|
IV Fluids (each additional hour)
|
$51.22 |
$51.22 |
$51.22 |
$133.90
|
|
IV Fluids (first hour)
|
$163.68 |
$163.68 |
$163.68 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$72.63 |
$72.63 |
$72.63 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$94.31 |
$94.31 |
$94.31 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$62.87 |
$62.87 |
$62.87 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$176.96 |
$176.96 |
$176.96 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$75.61 |
$75.61 |
$75.61 |
$167.50
|
|
IV Push Injection (first drug)
|
$136.86 |
$136.86 |
$136.86 |
$252.76
|
|
Ivp w/nephrotomography
|
$698.88 |
$698.88 |
$698.88 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$387.84 |
$387.84 |
$387.84 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$193.78 |
$193.78 |
$193.78 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$100.61 |
$100.61 |
$100.61 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$99.58 |
$99.58 |
$99.58 |
$362.05
|
|
John cunningham antibody
|
$7.60 |
$7.60 |
$7.60 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$22.91 |
$22.91 |
$22.91 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$9.64 |
$9.64 |
$9.64 |
$58.56
|
|
Kidney imaging morphology
|
$412.82 |
$412.82 |
$412.82 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$666.89 |
$666.89 |
$666.89 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$564.24 |
$564.24 |
$564.24 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$281.11 |
$281.11 |
$281.11 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$181.33 |
$181.33 |
$181.33 |
$490.75
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$3,679.87 |
$3,679.87 |
$3,679.87 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$130.63 |
$130.63 |
$130.63 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$28,799.55 |
$28,799.55 |
$28,799.55 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$46,530.75 |
$46,530.75 |
$46,530.75 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$9,216.57 |
$9,216.57 |
$9,216.57 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$708.79 |
$708.79 |
$708.79 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$104.75 |
$104.75 |
$104.75 |
$360.12
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,605.62 |
$1,605.62 |
$1,605.62 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$735.21 |
$735.21 |
$735.21 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$612.64 |
$612.64 |
$612.64 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$490.07 |
$490.07 |
$490.07 |
$2,130.88
|
|
Knee X-ray
|
$114.69 |
$114.69 |
$114.69 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$87.04 |
$87.04 |
$87.04 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$102.40 |
$102.40 |
$102.40 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$101.38 |
$101.38 |
$101.38 |
$251.20
|
|
Kras gene addl variants
|
$125.86 |
$125.86 |
$125.86 |
$387.20
|
|
Kras gene variants exon 2
|
$202.24 |
$202.24 |
$202.24 |
$536.20
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$15.71 |
$15.71 |
$15.71 |
$109.20
|
|
Lactate dehydrogenase (ldh)
|
$26.39 |
$26.39 |
$26.39 |
$55.50
|
|
Lactic acid
|
$24.17 |
$24.17 |
$24.17 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$15.48 |
$15.48 |
$15.48 |
$82.16
|
|
Lactoferrin fecal quant
|
$32.23 |
$32.23 |
$32.23 |
$108.93
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$287.36 |
$287.36 |
$287.36 |
$740.40
|
|
Laryngoscopy telescopic
|
$321.86 |
$321.86 |
$321.86 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$8,064.63 |
$8,064.63 |
$8,064.63 |
$5,460.00
|
|
Lead capillary
|
$12.48 |
$12.48 |
$12.48 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$8,064.63 |
$8,064.63 |
$8,064.63 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$5,184.78 |
$5,184.78 |
$5,184.78 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$478.86 |
$478.86 |
$478.86 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$393.72 |
$393.72 |
$393.72 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$314.98 |
$314.98 |
$314.98 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$480.48 |
$480.48 |
$480.48 |
$1,092.58
|
|
Leishmania antibody
|
$5.51 |
$5.51 |
$5.51 |
$58.50
|
|
Lens, intraocular (new tech)
|
$444.02 |
$444.02 |
$444.02 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$677.82 |
$677.82 |
$677.82 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$677.82 |
$677.82 |
$677.82 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$9.95 |
$9.95 |
$9.95 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$1,606.29 |
$1,606.29 |
$1,606.29 |
$6,104.00
|
|
Liberta rc ipg
|
$28,799.55 |
$28,799.55 |
$28,799.55 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$7.11 |
$7.11 |
$7.11 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$1,181,386.54 |
$1,181,386.54 |
$1,181,386.54 |
$30,744.64
|
|
Lipase
|
$39.34 |
$39.34 |
$39.34 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$16.12 |
$16.12 |
$16.12 |
$87.00
|
|
Lipoprotein blood quant
|
$16.27 |
$16.27 |
$16.27 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$19.43 |
$19.43 |
$19.43 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$14.85 |
$14.85 |
$14.85 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$16.27 |
$16.27 |
$16.27 |
$47.18
|
|
Lithium therapeutic drug level
|
$8.22 |
$8.22 |
$8.22 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,644.76 |
$3,644.76 |
$3,644.76 |
$4,371.12
|
|
Liver Function Test
|
$45.35 |
$45.35 |
$45.35 |
$115.44
|
|
Liver imaging
|
$391.51 |
$391.51 |
$391.51 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$422.87 |
$422.87 |
$422.87 |
$1,227.60
|
|
Liver/spleen imag static only
|
$358.68 |
$358.68 |
$358.68 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$315.56 |
$315.56 |
$315.56 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.70 |
$0.70 |
$0.70 |
$49.70
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$90.13 |
$90.13 |
$90.13 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$750.77 |
$750.77 |
$750.77 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$625.71 |
$625.71 |
$625.71 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$500.45 |
$500.45 |
$500.45 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$630.92 |
$630.92 |
$630.92 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$525.83 |
$525.83 |
$525.83 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$420.56 |
$420.56 |
$420.56 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$112.90 |
$112.90 |
$112.90 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$128.77 |
$128.77 |
$128.77 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$152.58 |
$152.58 |
$152.58 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$80.90 |
$80.90 |
$80.90 |
$338.40
|
|
Lumbar diskogram s&i
|
$919.55 |
$919.55 |
$919.55 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$22.47 |
$22.47 |
$22.47 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$7.91 |
$7.91 |
$7.91 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$17.78 |
$17.78 |
$17.78 |
$296.91
|
|
Lung perfusion imaging
|
$382.44 |
$382.44 |
$382.44 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$527.73 |
$527.73 |
$527.73 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$22.05 |
$22.05 |
$22.05 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$604.16 |
$604.16 |
$604.16 |
$972.06
|
|
Lymph vessel x-ray trunk
|
$480.51 |
$480.51 |
$480.51 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$696.32 |
$696.32 |
$696.32 |
$3,452.15
|
|
Macroscopic exam arthropod
|
$3.29 |
$3.29 |
$3.29 |
$38.58
|
|
Macroscopic exam parasite
|
$14.67 |
$14.67 |
$14.67 |
$37.05
|
|
Magnesium
|
$20.86 |
$20.86 |
$20.86 |
$73.00
|