|
Insertion intra-aortic circulation dev 33970
|
$2,247.00 |
$2,247.00 |
$2,247.00 |
$866.40
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$7,782.60 |
$7,782.60 |
$7,782.60 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$2,511.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,759.20 |
$1,759.20 |
$1,759.20 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,497.80 |
$2,497.80 |
$2,497.80 |
$2,414.10
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$11,891.40 |
$11,891.40 |
$11,891.40 |
$7,513.67
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$13,599.00 |
$13,599.00 |
$13,599.00 |
$9,397.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,174.80 |
$4,174.80 |
$4,174.80 |
$5,236.80
|
|
Insert nasal septal button
|
$288.00 |
$288.00 |
$288.00 |
$1,783.50
|
|
Insert pessary/other device
|
$71.40 |
$71.40 |
$71.40 |
$273.54
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$5,018.25
|
|
In situ hybridization per specimen each additional single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$165.60 |
$165.60 |
$165.60 |
$326.04
|
|
Insrt/redo neurostim 1 array
|
$1,083.60 |
$1,083.60 |
$1,083.60 |
$21,817.60
|
|
Ins tun cv cath wo subq prt/pm
|
$4,342.80 |
$4,342.80 |
$4,342.80 |
$4,202.70
|
|
Insulin total
|
$151.20 |
$151.20 |
$151.20 |
$66.64
|
|
Interrog device eval heart
|
$94.80 |
$94.80 |
$94.80 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$73.80 |
$73.80 |
$73.80 |
$124.80
|
|
Intrinsic factor antibody
|
$288.60 |
$288.60 |
$288.60 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$8,556.00 |
$8,556.00 |
$8,556.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$17,283.60 |
$17,283.60 |
$17,283.60 |
$15,805.00
|
|
Intro catheter aorta
|
$863.40 |
$863.40 |
$863.40 |
$1,654.05
|
|
Intro cath svc/ivc
|
$961.20 |
$961.20 |
$961.20 |
$1,329.90
|
|
Intubation endotracheal emergency procedure
|
$869.40 |
$869.40 |
$869.40 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$368.40 |
$368.40 |
$368.40 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$696.00 |
$696.00 |
$696.00 |
$279.10
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$116,523.60 |
$116,523.60 |
$116,523.60 |
$62,692.46
|
|
Ip/obs cnsltj new/est low 45
|
$110.40 |
$110.40 |
$110.40 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$180.60 |
$180.60 |
$180.60 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$238.80 |
$238.80 |
$238.80 |
$332.80
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$103.20 |
$103.20 |
$103.20 |
$163.87
|
|
Iron
|
$150.00 |
$150.00 |
$150.00 |
$74.40
|
|
Iron binding capacity
|
$133.80 |
$133.80 |
$133.80 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$89.40 |
$89.40 |
$89.40 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$321.00 |
$321.00 |
$321.00 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$90.60 |
$90.60 |
$90.60 |
$142.20
|
|
Ivc venogram s&i
|
$4,980.00 |
$4,980.00 |
$4,980.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$289.20 |
$289.20 |
$289.20 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$289.20 |
$289.20 |
$289.20 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$93.60 |
$93.60 |
$93.60 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$362.40 |
$362.40 |
$362.40 |
$439.56
|
|
Jak2 targeted sequence analysis
|
$478.20 |
$478.20 |
$478.20 |
$379.87
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$248.40 |
$248.40 |
$248.40 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$18.00 |
$18.00 |
$18.00 |
$23.50
|
|
Kidney imag w/bld flow multi
|
$1,444.80 |
$1,444.80 |
$1,444.80 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,314.00 |
$1,314.00 |
$1,314.00 |
$1,427.40
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,290.80 |
$8,290.80 |
$8,290.80 |
$9,482.25
|
|
Kit lead specify 5-6-5
|
$15,070.47 |
$15,070.47 |
$15,070.47 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,296.54 |
$1,296.54 |
$1,296.54 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$923.90 |
$923.90 |
$923.90 |
$740.00
|
|
Kit sound processor cochlear osia 2
|
$26.99 |
$26.99 |
$26.99 |
$10,164.00
|
|
Knee MRI (with and without contrast)
|
$3,243.60 |
$3,243.60 |
$3,243.60 |
$3,034.80
|
|
Knee MRI (without contrast)
|
$6,122.40 |
$6,122.40 |
$6,122.40 |
$2,169.60
|
|
Knee X-ray
|
$598.80 |
$598.80 |
$598.80 |
$425.55
|
|
Kras gene addl variants
|
$310.20 |
$310.20 |
$310.20 |
$384.80
|
|
Kras gene variants exon 2
|
$2,116.20 |
$2,116.20 |
$2,116.20 |
$486.45
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$32.34
|
|
Lactate dehydrogenase (ldh)
|
$88.20 |
$88.20 |
$88.20 |
$55.50
|
|
Lactated ringers intravenous solution
|
$21.00 |
$21.00 |
$21.00 |
$45.56
|
|
Lactic acid
|
$185.40 |
$185.40 |
$185.40 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$315.00 |
$315.00 |
$315.00 |
$80.40
|
|
Lactoferrin fecal quant
|
$82.80 |
$82.80 |
$82.80 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$24,168.60 |
$24,168.60 |
$24,168.60 |
$19,124.00
|
|
Laparo-asst vag hysterectomy
|
$2,179.20 |
$2,179.20 |
$2,179.20 |
$6,463.42
|
|
Laparoscopic salpingostomy 58673
|
$1,690.80 |
$1,690.80 |
$1,690.80 |
$5,214.15
|
|
Laparoscopy aspiration
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$6,457.82
|
|
Laparoscopy excise lesions
|
$1,546.80 |
$1,546.80 |
$1,546.80 |
$6,904.15
|
|
Laparoscopy remove adnexa
|
$1,513.80 |
$1,513.80 |
$1,513.80 |
$8,312.83
|
|
Laparo-vag hyst incl t/o
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$12,100.40
|
|
Largsc w/ther injection
|
$364.20 |
$364.20 |
$364.20 |
$2,098.00
|
|
Laryngoplasty medialization
|
$813.00 |
$813.00 |
$813.00 |
$6,186.50
|
|
Laryngoscope w/vc inj
|
$812.40 |
$812.40 |
$812.40 |
$4,108.00
|
|
Laryngoscopy and dilation
|
$459.00 |
$459.00 |
$459.00 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$367.80 |
$367.80 |
$367.80 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$595.20 |
$595.20 |
$595.20 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$766.80 |
$766.80 |
$766.80 |
$4,362.99
|
|
Laryngoscopy w/exc of tumor
|
$719.40 |
$719.40 |
$719.40 |
$5,110.00
|
|
Laryngoscopy with biopsy
|
$391.20 |
$391.20 |
$391.20 |
$3,297.83
|
|
Larynscop w/tumr exc + scope
|
$880.20 |
$880.20 |
$880.20 |
$4,363.27
|
|
Lavh >250 gms 58553
|
$2,317.80 |
$2,317.80 |
$2,317.80 |
$6,839.00
|
|
Lead capillary
|
$170.40 |
$170.40 |
$170.40 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$6,174.00 |
$6,174.00 |
$6,174.00 |
$8,000.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$880.80 |
$880.80 |
$880.80 |
$1,088.26
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,499.40 |
$1,499.40 |
$1,499.40 |
$1,065.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$274.80 |
$274.80 |
$274.80 |
$163.62
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$27.00 |
$27.00 |
$27.00 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$183.00 |
$183.00 |
$183.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$39.00 |
$39.00 |
$39.00 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$814.80 |
$814.80 |
$814.80 |
$385.62
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$9.90 |
$9.90 |
$9.90 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$27.30 |
$27.30 |
$27.30 |
$39.37
|
|
Ligation/biopsy of temporal artery 37609
|
$506.40 |
$506.40 |
$506.40 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$682.80 |
$682.80 |
$682.80 |
$4,026.79
|
|
Ligation/major artery/extremity 37618
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$1,525.00
|
|
Lig/band angioaccess av fistula
|
$3,817.20 |
$3,817.20 |
$3,817.20 |
$4,676.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$135.60 |
$135.60 |
$135.60 |
$125.66
|
|
Lipase
|
$186.00 |
$186.00 |
$186.00 |
$93.58
|
|
Lipoprotein blood quant
|
$96.60 |
$96.60 |
$96.60 |
$102.05
|
