|
Ins vag brachytx device
|
$615.00 |
$615.00 |
$615.00 |
$950.00
|
|
Interdiscal perq aspir dx
|
$605.00 |
$605.00 |
$605.00 |
$1,222.26
|
|
Interrogation vad in person
|
$185.00 |
$185.00 |
$185.00 |
$296.80
|
|
Interrog dev eval scrms ip
|
$152.50 |
$152.50 |
$152.50 |
$124.80
|
|
Interrog device eval heart
|
$242.50 |
$242.50 |
$242.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$160.00 |
$160.00 |
$160.00 |
$127.20
|
|
Intra-atrial pacing
|
$3,285.00 |
$3,285.00 |
$3,285.00 |
$4,850.82
|
|
Intra-atrial recording
|
$3,285.00 |
$3,285.00 |
$3,285.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$2,580.00 |
$2,580.00 |
$2,580.00 |
$3,436.00
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$4,285.00 |
$4,285.00 |
$4,285.00 |
$3,690.00
|
|
Intrapul surf admin endo tube
|
$275.00 |
$275.00 |
$275.00 |
$220.80
|
|
Intraventricular pacing
|
$3,285.00 |
$3,285.00 |
$3,285.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$85.00 |
$85.00 |
$85.00 |
$65.00
|
|
Intro cath dialysis circuit
|
$1,780.00 |
$1,780.00 |
$1,780.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,595.00 |
$7,595.00 |
$7,595.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$15,185.00 |
$15,185.00 |
$15,185.00 |
$16,262.40
|
|
Intro catheter aorta
|
$505.00 |
$505.00 |
$505.00 |
$1,678.05
|
|
Intro cath svc/ivc
|
$1,175.00 |
$1,175.00 |
$1,175.00 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,350.00 |
$3,350.00 |
$3,350.00 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,350.00 |
$3,350.00 |
$3,350.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$565.00 |
$565.00 |
$565.00 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$445.00 |
$445.00 |
$445.00 |
$386.37
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$3.00 |
$3.00 |
$3.00 |
$279.10
|
|
Iron
|
$67.50 |
$67.50 |
$67.50 |
$75.00
|
|
Iron binding capacity
|
$67.50 |
$67.50 |
$67.50 |
$63.91
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.99 |
$1.99 |
$1.99 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$105.00 |
$105.00 |
$105.00 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$125.00 |
$125.00 |
$125.00 |
$146.11
|
|
Ivc venogram s&i
|
$2,975.00 |
$2,975.00 |
$2,975.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$107.50 |
$107.50 |
$107.50 |
$133.90
|
|
IV Fluids (first hour)
|
$325.00 |
$325.00 |
$325.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$110.00 |
$110.00 |
$110.00 |
$162.68
|
|
IV inj ra drug dx study
|
$740.00 |
$740.00 |
$740.00 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$110.00 |
$110.00 |
$110.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$110.00 |
$110.00 |
$110.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$277.50 |
$277.50 |
$277.50 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$142.50 |
$142.50 |
$142.50 |
$167.50
|
|
IV Push Injection (first drug)
|
$190.00 |
$190.00 |
$190.00 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$745.00 |
$745.00 |
$745.00 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$417.50 |
$417.50 |
$417.50 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$232.50 |
$232.50 |
$232.50 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$295.00 |
$295.00 |
$295.00 |
$362.05
|
|
John cunningham antibody
|
$65.00 |
$65.00 |
$65.00 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$357.50 |
$357.50 |
$357.50 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$52.50 |
$52.50 |
$52.50 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$54.11 |
$54.11 |
$54.11 |
$23.52
|
|
Kidney imag w/bld flow multi
|
$1,625.00 |
$1,625.00 |
$1,625.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,425.00 |
$1,425.00 |
$1,425.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$895.00 |
$895.00 |
$895.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$670.00 |
$670.00 |
$670.00 |
$490.75
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,097.00 |
$7,097.00 |
$7,097.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$510.00 |
$510.00 |
$510.00 |
$374.61
|
|
Kit lead specify 5-6-5
|
$6,395.18 |
$6,395.18 |
$6,395.18 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,397.83 |
$1,397.83 |
$1,397.83 |
$1,635.87
|
|
Knee MRI (with and without contrast)
|
$3,470.00 |
$3,470.00 |
$3,470.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$2,130.88
|
|
Knee X-ray
|
$350.00 |
$350.00 |
$350.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$200.00 |
$200.00 |
$200.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$250.00 |
$250.00 |
$250.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$175.00 |
$175.00 |
$175.00 |
$251.20
|
|
Kras gene addl variants
|
$460.00 |
$460.00 |
$460.00 |
$387.20
|
|
Kras gene variants exon 2
|
$455.00 |
$455.00 |
$455.00 |
$536.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$42.59 |
$42.59 |
$42.59 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$37.50 |
$37.50 |
$37.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$111.05 |
$111.05 |
$111.05 |
$43.74
|
|
Lactic acid
|
$70.00 |
$70.00 |
$70.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$97.50 |
$97.50 |
$97.50 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$655.00 |
$655.00 |
$655.00 |
$740.40
|
|
Lead acuity x4 spiral l 86cm
|
$2,834.75 |
$2,834.75 |
$2,834.75 |
$5,460.00
|
|
Lead capillary
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$709.80 |
$709.80 |
$709.80 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$4,117.00 |
$4,117.00 |
$4,117.00 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$990.00 |
$990.00 |
$990.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,020.00 |
$2,020.00 |
$2,020.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$845.00 |
$845.00 |
$845.00 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$252.50 |
$252.50 |
$252.50 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$333.02 |
$333.02 |
$333.02 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$223.73 |
$223.73 |
$223.73 |
$377.71
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.69 |
$0.69 |
$0.69 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$32.00 |
$32.00 |
$32.00 |
$55.69
|
|
Liberta rc ipg
|
$26,429.25 |
$26,429.25 |
$26,429.25 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$95.00 |
$95.00 |
$95.00 |
$87.45
|
|
Ligation/major artery/extremity 37618
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$1,567.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$26.50 |
$26.50 |
$26.50 |
$121.00
|
|
Lipase
|
$67.50 |
$67.50 |
$67.50 |
$93.58
|
|
Lipoprotein blood quant
|
$167.50 |
$167.50 |
$167.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$60.00 |
$60.00 |
$60.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$45.00 |
$45.00 |
$45.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$4,371.12
|
|
Liver Function Test
|
$80.00 |
$80.00 |
$80.00 |
$115.44
|
|
Liver imaging
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,109.00
|
|
Liver/spleen imag static only
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,138.55
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$57.59 |
$57.59 |
$57.59 |
$37.20
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$933.60
|
|
Low cost skin substitute app
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,012.00
|
