|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$222.75 |
$222.75 |
$4,486.30 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$9,024.48 |
$9,024.48 |
$17,547.60 |
$52,615.16
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$327.87 |
$327.87 |
$637.53 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$1,067.90 |
$1,067.94 |
$2,076.48 |
$6,655.71
|
|
Iron
|
$32.94 |
$32.94 |
$106.93 |
$70.72
|
|
Iron binding capacity
|
$49.86 |
$49.86 |
$119.53 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$33.75 |
$33.75 |
$65.63 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$5.31 |
$5.31 |
$10.33 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$102.15 |
$113.49 |
$198.63 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$106.56 |
$106.56 |
$246.58 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$63.54 |
$63.54 |
$63.54 |
$13,419.80
|
|
Ivc venogram s&i
|
$1,787.45 |
$4,095.81 |
$4,095.81 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$145.80 |
$145.80 |
$283.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$194.04 |
$194.04 |
$329.18 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$94.68 |
$94.68 |
$184.10 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$315.00 |
$315.00 |
$612.50 |
$460.85
|
|
IV inj ra drug dx study
|
$604.53 |
$604.53 |
$1,022.18 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$247.68 |
$247.68 |
$689.33 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$4,714.11 |
$4,714.11 |
$9,166.33 |
$7,216.15
|
|
Jak2 targeted sequence analysis
|
$329.76 |
$329.76 |
$641.20 |
$378.30
|
|
Ketogenic steroids fract
|
$122.58 |
$136.17 |
$251.13 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$167.49 |
$167.49 |
$325.68 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$12.15 |
$12.15 |
$23.63 |
$30.08
|
|
Kidney imaging morphology
|
$1,180.80 |
$1,180.80 |
$1,996.58 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,204.47 |
$1,204.47 |
$1,996.58 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,409.67 |
$1,409.67 |
$2,296.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$249.57 |
$249.57 |
$617.05 |
$668.25
|
|
Kit irrigator stoma cone 7721
|
$59.33 |
$66.96 |
$77.76 |
$7.20
|
|
Kit sound processor cochlear osia 2
|
$37,606.86 |
$37,606.86 |
$37,606.86 |
$10,444.90
|
|
Kit trach suct cls 30.5cm
|
$15.48 |
$15.48 |
$20.30 |
$28.20
|
|
Knee MRI (with and without contrast)
|
$1,188.81 |
$1,188.81 |
$2,918.65 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$847.62 |
$847.62 |
$2,435.13 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$728.19 |
$728.19 |
$2,344.30 |
$2,181.10
|
|
Knee X-ray
|
$718.29 |
$718.29 |
$898.28 |
$443.90
|
|
Kras gene variants exon 2
|
$500.13 |
$500.13 |
$743.58 |
$495.00
|
|
Lactate dehydrogenase (ldh)
|
$105.03 |
$105.03 |
$204.23 |
$53.30
|
|
Lactated ringers intravenous solution
|
$32.49 |
$32.49 |
$63.18 |
$54.11
|
|
Lactic acid
|
$85.14 |
$94.68 |
$165.55 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$52.29 |
$52.29 |
$101.68 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$21,470.76 |
$21,470.76 |
$41,748.70 |
$22,903.90
|
|
Laronidase injection
|
$1,206.27 |
$1,206.27 |
$2,345.53 |
$39.88
|
|
Lead capillary
|
$65.16 |
$72.36 |
$190.05 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,038.60 |
$1,038.60 |
$2,019.50 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$148.77 |
$148.77 |
$289.28 |
$146.32
|
|
Leukacyte transfusion
|
$111.87 |
$111.87 |
$111.87 |
$189.67
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$4,313.88 |
$4,313.88 |
$8,388.10 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$12,824.28 |
$12,824.28 |
$24,936.10 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$75.33 |
$75.33 |
$146.48 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$127.53 |
$141.48 |
$690.55 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$42.84 |
$42.84 |
$83.30 |
$66.59
|
|
L hrt cath chd nm/abn nt cnj
|
$6,242.85 |
$6,242.85 |
$9,577.58 |
$6,242.85
|
|
Lidocaine therapeutic drug level
|
$133.20 |
$133.20 |
$259.00 |
$83.85
|
|
Limb exercise test
|
$364.70 |
$364.70 |
$364.70 |
$290.40
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$50.85 |
$98.88 |
$107.10 |
$177.90
|
|
Lipase
|
$50.49 |
$50.49 |
$129.15 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$154.80 |
$154.80 |
$366.80 |
$89.52
|
|
Lipoprotein direct measurement hdl
|
$62.28 |
$62.28 |
$121.10 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$31.68 |
$61.60 |
$220.86 |
$60.00
|
|
Lithium therapeutic drug level
|
$80.28 |
$80.28 |
$156.10 |
$67.60
|
|
Liver elastography 91200
|
$33.30 |
$33.30 |
$64.75 |
$291.74
|
|
Liver Function Test
|
$163.35 |
$163.35 |
$317.63 |
$110.50
|
|
Liver imaging
|
$406.35 |
$406.35 |
$687.05 |
$1,241.25
|
|
Liver/spleen imag static only
|
$832.68 |
$832.68 |
$1,407.88 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,619.10 |
$1,619.10 |
$1,619.10 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.80 |
$1.80 |
$3.50 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$18.54 |
$18.54 |
$120.75 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,382.31 |
$1,382.31 |
$2,841.48 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$828.99 |
$828.99 |
$1,857.45 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$547.83 |
$547.83 |
$1,422.23 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,556.09 |
$2,556.09 |
$4,970.18 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,558.08 |
$1,558.08 |
$3,542.70 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,144.35 |
$1,144.35 |
$2,416.93 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$346.68 |
$346.68 |
$674.10 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$284.04 |
$284.04 |
$552.30 |
$275.88
|
|
L/s ratio fetal lung
|
$250.65 |
$250.65 |
$487.38 |
$168.00
|
|
Lumbar diskogram s&i
|
$1,954.44 |
$1,954.44 |
$7,676.55 |
$2,358.23
|
|
Lumizyme injection
|
$1,048.95 |
$1,048.95 |
$2,039.63 |
$1,602.30
|
|
Lung function test (mbc/mvv)
|
$139.68 |
$139.68 |
$2,185.23 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$356.04 |
$418.86 |
$692.30 |
$298.50
|
|
Lung perfusion imaging
|
$502.11 |
$502.11 |
$976.33 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$3,503.52 |
$3,503.52 |
$3,503.52 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$16.74 |
$16.74 |
$16.74 |
$29,435.46
|
|
Lvad shower bag heartmate
|
$709.11 |
$709.11 |
$709.11 |
$1,090.58
|
|
Lymphatics/lymph node imaging
|
$448.74 |
$448.74 |
$1,330.53 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$196.11 |
$196.11 |
$822.85 |
$266.20
|
|
Lymphocytotoxicity assay
|
$326.25 |
$326.25 |
$634.38 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$1,407.15 |
$1,407.15 |
$1,407.15 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$1,407.15 |
$1,407.15 |
$1,407.15 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$1,407.15 |
$1,407.15 |
$1,407.15 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$4,854.51 |
$4,854.51 |
$4,854.51 |
$3,380.00
|
|
Magnesium
|
$120.15 |
$133.56 |
$233.63 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$57.51 |
$57.51 |
$190.58 |
$65.49
|
|
Makena, 10 mg
|
$22.86 |
$22.86 |
$44.45 |
$22.86
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$41.85 |
$41.85 |
$81.38 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$46.44 |
$46.44 |
$90.30 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$3.60 |
$3.60 |
$7.00 |
$40.12
|
|
Manual diff wbc count b-coat
|
$21.42 |
$21.42 |
$21.42 |
$22.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$617.05 |
$789.39 |
$789.39 |
$705.82
|
|
Map tachycard site(s)
|
$3,294.20 |
$17,877.60 |
$17,877.60 |
$3,960.00
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$74.79 |
$74.79 |
$74.79 |
$34,164.07
|