|
Interrog dev eval scrms ip
|
$47.50 |
$47.50 |
$47.50 |
$124.80
|
|
Interrog device eval heart
|
$49.50 |
$49.50 |
$49.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$116.00 |
$116.00 |
$116.00 |
$124.80
|
|
Interrog without prgrmg ipnss
|
$109.50 |
$109.50 |
$109.50 |
$147.00
|
|
Int hrhc lig 2+hroid without img
|
$3,160.00 |
$3,160.00 |
$3,160.00 |
$3,245.23
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$63.15
|
|
Intro long gi tube
|
$534.00 |
$534.00 |
$534.00 |
$957.18
|
|
Intubation endotracheal emergency procedure
|
$1,495.50 |
$1,495.50 |
$1,495.50 |
$598.80
|
|
Iodine i-123 sod iodide mil
|
$370.50 |
$370.50 |
$370.50 |
$371.18
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$24.78 |
$24.78 |
$24.78 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,578.00 |
$1,578.00 |
$1,578.00 |
$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
|
$80.00 |
$80.00 |
$80.00 |
$63.60
|
|
Iron dextran 50 mg/ml injection solution
|
$715.30 |
$715.30 |
$715.30 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$269.60 |
$269.60 |
$269.60 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$102.00 |
$102.00 |
$102.00 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$78.50 |
$78.50 |
$78.50 |
$132.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$99.00 |
$99.00 |
$99.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$99.00 |
$99.00 |
$99.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$392.00 |
$392.00 |
$392.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$269.00 |
$269.00 |
$269.00 |
$437.45
|
|
Ivp w/nephrotomography
|
$696.50 |
$696.50 |
$696.50 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$592.50 |
$592.50 |
$592.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$162.50 |
$162.50 |
$162.50 |
$393.43
|
|
Ketamine and metabolite screen - quest
|
$150.00 |
$150.00 |
$150.00 |
$72.14
|
|
Ketogenic steroids fract
|
$80.00 |
$80.00 |
$80.00 |
$82.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$61.00 |
$61.00 |
$61.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$21.33 |
$21.33 |
$21.33 |
$23.77
|
|
Kidney imaging morphology
|
$604.00 |
$604.00 |
$604.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$696.50 |
$696.50 |
$696.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$643.00 |
$643.00 |
$643.00 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$57.00 |
$57.00 |
$57.00 |
$174.00
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$1,187.50 |
$1,187.50 |
$1,187.50 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$2,951.25 |
$2,951.25 |
$2,951.25 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,436.50 |
$1,436.50 |
$1,436.50 |
$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)
|
$4,688.00 |
$4,688.00 |
$4,688.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,781.50 |
$2,781.50 |
$2,781.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,094.50 |
$2,094.50 |
$2,094.50 |
$2,110.76
|
|
Knee X-ray
|
$325.00 |
$325.00 |
$325.00 |
$425.55
|
|
Ko single upright pre cst
|
$641.00 |
$641.00 |
$641.00 |
$988.40
|
|
Ko swedish type pre ots
|
$671.00 |
$671.00 |
$671.00 |
$581.60
|
|
Kras gene addl variants
|
$320.00 |
$320.00 |
$320.00 |
$386.75
|
|
Kras gene variants exon 2
|
$320.00 |
$320.00 |
$320.00 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$3.15 |
$3.15 |
$3.15 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$46.00 |
$46.00 |
$46.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$209.00 |
$209.00 |
$209.00 |
$44.91
|
|
Lactic acid
|
$338.50 |
$338.50 |
$338.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$105.00 |
$105.00 |
$105.00 |
$81.00
|
|
Lactoferrin fecal quant
|
$78.00 |
$78.00 |
$78.00 |
$108.93
|
|
Lap place gastr adj device
|
$9,959.00 |
$9,959.00 |
$9,959.00 |
$10,522.00
|
|
Largsc w/laser dstrj les
|
$4,375.50 |
$4,375.50 |
$4,375.50 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$2,098.00 |
$2,098.00 |
$2,098.00 |
$3,297.97
|
|
Largsc w/ther injection
|
$2,098.00 |
$2,098.00 |
$2,098.00 |
$2,286.46
|
|
Laryngoplasty medialization
|
$7,008.50 |
$7,008.50 |
$7,008.50 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$4,375.50 |
$4,375.50 |
$4,375.50 |
$4,108.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,098.00 |
$2,098.00 |
$2,098.00 |
$2,480.71
|
|
Laryngoscopy with biopsy
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$3,297.83
|
|
Lateral canthopexy
|
$3,734.50 |
$3,734.50 |
$3,734.50 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$3,381.00 |
$3,381.00 |
$3,381.00 |
$3,386.84
|
|
Lead capillary
|
$77.00 |
$77.00 |
$77.00 |
$55.25
|
|
Lead tachy durata sj4 58cm
|
$4,499.50 |
$4,499.50 |
$4,499.50 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$473.50 |
$473.50 |
$473.50 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$75.00 |
$75.00 |
$75.00 |
$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 500 mg/5 ml intravenous solution
|
$97.20 |
$97.20 |
$97.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$141.00 |
$141.00 |
$141.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.77 |
$7.77 |
$7.77 |
$55.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$9.08 |
$9.08 |
$9.08 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$197.50 |
$197.50 |
$197.50 |
$87.45
|
|
Liletta, 52 mg
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$107.50 |
$107.50 |
$107.50 |
$109.20
|
|
Limited visual field xm
|
$83.00 |
$83.00 |
$83.00 |
$79.20
|
|
Lincomycin injection
|
$34.50 |
$34.50 |
$34.50 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$14.18 |
$14.18 |
$14.18 |
$121.00
|
|
Lipase
|
$76.50 |
$76.50 |
$76.50 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$216.00 |
$216.00 |
$216.00 |
$86.42
|
|
Lipoprotein blood quant
|
$50.00 |
$50.00 |
$50.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$50.00 |
$50.00 |
$50.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$57.50 |
$57.50 |
$57.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$65.50 |
$65.50 |
$65.50 |
$69.42
|
|
Liver elastography 91200
|
$175.00 |
$175.00 |
$175.00 |
$280.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Liver imaging
|
$1,721.00 |
$1,721.00 |
$1,721.00 |
$1,143.00
|
|
Liver/spleen imag static only
|
$594.50 |
$594.50 |
$594.50 |
$1,123.50
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,643.00 |
$3,643.00 |
$3,643.00 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$60.19 |
$60.19 |
$60.19 |
$37.37
|
|
Low back disk surgery
|
$5,642.50 |
$5,642.50 |
$5,642.50 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$758.50 |
$758.50 |
$758.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,009.50 |
$1,009.50 |
$1,009.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$892.00 |
$892.00 |
$892.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,450.00 |
$1,450.00 |
$1,450.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,343.50 |
$1,343.50 |
$1,343.50 |
$2,065.69
|
