|
In situ hybridization per specimen each additional single probe stain
|
$404.25 |
$404.25 |
$404.25 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$946.55 |
$946.55 |
$946.55 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$16,266.80 |
$16,266.80 |
$16,266.80 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$2,333.65 |
$2,333.65 |
$2,333.65 |
$2,070.00
|
|
Ins mark thor for right perq
|
$2,333.65 |
$2,333.65 |
$2,333.65 |
$2,396.35
|
|
Ins pq tunnld ip cath w/img
|
$3,824.15 |
$3,824.15 |
$3,824.15 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$18,257.80 |
$18,257.80 |
$18,257.80 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$11,198.55 |
$11,198.55 |
$11,198.55 |
$11,593.70
|
|
Ins/rpl pm w/tv ld atrl
|
$15,154.70 |
$15,154.70 |
$15,154.70 |
$12,384.25
|
|
Ins/rpl prph sac/gstr npg/r
|
$4,341.70 |
$4,341.70 |
$4,341.70 |
$22,662.25
|
|
Instillation anticarcinogenic agent bladder
|
$1,246.85 |
$1,246.85 |
$1,246.85 |
$721.50
|
|
Ins tun cv cath wo subq prt/pm
|
$5,434.00 |
$5,434.00 |
$5,434.00 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$5,297.60 |
$5,297.60 |
$5,297.60 |
$4,748.00
|
|
Inst via cath agent pleurds
|
$839.30 |
$839.30 |
$839.30 |
$1,074.68
|
|
Insulin total
|
$27.50 |
$27.50 |
$27.50 |
$67.60
|
|
Interdiscal perq aspir dx
|
$1,268.85 |
$1,268.85 |
$1,268.85 |
$1,222.26
|
|
Interrog dev eval scrms ip
|
$26.95 |
$26.95 |
$26.95 |
$124.80
|
|
Interrog evl pm/ldls pm ip
|
$64.90 |
$64.90 |
$64.90 |
$127.20
|
|
Intracranial complete study
|
$525.80 |
$525.80 |
$525.80 |
$883.30
|
|
Intracranial limited study
|
$350.35 |
$350.35 |
$350.35 |
$423.52
|
|
Intrinsic factor antibody
|
$39.60 |
$39.60 |
$39.60 |
$59.95
|
|
Intro cath dialysis circuit
|
$3,921.50 |
$3,921.50 |
$3,921.50 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$6,179.80 |
$6,179.80 |
$6,179.80 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$12,264.45 |
$12,264.45 |
$12,264.45 |
$15,625.00
|
|
Intro catheter aorta
|
$2,923.80 |
$2,923.80 |
$2,923.80 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,069.75 |
$1,069.75 |
$1,069.75 |
$1,350.75
|
|
Intro long gi tube
|
$1,298.55 |
$1,298.55 |
$1,298.55 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$707.85 |
$707.85 |
$707.85 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,767.40 |
$4,767.40 |
$4,767.40 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,929.75 |
$3,929.75 |
$3,929.75 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$503.25 |
$503.25 |
$503.25 |
$617.60
|
|
Ionm in operatng room 15 min
|
$95.70 |
$95.70 |
$95.70 |
$200.78
|
|
Iron
|
$101.75 |
$101.75 |
$101.75 |
$70.72
|
|
Iron binding capacity
|
$79.75 |
$79.75 |
$79.75 |
$63.00
|
|
Irrigation implantable venous access device for drug delivery systems
|
$167.20 |
$167.20 |
$167.20 |
$154.50
|
|
Ivc venogram s&i
|
$5,000.05 |
$5,000.05 |
$5,000.05 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$142.45 |
$142.45 |
$142.45 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$173.80 |
$173.80 |
$173.80 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$134.75 |
$134.75 |
$134.75 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$431.20 |
$431.20 |
$431.20 |
$460.85
|
|
Ivp w/nephrotomography
|
$1,150.05 |
$1,150.05 |
$1,150.05 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,317.80 |
$1,317.80 |
$1,317.80 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$423.50 |
$423.50 |
$423.50 |
$378.30
|
|
John cunningham antibody
|
$479.05 |
$479.05 |
$479.05 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$149.05 |
$149.05 |
$149.05 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$52.25 |
$52.25 |
$52.25 |
$56.61
|
|
Kidney imaging morphology
|
$1,189.10 |
$1,189.10 |
$1,189.10 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,965.70 |
$1,965.70 |
$1,965.70 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,566.40 |
$1,566.40 |
$1,566.40 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$933.90 |
$933.90 |
$933.90 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$3,764.73 |
$3,764.73 |
$3,764.73 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$13,867.63 |
$13,867.63 |
$13,867.63 |
$9,384.04
|
|
Kit lead specify 5-6-5
|
$4,935.57 |
$4,935.57 |
$4,935.57 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$695.40 |
$695.40 |
$695.40 |
$1,357.69
|
|
Knee MRI (with and without contrast)
|
$3,598.10 |
$3,598.10 |
$3,598.10 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$3,097.05 |
$3,097.05 |
$3,097.05 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,015.10 |
$3,015.10 |
$3,015.10 |
$2,181.10
|
|
Knee X-ray
|
$509.30 |
$509.30 |
$509.30 |
$443.90
|
|
Kras gene addl variants
|
$772.75 |
$772.75 |
$772.75 |
$346.45
|
|
Kras gene variants exon 2
|
$1,422.30 |
$1,422.30 |
$1,422.30 |
$495.00
|
|
Lactate dehydrogenase (ldh)
|
$105.60 |
$105.60 |
$105.60 |
$53.30
|
|
Lactic acid
|
$91.85 |
$91.85 |
$91.85 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$59.95 |
$59.95 |
$59.95 |
$88.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,157.10 |
$2,157.10 |
$2,157.10 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$762.30 |
$762.30 |
$762.30 |
$762.30
|
|
Laryngoscopy w/fb removal
|
$4,387.90 |
$4,387.90 |
$4,387.90 |
$3,390.75
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$434.50 |
$434.50 |
$434.50 |
$660.10
|
|
Lead acuity x4 spiral l 86cm
|
$5,748.59 |
$5,748.59 |
$5,748.59 |
$5,831.00
|
|
Lead capillary
|
$131.45 |
$131.45 |
$131.45 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,913.57 |
$1,913.57 |
$1,913.57 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$11,269.88 |
$11,269.88 |
$11,269.88 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,442.10 |
$1,442.10 |
$1,442.10 |
$1,100.74
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,164.69 |
$1,164.69 |
$1,164.69 |
$1,546.87
|
|
Levetiracetam therapeutic drug level
|
$29.70 |
$29.70 |
$29.70 |
$71.40
|
|
Liberta rc ipg
|
$16,328.57 |
$16,328.57 |
$16,328.57 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$180.95 |
$180.95 |
$180.95 |
$83.85
|
|
Lipase
|
$151.25 |
$151.25 |
$151.25 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$163.90 |
$163.90 |
$163.90 |
$89.52
|
|
Lipoprotein blood quant
|
$103.40 |
$103.40 |
$103.40 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$109.45 |
$109.45 |
$109.45 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$127.60 |
$127.60 |
$127.60 |
$60.00
|
|
Lip surgery procedure
|
$371.80 |
$371.80 |
$371.80 |
$325.68
|
|
Lithium therapeutic drug level
|
$125.40 |
$125.40 |
$125.40 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,876.30 |
$4,876.30 |
$4,876.30 |
$4,371.12
|
|
Liver Function Test
|
$159.50 |
$159.50 |
$159.50 |
$110.50
|
|
Liver imaging
|
$1,963.50 |
$1,963.50 |
$1,963.50 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$1,963.50 |
$1,963.50 |
$1,963.50 |
$1,255.15
|
|
Liver/spleen imag static only
|
$846.45 |
$846.45 |
$846.45 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$987.25 |
$987.25 |
$987.25 |
$949.00
|
|
Low cost skin substitute app
|
$594.55 |
$594.55 |
$594.55 |
$862.55
|
|
Low cost skin substitute app
|
$552.20 |
$552.20 |
$552.20 |
$933.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,729.65 |
$2,729.65 |
$2,729.65 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,568.50 |
$2,568.50 |
$2,568.50 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,407.90 |
$2,407.90 |
$2,407.90 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,299.35 |
$4,299.35 |
$4,299.35 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,097.05 |
$3,097.05 |
$3,097.05 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,898.50 |
$2,898.50 |
$2,898.50 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$584.10 |
$584.10 |
$584.10 |
$344.00
|
|
L/s ratio fetal lung
|
$303.05 |
$303.05 |
$303.05 |
$168.00
|
|
Lumbar diskogram s&i
|
$4,674.45 |
$4,674.45 |
$4,674.45 |
$2,358.23
|
