|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$11.78 |
$11.78 |
$11.78 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$77.46 |
$77.46 |
$77.46 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$21.16 |
$21.16 |
$21.16 |
$141.95
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$20.61 |
$20.61 |
$20.61 |
$167.05
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$230.18 |
$230.18 |
$230.18 |
$864.67
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$19.50 |
$19.50 |
$19.50 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$19.50 |
$19.50 |
$19.50 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$23.18 |
$23.18 |
$23.18 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$19.50 |
$19.50 |
$19.50 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$28.34 |
$28.34 |
$28.34 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$17.66 |
$17.66 |
$17.66 |
$206.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$19.50 |
$19.50 |
$19.50 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$20.42 |
$20.42 |
$20.42 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$230.18 |
$230.18 |
$230.18 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$50.60 |
$50.60 |
$50.60 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$23.74 |
$23.74 |
$23.74 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$27.05 |
$27.05 |
$27.05 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$47.10 |
$47.10 |
$47.10 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$78.75 |
$78.75 |
$78.75 |
$304.20
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$71.04 |
$71.04 |
$71.04 |
$296.00
|
|
Inj cntr knee arthro incl ct/mri
|
$88.35 |
$88.35 |
$88.35 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$170.81 |
$170.81 |
$170.81 |
$875.28
|
|
Inj dx for sinogram
|
$51.87 |
$51.87 |
$51.87 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$121.41 |
$121.41 |
$121.41 |
$503.50
|
|
Injection epidural blood patch or clot
|
$292.93 |
$292.93 |
$292.93 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$136.23 |
$136.23 |
$136.23 |
$436.00
|
|
Injection for bladder x-ray
|
$96.90 |
$96.90 |
$96.90 |
$459.20
|
|
Injection for hip x-ray
|
$146.87 |
$146.87 |
$146.87 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$132.24 |
$132.24 |
$132.24 |
$497.76
|
|
Injection for ureter x-ray
|
$60.80 |
$60.80 |
$60.80 |
$415.80
|
|
Injection into brain canal
|
$192.09 |
$192.09 |
$192.09 |
$844.50
|
|
Injection jaw joint x-ray
|
$34.58 |
$34.58 |
$34.58 |
$307.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$83.60 |
$83.60 |
$83.60 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$56.65 |
$56.65 |
$56.65 |
$145.60
|
|
Inj for ext venography
|
$138.32 |
$138.32 |
$138.32 |
$628.80
|
|
Inj for mammo ductogram
|
$364.23 |
$364.23 |
$364.23 |
$397.80
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$278.54 |
$278.54 |
$278.54 |
$1,938.00
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$374.49 |
$374.49 |
$374.49 |
$1,413.35
|
|
Inj proc ankle arthr
|
$159.03 |
$159.03 |
$159.03 |
$405.31
|
|
Inj proc elbow arthro
|
$147.63 |
$147.63 |
$147.63 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$179.36 |
$179.36 |
$179.36 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$192.85 |
$192.85 |
$192.85 |
$838.30
|
|
Inj proc sialogram
|
$90.44 |
$90.44 |
$90.44 |
$373.00
|
|
Inj retacrit esrd on dialysi
|
$1.04 |
$1.04 |
$1.04 |
$349.45
|
|
Inj retro urethrocysto
|
$49.21 |
$49.21 |
$49.21 |
$447.74
|
|
Inj w/fluor eval cv device
|
$131.86 |
$131.86 |
$131.86 |
$504.40
|
|
Insert cath pleura with image
|
$587.10 |
$587.10 |
$587.10 |
$2,194.40
|
|
Insertion catheter bladder non indwelling
|
$39.14 |
$39.14 |
$39.14 |
$208.01
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$748.22 |
$748.22 |
$748.22 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$520.41 |
$520.41 |
$520.41 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$542.45 |
$542.45 |
$542.45 |
$2,453.83
|
|
Insert swan-ganz cath
|
$893.01 |
$893.01 |
$893.01 |
$2,164.52
|
|
Insitu hybridization auto
|
$162.44 |
$162.44 |
$162.44 |
$377.37
|
|
Insitu hybridization (fish)
|
$110.21 |
$110.21 |
$110.21 |
$481.00
|
|
Insitu hybridization manual
|
$162.44 |
$162.44 |
$162.44 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$99.13 |
$99.13 |
$99.13 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$130.25 |
$130.25 |
$130.25 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$525.92 |
$525.92 |
$525.92 |
$1,690.00
|
|
Insulin total
|
$10.83 |
$10.83 |
$10.83 |
$66.64
|
|
Intracranial complete study
|
$192.22 |
$192.22 |
$192.22 |
$881.50
|
|
Intracranial limited study
|
$129.93 |
$129.93 |
$129.93 |
$467.50
|
|
Intrinsic factor antibody
|
$17.76 |
$17.76 |
$17.76 |
$65.00
|
|
Intro long gi tube w/mult fluo
|
$100.51 |
$100.51 |
$100.51 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$218.16 |
$218.16 |
$218.16 |
$601.28
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.03 |
$0.03 |
$0.03 |
$279.10
|
|
Iron
|
$39.52 |
$39.52 |
$39.52 |
$75.00
|
|
Iron binding capacity
|
$5.13 |
$5.13 |
$5.13 |
$63.91
|
|
IV Fluids (each additional hour)
|
$43.47 |
$43.47 |
$43.47 |
$133.90
|
|
IV Fluids (first hour)
|
$138.92 |
$138.92 |
$138.92 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$61.64 |
$61.64 |
$61.64 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$80.04 |
$80.04 |
$80.04 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$53.36 |
$53.36 |
$53.36 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$150.19 |
$150.19 |
$150.19 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$57.47 |
$57.47 |
$57.47 |
$167.50
|
|
IV Push Injection (first drug)
|
$104.03 |
$104.03 |
$104.03 |
$252.76
|
|
Ivp w/nephrotomography
|
$518.70 |
$518.70 |
$518.70 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$287.85 |
$287.85 |
$287.85 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$190.37 |
$190.37 |
$190.37 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$74.67 |
$74.67 |
$74.67 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$73.91 |
$73.91 |
$73.91 |
$362.05
|
|
John cunningham antibody
|
$15.35 |
$15.35 |
$15.35 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$27.55 |
$27.55 |
$27.55 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$11.59 |
$11.59 |
$11.59 |
$58.56
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$120.86 |
$120.86 |
$120.86 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$77.96 |
$77.96 |
$77.96 |
$490.75
|
|
Kit gene analys d816 variant
|
$128.33 |
$128.33 |
$128.33 |
$374.61
|
|
Kit lead specify 5-6-5
|
$6,536.95 |
$6,536.95 |
$6,536.95 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$574.52 |
$574.52 |
$574.52 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,301.46 |
$1,301.46 |
$1,301.46 |
$2,254.50
|
|
Knee X-ray
|
$85.12 |
$85.12 |
$85.12 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$64.60 |
$64.60 |
$64.60 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$76.00 |
$76.00 |
$76.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$75.24 |
$75.24 |
$75.24 |
$251.20
|
|
Lactate dehydrogenase (ldh)
|
$31.73 |
$31.73 |
$31.73 |
$55.50
|
|
Lactic acid
|
$29.07 |
$29.07 |
$29.07 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$18.62 |
$18.62 |
$18.62 |
$82.16
|
|
Lactoferrin fecal quant
|
$38.76 |
$38.76 |
$38.76 |
$108.93
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$177.27 |
$177.27 |
$177.27 |
$740.40
|
|
Lead acuity x4 spiral l 86cm
|
$6,536.95 |
$6,536.95 |
$6,536.95 |
$5,460.00
|
|
Lead capillary
|
$15.01 |
$15.01 |
$15.01 |
$57.50
|