|
Intubation endotracheal emergency procedure
|
$308.00 |
$308.00 |
$308.00 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$370.50 |
$370.50 |
$370.50 |
$371.18
|
|
Ionm in operatng room 15 min
|
$76.00 |
$76.00 |
$76.00 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$134.00 |
$134.00 |
$134.00 |
$288.11
|
|
Ipratropium bromide non-comp
|
$2.00 |
$2.00 |
$2.00 |
$3.75
|
|
Iron
|
$340.00 |
$340.00 |
$340.00 |
$72.29
|
|
Iron binding capacity
|
$25.00 |
$25.00 |
$25.00 |
$63.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.00 |
$1.00 |
$1.00 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$335.50 |
$335.50 |
$335.50 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$118.50 |
$118.50 |
$118.50 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$68.00 |
$68.00 |
$68.00 |
$132.00
|
|
Ivc venogram s&i
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$184.50 |
$184.50 |
$184.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$302.00 |
$302.00 |
$302.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$117.00 |
$117.00 |
$117.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$566.50 |
$566.50 |
$566.50 |
$437.45
|
|
Ivp w/nephrotomography
|
$715.00 |
$715.00 |
$715.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$877.50 |
$877.50 |
$877.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$142.50 |
$142.50 |
$142.50 |
$393.43
|
|
Ketamine and metabolite screen - quest
|
$150.00 |
$150.00 |
$150.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$41.50 |
$41.50 |
$41.50 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$2.00 |
$2.00 |
$2.00 |
$23.77
|
|
Kidney imaging morphology
|
$873.00 |
$873.00 |
$873.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,287.50 |
$1,287.50 |
$1,287.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$455.50 |
$455.50 |
$455.50 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$265.00 |
$265.00 |
$265.00 |
$174.00
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$9,362.00 |
$9,362.00 |
$9,362.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,146.50 |
$1,146.50 |
$1,146.50 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$923.90
|
|
Knee MRI (with and without contrast)
|
$1,974.00 |
$1,974.00 |
$1,974.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,346.00 |
$1,346.00 |
$1,346.00 |
$2,110.76
|
|
Knee X-ray
|
$241.00 |
$241.00 |
$241.00 |
$425.55
|
|
Ko swedish type pre ots
|
$607.00 |
$607.00 |
$607.00 |
$581.60
|
|
Kras gene addl variants
|
$195.00 |
$195.00 |
$195.00 |
$386.75
|
|
Kras gene variants exon 2
|
$265.00 |
$265.00 |
$265.00 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,125.00
|
|
Lactate dehydrogenase (ldh)
|
$38.50 |
$38.50 |
$38.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$189.00 |
$189.00 |
$189.00 |
$44.91
|
|
Lactic acid
|
$338.50 |
$338.50 |
$338.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$100.00 |
$100.00 |
$100.00 |
$81.00
|
|
Lactoferrin fecal quant
|
$77.50 |
$77.50 |
$77.50 |
$108.93
|
|
Lap place gastr adj device
|
$10,522.00 |
$10,522.00 |
$10,522.00 |
$10,522.00
|
|
Largsc w/laser dstrj les
|
$4,285.50 |
$4,285.50 |
$4,285.50 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$3,297.97
|
|
Largsc w/removal lesion
|
$4,285.50 |
$4,285.50 |
$4,285.50 |
$4,362.99
|
|
Largsc w/rmvl foreign bdy(s)
|
$450.00 |
$450.00 |
$450.00 |
$765.97
|
|
Largsc w/ther injection
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$2,286.46
|
|
Laryngoplasty medialization
|
$6,804.50 |
$6,804.50 |
$6,804.50 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$4,285.50 |
$4,285.50 |
$4,285.50 |
$4,108.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$450.00 |
$450.00 |
$450.00 |
$852.80
|
|
Laryngoscopy with biopsy
|
$2,085.50 |
$2,085.50 |
$2,085.50 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$445.50 |
$445.50 |
$445.50 |
$800.25
|
|
Lateral canthopexy
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$3,341.50 |
$3,341.50 |
$3,341.50 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$2,819.50 |
$2,819.50 |
$2,819.50 |
$5,534.00
|
|
Lead capillary
|
$70.50 |
$70.50 |
$70.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$5,789.50 |
$5,789.50 |
$5,789.50 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$695.50 |
$695.50 |
$695.50 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$939.50 |
$939.50 |
$939.50 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$420.00 |
$420.00 |
$420.00 |
$1,044.75
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$384.50 |
$384.50 |
$384.50 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,911.00 |
$3,911.00 |
$3,911.00 |
$9,107.80
|
|
Levalbuterol non-comp unit
|
$2.50 |
$2.50 |
$2.50 |
$6.00
|
|
Levetiracetam therapeutic drug level
|
$42.50 |
$42.50 |
$42.50 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$5.00 |
$5.00 |
$5.00 |
$55.60
|
|
L hrt cath chd nm/abn nt cnj
|
$3,106.50 |
$3,106.50 |
$3,106.50 |
$6,095.95
|
|
Liberta rc ipg
|
$25,471.00 |
$25,471.00 |
$25,471.00 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$30.00 |
$30.00 |
$30.00 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$2,368.50 |
$2,368.50 |
$2,368.50 |
$3,322.80
|
|
Lig/band angioaccess av fistula
|
$2,865.50 |
$2,865.50 |
$2,865.50 |
$4,676.50
|
|
Liletta, 52 mg
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$104.50 |
$104.50 |
$104.50 |
$109.20
|
|
Limited visual field xm
|
$68.50 |
$68.50 |
$68.50 |
$79.20
|
|
Lincomycin injection
|
$34.50 |
$34.50 |
$34.50 |
$64.31
|
|
Lipase
|
$49.00 |
$49.00 |
$49.00 |
$91.65
|
|
Lipoprotein blood quant
|
$50.00 |
$50.00 |
$50.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$56.00 |
$56.00 |
$56.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$50.50 |
$50.50 |
$50.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$42.00 |
$42.00 |
$42.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,734.00 |
$5,734.00 |
$5,734.00 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$365.28
|
|
Liver elastography 91200
|
$253.00 |
$253.00 |
$253.00 |
$280.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Liver/spleen imag static only
|
$794.00 |
$794.00 |
$794.00 |
$1,123.50
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$4.00 |
$4.00 |
$4.00 |
$37.37
|
|
Low back disk surgery
|
$5,801.00 |
$5,801.00 |
$5,801.00 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$560.00 |
$560.00 |
$560.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$2,065.69
|
