|
Inj, rimabotulinumtoxinb
|
$12.65 |
$12.65 |
$12.65 |
$714.24
|
|
Inj w/fluor eval cv device
|
$151.03 |
$151.03 |
$151.03 |
$504.40
|
|
Ins cerv dilator (sep proc)
|
$490.73 |
$490.73 |
$490.73 |
$490.73
|
|
Insert cath pleura with image
|
$1,122.17 |
$1,122.17 |
$1,122.17 |
$2,194.40
|
|
Insertion catheter bladder non indwelling
|
$52.53 |
$52.53 |
$52.53 |
$208.01
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,144.30 |
$2,144.30 |
$2,144.30 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$440.12 |
$440.12 |
$440.12 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$428.09 |
$428.09 |
$428.09 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$443.48 |
$443.48 |
$443.48 |
$2,453.83
|
|
Insert swan-ganz cath
|
$1,256.37 |
$1,256.37 |
$1,256.37 |
$2,164.52
|
|
Insitu hybridization auto
|
$381.76 |
$381.76 |
$381.76 |
$377.37
|
|
Insitu hybridization (fish)
|
$259.02 |
$259.02 |
$259.02 |
$481.00
|
|
Insitu hybridization manual
|
$381.76 |
$381.76 |
$381.76 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$65.13 |
$65.13 |
$65.13 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$182.86 |
$182.86 |
$182.86 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$432.90 |
$432.90 |
$432.90 |
$1,690.00
|
|
Instillation anticarcinogenic agent bladder
|
$231.83 |
$231.83 |
$231.83 |
$638.40
|
|
Insulin total
|
$26.79 |
$26.79 |
$26.79 |
$66.64
|
|
Intracranial complete study
|
$402.47 |
$402.47 |
$402.47 |
$881.50
|
|
Intracranial limited study
|
$233.77 |
$233.77 |
$233.77 |
$467.50
|
|
Intrapul surf admin endo tube
|
$39.37 |
$39.37 |
$39.37 |
$220.80
|
|
Intrinsic factor antibody
|
$21.59 |
$21.59 |
$21.59 |
$65.00
|
|
Intro long gi tube
|
$287.64 |
$287.64 |
$287.64 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$136.74 |
$136.74 |
$136.74 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$227.77 |
$227.77 |
$227.77 |
$601.28
|
|
Iron
|
$97.76 |
$97.76 |
$97.76 |
$75.00
|
|
Iron binding capacity
|
$12.69 |
$12.69 |
$12.69 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$68.11 |
$68.11 |
$68.11 |
$146.11
|
|
IV Fluids (each additional hour)
|
$28.07 |
$28.07 |
$28.07 |
$133.90
|
|
IV Fluids (first hour)
|
$102.12 |
$102.12 |
$102.12 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$49.37 |
$49.37 |
$49.37 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$54.21 |
$54.21 |
$54.21 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$31.94 |
$31.94 |
$31.94 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$122.45 |
$122.45 |
$122.45 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$38.70 |
$38.70 |
$38.70 |
$167.50
|
|
IV Push Injection (first drug)
|
$132.10 |
$132.10 |
$132.10 |
$252.76
|
|
Ivp w/nephrotomography
|
$602.61 |
$602.61 |
$602.61 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$341.85 |
$341.85 |
$341.85 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$249.09 |
$249.09 |
$249.09 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$175.43 |
$175.43 |
$175.43 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$108.65 |
$108.65 |
$108.65 |
$362.05
|
|
John cunningham antibody
|
$529.97 |
$529.97 |
$529.97 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$68.15 |
$68.15 |
$68.15 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$28.67 |
$28.67 |
$28.67 |
$58.56
|
|
Kidney imag w/bld flow multi
|
$422.93 |
$422.93 |
$422.93 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$267.17 |
$267.17 |
$267.17 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$325.86 |
$325.86 |
$325.86 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$170.02 |
$170.02 |
$170.02 |
$490.75
|
|
Kit gene analys d816 variant
|
$168.00 |
$168.00 |
$168.00 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$55,299.52 |
$55,299.52 |
$55,299.52 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$15,485.32 |
$15,485.32 |
$15,485.32 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,360.97 |
$1,360.97 |
$1,360.97 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,083.02 |
$3,083.02 |
$3,083.02 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$907.95 |
$907.95 |
$907.95 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$756.54 |
$756.54 |
$756.54 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$605.11 |
$605.11 |
$605.11 |
$2,130.88
|
|
Knee X-ray
|
$149.46 |
$149.46 |
$149.46 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$118.72 |
$118.72 |
$118.72 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$135.15 |
$135.15 |
$135.15 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$135.15 |
$135.15 |
$135.15 |
$251.20
|
|
Kras gene addl variants
|
$259.84 |
$259.84 |
$259.84 |
$387.20
|
|
Kras gene variants exon 2
|
$259.84 |
$259.84 |
$259.84 |
$536.20
|
|
Lactate dehydrogenase (ldh)
|
$26.32 |
$26.32 |
$26.32 |
$55.50
|
|
Lactic acid
|
$41.36 |
$41.36 |
$41.36 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$46.06 |
$46.06 |
$46.06 |
$82.16
|
|
Lactoferrin fecal quant
|
$95.88 |
$95.88 |
$95.88 |
$108.93
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$291.49 |
$291.49 |
$291.49 |
$740.40
|
|
Lead acuity x4 spiral l 86cm
|
$15,485.32 |
$15,485.32 |
$15,485.32 |
$5,460.00
|
|
Lead capillary
|
$37.13 |
$37.13 |
$37.13 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$15,485.32 |
$15,485.32 |
$15,485.32 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$9,955.57 |
$9,955.57 |
$9,955.57 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$373.07 |
$373.07 |
$373.07 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$496.89 |
$496.89 |
$496.89 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$397.21 |
$397.21 |
$397.21 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$365.36 |
$365.36 |
$365.36 |
$1,092.58
|
|
Leishmania antibody
|
$13.54 |
$13.54 |
$13.54 |
$58.50
|
|
Lens, intraocular (new tech)
|
$606.18 |
$606.18 |
$606.18 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,095.66 |
$2,095.66 |
$2,095.66 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,619.04 |
$2,619.04 |
$2,619.04 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$925.35 |
$925.35 |
$925.35 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$29.61 |
$29.61 |
$29.61 |
$88.92
|
|
Liberta rc ipg
|
$44,240.02 |
$44,240.02 |
$44,240.02 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$21.15 |
$21.15 |
$21.15 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$2,126,751.41 |
$2,126,751.41 |
$2,126,751.41 |
$30,744.64
|
|
Lipase
|
$27.26 |
$27.26 |
$27.26 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$47.94 |
$47.94 |
$47.94 |
$87.00
|
|
Lipoprotein blood quant
|
$48.41 |
$48.41 |
$48.41 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$21.15 |
$21.15 |
$21.15 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$44.18 |
$44.18 |
$44.18 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$48.41 |
$48.41 |
$48.41 |
$47.18
|
|
Lithium therapeutic drug level
|
$24.44 |
$24.44 |
$24.44 |
$69.75
|
|
Liver Function Test
|
$21.15 |
$21.15 |
$21.15 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.27 |
$1.27 |
$1.27 |
$49.70
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$177.61 |
$177.61 |
$177.61 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$656.79 |
$656.79 |
$656.79 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$547.49 |
$547.49 |
$547.49 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$437.69 |
$437.69 |
$437.69 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,218.18 |
$1,218.18 |
$1,218.18 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,015.31 |
$1,015.31 |
$1,015.31 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$811.95 |
$811.95 |
$811.95 |
$2,080.00
|