|
Inj multihance
|
$10.10 |
$10.10 |
$10.10 |
$73.49
|
|
Inj proc ankle arthr
|
$611.16 |
$611.16 |
$611.16 |
$405.31
|
|
Inj proc elbow arthro
|
$611.16 |
$611.16 |
$611.16 |
$419.60
|
|
Inj proc myelogram lumbar
|
$859.98 |
$859.98 |
$859.98 |
$830.50
|
|
Inj scleros sol mult veins
|
$326.04 |
$326.04 |
$326.04 |
$675.00
|
|
Inj scleros sol sgl vein
|
$461.34 |
$461.34 |
$461.34 |
$558.97
|
|
Inj vancomycin (xellia) 10mg
|
$0.84 |
$0.84 |
$0.84 |
$76.59
|
|
Inj w/fluor eval cv device
|
$583.44 |
$583.44 |
$583.44 |
$503.92
|
|
Insert cath pleura with image
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,087.02 |
$1,087.02 |
$1,087.02 |
$2,073.18
|
|
Insert drug delivery implant
|
$184.80 |
$184.80 |
$184.80 |
$280.00
|
|
Insertion catheter bladder non indwelling
|
$215.82 |
$215.82 |
$215.82 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$215.82 |
$215.82 |
$215.82 |
$232.25
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,856.38 |
$3,856.38 |
$3,856.38 |
$4,782.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,161.40 |
$3,161.40 |
$3,161.40 |
$2,505.60
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,560.24 |
$1,560.24 |
$1,560.24 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,082.86 |
$3,082.86 |
$3,082.86 |
$2,419.65
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,794.80 |
$5,794.80 |
$5,794.80 |
$5,223.20
|
|
Insert picvad cath
|
$6,232.38 |
$6,232.38 |
$6,232.38 |
$4,195.00
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$5,840.34 |
$5,840.34 |
$5,840.34 |
$4,803.00
|
|
Insert tunneled cv cath
|
$4,350.06 |
$4,350.06 |
$4,350.06 |
$4,520.00
|
|
Insert tunneled cv cath
|
$3,954.06 |
$3,954.06 |
$3,954.06 |
$5,983.35
|
|
Insitu hybridization (fish)
|
$493.68 |
$493.68 |
$493.68 |
$481.60
|
|
Insitu hybridization manual
|
$894.30 |
$894.30 |
$894.30 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$493.68 |
$493.68 |
$493.68 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$493.68 |
$493.68 |
$493.68 |
$331.69
|
|
Ins picad w subq port 5yr>
|
$6,688.44 |
$6,688.44 |
$6,688.44 |
$3,985.20
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,620.86 |
$2,620.86 |
$2,620.86 |
$1,690.00
|
|
Inst fibrinolysis agent ini day
|
$714.12 |
$714.12 |
$714.12 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$714.12 |
$714.12 |
$714.12 |
$898.12
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$8,823.54 |
$8,823.54 |
$8,823.54 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$4,125.00 |
$4,125.00 |
$4,125.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$4,888.62 |
$4,888.62 |
$4,888.62 |
$4,202.70
|
|
Insulin total
|
$62.70 |
$62.70 |
$62.70 |
$66.64
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$9,058.50 |
$9,058.50 |
$9,058.50 |
$8,629.72
|
|
Integra meshed bil wound mat
|
$6,651.32 |
$6,651.32 |
$6,651.32 |
$9,924.16
|
|
Interrog evl pm/ldls pm ip
|
$113.52 |
$113.52 |
$113.52 |
$124.80
|
|
Intrinsic factor antibody
|
$99.00 |
$99.00 |
$99.00 |
$63.15
|
|
Intubation endotracheal emergency procedure
|
$1,094.94 |
$1,094.94 |
$1,094.94 |
$598.80
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.64 |
$2.64 |
$2.64 |
$288.11
|
|
Iron
|
$67.32 |
$67.32 |
$67.32 |
$72.29
|
|
Iron binding capacity
|
$89.10 |
$89.10 |
$89.10 |
$63.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$2.86 |
$2.86 |
$2.86 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$88.44 |
$88.44 |
$88.44 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$127.38 |
$127.38 |
$127.38 |
$144.62
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$145.86 |
$145.86 |
$145.86 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$207.24 |
$207.24 |
$207.24 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$143.88 |
$143.88 |
$143.88 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$439.56 |
$439.56 |
$439.56 |
$437.45
|
|
Jak2 targeted sequence analysis
|
$421.74 |
$421.74 |
$421.74 |
$393.43
|
|
John cunningham antibody
|
$1,585.32 |
$1,585.32 |
$1,585.32 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$44.88 |
$44.88 |
$44.88 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$44.22 |
$44.22 |
$44.22 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$36.30 |
$36.30 |
$36.30 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$1,682.34 |
$1,682.34 |
$1,682.34 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,682.34 |
$1,682.34 |
$1,682.34 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$566.28 |
$566.28 |
$566.28 |
$673.36
|
|
Kit gene analys d816 variant
|
$683.10 |
$683.10 |
$683.10 |
$366.03
|
|
Knee MRI (with and without contrast)
|
$2,669.70 |
$2,669.70 |
$2,669.70 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,542.32 |
$2,542.32 |
$2,542.32 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,420.88 |
$2,420.88 |
$2,420.88 |
$2,110.76
|
|
Knee X-ray
|
$363.00 |
$363.00 |
$363.00 |
$425.55
|
|
Kras gene variants exon 2
|
$931.26 |
$931.26 |
$931.26 |
$509.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$157.08 |
$157.08 |
$157.08 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$1.95 |
$1.95 |
$1.95 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$67.32 |
$67.32 |
$67.32 |
$55.50
|
|
Lactated ringers intravenous solution
|
$69.96 |
$69.96 |
$69.96 |
$44.91
|
|
Lactic acid
|
$72.60 |
$72.60 |
$72.60 |
$107.00
|
|
Lactoferrin fecal quant
|
$114.18 |
$114.18 |
$114.18 |
$108.93
|
|
Laparoscopy biopsy
|
$6,738.60 |
$6,738.60 |
$6,738.60 |
$6,376.26
|
|
Largsc w/rmvl foreign bdy(s)
|
$766.92 |
$766.92 |
$766.92 |
$765.97
|
|
Laryngeal function studies
|
$267.30 |
$267.30 |
$267.30 |
$335.40
|
|
Lead capillary
|
$72.60 |
$72.60 |
$72.60 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,283.70 |
$1,283.70 |
$1,283.70 |
$1,092.58
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$2.40 |
$2.40 |
$2.40 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$77.22 |
$77.22 |
$77.22 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.63 |
$49.63 |
$49.63 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$34.71 |
$34.71 |
$34.71 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$1.62 |
$1.62 |
$1.62 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$155.76 |
$155.76 |
$155.76 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$1,871.10 |
$1,871.10 |
$1,871.10 |
$3,322.80
|
|
Ligation major artery chest
|
$3,503.94 |
$3,503.94 |
$3,503.94 |
$2,114.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$71.74 |
$71.74 |
$71.74 |
$121.00
|
|
Lipase
|
$143.88 |
$143.88 |
$143.88 |
$91.65
|
|
Lipoprotein blood quant
|
$217.80 |
$217.80 |
$217.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$54.12 |
$54.12 |
$54.12 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$62.70 |
$62.70 |
$62.70 |
$61.60
|
|
Lithium therapeutic drug level
|
$39.60 |
$39.60 |
$39.60 |
$69.42
|
|
Liver Function Test
|
$131.34 |
$131.34 |
$131.34 |
$115.44
|
|
Liver imaging
|
$1,961.52 |
$1,961.52 |
$1,961.52 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$2,070.42 |
$2,070.42 |
$2,070.42 |
$1,227.60
|
|
Liver/spleen imag static only
|
$951.06 |
$951.06 |
$951.06 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,243.44 |
$1,243.44 |
$1,243.44 |
$1,069.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$188.76 |
$188.76 |
$188.76 |
$37.37
|
|
Low cost skin substitute app
|
$776.16 |
$776.16 |
$776.16 |
$933.60
|
|
Low cost skin substitute app
|
$1,032.90 |
$1,032.90 |
$1,032.90 |
$2,147.57
|
|
Low cost skin substitute app
|
$780.78 |
$780.78 |
$780.78 |
$1,012.00
|
|
Low cost skin substitute app
|
$865.26 |
$865.26 |
$865.26 |
$1,009.49
|
|
Low cost skin substitute app
|
$341.22 |
$341.22 |
$341.22 |
$428.35
|
|
Low cost skin substitute app
|
$616.44 |
$616.44 |
$616.44 |
$727.77
|