|
Insertion of catheter vein
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$836.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$6,855.60 |
$6,855.60 |
$6,855.60 |
$12,508.08
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$6,529.20 |
$6,529.20 |
$6,529.20 |
$12,384.25
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$1,362.60 |
$1,362.60 |
$1,362.60 |
$10,285.70
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$3,085.80 |
$3,085.80 |
$3,085.80 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,769.80 |
$3,769.80 |
$3,769.80 |
$2,414.10
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$21,747.60 |
$21,747.60 |
$21,747.60 |
$29,042.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$11,938.20 |
$11,938.20 |
$11,938.20 |
$7,216.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$5,398.80 |
$5,398.80 |
$5,398.80 |
$7,388.80
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$7,321.20 |
$7,321.20 |
$7,321.20 |
$9,390.55
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$5,236.80
|
|
Insert pm/icd lead dual
|
$5,318.40 |
$5,318.40 |
$5,318.40 |
$7,221.50
|
|
Insert/repl sq defib w/eltrd
|
$27,787.80 |
$27,787.80 |
$27,787.80 |
$32,052.60
|
|
Insert swan-ganz cath
|
$879.60 |
$879.60 |
$879.60 |
$2,346.51
|
|
Insert vad art access left hrt arterial access
|
$5,871.00 |
$5,871.00 |
$5,871.00 |
$4,504.50
|
|
Ins icd gen exist sgl lead
|
$15,187.20 |
$15,187.20 |
$15,187.20 |
$23,381.40
|
|
Insitu hybridization auto
|
$616.20 |
$616.20 |
$616.20 |
$393.13
|
|
Insitu hybridization (fish)
|
$551.40 |
$551.40 |
$551.40 |
$481.60
|
|
Insitu hybridization manual
|
$580.20 |
$580.20 |
$580.20 |
$398.51
|
|
In situ hybridization per specimen each additional single probe stain
|
$463.20 |
$463.20 |
$463.20 |
$241.80
|
|
In situ hybridization per specimen initial single probe stain
|
$386.40 |
$386.40 |
$386.40 |
$337.20
|
|
Ins/rpl ldless pm right vent w img & eval
|
$29,082.60 |
$29,082.60 |
$29,082.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$3,288.00 |
$3,288.00 |
$3,288.00 |
$11,437.35
|
|
Ins/rpl pm gen exist sgl lead
|
$2,523.60 |
$2,523.60 |
$2,523.60 |
$9,705.00
|
|
Ins/rpl pm w/tv ld atrl
|
$4,846.20 |
$4,846.20 |
$4,846.20 |
$11,747.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$37,873.80 |
$37,873.80 |
$37,873.80 |
$25,106.90
|
|
Instillation anticarcinogenic agent bladder
|
$925.80 |
$925.80 |
$925.80 |
$654.02
|
|
Ins tun cv cath wo subq prt/pm
|
$4,452.60 |
$4,452.60 |
$4,452.60 |
$4,218.00
|
|
Insulin total
|
$120.60 |
$120.60 |
$120.60 |
$66.64
|
|
Interdental fixation
|
$1,870.80 |
$1,870.80 |
$1,870.80 |
$2,156.00
|
|
Intrinsic factor antibody
|
$164.40 |
$164.40 |
$164.40 |
$62.70
|
|
Intro catheter aorta
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$1,654.05
|
|
Intro cath svc/ivc
|
$3,294.00 |
$3,294.00 |
$3,294.00 |
$1,323.27
|
|
Intro long gi tube
|
$716.40 |
$716.40 |
$716.40 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$259.80 |
$259.80 |
$259.80 |
$464.80
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,009.00 |
$3,009.00 |
$3,009.00 |
$3,436.50
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$598.80 |
$598.80 |
$598.80 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$6.00 |
$6.00 |
$6.00 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$6.00 |
$6.00 |
$6.00 |
$279.10
|
|
Iron
|
$82.80 |
$82.80 |
$82.80 |
$72.29
|
|
Iron binding capacity
|
$100.80 |
$100.80 |
$100.80 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$97.80 |
$97.80 |
$97.80 |
$117.14
|
|
Irrigation implantable venous access device for drug delivery systems
|
$187.80 |
$187.80 |
$187.80 |
$143.81
|
|
Ivc venogram s&i
|
$4,140.60 |
$4,140.60 |
$4,140.60 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$248.40 |
$248.40 |
$248.40 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$230.40 |
$230.40 |
$230.40 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$227.40 |
$227.40 |
$227.40 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$544.20 |
$544.20 |
$544.20 |
$443.20
|
|
IV inj ra drug dx study
|
$502.20 |
$502.20 |
$502.20 |
$549.70
|
|
Ivp w/wo kub w/wo tomography
|
$828.60 |
$828.60 |
$828.60 |
$692.18
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$112.80 |
$112.80 |
$112.80 |
$58.56
|
|
Kidney imag w/bld flow multi
|
$3,507.60 |
$3,507.60 |
$3,507.60 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,283.40 |
$1,283.40 |
$1,283.40 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$720.00 |
$720.00 |
$720.00 |
$664.20
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$585.60 |
$585.60 |
$585.60 |
$104.52
|
|
Kit gene analys d816 variant
|
$1,332.00 |
$1,332.00 |
$1,332.00 |
$367.00
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$603.00 |
$603.00 |
$603.00 |
$923.90
|
|
Knee MRI (with and without contrast)
|
$5,713.80 |
$5,713.80 |
$5,713.80 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$4,876.20 |
$4,876.20 |
$4,876.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,707.60 |
$4,707.60 |
$4,707.60 |
$2,110.76
|
|
Knee orth pos locking joint
|
$585.60 |
$585.60 |
$585.60 |
$585.60
|
|
Knee X-ray
|
$489.60 |
$489.60 |
$489.60 |
$425.55
|
|
Kras gene addl variants
|
$737.40 |
$737.40 |
$737.40 |
$387.20
|
|
Kras gene variants exon 2
|
$830.40 |
$830.40 |
$830.40 |
$500.13
|
|
Lactate dehydrogenase (ldh)
|
$78.00 |
$78.00 |
$78.00 |
$55.25
|
|
Lactic acid
|
$271.20 |
$271.20 |
$271.20 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$78.00 |
$78.00 |
$78.00 |
$81.25
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,086.60 |
$1,086.60 |
$1,086.60 |
$2,480.71
|
|
Lead capillary
|
$163.20 |
$163.20 |
$163.20 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,573.80 |
$1,573.80 |
$1,573.80 |
$1,088.26
|
|
Levetiracetam therapeutic drug level
|
$178.20 |
$178.20 |
$178.20 |
$82.50
|
|
Lidocaine therapeutic drug level
|
$177.00 |
$177.00 |
$177.00 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$85.20 |
$85.20 |
$85.20 |
$136.66
|
|
Limited ankle motion ea jnt
|
$585.60 |
$585.60 |
$585.60 |
$108.64
|
|
Lipase
|
$225.60 |
$225.60 |
$225.60 |
$91.80
|
|
Lipoprotein blood quant
|
$126.60 |
$126.60 |
$126.60 |
$101.14
|
|
Lipoprotein direct measurement hdl
|
$111.60 |
$111.60 |
$111.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$101.40 |
$101.40 |
$101.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$111.00 |
$111.00 |
$111.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,128.00 |
$4,128.00 |
$4,128.00 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$612.00 |
$612.00 |
$612.00 |
$365.28
|
|
Liver Function Test
|
$180.00 |
$180.00 |
$180.00 |
$115.44
|
|
Liver/spleen imag static only
|
$2,196.60 |
$2,196.60 |
$2,196.60 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$6.00 |
$6.00 |
$6.00 |
$44.10
|
|
Lo sag rig pnl stays pre cst
|
$85.20 |
$85.20 |
$85.20 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,345.60 |
$3,345.60 |
$3,345.60 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,416.20 |
$2,416.20 |
$2,416.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,107.20 |
$2,107.20 |
$2,107.20 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,033.80 |
$4,033.80 |
$4,033.80 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,435.60 |
$3,435.60 |
$3,435.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,336.00 |
$3,336.00 |
$3,336.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$415.80 |
$415.80 |
$415.80 |
$355.00
|
|
Low frequency non-thermal Ultrasound
|
$278.40 |
$278.40 |
$278.40 |
$364.00
|
|
Lumbar diskogram s&i
|
$1,230.00 |
$1,230.00 |
$1,230.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$123.00 |
$123.00 |
$123.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$253.80 |
$253.80 |
$253.80 |
$296.91
|
|
Lung perfusion imaging
|
$1,030.80 |
$1,030.80 |
$1,030.80 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$339.00 |
$339.00 |
$339.00 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$63.00 |
$63.00 |
$63.00 |
$38.58
|
