|
IV Fluids (first hour)
|
$449.55 |
$449.55 |
$488.60 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$61.50 |
$61.50 |
$235.84 |
$162.68
|
|
IV inj ra drug dx study
|
$454.74 |
$454.74 |
$454.74 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$280.91 |
$394.35 |
$394.35 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$59.70 |
$59.70 |
$198.34 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$449.55 |
$449.55 |
$541.27 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$192.15 |
$192.15 |
$235.24 |
$167.50
|
|
IV Push Injection (first drug)
|
$192.15 |
$192.15 |
$314.60 |
$252.76
|
|
Ivp w/nephrotomography
|
$622.35 |
$622.35 |
$673.80 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$622.35 |
$622.35 |
$687.80 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$10,695.32 |
$11,501.78 |
$11,501.78 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$465.74 |
$465.74 |
$492.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$406.80 |
$406.80 |
$477.80 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$181.22 |
$411.30 |
$411.30 |
$362.05
|
|
Jejunstmy tube plcmt
|
$1,138.20 |
$1,138.20 |
$2,174.40 |
$2,174.40
|
|
John cunningham antibody
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$78.00
|
|
Kafo dbl solid stirrup band/
|
$1,660.81 |
$2,185.15 |
$2,185.15 |
$2,185.15
|
|
Kafo fem fx cast molded to p
|
$2,264.75 |
$3,130.66 |
$3,130.66 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,130.02 |
$2,130.02 |
$2,130.02 |
$2,130.02
|
|
Kafo femoral fx cast rigid
|
$1,701.94 |
$2,445.29 |
$2,445.29 |
$2,148.69
|
|
Ketamine and metabolite screen - quest
|
$260.70 |
$260.70 |
$260.70 |
$72.14
|
|
Ketogenic steroids fract
|
$92.66 |
$92.66 |
$92.66 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$71.10 |
$71.10 |
$90.56 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$19.68 |
$19.68 |
$29.52 |
$23.52
|
|
Kidney imaging (3d)
|
$472.92 |
$472.92 |
$472.92 |
$472.92
|
|
Kidney imaging morphology
|
$539.97 |
$539.97 |
$747.90 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,193.73 |
$1,193.73 |
$1,570.65 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,320.15 |
$1,320.15 |
$1,468.04 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$691.73 |
$742.20 |
$742.20 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$381.75 |
$381.75 |
$518.80 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$9,996.00 |
$9,996.00 |
$9,996.00 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,585.18 |
$11,280.00 |
$11,280.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$598.36 |
$598.36 |
$598.36 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$30,006.00 |
$30,006.00 |
$50,985.00 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$20,394.00 |
$25,500.00 |
$25,500.00 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,783.50 |
$1,783.50 |
$1,867.64 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$142.68 |
$142.68 |
$288.32 |
$360.12
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,541.00 |
$2,908.80 |
$2,908.80 |
$2,254.50
|
|
Kit trach suct cls 30.5cm
|
$39.81 |
$39.81 |
$39.81 |
$35.26
|
|
Knee control condylar pad
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$175.04
|
|
Knee disc/dial lock/adj flex
|
$288.41 |
$288.41 |
$288.41 |
$288.41
|
|
Knee joint drop lock ea jnt
|
$175.45 |
$175.45 |
$225.00 |
$175.45
|
|
Knee MRI (with and without contrast)
|
$3,690.46 |
$3,700.05 |
$3,700.05 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,394.58 |
$3,482.70 |
$3,482.70 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,209.22 |
$3,264.90 |
$3,264.90 |
$2,130.88
|
|
Knee X-ray
|
$357.20 |
$425.55 |
$425.55 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$273.20 |
$383.10 |
$383.10 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$319.24 |
$404.40 |
$404.40 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$299.78 |
$491.70 |
$491.70 |
$251.20
|
|
Ko w adj flex/ext rotat mold
|
$4,285.97 |
$4,285.97 |
$4,285.97 |
$2,418.09
|
|
Kras gene addl variants
|
$321.48 |
$321.48 |
$528.90 |
$387.20
|
|
Kras gene variants exon 2
|
$826.80 |
$826.80 |
$1,652.10 |
$536.20
|
|
Kyleena, 19.5 mg
|
$2,345.64 |
$2,345.64 |
$2,345.64 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$109.20 |
$109.20 |
$109.20 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$28.37 |
$28.37 |
$39.60 |
$33.60
|
|
Lab pathology consultation
|
$403.70 |
$403.70 |
$403.70 |
$403.70
|
|
Lacer molded to patient mode
|
$634.21 |
$775.69 |
$775.69 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$52.20 |
$52.20 |
$260.98 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$102.38 |
$201.00 |
$505.65 |
$55.50
|
|
Lactated ringers intravenous solution
|
$27.00 |
$30.00 |
$30.00 |
$43.74
|
|
Lactation class
|
$199.82 |
$199.82 |
$199.82 |
$104.96
|
|
Lactic acid
|
$145.94 |
$193.65 |
$193.65 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$118.35 |
$118.35 |
$135.52 |
$82.16
|
|
Lactoferrin fecal quant
|
$106.10 |
$106.10 |
$106.10 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$15,760.80 |
$15,760.80 |
$15,760.80 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$14.41 |
$14.41 |
$14.41 |
$14.53
|
|
Laparo cholecystectomy/explr
|
$6,637.99 |
$6,637.99 |
$6,637.99 |
$6,637.99
|
|
Laparo proc abdm/per/oment 49329
|
$6,622.75 |
$6,622.75 |
$6,622.75 |
$6,622.75
|
|
Laparoscopye procstom 43659
|
$9,122.07 |
$9,122.07 |
$9,122.07 |
$6,448.00
|
|
Lap jejunostomy 44186
|
$5,698.48 |
$5,698.48 |
$5,698.48 |
$6,376.26
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$441.30 |
$441.30 |
$715.37 |
$740.40
|
|
Largsc w/laser dstrj les
|
$7,420.68 |
$7,420.68 |
$7,420.68 |
$4,931.00
|
|
Largsc w/njx augmentation
|
$3,482.74 |
$3,482.74 |
$3,482.74 |
$3,288.75
|
|
Largsc w/rmvl foreign bdy(s)
|
$800.06 |
$800.06 |
$800.06 |
$765.97
|
|
Largsc w/ther injection
|
$3,682.54 |
$3,682.54 |
$3,682.54 |
$2,447.43
|
|
Laronidase injection
|
$1,927.01 |
$1,927.01 |
$1,927.01 |
$1,927.01
|
|
Laryngeal function studies
|
$410.55 |
$410.55 |
$410.55 |
$342.60
|
|
Laryngoplasty medialization
|
$5,832.68 |
$5,832.68 |
$5,832.68 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$3,442.73 |
$3,442.73 |
$3,442.73 |
$4,108.00
|
|
Laryngoscop w/vc inj + scope
|
$3,918.74 |
$3,918.74 |
$3,918.74 |
$4,539.60
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,480.71 |
$2,480.71 |
$3,720.15 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$685.43 |
$685.43 |
$2,904.90 |
$852.80
|
|
Laryngoscopy w/biopsy
|
$3,236.70 |
$3,236.70 |
$3,236.70 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$3,236.70 |
$3,236.70 |
$3,236.70 |
$4,627.00
|
|
Laryngoscopy w/fb removal
|
$3,814.47 |
$3,814.47 |
$3,814.47 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$3,336.26 |
$3,336.26 |
$3,336.26 |
$3,297.83
|
|
Laryngoscopy with biopsy 31510
|
$3,560.37 |
$3,560.37 |
$3,560.37 |
$3,934.14
|
|
Lead acuity x4 spiral l 86cm
|
$5,292.00 |
$5,292.00 |
$50,985.00 |
$5,460.00
|
|
Lead capillary
|
$17.40 |
$17.40 |
$81.29 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,476.00 |
$1,476.00 |
$4,843.58 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$10,186.81 |
$10,944.00 |
$10,944.00 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$985.20 |
$985.20 |
$1,177.09 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,399.92 |
$2,612.85 |
$2,612.85 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,715.36 |
$2,394.15 |
$2,394.15 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,200.85 |
$1,212.45 |
$1,251.15 |
$1,092.58
|
|
Leishmania antibody
|
$82.71 |
$82.71 |
$94.47 |
$58.50
|
|
Lens, intraocular (new tech)
|
$2,528.30 |
$2,528.30 |
$2,528.30 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$479.70 |
$479.70 |
$3,498.89 |
$1,065.00
|
