|
Interrog dev eval icpms ip
|
$440.65 |
$440.65 |
$440.65 |
$106.80
|
|
Interrog dev eval scrms ip
|
$440.65 |
$440.65 |
$440.65 |
$124.80
|
|
Interrog device eval heart
|
$440.65 |
$440.65 |
$440.65 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$440.65 |
$440.65 |
$440.65 |
$127.20
|
|
Intra-atrial pacing
|
$6,157.90 |
$6,157.90 |
$18,072.76 |
$5,155.51
|
|
Intra-atrial recording
|
$6,157.90 |
$6,157.90 |
$12,960.92 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$2,898.00 |
$3,977.05 |
$13,022.92 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$2,704.80 |
$2,704.80 |
$38,698.99 |
$11,364.78
|
|
Intracranial angioplasty
|
$2,742.95 |
$2,742.95 |
$2,742.95 |
$7,149.60
|
|
Intracranial complete study
|
$549.85 |
$549.85 |
$10,007.00 |
$883.30
|
|
Intracranial limited study
|
$319.20 |
$319.20 |
$3,160.58 |
$423.52
|
|
Intrapul surf admin endo tube
|
$177.80 |
$177.80 |
$946.00 |
$239.52
|
|
Intraventricular pacing
|
$6,157.90 |
$6,157.90 |
$6,157.90 |
$5,775.22
|
|
Intrinsic factor antibody
|
$34.30 |
$34.30 |
$731.00 |
$59.95
|
|
Intro cath dialysis circuit
|
$2,207.49 |
$2,728.37 |
$5,167.40 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$12,429.31 |
$15,377.15 |
$18,447.80 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$24,012.53 |
$29,707.65 |
$35,500.15 |
$15,625.00
|
|
Intro catheter aorta
|
$1,582.70 |
$1,582.70 |
$1,582.70 |
$1,861.61
|
|
Intro cath svc/ivc
|
$757.75 |
$757.75 |
$757.75 |
$1,350.75
|
|
Intro long gi tube
|
$720.65 |
$720.65 |
$720.65 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$388.85 |
$388.85 |
$388.85 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,069.90 |
$2,069.90 |
$2,069.90 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,801.10 |
$1,801.10 |
$1,801.10 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$263.90 |
$263.90 |
$263.90 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$772.75 |
$871.50 |
$871.50 |
$677.98
|
|
Ionm in operatng room 15 min
|
$58.10 |
$58.10 |
$58.10 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$290.50 |
$290.50 |
$290.50 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$89.85 |
$89.85 |
$89.85 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$163.53 |
$163.53 |
$163.53 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$87,854.81 |
$87,854.81 |
$87,854.81 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$49.47 |
$55.92 |
$57.00 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$178.10 |
$227.39 |
$2,221.23 |
$227.39
|
|
Iron
|
$92.05 |
$92.05 |
$92.05 |
$70.72
|
|
Iron binding capacity
|
$98.35 |
$98.35 |
$273.00 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$31.09 |
$31.09 |
$892.00 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$110.58 |
$110.58 |
$471.13 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$108.27 |
$257.16 |
$1,805.00 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$75.60 |
$75.60 |
$75.60 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$9,856.39 |
$9,856.39 |
$9,856.39 |
$13,419.80
|
|
Ivc venogram s&i
|
$3,316.95 |
$3,316.95 |
$18,009.38 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$326.55 |
$326.55 |
$326.55 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$316.05 |
$316.05 |
$316.05 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$171.15 |
$171.15 |
$171.15 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$641.55 |
$641.55 |
$641.55 |
$460.85
|
|
Ivp w/nephrotomography
|
$6,339.05 |
$6,339.05 |
$6,339.05 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$881.30 |
$881.30 |
$5,184.36 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$291.20 |
$291.20 |
$291.20 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$51.80 |
$51.80 |
$599.00 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$26.86 |
$26.86 |
$26.86 |
$30.08
|
|
Kidney function study
|
$315.70 |
$315.70 |
$315.70 |
$549.70
|
|
Kidney imaging morphology
|
$1,206.80 |
$1,206.80 |
$7,797.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,572.15 |
$2,572.15 |
$24,031.92 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,631.00 |
$5,060.92 |
$17,247.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,124.20 |
$1,124.20 |
$1,124.20 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$13,775.74 |
$13,775.74 |
$13,775.74 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$17,272.50 |
$17,272.50 |
$17,272.50 |
$9,384.04
|
|
Kit hfx iq ipg bundle
|
$95,550.00 |
$95,550.00 |
$95,550.00 |
$28,974.93
|
|
Kit ipg optimizer smart
|
$95,550.00 |
$95,550.00 |
$95,550.00 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$36,731.63 |
$36,731.63 |
$36,731.63 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,701.13 |
$2,701.13 |
$2,701.13 |
$1,357.69
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,454.10 |
$4,454.10 |
$4,454.10 |
$2,087.65
|
|
Knee MRI (with and without contrast)
|
$5,206.60 |
$5,206.60 |
$5,206.60 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$4,225.20 |
$4,225.20 |
$4,225.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,725.80 |
$2,725.80 |
$2,725.80 |
$2,181.10
|
|
Knee X-ray
|
$579.60 |
$579.60 |
$579.60 |
$443.90
|
|
Kras gene addl variants
|
$303.10 |
$303.10 |
$2,484.60 |
$346.45
|
|
Kras gene variants exon 2
|
$200.55 |
$200.55 |
$2,250.00 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$25.00 |
$25.00 |
$25.00 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$166.62 |
$810.00 |
$1,064.80 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$62.30 |
$62.30 |
$62.30 |
$53.30
|
|
Lactated ringers intravenous solution
|
$24.28 |
$24.28 |
$24.28 |
$54.11
|
|
Lactic acid
|
$102.90 |
$102.90 |
$102.90 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$903.00 |
$903.00 |
$903.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$424.65 |
$424.65 |
$424.65 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$24,143.75 |
$24,143.75 |
$24,143.75 |
$22,903.90
|
|
Largsc w/rmvl foreign bdy(s)
|
$232.05 |
$232.05 |
$232.05 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,452.85 |
$1,452.85 |
$1,452.85 |
$2,480.71
|
|
Laryngoscopy w/fb & op scope
|
$3,087.70 |
$3,087.70 |
$3,087.70 |
$3,786.00
|
|
Lead acuity x4 spiral l 86cm
|
$9,555.00 |
$9,555.00 |
$9,555.00 |
$5,831.00
|
|
Lead capillary
|
$46.55 |
$46.55 |
$46.55 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$2,887.50 |
$2,887.50 |
$2,887.50 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$22,417.50 |
$22,417.50 |
$22,417.50 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,336.65 |
$1,336.65 |
$1,336.65 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,675.00 |
$3,675.00 |
$3,675.00 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,819.13 |
$1,819.13 |
$1,819.13 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$735.00 |
$735.00 |
$735.00 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$42.83 |
$113.50 |
$113.50 |
$146.32
|
|
Leukacyte transfusion
|
$115.24 |
$115.24 |
$115.24 |
$189.67
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$831.70 |
$831.70 |
$4,678.01 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$12,963.00 |
$12,963.00 |
$13,702.10 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$40.05 |
$40.05 |
$40.05 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$57.40 |
$57.40 |
$321.00 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$371.48 |
$371.48 |
$371.48 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$187.29 |
$187.29 |
$187.29 |
$319.12
|
|
L hrt cath chd nm/abn nt cnj
|
$10,973.90 |
$10,973.90 |
$30,348.69 |
$6,242.85
|
|
Liberta rc ipg
|
$97,020.00 |
$97,020.00 |
$97,020.00 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$27.97 |
$32.09 |
$464.00 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$70.70 |
$70.70 |
$789.00 |
$83.85
|
|
Ligation/major artery/extremity 37618
|
$2,636.90 |
$2,636.90 |
$2,636.90 |
$1,567.80
|
|
Liletta, 52 mg
|
$2,360.29 |
$2,360.29 |
$2,360.29 |
$2,360.29
|
