|
Ins pq tunnld ip cath w/img
|
$8,223.60 |
$8,223.60 |
$8,223.60 |
$5,377.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$14,639.40 |
$14,639.40 |
$14,639.40 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$6,304.20 |
$6,304.20 |
$6,304.20 |
$11,437.35
|
|
Ins/rpl pm gen exist sgl lead
|
$5,272.20 |
$5,272.20 |
$5,272.20 |
$9,705.00
|
|
Ins/rpl pm w/tv ld atrl
|
$7,063.80 |
$7,063.80 |
$7,063.80 |
$11,747.25
|
|
Inst fibrinolysis agent ini day
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$1,047.78
|
|
Inst fibrinolysis agent sbsq d
|
$1,344.60 |
$1,344.60 |
$1,344.60 |
$997.05
|
|
Instillation anticarcinogenic agent bladder
|
$439.20 |
$439.20 |
$439.20 |
$654.02
|
|
Ins tun cv cath wo subq prt/pm
|
$5,947.80 |
$5,947.80 |
$5,947.80 |
$4,218.00
|
|
Insulin total
|
$117.60 |
$117.60 |
$117.60 |
$66.64
|
|
Ins vag brachytx device
|
$943.20 |
$943.20 |
$943.20 |
$927.55
|
|
Interdiscal perq aspir dx
|
$1,765.80 |
$1,765.80 |
$1,765.80 |
$1,222.26
|
|
Interrog dev eval icpms ip
|
$138.00 |
$138.00 |
$138.00 |
$104.00
|
|
Interrog device eval heart
|
$117.60 |
$117.60 |
$117.60 |
$162.40
|
|
Interstitial brachy inter
|
$2,272.20 |
$2,272.20 |
$2,272.20 |
$1,194.42
|
|
Intra-atrial pacing
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$4,967.24
|
|
Intracard echo interv w/s&i
|
$4,969.20 |
$4,969.20 |
$4,969.20 |
$3,454.20
|
|
Intracran angioplsty w/stent
|
$9,337.80 |
$9,337.80 |
$9,337.80 |
$8,257.80
|
|
Intracranial angioplasty
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$5,181.00
|
|
Intracranial limited study
|
$1,397.40 |
$1,397.40 |
$1,397.40 |
$459.25
|
|
Intrapul surf admin endo tube
|
$151.20 |
$151.20 |
$151.20 |
$221.85
|
|
Intraventricular pacing
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$5,545.50
|
|
Intrinsic factor antibody
|
$174.60 |
$174.60 |
$174.60 |
$62.70
|
|
Intro cath dialysis circuit
|
$2,407.80 |
$2,407.80 |
$2,407.80 |
$2,043.30
|
|
Intro catheter aorta
|
$1,252.20 |
$1,252.20 |
$1,252.20 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
$3,436.50
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,252.60 |
$3,252.60 |
$3,252.60 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$598.80 |
$598.80 |
$598.80 |
$598.80
|
|
Ionm in operatng room 15 min
|
$399.00 |
$399.00 |
$399.00 |
$191.40
|
|
Ionm remote/>1 pt or per hr
|
$778.80 |
$778.80 |
$778.80 |
$591.36
|
|
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
|
|
Ip/obs cnsltj new/est low 45
|
$316.20 |
$316.20 |
$316.20 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$396.00 |
$396.00 |
$396.00 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$475.80 |
$475.80 |
$475.80 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$240.00 |
$240.00 |
$240.00 |
$134.46
|
|
Iron
|
$155.40 |
$155.40 |
$155.40 |
$72.29
|
|
Iron binding capacity
|
$155.40 |
$155.40 |
$155.40 |
$63.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$195.00 |
$195.00 |
$195.00 |
$143.81
|
|
Ivc venogram s&i
|
$4,561.80 |
$4,561.80 |
$4,561.80 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$276.00 |
$276.00 |
$276.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$257.40 |
$257.40 |
$257.40 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$253.80 |
$253.80 |
$253.80 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$605.40 |
$605.40 |
$605.40 |
$443.20
|
|
Ivp w/wo kub w/wo tomography
|
$895.20 |
$895.20 |
$895.20 |
$692.18
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$146.40 |
$146.40 |
$146.40 |
$58.56
|
|
Kidney imag w/bld flow multi
|
$1,338.60 |
$1,338.60 |
$1,338.60 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$894.60 |
$894.60 |
$894.60 |
$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
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$367.00
|
|
Knee MRI (with and without contrast)
|
$4,908.60 |
$4,908.60 |
$4,908.60 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$4,230.00 |
$4,230.00 |
$4,230.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,015.20 |
$4,015.20 |
$4,015.20 |
$2,110.76
|
|
Knee orth pos locking joint
|
$585.60 |
$585.60 |
$585.60 |
$585.60
|
|
Knee X-ray
|
$802.80 |
$802.80 |
$802.80 |
$425.55
|
|
Kras gene addl variants
|
$835.80 |
$835.80 |
$835.80 |
$387.20
|
|
Kras gene variants exon 2
|
$1,139.40 |
$1,139.40 |
$1,139.40 |
$500.13
|
|
Lactate dehydrogenase (ldh)
|
$127.80 |
$127.80 |
$127.80 |
$55.25
|
|
Lactic acid
|
$339.60 |
$339.60 |
$339.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$80.40 |
$80.40 |
$80.40 |
$81.25
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,525.60 |
$3,525.60 |
$3,525.60 |
$2,480.71
|
|
Lead capillary
|
$204.00 |
$204.00 |
$204.00 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,297.80 |
$1,297.80 |
$1,297.80 |
$1,088.26
|
|
Levetiracetam therapeutic drug level
|
$226.20 |
$226.20 |
$226.20 |
$82.50
|
|
Lidocaine therapeutic drug level
|
$161.40 |
$161.40 |
$161.40 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$85.20 |
$85.20 |
$85.20 |
$136.66
|
|
Ligation/divis of long saph vein 37700
|
$7,532.40 |
$7,532.40 |
$7,532.40 |
$4,026.79
|
|
Ligation vericose vein cluster(s) 1 leg
|
$5,636.40 |
$5,636.40 |
$5,636.40 |
$3,724.63
|
|
Limited ankle motion ea jnt
|
$585.60 |
$585.60 |
$585.60 |
$108.64
|
|
Lipase
|
$253.20 |
$253.20 |
$253.20 |
$91.80
|
|
Lipoprotein blood quant
|
$298.20 |
$298.20 |
$298.20 |
$101.14
|
|
Lipoprotein direct measurement hdl
|
$167.40 |
$167.40 |
$167.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$91.20 |
$91.20 |
$91.20 |
$61.60
|
|
Lithium therapeutic drug level
|
$123.00 |
$123.00 |
$123.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,295.40 |
$4,295.40 |
$4,295.40 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$612.00 |
$612.00 |
$612.00 |
$365.28
|
|
Liver Function Test
|
$159.60 |
$159.60 |
$159.60 |
$115.44
|
|
Liver/spleen imag static only
|
$931.80 |
$931.80 |
$931.80 |
$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
|
|
Low back disk surgery
|
$19,798.20 |
$19,798.20 |
$19,798.20 |
$7,913.97
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,172.60 |
$2,172.60 |
$2,172.60 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,900.20 |
$1,900.20 |
$1,900.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,759.80 |
$1,759.80 |
$1,759.80 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,053.40 |
$3,053.40 |
$3,053.40 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,994.00 |
$2,994.00 |
$2,994.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,526.00 |
$2,526.00 |
$2,526.00 |
$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 (Spirometry)
|
$362.40 |
$362.40 |
$362.40 |
$296.91
|
|
Lung perfusion imaging
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$88.20 |
$88.20 |
$88.20 |
$38.58
|
|
Macroscopic exam parasite
|
$165.60 |
$165.60 |
$165.60 |
$37.05
|
|
Magnesium
|
$260.40 |
$260.40 |
$260.40 |
$73.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$102.00 |
$102.00 |
$102.00 |
$130.32
|
|
Manipulation chest wall initial demonstration/evaluation
|
$102.00 |
$102.00 |
$102.00 |
$159.05
|
