|
Insitu hybridization manual
|
$885.78 |
$885.78 |
$885.78 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$314.07 |
$314.07 |
$314.07 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$314.07 |
$314.07 |
$314.07 |
$338.40
|
|
Insj perq vad r hrt venous
|
$76,071.06 |
$76,071.06 |
$76,071.06 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$34,551.12 |
$34,551.12 |
$34,551.12 |
$12,384.25
|
|
Insole orthotic freedom sz6 6816
|
$202.35 |
$202.35 |
$202.35 |
$83.13
|
|
Ins picad w subq port 5yr>
|
$7,579.29 |
$7,579.29 |
$7,579.29 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,057.35 |
$1,057.35 |
$1,057.35 |
$1,483.95
|
|
Ins pm gen w/exist mlt leads
|
$40,351.44 |
$40,351.44 |
$40,351.44 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$6,452.97 |
$6,452.97 |
$6,452.97 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$25,699.59 |
$25,699.59 |
$25,699.59 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$24,201.06 |
$24,201.06 |
$24,201.06 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$21,400.65 |
$21,400.65 |
$21,400.65 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$25,392.36 |
$25,392.36 |
$25,392.36 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$57,352.26 |
$57,352.26 |
$57,352.26 |
$25,106.90
|
|
Inst fibrinolysis agent ini day
|
$1,303.02 |
$1,303.02 |
$1,303.02 |
$1,095.00
|
|
Instillation anticarcinogenic agent bladder
|
$1,039.11 |
$1,039.11 |
$1,039.11 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$5,586.00 |
$5,586.00 |
$5,586.00 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$6,452.97 |
$6,452.97 |
$6,452.97 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$1,371.42 |
$1,371.42 |
$1,371.42 |
$1,074.68
|
|
Insulin total
|
$27.93 |
$27.93 |
$27.93 |
$67.60
|
|
Ins vag brachytx device
|
$569.43 |
$569.43 |
$569.43 |
$909.35
|
|
Interdiscal perq aspir dx
|
$1,354.89 |
$1,354.89 |
$1,354.89 |
$1,222.26
|
|
Intra-atrial pacing
|
$9,350.85 |
$9,350.85 |
$9,350.85 |
$5,155.51
|
|
Intra-atrial recording
|
$11,922.12 |
$11,922.12 |
$11,922.12 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$2,610.60 |
$2,610.60 |
$2,610.60 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$26,299.80 |
$26,299.80 |
$26,299.80 |
$11,364.78
|
|
Intracranial angioplasty
|
$20,590.11 |
$20,590.11 |
$20,590.11 |
$7,149.60
|
|
Intracranial complete study
|
$986.67 |
$986.67 |
$986.67 |
$883.30
|
|
Intracranial limited study
|
$624.15 |
$624.15 |
$624.15 |
$423.52
|
|
Intrapul surf admin endo tube
|
$376.77 |
$376.77 |
$376.77 |
$239.52
|
|
Intrinsic factor antibody
|
$64.41 |
$64.41 |
$64.41 |
$59.95
|
|
Intro cath dialysis circuit
|
$6,424.47 |
$6,424.47 |
$6,424.47 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$11,248.38 |
$11,248.38 |
$11,248.38 |
$8,761.00
|
|
Intro catheter aorta
|
$3,422.85 |
$3,422.85 |
$3,422.85 |
$1,861.61
|
|
Intro cath svc/ivc
|
$3,068.88 |
$3,068.88 |
$3,068.88 |
$1,350.75
|
|
Intro long gi tube
|
$1,703.73 |
$1,703.73 |
$1,703.73 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$213.75 |
$213.75 |
$213.75 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$966.72 |
$966.72 |
$966.72 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$483.36 |
$483.36 |
$483.36 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$652.08 |
$652.08 |
$652.08 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$489.06 |
$489.06 |
$489.06 |
$677.98
|
|
Ionm in operatng room 15 min
|
$98.61 |
$98.61 |
$98.61 |
$200.78
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$302.69 |
$302.69 |
$302.69 |
$52,615.16
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$12.31 |
$12.31 |
$12.31 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$115.89 |
$115.89 |
$115.89 |
$6,655.71
|
|
Iron
|
$27.93 |
$27.93 |
$27.93 |
$70.72
|
|
Iron binding capacity
|
$32.49 |
$32.49 |
$32.49 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$30.46 |
$30.46 |
$30.46 |
$62.70
|
|
Iron stain peripheral blood
|
$16.53 |
$16.53 |
$16.53 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.14 |
$1.14 |
$1.14 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$71.82 |
$71.82 |
$71.82 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$75.81 |
$75.81 |
$75.81 |
$154.50
|
|
Ivc venogram s&i
|
$2,040.03 |
$2,040.03 |
$2,040.03 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$123.12 |
$123.12 |
$123.12 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$84.93 |
$84.93 |
$84.93 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$84.93 |
$84.93 |
$84.93 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$271.89 |
$271.89 |
$271.89 |
$460.85
|
|
IV inj ra drug dx study
|
$647.52 |
$647.52 |
$647.52 |
$560.00
|
|
Jak2 targeted sequence analysis
|
$453.15 |
$453.15 |
$453.15 |
$378.30
|
|
John cunningham antibody
|
$22.80 |
$22.80 |
$22.80 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$27.93 |
$27.93 |
$27.93 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$3.03 |
$3.03 |
$3.03 |
$30.08
|
|
Kidney imag w/bld flow multi
|
$2,231.55 |
$2,231.55 |
$2,231.55 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$966.72 |
$966.72 |
$966.72 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$410.97 |
$410.97 |
$410.97 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$1,047.66 |
$1,047.66 |
$1,047.66 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$987.24 |
$987.24 |
$987.24 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$926.82 |
$926.82 |
$926.82 |
$2,181.10
|
|
Knee X-ray
|
$183.54 |
$183.54 |
$183.54 |
$443.90
|
|
Kras gene addl variants
|
$395.58 |
$395.58 |
$395.58 |
$346.45
|
|
Kras gene variants exon 2
|
$417.24 |
$417.24 |
$417.24 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$14.24 |
$14.24 |
$14.24 |
$42.38
|
|
Lactate dehydrogenase (ldh)
|
$15.39 |
$15.39 |
$15.39 |
$53.30
|
|
Lactic acid
|
$36.48 |
$36.48 |
$36.48 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$42.18 |
$42.18 |
$42.18 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$142.62 |
$142.62 |
$142.62 |
$22,903.90
|
|
Laryngoscopy telescopic
|
$437.76 |
$437.76 |
$437.76 |
$762.30
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$674.88 |
$674.88 |
$674.88 |
$660.10
|
|
Lead capillary
|
$25.08 |
$25.08 |
$25.08 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$1,100.74
|
|
Lens iol ant bicnvx 24.0 multi
|
$295.94 |
$295.94 |
$295.94 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$188.10 |
$188.10 |
$188.10 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$21.27 |
$21.27 |
$21.27 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$413.70 |
$413.70 |
$413.70 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,784.71 |
$2,784.71 |
$2,784.71 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.19 |
$0.19 |
$0.19 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$41.61 |
$41.61 |
$41.61 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$15.52 |
$15.52 |
$15.52 |
$66.59
|
|
Lidocaine therapeutic drug level
|
$46.74 |
$46.74 |
$46.74 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$202.35 |
$202.35 |
$202.35 |
$155.52
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$39.72 |
$39.72 |
$39.72 |
$177.90
|
|
Lipase
|
$39.33 |
$39.33 |
$39.33 |
$83.20
|
|
Lipoprotein blood quant
|
$64.41 |
$64.41 |
$64.41 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$21.09 |
$21.09 |
$21.09 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$23.94 |
$23.94 |
$23.94 |
$60.00
|
|
Lithium therapeutic drug level
|
$21.09 |
$21.09 |
$21.09 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$4,371.12
|
|
Liver Function Test
|
$64.98 |
$64.98 |
$64.98 |
$110.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$3.37 |
$3.37 |
$3.37 |
$45.56
|
