|
Interdiscal perq aspir dx
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$1,222.26
|
|
Interrogate subq defib
|
$99.00 |
$99.00 |
$99.00 |
$119.60
|
|
Interrog dev eval scrms ip
|
$120.00 |
$120.00 |
$120.00 |
$124.80
|
|
Interrog device eval heart
|
$195.60 |
$195.60 |
$195.60 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$120.00 |
$120.00 |
$120.00 |
$124.80
|
|
Interstitial brachy inter
|
$2,528.40 |
$2,528.40 |
$2,528.40 |
$1,244.40
|
|
Intra-atrial pacing
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$4,780.80
|
|
Intra-atrial recording
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,252.80 |
$4,252.80 |
$4,252.80 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$8,145.50
|
|
Intracranial angioplasty
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$4,962.40
|
|
Intracranial complete study
|
$1,607.40 |
$1,607.40 |
$1,607.40 |
$874.99
|
|
Intracranial limited study
|
$935.40 |
$935.40 |
$935.40 |
$465.01
|
|
Intrapul surf admin endo tube
|
$147.60 |
$147.60 |
$147.60 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,118.40 |
$1,118.40 |
$1,118.40 |
$1,063.50
|
|
Intraventricular pacing
|
$5,002.80 |
$5,002.80 |
$5,002.80 |
$5,456.17
|
|
Intrinsic factor antibody
|
$151.20 |
$151.20 |
$151.20 |
$63.15
|
|
Intro cath dialysis circuit
|
$2,569.20 |
$2,569.20 |
$10,681.20 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$17,215.20 |
$17,215.20 |
$17,215.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$33,287.40 |
$33,287.40 |
$33,287.40 |
$16,262.40
|
|
Intro catheter aorta
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,710.60 |
$1,710.60 |
$1,710.60 |
$1,323.27
|
|
Intro long gi tube
|
$2,595.00 |
$2,595.00 |
$2,595.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$335.40 |
$335.40 |
$513.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$8,725.20 |
$8,725.20 |
$8,725.20 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$8,725.20 |
$8,725.20 |
$8,725.20 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$856.20 |
$856.20 |
$1,348.20 |
$598.80
|
|
Ionm in operatng room 15 min
|
$909.60 |
$909.60 |
$909.60 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$7.20 |
$7.20 |
$7.20 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$7.20 |
$7.20 |
$12.00 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$484.80 |
$484.80 |
$484.80 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$667.80 |
$667.80 |
$667.80 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$906.00 |
$906.00 |
$906.00 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$373.80 |
$373.80 |
$373.80 |
$134.46
|
|
Iron
|
$62.40 |
$62.40 |
$150.60 |
$72.29
|
|
Iron binding capacity
|
$46.80 |
$46.80 |
$150.60 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$102.60 |
$102.60 |
$102.60 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$170.40 |
$170.40 |
$170.40 |
$144.62
|
|
Ivc venogram s&i
|
$3,145.20 |
$3,145.20 |
$5,121.60 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$274.80 |
$274.80 |
$274.80 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$256.20 |
$256.20 |
$256.20 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$252.60 |
$252.60 |
$252.60 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$604.20 |
$604.20 |
$604.20 |
$437.45
|
|
IV inj ra drug dx study
|
$567.00 |
$567.00 |
$567.00 |
$552.60
|
|
Ivp w/wo kub w/wo tomography
|
$594.60 |
$594.60 |
$874.80 |
$692.18
|
|
Jejunstmy tube plcmt
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$2,174.40
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$120.60 |
$120.60 |
$120.60 |
$58.50
|
|
Kidney imaging morphology
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,482.60 |
$1,482.60 |
$1,482.60 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$926.40 |
$926.40 |
$1,344.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$538.20 |
$538.20 |
$1,317.60 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$585.60 |
$585.60 |
$585.60 |
$174.00
|
|
Kit gene analys d816 variant
|
$1,489.80 |
$1,489.80 |
$1,489.80 |
$366.03
|
|
Knee MRI (with and without contrast)
|
$3,999.00 |
$3,999.00 |
$5,420.40 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,672.60 |
$3,672.60 |
$5,069.40 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,672.60 |
$3,672.60 |
$5,069.40 |
$2,110.76
|
|
Knee orth pos locking joint
|
$585.60 |
$585.60 |
$585.60 |
$585.60
|
|
Knee X-ray
|
$285.60 |
$285.60 |
$921.60 |
$425.55
|
|
Kras gene addl variants
|
$824.40 |
$824.40 |
$824.40 |
$386.75
|
|
Kras gene variants exon 2
|
$1,180.20 |
$1,180.20 |
$1,180.20 |
$509.00
|
|
Lactate dehydrogenase (ldh)
|
$51.00 |
$51.00 |
$175.20 |
$55.50
|
|
Lactic acid
|
$83.40 |
$83.40 |
$303.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$112.80 |
$112.80 |
$112.80 |
$81.00
|
|
Laps abltj uterine fibroids
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$12,320.22
|
|
Largsc w/laser dstrj les
|
$6,526.20 |
$6,526.20 |
$6,526.20 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$3,407.40 |
$3,407.40 |
$3,407.40 |
$3,297.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$539.40 |
$539.40 |
$539.40 |
$765.97
|
|
Largsc w/ther injection
|
$3,407.40 |
$3,407.40 |
$3,407.40 |
$2,286.46
|
|
Laryngeal function studies
|
$225.60 |
$225.60 |
$225.60 |
$335.40
|
|
Laryngoscop w/vc inj + scope
|
$10,176.60 |
$10,176.60 |
$10,176.60 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$8,574.00 |
$8,574.00 |
$8,574.00 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$1,532.40 |
$1,532.40 |
$1,532.40 |
$852.80
|
|
Laryngoscopy w/exc of tumor
|
$7,530.60 |
$7,530.60 |
$7,530.60 |
$5,126.62
|
|
Laryngoscopy with biopsy
|
$7,009.80 |
$7,009.80 |
$7,009.80 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$8,488.80 |
$8,488.80 |
$8,488.80 |
$800.25
|
|
Larynscop w/tumr exc + scope
|
$6,046.80 |
$6,046.80 |
$6,046.80 |
$5,104.80
|
|
Lead capillary
|
$289.20 |
$289.20 |
$289.20 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$819.00 |
$819.00 |
$2,242.20 |
$1,092.58
|
|
Levetiracetam therapeutic drug level
|
$211.80 |
$211.80 |
$275.40 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$8,943.60 |
$8,943.60 |
$8,943.60 |
$6,095.95
|
|
Lidocaine therapeutic drug level
|
$99.00 |
$99.00 |
$171.00 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$85.20 |
$85.20 |
$85.20 |
$133.50
|
|
Ligation common iliac vein
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$3,349.39
|
|
Ligation/major artery/extremity 37618
|
$3,295.80 |
$3,295.80 |
$3,295.80 |
$1,525.00
|
|
Ligation of shunt
|
$4,224.00 |
$4,224.00 |
$4,224.00 |
$1,786.20
|
|
Lig/band angioaccess av fistula
|
$4,351.80 |
$4,351.80 |
$4,351.80 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$585.60 |
$585.60 |
$585.60 |
$109.20
|
|
Lipase
|
$54.00 |
$54.00 |
$250.20 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$159.60 |
$159.60 |
$159.60 |
$86.42
|
|
Lipoprotein blood quant
|
$238.20 |
$238.20 |
$238.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$198.00 |
$198.00 |
$198.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$5.40 |
$5.40 |
$96.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$4.20 |
$4.20 |
$154.20 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,169.60 |
$5,169.60 |
$5,169.60 |
$4,113.20
|
|
Litt icr 1 traj 1 smpl les
|
$3,761.40 |
$3,761.40 |
$3,761.40 |
$1,811.18
|
|
Litt icr mlt trj mlt/cplx ls
|
$3,761.40 |
$3,761.40 |
$3,761.40 |
$2,143.60
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,255.80 |
$1,255.80 |
$1,255.80 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$612.00 |
$612.00 |
$612.00 |
$365.28
|
|
Liver Function Test
|
$106.80 |
$106.80 |
$262.80 |
$115.44
|
|
Liver/spleen imag static only
|
$754.20 |
$754.20 |
$838.20 |
$1,123.50
|
