
$28.82 |
$28.82 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$53.36 |
$53.36 |
$53.36 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$81.65 |
$81.65 |
$81.65 |
$61.60
|
|
Lithium therapeutic drug level
|
$50.33 |
$50.33 |
$50.33 |
$62.40
|
|
Liver Function Test
|
$105.26 |
$105.26 |
$105.26 |
$92.85
|
|
Liver/spleen imag static only
|
$540.83 |
$540.83 |
$540.83 |
$1,135.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$3.24 |
$3.24 |
$3.24 |
$2.57
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$6.12 |
$6.12 |
$6.12 |
$37.37
|
|
Low cost skin substitute app
|
$879.60 |
$879.60 |
$879.60 |
$879.60
|
|
Low cost skin substitute app
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
$2,147.57
|
|
Low cost skin substitute app
|
$879.60 |
$879.60 |
$879.60 |
$879.60
|
|
Low cost skin substitute app
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
$1,214.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$861.47 |
$861.47 |
$861.47 |
$1,731.00
|