|
Inj mepivacaine hcl/10 ml
|
$29.62 |
$29.62 |
$29.62 |
$33.86
|
|
Inj, releuko 1 mcg
|
$473.25 |
$473.25 |
$473.25 |
$473.25
|
|
Inj retacrit esrd on dialysi
|
$775.00 |
$775.00 |
$775.00 |
$349.45
|
|
Inj secretin synthetic human
|
$775.00 |
$775.00 |
$775.00 |
$1,285.20
|
|
Inj sulf hexa lipid microsph
|
$269.75 |
$269.75 |
$269.75 |
$256.14
|
|
Inj thiotepa nos 1 mg
|
$1,064.25 |
$1,064.25 |
$1,064.25 |
$3,170.16
|
|
Insertion catheter bladder temporary simple
|
$190.50 |
$190.50 |
$190.50 |
$232.25
|
|
Insert swan-ganz cath
|
$1,855.50 |
$1,855.50 |
$1,855.50 |
$2,210.50
|
|
Insitu hybridization auto
|
$155.50 |
$155.50 |
$155.50 |
$377.37
|
|
Insitu hybridization (fish)
|
$366.00 |
$366.00 |
$366.00 |
$481.60
|
|
Insitu hybridization manual
|
$325.50 |
$325.50 |
$325.50 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$154.50 |
$154.50 |
$154.50 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$401.50 |
$401.50 |
$401.50 |
$331.69
|
|
Instillation anticarcinogenic agent bladder
|
$358.00 |
$358.00 |
$358.00 |
$621.40
|
|
Insulin total
|
$8.00 |
$8.00 |
$8.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$1,698.00 |
$1,698.00 |
$1,698.00 |
$8,629.72
|
|
Interrog dev eval icpms ip
|
$83.50 |
$83.50 |
$83.50 |
$103.50
|
|
Interrog evl pm/ldls pm ip
|
$383.00 |
$383.00 |
$383.00 |
$124.80
|
|
Intra-atrial pacing
|
$122.00 |
$122.00 |
$122.00 |
$4,780.80
|
|
Intra-atrial recording
|
$2,345.00 |
$2,345.00 |
$2,345.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$5,801.50 |
$5,801.50 |
$5,801.50 |
$3,461.04
|
|
Intracranial complete study
|
$1,122.00 |
$1,122.00 |
$1,122.00 |
$874.99
|
|
Intracranial limited study
|
$819.00 |
$819.00 |
$819.00 |
$465.01
|
|
Intrapul surf admin endo tube
|
$95.50 |
$95.50 |
$95.50 |
$220.80
|
|
Intraventricular pacing
|
$4,127.00 |
$4,127.00 |
$4,127.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$12.50 |
$12.50 |
$12.50 |
$63.15
|
|
Intro long gi tube w/mult fluo
|
$608.50 |
$608.50 |
$608.50 |
$466.00
|
|
Ionm in operatng room 15 min
|
$231.00 |
$231.00 |
$231.00 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$923.00 |
$923.00 |
$923.00 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$97.37 |
$97.37 |
$97.37 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$193.25 |
$193.25 |
$193.25 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$11,688.25 |
$11,688.25 |
$11,688.25 |
$62,692.46
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$114.12 |
$114.12 |
$114.12 |
$174.47
|
|
Iron
|
$176.00 |
$176.00 |
$176.00 |
$72.29
|
|
Iron binding capacity
|
$176.00 |
$176.00 |
$176.00 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$82.25 |
$82.25 |
$82.25 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$77.37 |
$77.37 |
$77.37 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$47.50 |
$47.50 |
$47.50 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$263.00 |
$263.00 |
$263.00 |
$144.62
|
|
Ivc venogram s&i
|
$3,066.00 |
$3,066.00 |
$3,066.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$171.50 |
$171.50 |
$171.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$171.50 |
$171.50 |
$171.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$171.50 |
$171.50 |
$171.50 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$434.50 |
$434.50 |
$434.50 |
$437.45
|
|
IV inj ra drug dx study
|
$2,071.50 |
$2,071.50 |
$2,071.50 |
$552.60
|
|
Ivp w/wo kub w/wo tomography
|
$756.50 |
$756.50 |
$756.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$131.50 |
$131.50 |
$131.50 |
$393.43
|
|
John cunningham antibody
|
$184.00 |
$184.00 |
$184.00 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$82.50 |
$82.50 |
$82.50 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$70.00 |
$70.00 |
$70.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$2.00 |
$2.00 |
$2.00 |
$23.77
|
|
Kidney function study
|
$863.00 |
$863.00 |
$863.00 |
$968.50
|
|
Kidney imaging morphology
|
$602.50 |
$602.50 |
$602.50 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,047.00 |
$1,047.00 |
$1,047.00 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$920.00 |
$920.00 |
$920.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$708.00 |
$708.00 |
$708.00 |
$673.36
|
|
Kit gene analys d816 variant
|
$210.00 |
$210.00 |
$210.00 |
$366.03
|
|
Knee MRI (with and without contrast)
|
$3,171.50 |
$3,171.50 |
$3,171.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,805.50 |
$2,805.50 |
$2,805.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,439.00 |
$2,439.00 |
$2,439.00 |
$2,110.76
|
|
Knee X-ray
|
$242.50 |
$242.50 |
$242.50 |
$425.55
|
|
Kras gene variants exon 2
|
$572.50 |
$572.50 |
$572.50 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$15.00 |
$15.00 |
$15.00 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$176.00 |
$176.00 |
$176.00 |
$55.50
|
|
Lactic acid
|
$370.50 |
$370.50 |
$370.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$51.50 |
$51.50 |
$51.50 |
$81.00
|
|
Laryngeal function studies
|
$431.00 |
$431.00 |
$431.00 |
$335.40
|
|
Laryngoscopic sensory vid
|
$432.00 |
$432.00 |
$432.00 |
$336.00
|
|
Laryngoscopy telescopic
|
$411.50 |
$411.50 |
$411.50 |
$852.80
|
|
Lead capillary
|
$9.00 |
$9.00 |
$9.00 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,714.00 |
$1,714.00 |
$1,714.00 |
$1,092.58
|
|
Leishmania antibody
|
$29.00 |
$29.00 |
$29.00 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$32.37 |
$32.37 |
$32.37 |
$164.09
|
|
Leukocyte phagocytosis
|
$151.00 |
$151.00 |
$151.00 |
$80.64
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$11,409.25 |
$11,409.25 |
$11,409.25 |
$6,236.52
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$7.25 |
$7.25 |
$7.25 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$95.00 |
$95.00 |
$95.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$11.62 |
$11.62 |
$11.62 |
$55.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$28.87 |
$28.87 |
$28.87 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$12.50 |
$12.50 |
$12.50 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$74.50 |
$74.50 |
$74.50 |
$87.45
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$29.50 |
$29.50 |
$29.50 |
$121.00
|
|
Lipase
|
$158.50 |
$158.50 |
$158.50 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$22.50 |
$22.50 |
$22.50 |
$86.42
|
|
Lipoprotein blood quant
|
$37.50 |
$37.50 |
$37.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$221.00 |
$221.00 |
$221.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$239.00 |
$239.00 |
$239.00 |
$61.60
|
|
Listeria monocytogenes
|
$45.50 |
$45.50 |
$45.50 |
$106.15
|
|
Lithium therapeutic drug level
|
$275.00 |
$275.00 |
$275.00 |
$69.42
|
|
Liver Function Test
|
$288.00 |
$288.00 |
$288.00 |
$115.44
|
|
Liver imaging
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$1,143.00
|
|
Liver/spleen imag static only
|
$892.50 |
$892.50 |
$892.50 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,200.50 |
$1,200.50 |
$1,200.50 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$89.62 |
$89.62 |
$89.62 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$4.50 |
$4.50 |
$4.50 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,943.00 |
$2,943.00 |
$2,943.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,602.00 |
$2,602.00 |
$2,602.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,263.00 |
$2,263.00 |
$2,263.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,191.50 |
$3,191.50 |
$3,191.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,824.00 |
$2,824.00 |
$2,824.00 |
$2,441.25
|
