|
Ins/rpl pm gen exist sgl lead
|
$12,793.20 |
$12,793.20 |
$12,793.20 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$15,333.60 |
$15,333.60 |
$15,333.60 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$20,938.20 |
$20,938.20 |
$20,938.20 |
$25,694.00
|
|
Inst fibrinolysis agent ini day
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$1,036.05
|
|
Inst fibrinolysis agent sbsq d
|
$1,818.60 |
$1,818.60 |
$1,818.60 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$402.60 |
$402.60 |
$402.60 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$6,021.60 |
$6,021.60 |
$6,021.60 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$6,021.60 |
$6,021.60 |
$6,021.60 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$6,130.80 |
$6,130.80 |
$6,130.80 |
$4,570.00
|
|
Insulin total
|
$164.40 |
$164.40 |
$164.40 |
$66.64
|
|
Ins vag brachytx device
|
$1,102.20 |
$1,102.20 |
$1,102.20 |
$935.50
|
|
Intens behave ther cardio dx
|
$68.40 |
$68.40 |
$68.40 |
$47.60
|
|
Interdental fixation
|
$2,103.60 |
$2,103.60 |
$2,103.60 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$1,839.00 |
$1,839.00 |
$1,839.00 |
$1,222.26
|
|
Interrogate subq defib
|
$97.20 |
$97.20 |
$97.20 |
$119.60
|
|
Interrog dev eval icpms ip
|
$114.00 |
$114.00 |
$114.00 |
$103.50
|
|
Interrog dev eval scrms ip
|
$114.00 |
$114.00 |
$114.00 |
$124.80
|
|
Interrog device eval heart
|
$186.60 |
$186.60 |
$186.60 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$114.00 |
$114.00 |
$114.00 |
$124.80
|
|
Interstitial brachy inter
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$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
|
$3,981.00 |
$3,981.00 |
$3,981.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$8,694.00 |
$8,694.00 |
$8,694.00 |
$8,145.50
|
|
Intracranial angioplasty
|
$2,824.80 |
$2,824.80 |
$2,824.80 |
$4,962.40
|
|
Intracranial complete study
|
$1,516.80 |
$1,516.80 |
$1,516.80 |
$874.99
|
|
Intracranial limited study
|
$1,011.60 |
$1,011.60 |
$1,011.60 |
$465.01
|
|
Intrapul surf admin endo tube
|
$135.00 |
$135.00 |
$135.00 |
$220.80
|
|
Intraventricular pacing
|
$4,780.80 |
$4,780.80 |
$4,780.80 |
$5,456.17
|
|
Intrinsic factor antibody
|
$145.20 |
$145.20 |
$145.20 |
$63.15
|
|
Intro cath dialysis circuit
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$11,563.20 |
$11,563.20 |
$11,563.20 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$23,373.00 |
$23,373.00 |
$23,373.00 |
$16,262.40
|
|
Intro catheter aorta
|
$1,124.40 |
$1,124.40 |
$1,124.40 |
$1,654.05
|
|
Intro cath svc/ivc
|
$630.00 |
$630.00 |
$630.00 |
$1,323.27
|
|
Intro long gi tube
|
$1,339.20 |
$1,339.20 |
$1,339.20 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$814.20 |
$814.20 |
$814.20 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$705.00 |
$705.00 |
$705.00 |
$598.80
|
|
Ionm in operatng room 15 min
|
$115.80 |
$115.80 |
$115.80 |
$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
|
$5.40 |
$5.40 |
$5.40 |
$288.11
|
|
Ip/obs cnsltj new/est low 45
|
$463.80 |
$463.80 |
$463.80 |
$174.20
|
|
Ip/obs cnsltj new/est mod 60
|
$571.80 |
$571.80 |
$571.80 |
$284.45
|
|
Ip/obs consltj new/est hi 80
|
$687.00 |
$687.00 |
$687.00 |
$332.80
|
|
Ip/obs consltj new/est sf 35
|
$349.20 |
$349.20 |
$349.20 |
$134.46
|
|
Iron
|
$90.60 |
$90.60 |
$90.60 |
$72.29
|
|
Iron binding capacity
|
$107.40 |
$107.40 |
$107.40 |
$63.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$350.40 |
$350.40 |
$350.40 |
$144.62
|
|
Ivc venogram s&i
|
$2,933.40 |
$2,933.40 |
$2,933.40 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$388.80 |
$388.80 |
$388.80 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$388.80 |
$388.80 |
$388.80 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$217.20 |
$217.20 |
$217.20 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$388.80 |
$388.80 |
$388.80 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$692.18
|
|
Jejunstmy tube plcmt
|
$3,132.60 |
$3,132.60 |
$3,132.60 |
$2,174.40
|
|
J-tube placement
|
$828.00 |
$828.00 |
$828.00 |
$593.08
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$126.60 |
$126.60 |
$126.60 |
$58.50
|
|
Kidney imaging morphology
|
$1,440.60 |
$1,440.60 |
$1,440.60 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,797.60 |
$1,797.60 |
$1,797.60 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,949.40 |
$1,949.40 |
$1,949.40 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$3,540.60 |
$3,540.60 |
$3,540.60 |
$673.36
|
|
Kit gene analys d816 variant
|
$1,480.20 |
$1,480.20 |
$1,480.20 |
$366.03
|
|
Knee Arthroscopy (Cartilage Repair)
|
$1,767.00 |
$1,767.00 |
$1,767.00 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$3,839.54
|
|
Knee arthroscopy dx
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,216.80 |
$1,216.80 |
$1,216.80 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$4,720.80 |
$4,720.80 |
$4,720.80 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,450.20 |
$1,450.20 |
$1,450.20 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$2,308.20 |
$2,308.20 |
$2,308.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$1,555.20 |
$1,555.20 |
$1,555.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,032.20 |
$2,032.20 |
$2,032.20 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$3,839.54
|
|
Knee MRI (with and without contrast)
|
$5,790.60 |
$5,790.60 |
$5,790.60 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$5,227.20 |
$5,227.20 |
$5,227.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,642.20 |
$4,642.20 |
$4,642.20 |
$2,110.76
|
|
Knee orth pos locking joint
|
$585.60 |
$585.60 |
$585.60 |
$585.60
|
|
Knee X-ray
|
$877.20 |
$877.20 |
$877.20 |
$425.55
|
|
Kras gene addl variants
|
$781.80 |
$781.80 |
$781.80 |
$386.75
|
|
Kras gene variants exon 2
|
$1,071.00 |
$1,071.00 |
$1,071.00 |
$509.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$72.60 |
$72.60 |
$72.60 |
$109.20
|
|
Lactate dehydrogenase (ldh)
|
$105.60 |
$105.60 |
$105.60 |
$55.50
|
|
Lactic acid
|
$306.60 |
$306.60 |
$306.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$133.20 |
$133.20 |
$133.20 |
$81.00
|
|
Lam facetec & foramot crv
|
$6,035.40 |
$6,035.40 |
$6,035.40 |
$7,549.13
|
|
Laps abltj uterine fibroids
|
$14,997.60 |
$14,997.60 |
$14,997.60 |
$12,320.22
|
|
Laryngeal function studies
|
$225.60 |
$225.60 |
$225.60 |
$335.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,086.20 |
$2,086.20 |
$2,086.20 |
$2,480.71
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$666.00 |
$666.00 |
$666.00 |
$800.25
|
|
Lat retinacular release open
|
$753.00 |
$753.00 |
$753.00 |
$3,839.54
|
|
Lead capillary
|
$283.20 |
$283.20 |
$283.20 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$1,092.58
|
|
Lengthening of thigh bone
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
$7,413.38
|
|
Lengthening of thigh tendon
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
$7,907.11
|
|
Lengthening of thigh tendons
|
$5,353.80 |
$5,353.80 |
$5,353.80 |
$7,907.11
|
|
Lengthening of thigh tendons
|
$7,153.20 |
$7,153.20 |
$7,153.20 |
$4,499.12
|
