|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$6,411.65 |
$6,411.65 |
$6,411.65 |
$1,995.00
|
|
Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance
|
$2,972.90 |
$2,972.90 |
$2,972.90 |
$1,817.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$2,898.00 |
$2,898.00 |
$2,898.00 |
$1,681.24
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$911.40 |
$911.40 |
$911.40 |
$548.80
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$196.00 |
$196.00 |
$196.00 |
$135.60
|
|
Injection treatment of eye
|
$4,273.50 |
$4,273.50 |
$4,273.50 |
$2,665.60
|
|
Injection treatment of nerve
|
$4,208.40 |
$4,208.40 |
$4,208.40 |
$4,350.00
|
|
Inject sacroiliac joint
|
$781.90 |
$781.90 |
$781.90 |
$1,028.95
|
|
Inj epidural sgl cerv-thor without img
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$1,318.80
|
|
Inj epidural sgl lumb-sacral without img
|
$2,927.40 |
$2,927.40 |
$2,927.40 |
$1,415.50
|
|
Inj hrt cath w/s&i sel hrt ang
|
$3,314.50 |
$3,314.50 |
$3,314.50 |
$1,827.74
|
|
Inj hrt cath w/s&i sel left vent
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$1,657.60 |
$1,657.60 |
$1,657.60 |
$965.33
|
|
Inj/inf neurolyt sbst spinal canal lesion 62282
|
$5,803.00 |
$5,803.00 |
$5,803.00 |
$1,928.00
|
|
Inj intralesional <= 7 lsn(s)
|
$371.00 |
$371.00 |
$371.00 |
$235.13
|
|
Inj, meropenem (b. braun)
|
$283.15 |
$283.15 |
$283.15 |
$71.14
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$2,810.50 |
$2,810.50 |
$2,810.50 |
$1,413.35
|
|
Inj peritoneal venous shunt
|
$1,262.80 |
$1,262.80 |
$1,262.80 |
$413.70
|
|
Inj proc ankle arthr
|
$128.80 |
$128.80 |
$128.80 |
$405.31
|
|
Inj proc sialogram
|
$1,299.20 |
$1,299.20 |
$1,299.20 |
$373.00
|
|
Inj scleros sol sgl vein
|
$465.50 |
$465.50 |
$465.50 |
$558.97
|
|
Inj testostero enanthate 1mg
|
$0.01 |
$0.01 |
$0.01 |
$123.24
|
|
Inj testosterone cypionate
|
$29.40 |
$29.40 |
$29.40 |
$64.80
|
|
Inj thrc fascial pln blk bi w/wo image
|
$3,438.40 |
$3,438.40 |
$3,438.40 |
$1,152.97
|
|
Inj thrc fascial pln blk uni w/wo image
|
$5,999.70 |
$5,999.70 |
$5,999.70 |
$837.50
|
|
Inj vancomycin (xellia) 10mg
|
$132.30 |
$132.30 |
$132.30 |
$76.59
|
|
Ins cath ren art 2nd+ bi
|
$6,309.80 |
$6,309.80 |
$6,309.80 |
$5,500.86
|
|
Insert intrauterine device iud
|
$2,375.80 |
$2,375.80 |
$2,375.80 |
$347.10
|
|
Insertion catheter bladder non indwelling
|
$173.60 |
$173.60 |
$173.60 |
$205.40
|
|
Insertion catheter bladder temporary simple
|
$228.20 |
$228.20 |
$228.20 |
$232.25
|
|
Insertion intra-aortic circulation dev 33970
|
$2,826.60 |
$2,826.60 |
$2,826.60 |
$1,752.40
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,535.70 |
$3,535.70 |
$3,535.70 |
$2,505.60
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,634.10 |
$2,634.10 |
$2,634.10 |
$2,079.50
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$3,103.10 |
$3,103.10 |
$3,103.10 |
$2,419.65
|
|
Insert pessary/other device
|
$343.00 |
$343.00 |
$343.00 |
$278.50
|
|
Insert/repl sq defib w/eltrd
|
$74,400.20 |
$74,400.20 |
$74,400.20 |
$32,800.04
|
|
Insert sq defib electrode
|
$18,418.40 |
$18,418.40 |
$18,418.40 |
$8,167.68
|
|
Insert tunneled cv cath
|
$7,725.20 |
$7,725.20 |
$7,725.20 |
$4,520.00
|
|
Ins icd gen exist mlt leads
|
$54,215.70 |
$54,215.70 |
$54,215.70 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$12,433.40 |
$12,433.40 |
$12,433.40 |
$23,230.50
|
|
Insitu hybridization (fish)
|
$659.40 |
$659.40 |
$659.40 |
$481.60
|
|
Insitu hybridization manual
|
$459.20 |
$459.20 |
$459.20 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$711.90 |
$711.90 |
$711.90 |
$241.15
|
|
In situ hybridization per specimen initial single probe stain
|
$1,144.50 |
$1,144.50 |
$1,144.50 |
$331.69
|
|
Insj perq vad r hrt venous
|
$7,254.80 |
$7,254.80 |
$7,254.80 |
$3,796.00
|
|
Ins mark thor for right perq
|
$1,250.90 |
$1,250.90 |
$1,250.90 |
$2,477.45
|
|
Ins pm gen exist dual lead
|
$13,707.40 |
$13,707.40 |
$13,707.40 |
$23,665.85
|
|
Ins pm gen w/exist mlt leads
|
$32,985.40 |
$32,985.40 |
$32,985.40 |
$14,804.40
|
|
Ins/rplc spi npg/rcvr pocket
|
$14,517.30 |
$14,517.30 |
$14,517.30 |
$24,061.80
|
|
Ins/rpl pm gen exist sgl lead
|
$11,116.00 |
$11,116.00 |
$11,116.00 |
$9,428.64
|
|
Ins/rpl prph sac/gstr npg/r
|
$9,175.60 |
$9,175.60 |
$9,175.60 |
$21,857.50
|
|
Instillation anticarcinogenic agent bladder
|
$3,056.90 |
$3,056.90 |
$3,056.90 |
$621.40
|
|
Ins tun cv cath wo subq prt/pm
|
$10,021.20 |
$10,021.20 |
$10,021.20 |
$5,324.80
|
|
Ins tun intraperit dia cath
|
$3,597.30 |
$3,597.30 |
$3,597.30 |
$4,570.00
|
|
Insulin total
|
$76.30 |
$76.30 |
$76.30 |
$66.64
|
|
Intens behave ther cardio dx
|
$47.60 |
$47.60 |
$47.60 |
$47.60
|
|
Interrogate subq defib
|
$157.50 |
$157.50 |
$157.50 |
$119.60
|
|
Int hrhc lig 2+hroid without img
|
$10,749.90 |
$10,749.90 |
$10,749.90 |
$3,245.23
|
|
Intra-atrial pacing
|
$16,191.00 |
$16,191.00 |
$16,191.00 |
$4,780.80
|
|
Intracranial angioplasty
|
$4,699.10 |
$4,699.10 |
$4,699.10 |
$4,962.40
|
|
Intracranial complete study
|
$2,235.10 |
$2,235.10 |
$2,235.10 |
$874.99
|
|
Intracranial limited study
|
$869.40 |
$869.40 |
$869.40 |
$465.01
|
|
Intrauterine transfusion ftl
|
$550.20 |
$550.20 |
$550.20 |
$1,063.50
|
|
Intraventricular pacing
|
$6,409.90 |
$6,409.90 |
$6,409.90 |
$5,456.17
|
|
Intro long gi tube w/mult fluo
|
$508.90 |
$508.90 |
$508.90 |
$466.00
|
|
Intro windpipe wire/tube
|
$2,944.90 |
$2,944.90 |
$2,944.90 |
$2,447.43
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,452.80 |
$2,452.80 |
$2,452.80 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$952.70 |
$952.70 |
$952.70 |
$1,747.80
|
|
Iodine i-123 sod iodide mil
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$371.18
|
|
Ionm in operatng room 15 min
|
$300.30 |
$300.30 |
$300.30 |
$200.16
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$374.50 |
$374.50 |
$374.50 |
$170.06
|
|
Iron
|
$79.10 |
$79.10 |
$79.10 |
$72.29
|
|
Iron binding capacity
|
$73.50 |
$73.50 |
$73.50 |
$63.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$217.87 |
$217.87 |
$217.87 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$27.30 |
$27.30 |
$27.30 |
$114.40
|
|
Ivc venogram s&i
|
$3,923.50 |
$3,923.50 |
$3,923.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$260.40 |
$260.40 |
$260.40 |
$159.00
|
|
Ivp w/wo kub w/wo tomography
|
$1,164.80 |
$1,164.80 |
$1,164.80 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$428.40 |
$428.40 |
$428.40 |
$393.43
|
|
Ketamine and metabolite screen - quest
|
$26.60 |
$26.60 |
$26.60 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$57.40 |
$57.40 |
$57.40 |
$58.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,474.20 |
$1,474.20 |
$1,474.20 |
$673.36
|
|
Kit gene analys d816 variant
|
$630.00 |
$630.00 |
$630.00 |
$366.03
|
|
Kit lead specify 5-6-5
|
$24,505.60 |
$24,505.60 |
$24,505.60 |
$16,965.41
|
|
Knee MRI (with and without contrast)
|
$4,428.90 |
$4,428.90 |
$4,428.90 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$4,038.30 |
$4,038.30 |
$4,038.30 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,835.30 |
$3,835.30 |
$3,835.30 |
$2,110.76
|
|
Knee X-ray
|
$724.50 |
$724.50 |
$724.50 |
$425.55
|
|
Kras gene addl variants
|
$456.40 |
$456.40 |
$456.40 |
$386.75
|
|
Kras gene variants exon 2
|
$536.20 |
$536.20 |
$536.20 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$40.77 |
$40.77 |
$40.77 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$81.20 |
$81.20 |
$81.20 |
$55.50
|
|
Lactated ringers intravenous solution
|
$41.47 |
$41.47 |
$41.47 |
$44.91
|
|
Lactic acid
|
$191.10 |
$191.10 |
$191.10 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$95.90 |
$95.90 |
$95.90 |
$81.00
|
|
Lactoferrin fecal quant
|
$150.50 |
$150.50 |
$150.50 |
$108.93
|
|
Laparo cholecystectomy/graph
|
$14,162.40 |
$14,162.40 |
$14,162.40 |
$8,346.00
|
|
Lap myotomy heller
|
$2,136.40 |
$2,136.40 |
$2,136.40 |
$3,158.40
|
|
Largsc w/njx augmentation
|
$4,148.20 |
$4,148.20 |
$4,148.20 |
$3,297.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$879.90 |
$879.90 |
$879.90 |
$765.97
|
