|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$33.77 |
$33.77 |
$33.77 |
$212.16
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$28.41 |
$28.41 |
$28.41 |
$137.67
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$41.27 |
$41.27 |
$41.27 |
$103.20
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$25.73 |
$25.73 |
$25.73 |
$206.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$28.41 |
$28.41 |
$28.41 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$29.75 |
$29.75 |
$29.75 |
$112.45
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$335.27 |
$335.27 |
$335.27 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$73.70 |
$73.70 |
$73.70 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$34.57 |
$34.57 |
$34.57 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$39.40 |
$39.40 |
$39.40 |
$253.00
|
|
Infectious agent nucleic acid quantification hiv-1
|
$68.61 |
$68.61 |
$68.61 |
$375.00
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$114.70 |
$114.70 |
$114.70 |
$304.20
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$65.71 |
$65.71 |
$65.71 |
$296.00
|
|
Inj cntr knee arthro incl ct/mri
|
$179.49 |
$179.49 |
$179.49 |
$436.80
|
|
Inj disk cerv-thor ea lev
|
$347.01 |
$347.01 |
$347.01 |
$875.28
|
|
Inj dx for sinogram
|
$105.38 |
$105.38 |
$105.38 |
$436.00
|
|
Injection arthrography hip without anesthesia (both sides)
|
$246.65 |
$246.65 |
$246.65 |
$503.50
|
|
Injection epidural blood patch or clot
|
$548.89 |
$548.89 |
$548.89 |
$1,182.33
|
|
Injection for arthrography wrist (both sides)
|
$276.76 |
$276.76 |
$276.76 |
$436.00
|
|
Injection for bladder x-ray
|
$196.86 |
$196.86 |
$196.86 |
$459.20
|
|
Injection for hip x-ray
|
$298.38 |
$298.38 |
$298.38 |
$763.60
|
|
Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides)
|
$268.66 |
$268.66 |
$268.66 |
$497.76
|
|
Injection for ureter x-ray
|
$123.52 |
$123.52 |
$123.52 |
$415.80
|
|
Injection into brain canal
|
$390.25 |
$390.25 |
$390.25 |
$844.50
|
|
Injection jaw joint x-ray
|
$70.25 |
$70.25 |
$70.25 |
$307.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$169.84 |
$169.84 |
$169.84 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$82.50 |
$82.50 |
$82.50 |
$145.60
|
|
Inject sacroiliac joint
|
$519.56 |
$519.56 |
$519.56 |
$1,029.04
|
|
Inj for ext venography
|
$281.01 |
$281.01 |
$281.01 |
$628.80
|
|
Inj for mammo ductogram
|
$739.96 |
$739.96 |
$739.96 |
$397.80
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$565.88 |
$565.88 |
$565.88 |
$1,938.00
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$760.81 |
$760.81 |
$760.81 |
$1,413.35
|
|
Inj proc ankle arthr
|
$323.08 |
$323.08 |
$323.08 |
$405.31
|
|
Inj proc elbow arthro
|
$299.92 |
$299.92 |
$299.92 |
$432.00
|
|
Inj proc lumbr disk ea lvl
|
$364.38 |
$364.38 |
$364.38 |
$1,106.93
|
|
Inj proc myelogram lumbar
|
$391.79 |
$391.79 |
$391.79 |
$838.30
|
|
Inj proc sialogram
|
$183.74 |
$183.74 |
$183.74 |
$373.00
|
|
Inj retacrit esrd on dialysi
|
$1.48 |
$1.48 |
$1.48 |
$349.45
|
|
Inj retro urethrocysto
|
$99.97 |
$99.97 |
$99.97 |
$447.74
|
|
Inj w/fluor eval cv device
|
$267.88 |
$267.88 |
$267.88 |
$504.40
|
|
Ins cerv dilator (sep proc)
|
$1,180.59 |
$1,180.59 |
$1,180.59 |
$490.73
|
|
Insert cath pleura with image
|
$1,192.74 |
$1,192.74 |
$1,192.74 |
$2,194.40
|
|
Insertion catheter bladder non indwelling
|
$73.34 |
$73.34 |
$73.34 |
$208.01
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$2,660.70 |
$2,660.70 |
$2,660.70 |
$7,210.78
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,520.07 |
$1,520.07 |
$1,520.07 |
$2,585.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,057.25 |
$1,057.25 |
$1,057.25 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,102.03 |
$1,102.03 |
$1,102.03 |
$2,453.83
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,202.90 |
$2,202.90 |
$2,202.90 |
$5,236.80
|
|
Insert swan-ganz cath
|
$3,904.15 |
$3,904.15 |
$3,904.15 |
$2,164.52
|
|
Insert tunneled cv cath
|
$2,664.94 |
$2,664.94 |
$2,664.94 |
$4,520.00
|
|
Insitu hybridization auto
|
$208.79 |
$208.79 |
$208.79 |
$377.37
|
|
Insitu hybridization (fish)
|
$141.66 |
$141.66 |
$141.66 |
$481.00
|
|
Insitu hybridization manual
|
$208.79 |
$208.79 |
$208.79 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$127.41 |
$127.41 |
$127.41 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$167.41 |
$167.41 |
$167.41 |
$338.40
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,068.45 |
$1,068.45 |
$1,068.45 |
$1,690.00
|
|
Ins pq tunnld ip cath w/img
|
$2,994.59 |
$2,994.59 |
$2,994.59 |
$5,486.00
|
|
Instillation anticarcinogenic agent bladder
|
$276.86 |
$276.86 |
$276.86 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$1,825.39 |
$1,825.39 |
$1,825.39 |
$4,218.00
|
|
Insulin total
|
$9.86 |
$9.86 |
$9.86 |
$66.64
|
|
Intracranial complete study
|
$208.33 |
$208.33 |
$208.33 |
$881.50
|
|
Intracranial limited study
|
$140.82 |
$140.82 |
$140.82 |
$467.50
|
|
Intrapul surf admin endo tube
|
$20.57 |
$20.57 |
$20.57 |
$220.80
|
|
Intrinsic factor antibody
|
$12.27 |
$12.27 |
$12.27 |
$65.00
|
|
Intro cath svc/ivc
|
$480.18 |
$480.18 |
$480.18 |
$1,323.27
|
|
Intro long gi tube w/mult fluo
|
$124.32 |
$124.32 |
$124.32 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$201.80 |
$201.80 |
$201.80 |
$601.28
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.02 |
$0.02 |
$0.02 |
$279.10
|
|
Iron
|
$35.98 |
$35.98 |
$35.98 |
$75.00
|
|
Iron binding capacity
|
$4.67 |
$4.67 |
$4.67 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$103.20 |
$103.20 |
$103.20 |
$146.11
|
|
Ivc venogram s&i
|
$1,156.90 |
$1,156.90 |
$1,156.90 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$70.88 |
$70.88 |
$70.88 |
$133.90
|
|
IV Fluids (first hour)
|
$226.50 |
$226.50 |
$226.50 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$100.50 |
$100.50 |
$100.50 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$130.50 |
$130.50 |
$130.50 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$87.00 |
$87.00 |
$87.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$244.88 |
$244.88 |
$244.88 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$83.70 |
$83.70 |
$83.70 |
$167.50
|
|
IV Push Injection (first drug)
|
$151.50 |
$151.50 |
$151.50 |
$252.76
|
|
Ivp w/nephrotomography
|
$641.55 |
$641.55 |
$641.55 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$356.02 |
$356.02 |
$356.02 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$218.78 |
$218.78 |
$218.78 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$92.35 |
$92.35 |
$92.35 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$91.41 |
$91.41 |
$91.41 |
$362.05
|
|
John cunningham antibody
|
$10.61 |
$10.61 |
$10.61 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$25.08 |
$25.08 |
$25.08 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$10.55 |
$10.55 |
$10.55 |
$58.56
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$285.18 |
$285.18 |
$285.18 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$183.96 |
$183.96 |
$183.96 |
$490.75
|
|
Kit gene analys d816 variant
|
$147.49 |
$147.49 |
$147.49 |
$374.61
|
|
Kit lead specify 5-6-5
|
$14,244.84 |
$14,244.84 |
$14,244.84 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$730.34 |
$730.34 |
$730.34 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,654.46 |
$1,654.46 |
$1,654.46 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$660.26 |
$660.26 |
$660.26 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$550.19 |
$550.19 |
$550.19 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$440.12 |
$440.12 |
$440.12 |
$2,130.88
|
|
Knee X-ray
|
$105.28 |
$105.28 |
$105.28 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$79.90 |
$79.90 |
$79.90 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$94.00 |
$94.00 |
$94.00 |
$363.60
|