|
Ins tun intraperit dia cath
|
$3,130.00 |
$3,130.00 |
$3,130.00 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$695.00 |
$695.00 |
$695.00 |
$1,093.50
|
|
Insulin total
|
$65.00 |
$65.00 |
$65.00 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$1,775.00 |
$1,775.00 |
$1,775.00 |
$8,629.72
|
|
Interdiscal perq aspir dx
|
$710.00 |
$710.00 |
$710.00 |
$1,180.84
|
|
Interrogate subq defib
|
$255.00 |
$255.00 |
$255.00 |
$125.76
|
|
Interrog dev eval icpms ip
|
$425.00 |
$425.00 |
$425.00 |
$104.00
|
|
Interrog dev eval scrms ip
|
$77.50 |
$77.50 |
$77.50 |
$124.80
|
|
Interrog device eval heart
|
$310.00 |
$310.00 |
$310.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$310.00 |
$310.00 |
$310.00 |
$124.80
|
|
Intracran angioplsty w/stent
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$8,440.20
|
|
Intracranial angioplasty
|
$2,735.00 |
$2,735.00 |
$2,735.00 |
$5,099.25
|
|
Intracranial complete study
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$900.50
|
|
Intracranial limited study
|
$685.00 |
$685.00 |
$685.00 |
$444.66
|
|
Intrapul surf admin endo tube
|
$205.00 |
$205.00 |
$205.00 |
$220.80
|
|
Intrinsic factor antibody
|
$95.00 |
$95.00 |
$95.00 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$7,865.00 |
$7,865.00 |
$7,865.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,805.00 |
$15,805.00 |
$15,805.00 |
$15,805.00
|
|
Intro catheter aorta
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$880.00 |
$880.00 |
$880.00 |
$1,329.90
|
|
Intro long gi tube
|
$457.50 |
$457.50 |
$457.50 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$317.50 |
$317.50 |
$317.50 |
$449.40
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,185.00 |
$3,185.00 |
$3,185.00 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$302.50 |
$302.50 |
$302.50 |
$589.60
|
|
Iodine i-123 sod iodide mil
|
$307.50 |
$307.50 |
$307.50 |
$350.74
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$11.90 |
$11.90 |
$11.90 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.20 |
$2.20 |
$2.20 |
$279.10
|
|
Iron
|
$82.50 |
$82.50 |
$82.50 |
$74.40
|
|
Iron binding capacity
|
$72.50 |
$72.50 |
$72.50 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.14 |
$1.14 |
$1.14 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$65.00 |
$65.00 |
$65.00 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$112.50 |
$112.50 |
$112.50 |
$142.20
|
|
Ivc venogram s&i
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$140.00 |
$140.00 |
$140.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$140.00 |
$140.00 |
$140.00 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$140.00 |
$140.00 |
$140.00 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$335.00 |
$335.00 |
$335.00 |
$439.56
|
|
Ivp w/wo kub w/wo tomography
|
$670.00 |
$670.00 |
$670.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$475.00 |
$475.00 |
$475.00 |
$379.87
|
|
John cunningham antibody
|
$65.00 |
$65.00 |
$65.00 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$225.00 |
$225.00 |
$225.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$47.50 |
$47.50 |
$47.50 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$24.28 |
$24.28 |
$24.28 |
$23.50
|
|
Kidney endoscopy
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$5,728.00
|
|
Kidney function study
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$783.86
|
|
Kidney imag w/bld flow multi
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$780.00 |
$780.00 |
$780.00 |
$666.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,139.00 |
$11,139.00 |
$11,139.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$382.50 |
$382.50 |
$382.50 |
$374.61
|
|
Kit lead specify 5-6-5
|
$10,037.47 |
$10,037.47 |
$10,037.47 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,722.01 |
$1,722.01 |
$1,722.01 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$47.50 |
$47.50 |
$47.50 |
$740.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,830.28 |
$2,830.28 |
$2,830.28 |
$2,089.15
|
|
Knee MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,169.60
|
|
Knee X-ray
|
$670.00 |
$670.00 |
$670.00 |
$425.55
|
|
Kras gene addl variants
|
$875.00 |
$875.00 |
$875.00 |
$384.80
|
|
Kras gene variants exon 2
|
$260.00 |
$260.00 |
$260.00 |
$486.45
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$70.00 |
$70.00 |
$70.00 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$70.00 |
$70.00 |
$70.00 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$19.04 |
$19.04 |
$19.04 |
$32.34
|
|
Lactate dehydrogenase (ldh)
|
$47.50 |
$47.50 |
$47.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$128.66 |
$128.66 |
$128.66 |
$45.56
|
|
Lactic acid
|
$65.00 |
$65.00 |
$65.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$75.00 |
$75.00 |
$75.00 |
$80.40
|
|
Laryngoscopic sensory vid
|
$405.00 |
$405.00 |
$405.00 |
$336.00
|
|
Laryngoscopy telescopic
|
$790.00 |
$790.00 |
$790.00 |
$832.00
|
|
Lead acuity x4 spiral l 86cm
|
$3,472.75 |
$3,472.75 |
$3,472.75 |
$5,488.00
|
|
Lead capillary
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$817.96 |
$817.96 |
$817.96 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$5,508.50 |
$5,508.50 |
$5,508.50 |
$8,000.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,088.26
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.45 |
$0.45 |
$0.45 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$100.00 |
$100.00 |
$100.00 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$122.50 |
$122.50 |
$122.50 |
$89.70
|
|
Ligation/biopsy of temporal artery 37609
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$4,255.00 |
$4,255.00 |
$4,255.00 |
$4,026.79
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$31.22 |
$31.22 |
$31.22 |
$125.66
|
|
Lipase
|
$105.00 |
$105.00 |
$105.00 |
$93.58
|
|
Lipoprotein blood quant
|
$137.50 |
$137.50 |
$137.50 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$60.00 |
$60.00 |
$60.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$67.50 |
$67.50 |
$67.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$62.50 |
$62.50 |
$62.50 |
$69.42
|
|
Liver elastography 91200
|
$280.00 |
$280.00 |
$280.00 |
$285.18
|
|
Liver Function Test
|
$140.00 |
$140.00 |
$140.00 |
$115.44
|
|
Liver imaging
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,093.50
|
|
Liver/spleen imag static only
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,123.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$7.15 |
$7.15 |
$7.15 |
$45.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$50.09 |
$50.09 |
$50.09 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$367.50 |
$367.50 |
$367.50 |
$352.32
|
