|
Intro long gi tube w/mult fluo
|
$392.00 |
$392.00 |
$392.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,336.50 |
$1,336.50 |
$1,336.50 |
$3,409.29
|
|
Intubation endotracheal emergency procedure
|
$556.50 |
$556.50 |
$556.50 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$370.50 |
$370.50 |
$370.50 |
$371.18
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.00 |
$2.00 |
$2.00 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$121.22 |
$121.22 |
$121.22 |
$288.11
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$28,406.98 |
$28,406.98 |
$28,406.98 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$2.00 |
$2.00 |
$2.00 |
$3.75
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$131.90 |
$131.90 |
$131.90 |
$174.47
|
|
Iron
|
$340.00 |
$340.00 |
$340.00 |
$72.29
|
|
Iron binding capacity
|
$81.50 |
$81.50 |
$81.50 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$733.64 |
$733.64 |
$733.64 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$404.40 |
$404.40 |
$404.40 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$145.50 |
$145.50 |
$145.50 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$139.00 |
$139.00 |
$139.00 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$103.50 |
$103.50 |
$103.50 |
$132.00
|
|
Ivc venogram s&i
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$294.00 |
$294.00 |
$294.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$231.00 |
$231.00 |
$231.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$772.00 |
$772.00 |
$772.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$997.00 |
$997.00 |
$997.00 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$990.50 |
$990.50 |
$990.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$147.50 |
$147.50 |
$147.50 |
$393.43
|
|
John cunningham antibody
|
$2,686.00 |
$2,686.00 |
$2,686.00 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$150.00 |
$150.00 |
$150.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$43.00 |
$43.00 |
$43.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$18.77 |
$18.77 |
$18.77 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$2,227.50 |
$2,227.50 |
$2,227.50 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$2,227.50 |
$2,227.50 |
$2,227.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$468.00 |
$468.00 |
$468.00 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$58.00 |
$58.00 |
$58.00 |
$174.00
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$1,050.50 |
$1,050.50 |
$1,050.50 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$3,753.00 |
$3,753.00 |
$3,753.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,271.50 |
$1,271.50 |
$1,271.50 |
$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 Arthroscopy (Cartilage Repair)
|
$5,771.50 |
$5,771.50 |
$5,771.50 |
$4,499.12
|
|
Knee Arthroscopy (Meniscus Repair)
|
$4,922.00 |
$4,922.00 |
$4,922.00 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$2,774.67 |
$2,774.67 |
$2,774.67 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$7,608.00 |
$7,608.00 |
$7,608.00 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$3,754.00 |
$3,754.00 |
$3,754.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,408.00 |
$3,408.00 |
$3,408.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,397.00 |
$5,397.00 |
$5,397.00 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$4,484.67 |
$4,484.67 |
$4,484.67 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$19,134.50 |
$19,134.50 |
$19,134.50 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$7,202.00 |
$7,202.00 |
$7,202.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$17,082.00 |
$17,082.00 |
$17,082.00 |
$8,979.74
|
|
Knee MRI (with and without contrast)
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,007.50 |
$2,007.50 |
$2,007.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$2,110.76
|
|
Knee X-ray
|
$637.00 |
$637.00 |
$637.00 |
$425.55
|
|
Ko swedish type pre ots
|
$594.50 |
$594.50 |
$594.50 |
$581.60
|
|
Kras gene addl variants
|
$235.00 |
$235.00 |
$235.00 |
$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
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$13.31 |
$13.31 |
$13.31 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$46.00 |
$46.00 |
$46.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$207.50 |
$207.50 |
$207.50 |
$44.91
|
|
Lactic acid
|
$338.50 |
$338.50 |
$338.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$25.00 |
$25.00 |
$25.00 |
$81.00
|
|
Lactoferrin fecal quant
|
$81.00 |
$81.00 |
$81.00 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,124.00 |
$19,124.00 |
$19,124.00 |
$19,124.00
|
|
Laparo cholecystectomy/graph
|
$10,309.50 |
$10,309.50 |
$10,309.50 |
$8,346.00
|
|
Laparo proc abdm/per/oment 49329
|
$4,863.00 |
$4,863.00 |
$4,863.00 |
$6,622.75
|
|
Laparoscopy aspiration
|
$10,729.00 |
$10,729.00 |
$10,729.00 |
$6,839.00
|
|
Laparoscopy excise lesions
|
$8,152.00 |
$8,152.00 |
$8,152.00 |
$6,904.15
|
|
Laparoscopy remove adnexa
|
$7,867.00 |
$7,867.00 |
$7,867.00 |
$8,607.55
|
|
Laparoscopy surg colpopexy
|
$12,442.25 |
$12,442.25 |
$12,442.25 |
$10,897.60
|
|
Laparo-vag hyst incl t/o
|
$9,197.00 |
$9,197.00 |
$9,197.00 |
$12,100.40
|
|
Lap enterolysis
|
$5,476.00 |
$5,476.00 |
$5,476.00 |
$6,376.26
|
|
Lap ing hernia repair init
|
$18,789.50 |
$18,789.50 |
$18,789.50 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$22,601.50 |
$22,601.50 |
$22,601.50 |
$6,463.42
|
|
Lap place gastr adj device
|
$9,959.00 |
$9,959.00 |
$9,959.00 |
$10,522.00
|
|
Largsc w/laser dstrj les
|
$6,301.00 |
$6,301.00 |
$6,301.00 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$3,297.97
|
|
Largsc w/ther injection
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$2,286.46
|
|
Laryngoplasty medialization
|
$10,092.50 |
$10,092.50 |
$10,092.50 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$6,301.00 |
$6,301.00 |
$6,301.00 |
$4,108.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,021.00 |
$3,021.00 |
$3,021.00 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$2,596.00 |
$2,596.00 |
$2,596.00 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$3,297.83
|
|
Laser surgery of prostate
|
$5,025.00 |
$5,025.00 |
$5,025.00 |
$6,822.11
|
|
Lateral canthopexy
|
$5,378.00 |
$5,378.00 |
$5,378.00 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$3,616.50 |
$3,616.50 |
$3,616.50 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$2,526.00 |
$2,526.00 |
$2,526.00 |
$5,534.00
|
|
Lead capillary
|
$40.00 |
$40.00 |
$40.00 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,077.00 |
$1,077.00 |
$1,077.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$4,718.50 |
$4,718.50 |
$4,718.50 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$659.50 |
$659.50 |
$659.50 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$75.00 |
$75.00 |
$75.00 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$349.07 |
$349.07 |
$349.07 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,196.97 |
$2,196.97 |
$2,196.97 |
$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 500 mg/5 ml intravenous solution
|
$41.31 |
$41.31 |
$41.31 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$40.00 |
$40.00 |
$40.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$25.88 |
$25.88 |
$25.88 |
$55.60
|
|
L hrt cath chd nm/abn nt cnj
|
$2,889.50 |
$2,889.50 |
$2,889.50 |
$6,095.95
|
|
Liberta rc ipg
|
$15,085.00 |
$15,085.00 |
$15,085.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$13.15 |
$13.15 |
$13.15 |
$46.02
|
