|
Ins lv lead exist pm/icd
|
$4,305.96 |
$4,305.96 |
$4,305.96 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$2,500.20 |
$2,500.20 |
$2,500.20 |
$4,078.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$766.74 |
$766.74 |
$766.74 |
$1,690.00
|
|
Ins pm gen w/exist mlt leads
|
$4,453.33 |
$4,453.33 |
$4,453.33 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$2,148.97 |
$2,148.97 |
$2,148.97 |
$5,486.00
|
|
Ins/rpl pm gen exist dual lead
|
$3,123.18 |
$3,123.18 |
$3,123.18 |
$11,005.50
|
|
Ins/rpl pm w/tv ld atrl
|
$3,796.56 |
$3,796.56 |
$3,796.56 |
$11,583.66
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$3,328.16 |
$3,328.16 |
$3,328.16 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$1,309.93 |
$1,309.93 |
$1,309.93 |
$4,218.00
|
|
Inst via cath agent pleurds
|
$266.75 |
$266.75 |
$266.75 |
$1,074.68
|
|
Insulin total
|
$6.44 |
$6.44 |
$6.44 |
$66.64
|
|
Intrinsic factor antibody
|
$10.03 |
$10.03 |
$10.03 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,150.10 |
$1,150.10 |
$1,150.10 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$3,570.25 |
$3,570.25 |
$3,570.25 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$6,970.15 |
$6,970.15 |
$6,970.15 |
$16,262.40
|
|
Intro catheter aorta
|
$385.58 |
$385.58 |
$385.58 |
$1,678.05
|
|
Intro cath svc/ivc
|
$344.59 |
$344.59 |
$344.59 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,502.17 |
$1,502.17 |
$1,502.17 |
$3,472.95
|
|
Intubation endotracheal emergency procedure
|
$251.79 |
$251.79 |
$251.79 |
$601.28
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.02 |
$0.02 |
$0.02 |
$279.10
|
|
Iron
|
$23.50 |
$23.50 |
$23.50 |
$75.00
|
|
Iron binding capacity
|
$3.05 |
$3.05 |
$3.05 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$79.46 |
$79.46 |
$79.46 |
$146.11
|
|
Ivc venogram s&i
|
$1,058.44 |
$1,058.44 |
$1,058.44 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$51.03 |
$51.03 |
$51.03 |
$133.90
|
|
IV Fluids (first hour)
|
$163.08 |
$163.08 |
$163.08 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$72.36 |
$72.36 |
$72.36 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$93.96 |
$93.96 |
$93.96 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$62.64 |
$62.64 |
$62.64 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$176.31 |
$176.31 |
$176.31 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$64.45 |
$64.45 |
$64.45 |
$167.50
|
|
IV Push Injection (first drug)
|
$116.66 |
$116.66 |
$116.66 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$325.72 |
$325.72 |
$325.72 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$141.09 |
$141.09 |
$141.09 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$84.50 |
$84.50 |
$84.50 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$83.64 |
$83.64 |
$83.64 |
$362.05
|
|
John cunningham antibody
|
$8.67 |
$8.67 |
$8.67 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$16.39 |
$16.39 |
$16.39 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$6.89 |
$6.89 |
$6.89 |
$58.56
|
|
Kidney imaging morphology
|
$331.94 |
$331.94 |
$331.94 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$536.23 |
$536.23 |
$536.23 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$453.69 |
$453.69 |
$453.69 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$185.37 |
$185.37 |
$185.37 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$119.57 |
$119.57 |
$119.57 |
$490.75
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$4,358.90 |
$4,358.90 |
$4,358.90 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$95.12 |
$95.12 |
$95.12 |
$374.61
|
|
Kit lead specify 5-6-5
|
$5,366.48 |
$5,366.48 |
$5,366.48 |
$16,672.10
|
|
Knee MRI (with and without contrast)
|
$706.66 |
$706.66 |
$706.66 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$588.85 |
$588.85 |
$588.85 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$471.04 |
$471.04 |
$471.04 |
$2,130.88
|
|
Knee X-ray
|
$96.32 |
$96.32 |
$96.32 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$73.10 |
$73.10 |
$73.10 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$86.00 |
$86.00 |
$86.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$85.14 |
$85.14 |
$85.14 |
$251.20
|
|
Kras gene addl variants
|
$91.64 |
$91.64 |
$91.64 |
$387.20
|
|
Kras gene variants exon 2
|
$147.26 |
$147.26 |
$147.26 |
$536.20
|
|
Lactate dehydrogenase (ldh)
|
$18.87 |
$18.87 |
$18.87 |
$55.50
|
|
Lactic acid
|
$17.29 |
$17.29 |
$17.29 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$11.07 |
$11.07 |
$11.07 |
$82.16
|
|
Lactoferrin fecal quant
|
$23.05 |
$23.05 |
$23.05 |
$108.93
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$614.38 |
$614.38 |
$614.38 |
$740.40
|
|
Lead capillary
|
$8.93 |
$8.93 |
$8.93 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$7,512.68 |
$7,512.68 |
$7,512.68 |
$2,928.00
|
|
Leg Artery Ultrasound (complete, both legs)
|
$424.96 |
$424.96 |
$424.96 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$336.60 |
$336.60 |
$336.60 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$269.28 |
$269.28 |
$269.28 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$426.40 |
$426.40 |
$426.40 |
$1,092.58
|
|
Leishmania antibody
|
$6.29 |
$6.29 |
$6.29 |
$58.50
|
|
Levetiracetam therapeutic drug level
|
$7.12 |
$7.12 |
$7.12 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$1,078.51 |
$1,078.51 |
$1,078.51 |
$6,104.00
|
|
Lidocaine therapeutic drug level
|
$5.08 |
$5.08 |
$5.08 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$924,198.87 |
$924,198.87 |
$924,198.87 |
$30,744.64
|
|
Lipase
|
$28.14 |
$28.14 |
$28.14 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$11.53 |
$11.53 |
$11.53 |
$87.00
|
|
Lipoprotein blood quant
|
$11.64 |
$11.64 |
$11.64 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$13.90 |
$13.90 |
$13.90 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$10.62 |
$10.62 |
$10.62 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$11.64 |
$11.64 |
$11.64 |
$47.18
|
|
Lithium therapeutic drug level
|
$5.88 |
$5.88 |
$5.88 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,447.20 |
$2,447.20 |
$2,447.20 |
$4,371.12
|
|
Liver Function Test
|
$32.43 |
$32.43 |
$32.43 |
$115.44
|
|
Liver imaging
|
$314.81 |
$314.81 |
$314.81 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$340.02 |
$340.02 |
$340.02 |
$1,227.60
|
|
Liver/spleen imag static only
|
$288.41 |
$288.41 |
$288.41 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.55 |
$0.55 |
$0.55 |
$49.70
|
|
Low cost skin substitute app
|
$297.00 |
$297.00 |
$297.00 |
$933.60
|
|
Low cost skin substitute app
|
$522.90 |
$522.90 |
$522.90 |
$2,164.64
|
|
Low cost skin substitute app
|
$280.80 |
$280.80 |
$280.80 |
$1,012.00
|
|
Low cost skin substitute app
|
$561.60 |
$561.60 |
$561.60 |
$1,016.16
|
|
Low cost skin substitute app
|
$36.90 |
$36.90 |
$36.90 |
$466.80
|
|
Low cost skin substitute app
|
$149.40 |
$149.40 |
$149.40 |
$756.00
|
|
Low cost skin substitute app
|
$40.95 |
$40.95 |
$40.95 |
$408.45
|
|
Low cost skin substitute app
|
$167.40 |
$167.40 |
$167.40 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$77.06 |
$77.06 |
$77.06 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$641.85 |
$641.85 |
$641.85 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$534.93 |
$534.93 |
$534.93 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$427.85 |
$427.85 |
$427.85 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$478.63 |
$478.63 |
$478.63 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$398.90 |
$398.90 |
$398.90 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$319.04 |
$319.04 |
$319.04 |
$2,080.00
|
