|
Intro cath dialysis circuit
|
$1,668.00 |
$1,668.00 |
$1,668.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$11,532.00 |
$11,532.00 |
$11,532.00 |
$16,262.40
|
|
Intro catheter aorta
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$1,654.05
|
|
Intro cath svc/ivc
|
$2,670.80 |
$2,670.80 |
$2,670.80 |
$1,323.27
|
|
Intro long gi tube w/mult fluo
|
$132.40 |
$132.40 |
$132.40 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$7,252.80 |
$7,252.80 |
$7,252.80 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$652.40 |
$652.40 |
$652.40 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$16.36 |
$16.36 |
$16.36 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$30.20 |
$30.20 |
$30.20 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$309.90 |
$309.90 |
$309.90 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$6.28 |
$6.28 |
$6.28 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$517.60 |
$517.60 |
$517.60 |
$174.47
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$109.51 |
$109.51 |
$109.51 |
$5,517.12
|
|
Iron
|
$53.60 |
$53.60 |
$53.60 |
$72.29
|
|
Iron binding capacity
|
$14.80 |
$14.80 |
$14.80 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$55.46 |
$55.46 |
$55.46 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.15 |
$1.15 |
$1.15 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$83.60 |
$83.60 |
$83.60 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$110.40 |
$110.40 |
$110.40 |
$144.62
|
|
Ivc venogram s&i
|
$2,748.80 |
$2,748.80 |
$2,748.80 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$100.00 |
$100.00 |
$100.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$48.80 |
$48.80 |
$48.80 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$60.80 |
$60.80 |
$60.80 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$282.40 |
$282.40 |
$282.40 |
$437.45
|
|
IV inj ra drug dx study
|
$478.80 |
$478.80 |
$478.80 |
$552.60
|
|
Ivp w/nephrotomography
|
$1,296.00 |
$1,296.00 |
$1,296.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,059.20 |
$1,059.20 |
$1,059.20 |
$692.18
|
|
John cunningham antibody
|
$26.00 |
$26.00 |
$26.00 |
$66.31
|
|
Kafo fem fx cast semi-rigid
|
$592.40 |
$592.40 |
$592.40 |
$2,130.02
|
|
Kafo femoral fx cast rigid
|
$692.80 |
$692.80 |
$692.80 |
$2,162.01
|
|
Kafo femoral fx cast soft
|
$472.40 |
$472.40 |
$472.40 |
$879.20
|
|
Kafo plas sing free knee mol
|
$1,156.80 |
$1,156.80 |
$1,156.80 |
$2,987.76
|
|
Kafo plastic pediatric size
|
$110.00 |
$110.00 |
$110.00 |
$321.07
|
|
Kafo without joint multi-axis an
|
$974.40 |
$974.40 |
$974.40 |
$1,724.80
|
|
Ketogenic steroids fract
|
$29.60 |
$29.60 |
$29.60 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$32.40 |
$32.40 |
$32.40 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$31.14 |
$31.14 |
$31.14 |
$23.77
|
|
Kidney imaging morphology
|
$710.80 |
$710.80 |
$710.80 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,522.00 |
$1,522.00 |
$1,522.00 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$954.80 |
$954.80 |
$954.80 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$459.20 |
$459.20 |
$459.20 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$4,048.40 |
$4,048.40 |
$4,048.40 |
$7,751.14
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$222.80 |
$222.80 |
$222.80 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$2.80 |
$2.80 |
$2.80 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,892.40 |
$8,892.40 |
$8,892.40 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$199.60 |
$199.60 |
$199.60 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$23,220.00 |
$23,220.00 |
$23,220.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$26,946.00 |
$26,946.00 |
$26,946.00 |
$16,965.41
|
|
Kit monitr cath camino icp w/integratd licox bolt fitting
|
$1,035.20 |
$1,035.20 |
$1,035.20 |
$1,313.77
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$794.00 |
$794.00 |
$794.00 |
$1,667.50
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,270.80 |
$1,270.80 |
$1,270.80 |
$2,254.50
|
|
Knee cap medial or lateral p
|
$71.60 |
$71.60 |
$71.60 |
$104.54
|
|
Knee control condylar pad
|
$45.60 |
$45.60 |
$45.60 |
$175.04
|
|
Knee lift loop drop lock rin
|
$62.00 |
$62.00 |
$62.00 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$2,333.20 |
$2,333.20 |
$2,333.20 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,818.80 |
$1,818.80 |
$1,818.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,254.40 |
$1,254.40 |
$1,254.40 |
$2,110.76
|
|
Knee X-ray
|
$437.60 |
$437.60 |
$437.60 |
$425.55
|
|
Ko derot ant cruciate custom
|
$623.20 |
$623.20 |
$623.20 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$709.60 |
$709.60 |
$709.60 |
$137.05
|
|
Ko rigid without joints pre ots
|
$45.20 |
$45.20 |
$45.20 |
$214.97
|
|
Ko single upright pre cst
|
$548.80 |
$548.80 |
$548.80 |
$988.40
|
|
Ko swedish type pre ots
|
$104.00 |
$104.00 |
$104.00 |
$581.60
|
|
Ko w/adj jt rot cntrl molded
|
$1,232.40 |
$1,232.40 |
$1,232.40 |
$2,237.20
|
|
Kyphosis pad
|
$59.60 |
$59.60 |
$59.60 |
$232.96
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$32.60 |
$32.60 |
$32.60 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.93 |
$0.93 |
$0.93 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$42.80 |
$42.80 |
$42.80 |
$55.50
|
|
Lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$44.91
|
|
Lactation class
|
$41.20 |
$41.20 |
$41.20 |
$93.71
|
|
Lactic acid
|
$39.60 |
$39.60 |
$39.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$63.20 |
$63.20 |
$63.20 |
$81.00
|
|
Lactoferrin fecal quant
|
$31.60 |
$31.60 |
$31.60 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$130.40 |
$130.40 |
$130.40 |
$19,124.00
|
|
Laronidase injection
|
$65.26 |
$65.26 |
$65.26 |
$1,927.01
|
|
Lateral thoracic extension
|
$153.20 |
$153.20 |
$153.20 |
$453.47
|
|
Lateral trochanteric pad
|
$47.20 |
$47.20 |
$47.20 |
$144.00
|
|
Lead acuity x4 spiral l 86cm
|
$2,349.20 |
$2,349.20 |
$2,349.20 |
$5,534.00
|
|
Lead capillary
|
$49.60 |
$49.60 |
$49.60 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$804.00 |
$804.00 |
$804.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$5,934.80 |
$5,934.80 |
$5,934.80 |
$8,204.74
|
|
Legg perthes orth newington
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$2,517.20
|
|
Legg perthes orthosis trilat
|
$812.00 |
$812.00 |
$812.00 |
$2,657.76
|
|
Legg perthes orth scottish r
|
$692.80 |
$692.80 |
$692.80 |
$2,243.76
|
|
Legg perthes patten bottom t
|
$927.60 |
$927.60 |
$927.60 |
$3,225.94
|
|
Leg perthes orth toronto typ
|
$962.00 |
$962.00 |
$962.00 |
$2,803.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$907.60 |
$907.60 |
$907.60 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$366.00 |
$366.00 |
$366.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$507.60 |
$507.60 |
$507.60 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$532.40 |
$532.40 |
$532.40 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$35.12 |
$35.12 |
$35.12 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$938.20 |
$938.20 |
$938.20 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,056.28 |
$4,056.28 |
$4,056.28 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$1.98 |
$1.98 |
$1.98 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$16.40 |
$16.40 |
$16.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$11.04 |
$11.04 |
$11.04 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$22.76 |
$22.76 |
$22.76 |
$420.60
|
|
Liberta rc ipg
|
$41,624.00 |
$41,624.00 |
$41,624.00 |
$39,406.68
|
