|
Intro cath svc/ivc
|
$345.14 |
$345.14 |
$345.14 |
$1,323.27
|
|
Intro long gi tube
|
$541.75 |
$541.75 |
$541.75 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$217.26 |
$217.26 |
$217.26 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,163.09 |
$1,163.09 |
$1,163.09 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,104.38 |
$1,104.38 |
$1,104.38 |
$1,801.10
|
|
Ionm in operatng room 15 min
|
$132.75 |
$132.75 |
$132.75 |
$200.78
|
|
Iron
|
$47.22 |
$47.22 |
$47.22 |
$75.00
|
|
Iron binding capacity
|
$6.13 |
$6.13 |
$6.13 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$80.44 |
$80.44 |
$80.44 |
$146.11
|
|
Ivc venogram s&i
|
$2,057.95 |
$2,057.95 |
$2,057.95 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$73.66 |
$73.66 |
$73.66 |
$133.90
|
|
IV Fluids (first hour)
|
$240.17 |
$240.17 |
$240.17 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$92.23 |
$92.23 |
$92.23 |
$162.68
|
|
IV inj ra drug dx study
|
$304.11 |
$304.11 |
$304.11 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$117.61 |
$117.61 |
$117.61 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$78.61 |
$78.61 |
$78.61 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$308.26 |
$308.26 |
$308.26 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$86.52 |
$86.52 |
$86.52 |
$167.50
|
|
IV Push Injection (first drug)
|
$163.77 |
$163.77 |
$163.77 |
$252.76
|
|
Ivp w/nephrotomography
|
$673.13 |
$673.13 |
$673.13 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$551.74 |
$551.74 |
$551.74 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$77.28 |
$77.28 |
$77.28 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$169.33 |
$169.33 |
$169.33 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$97.95 |
$97.95 |
$97.95 |
$362.05
|
|
John cunningham antibody
|
$9.44 |
$9.44 |
$9.44 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$32.92 |
$32.92 |
$32.92 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$13.85 |
$13.85 |
$13.85 |
$58.56
|
|
Kidney imag w/bld flow multi
|
$1,269.31 |
$1,269.31 |
$1,269.31 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$974.46 |
$974.46 |
$974.46 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$272.45 |
$272.45 |
$272.45 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$145.73 |
$145.73 |
$145.73 |
$490.75
|
|
Kit lead specify 5-6-5
|
$12,357.59 |
$12,357.59 |
$12,357.59 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,086.09 |
$1,086.09 |
$1,086.09 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,460.32 |
$2,460.32 |
$2,460.32 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$605.18 |
$605.18 |
$605.18 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$504.25 |
$504.25 |
$504.25 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$403.33 |
$403.33 |
$403.33 |
$2,130.88
|
|
Knee X-ray
|
$108.37 |
$108.37 |
$108.37 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$85.44 |
$85.44 |
$85.44 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$87.53 |
$87.53 |
$87.53 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$87.53 |
$87.53 |
$87.53 |
$251.20
|
|
Kras gene addl variants
|
$80.62 |
$80.62 |
$80.62 |
$387.20
|
|
Kras gene variants exon 2
|
$80.62 |
$80.62 |
$80.62 |
$536.20
|
|
Lactate dehydrogenase (ldh)
|
$12.94 |
$12.94 |
$12.94 |
$55.50
|
|
Lactic acid
|
$19.98 |
$19.98 |
$19.98 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$22.25 |
$22.25 |
$22.25 |
$82.16
|
|
Lactoferrin fecal quant
|
$46.31 |
$46.31 |
$46.31 |
$108.93
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$451.13 |
$451.13 |
$451.13 |
$740.40
|
|
Laryngoscopy telescopic
|
$230.49 |
$230.49 |
$230.49 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$12,357.59 |
$12,357.59 |
$12,357.59 |
$5,460.00
|
|
Lead capillary
|
$13.39 |
$13.39 |
$13.39 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$12,357.59 |
$12,357.59 |
$12,357.59 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$7,944.74 |
$7,944.74 |
$7,944.74 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$403.03 |
$403.03 |
$403.03 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$431.01 |
$431.01 |
$431.01 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$344.65 |
$344.65 |
$344.65 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$329.97 |
$329.97 |
$329.97 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$629.65 |
$629.65 |
$629.65 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,200.92 |
$1,200.92 |
$1,200.92 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$961.18 |
$961.18 |
$961.18 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$14.30 |
$14.30 |
$14.30 |
$88.92
|
|
Liberta rc ipg
|
$35,304.41 |
$35,304.41 |
$35,304.41 |
$39,189.70
|
|
Lifileucel til/dose 7.5b-72b snij
|
$1,675,272.58 |
$1,675,272.58 |
$1,675,272.58 |
$30,744.64
|
|
Lipase
|
$13.17 |
$13.17 |
$13.17 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$23.15 |
$23.15 |
$23.15 |
$87.00
|
|
Lipoprotein blood quant
|
$23.38 |
$23.38 |
$23.38 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$5.68 |
$5.68 |
$5.68 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$21.34 |
$21.34 |
$21.34 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$23.38 |
$23.38 |
$23.38 |
$47.18
|
|
Lithium therapeutic drug level
|
$11.80 |
$11.80 |
$11.80 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,976.00 |
$4,976.00 |
$4,976.00 |
$4,371.12
|
|
Liver Function Test
|
$5.68 |
$5.68 |
$5.68 |
$115.44
|
|
Liver/spleen imag static only
|
$767.36 |
$767.36 |
$767.36 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$470.88 |
$470.88 |
$470.88 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.00 |
$1.00 |
$1.00 |
$49.70
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$184.39 |
$184.39 |
$184.39 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$534.49 |
$534.49 |
$534.49 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$445.41 |
$445.41 |
$445.41 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$356.32 |
$356.32 |
$356.32 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$504.32 |
$504.32 |
$504.32 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$420.21 |
$420.21 |
$420.21 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$336.10 |
$336.10 |
$336.10 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$83.88 |
$83.88 |
$83.88 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$108.89 |
$108.89 |
$108.89 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$124.52 |
$124.52 |
$124.52 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$95.34 |
$95.34 |
$95.34 |
$338.40
|
|
Lumbar diskogram s&i
|
$2,905.62 |
$2,905.62 |
$2,905.62 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$172.80 |
$172.80 |
$172.80 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$129.60 |
$129.60 |
$129.60 |
$296.91
|
|
Lung perfusion imaging
|
$956.48 |
$956.48 |
$956.48 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$998.44 |
$998.44 |
$998.44 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$27.38 |
$27.38 |
$27.38 |
$271.88
|
|
Macroscopic exam arthropod
|
$1.88 |
$1.88 |
$1.88 |
$38.58
|
|
Macroscopic exam parasite
|
$8.41 |
$8.41 |
$8.41 |
$37.05
|
|
Magnesium
|
$19.98 |
$19.98 |
$19.98 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$0.04 |
$0.04 |
$0.04 |
$58.70
|
|
Magnetic image bone marrow
|
$673.60 |
$673.60 |
$673.60 |
$1,329.39
|
|
Mammosite ced
|
$5,599.69 |
$5,599.69 |
$5,599.69 |
$5,031.60
|
|
Map tachycard site(s)
|
$1,575.59 |
$1,575.59 |
$1,575.59 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,460.32 |
$2,460.32 |
$2,460.32 |
$1,451.30
|