|
Interrogation vad in person
|
$98.48 |
$98.48 |
$98.48 |
|
|
Intra-atrial pacing
|
$2,231.60 |
$2,231.60 |
$2,231.60 |
|
|
Intra-atrial recording
|
$623.19 |
$623.19 |
$623.19 |
|
|
Intracard echo interv w/s&i
|
$1,029.87 |
$1,029.87 |
$1,029.87 |
|
|
Intracranial complete study
|
$330.20 |
$330.20 |
$330.20 |
|
|
Intracranial limited study
|
$192.15 |
$192.15 |
$192.15 |
|
|
Intrapul surf admin endo tube
|
$128.94 |
$128.94 |
$130.50 |
|
|
Intraventricular pacing
|
$2,231.60 |
$2,231.60 |
$2,231.60 |
|
|
Intrinsic factor antibody
|
$74.40 |
$74.40 |
$74.40 |
|
|
Intro cath dialysis circuit
|
$1,087.38 |
$1,087.38 |
$1,087.38 |
|
|
Intro cath dialysis circuit w/pta
|
$9,926.10 |
$9,926.10 |
$9,926.10 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,851.48 |
$12,851.48 |
$12,851.48 |
|
|
Intro catheter aorta
|
$658.41 |
$658.41 |
$658.41 |
|
|
Intro cath svc/ivc
|
$720.09 |
$720.09 |
$720.09 |
|
|
Intro long gi tube w/mult fluo
|
$205.52 |
$205.52 |
$215.79 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,436.50 |
$3,436.50 |
$3,436.50 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$776.69 |
$776.69 |
$776.69 |
|
|
Intubation endotracheal emergency procedure
|
$412.28 |
$432.89 |
$565.88 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.24 |
$2.24 |
$9.32 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.99 |
$2.99 |
$12.03 |
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$249.32 |
$249.32 |
$249.32 |
|
|
Ipratropium bromide non-comp
|
$0.29 |
$0.29 |
$0.29 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$21.83 |
$21.83 |
$21.83 |
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$145.25 |
$145.25 |
$145.25 |
|
|
Iron
|
$449.37 |
$449.37 |
$449.37 |
|
|
Iron binding capacity
|
$49.31 |
$49.31 |
$49.31 |
|
|
Iron dextran 50 mg/ml injection solution
|
$38.16 |
$38.16 |
$38.16 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.37 |
$1.37 |
$1.37 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$46.80 |
$46.80 |
$46.80 |
|
|
Ivc venogram s&i
|
$2,712.93 |
$2,712.93 |
$2,712.93 |
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$148.44 |
$148.44 |
$155.85 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$36.90 |
$36.90 |
$36.90 |
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$36.93 |
$36.93 |
$71.96 |
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$148.43 |
$148.43 |
$148.43 |
|
|
IV inj ra drug dx study
|
$251.81 |
$251.81 |
$251.81 |
|
|
Ivp w/wo kub w/wo tomography
|
$284.01 |
$313.01 |
$328.65 |
|
|
Jejunstmy tube plcmt
|
$1,261.31 |
$1,261.31 |
$1,261.31 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$44.42 |
$44.42 |
$44.42 |
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$7.02 |
$7.02 |
$7.02 |
|
|
Kidney imag w/bld flow multi
|
$607.40 |
$607.40 |
$607.47 |
|
|
Kidney img w/bldflw sgl without rx
|
$567.90 |
$567.90 |
$567.90 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$239.15 |
$239.15 |
$280.17 |
|
|
Kit case 4.2mm spinejack
|
$2,575.71 |
$2,575.71 |
$2,575.71 |
|
|
Knee MRI (with and without contrast)
|
$972.87 |
$972.87 |
$1,021.52 |
|
|
Knee MRI (with contrast)
|
$846.02 |
$1,150.11 |
$1,207.62 |
|
|
Knee MRI (without contrast)
|
$735.74 |
$927.65 |
$974.03 |
|
|
Knee X-ray
|
$120.17 |
$146.13 |
$153.44 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$0.44 |
$4.89 |
$4.89 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.71 |
$0.71 |
$0.71 |
|
|
Lactate dehydrogenase (ldh)
|
$34.23 |
$34.23 |
$34.23 |
|
|
Lactated ringers intravenous solution
|
$46.35 |
$46.35 |
$46.35 |
|
|
Lactic acid
|
$68.00 |
$68.00 |
$68.00 |
|
|
Laryngoscopy with biopsy
|
$1,404.29 |
$1,404.29 |
$1,404.29 |
|
|
Lead capillary
|
$66.27 |
$66.32 |
$66.32 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$556.46 |
$634.35 |
$634.37 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$21.50 |
$21.50 |
$21.50 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$970.77 |
$970.77 |
$970.77 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.18 |
$0.18 |
$0.96 |
|
|
Levetiracetam therapeutic drug level
|
$148.74 |
$148.74 |
$148.74 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$11.82 |
$14.63 |
$14.63 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$20.31 |
$20.46 |
$22.70 |
|
|
Lidocaine therapeutic drug level
|
$77.45 |
$77.45 |
$77.45 |
|
|
Lig/band angioaccess av fistula
|
$4,686.93 |
$4,686.93 |
$4,686.93 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$46.65 |
$46.65 |
$46.65 |
|
|
Lipase
|
$41.90 |
$41.90 |
$41.90 |
|
|
Lipoprotein blood quant
|
$28.82 |
$28.82 |
$28.82 |
|
|
Lipoprotein direct measurement hdl
|
$53.36 |
$53.36 |
$53.36 |
|
|
Lipoprotein direct measurement ldl
|
$81.65 |
$81.65 |
$81.65 |
|
|
Lithium therapeutic drug level
|
$50.33 |
$50.33 |
$50.33 |
|
|
Liver Function Test
|
$105.26 |
$105.26 |
$105.26 |
|
|
Liver/spleen imag static only
|
$540.83 |
$540.83 |
$540.84 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$3.24 |
$3.24 |
$5.45 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$6.12 |
$6.12 |
$6.12 |
|
|
Low cost skin substitute app
|
$879.60 |
$879.60 |
$879.60 |
|
|
Low cost skin substitute app
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
|
|
Low cost skin substitute app
|
$879.60 |
$879.60 |
$879.60 |
|
|
Low cost skin substitute app
|
$1,678.95 |
$1,678.95 |
$1,678.95 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$861.47 |
$861.47 |
$904.56 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$812.40 |
$961.67 |
$1,009.76 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$746.63 |
$889.92 |
$934.41 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,324.91 |
$1,356.98 |
$1,424.84 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$965.33 |
$1,013.60 |
$1,013.60 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$930.30 |
$976.83 |
$1,001.88 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$122.97 |
$172.35 |
$180.96 |
|
|
L/s ratio fetal lung
|
$136.35 |
$136.38 |
$136.38 |
|
|
Lumbar diskogram s&i
|
$787.17 |
$787.17 |
$787.17 |
|
|
Lung function test (mbc/mvv)
|
$147.30 |
$147.30 |
$147.30 |
|
|
Lung Function Test (Spirometry)
|
$161.93 |
$170.06 |
$170.06 |
|
|
Lung perfusion imaging
|
$544.76 |
$657.60 |
$657.60 |
|
|
Lymphatics/lymph node imaging
|
$718.80 |
$718.80 |
$1,088.01 |
|
|
Lymph vessel x-ray trunk
|
$2,266.86 |
$2,266.86 |
$2,266.86 |
|
|
Macroscopic exam arthropod
|
$3.63 |
$3.63 |
$3.63 |
|
|
Macroscopic exam parasite
|
$3.66 |
$3.66 |
$3.66 |
|
|
Magnesium
|
$73.44 |
$73.44 |
$73.44 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$8.84 |
$8.84 |
$8.84 |
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$72.00 |
$72.00 |
$75.56 |
|
|
Manipulation chest wall initial demonstration/evaluation
|
$75.56 |
$75.56 |
$79.35 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$6.32 |
$6.32 |
$6.32 |
|
|
Map tachycard site(s)
|
$3,604.79 |
$3,604.79 |
$3,604.79 |
|
|
Mastoids complete
|
$118.41 |
$118.41 |
$118.41 |
|