|
Intracran angioplsty w/stent
|
$2,464.00 |
$2,464.00 |
$2,464.00 |
$8,145.50
|
|
Intracranial angioplasty
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$5,181.00
|
|
Intracranial complete study
|
$377.00 |
$377.00 |
$377.00 |
$881.50
|
|
Intracranial limited study
|
$334.00 |
$334.00 |
$334.00 |
$467.50
|
|
Intranasal biopsy 30100
|
$3,455.00 |
$3,455.00 |
$3,455.00 |
$2,265.00
|
|
Intraventricular pacing
|
$14,530.00 |
$14,530.00 |
$14,530.00 |
$5,456.17
|
|
Intro cath dialysis circuit
|
$1,567.00 |
$1,567.00 |
$1,567.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$12,908.00 |
$12,908.00 |
$12,908.00 |
$8,690.50
|
|
Intro catheter aorta
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$1,678.05
|
|
Intro cath svc/ivc
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$1,323.27
|
|
Intro long gi tube
|
$4,794.00 |
$4,794.00 |
$4,794.00 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$466.00 |
$466.00 |
$466.00 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$19,054.00 |
$19,054.00 |
$19,054.00 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$21,454.00 |
$21,454.00 |
$21,454.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$410.00 |
$410.00 |
$410.00 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$2,390.49 |
$2,390.49 |
$2,390.49 |
$386.37
|
|
Ionm in operatng room 15 min
|
$238.00 |
$238.00 |
$238.00 |
$200.78
|
|
Iron
|
$26.00 |
$26.00 |
$26.00 |
$75.00
|
|
Iron binding capacity
|
$36.00 |
$36.00 |
$36.00 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$268.00 |
$268.00 |
$268.00 |
$146.11
|
|
Ivc venogram s&i
|
$5,356.00 |
$5,356.00 |
$5,356.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$234.00 |
$234.00 |
$234.00 |
$133.90
|
|
IV Fluids (first hour)
|
$530.00 |
$530.00 |
$530.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$248.00 |
$248.00 |
$248.00 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$254.00 |
$254.00 |
$254.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$248.00 |
$248.00 |
$248.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$657.00 |
$657.00 |
$657.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$254.00 |
$254.00 |
$254.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$351.00 |
$351.00 |
$351.00 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$452.00 |
$452.00 |
$452.00 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$757.00 |
$757.00 |
$757.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$605.00 |
$605.00 |
$605.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$482.00 |
$482.00 |
$482.00 |
$362.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$33.00 |
$33.00 |
$33.00 |
$58.56
|
|
Kidney function study
|
$476.00 |
$476.00 |
$476.00 |
$935.22
|
|
Kidney imaging morphology
|
$612.00 |
$612.00 |
$612.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$897.00 |
$897.00 |
$897.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$992.00 |
$992.00 |
$992.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$992.00 |
$992.00 |
$992.00 |
$490.75
|
|
Knee MRI (with and without contrast)
|
$4,842.00 |
$4,842.00 |
$4,842.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$4,210.00 |
$4,210.00 |
$4,210.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$8,136.00 |
$8,136.00 |
$8,136.00 |
$2,130.88
|
|
Knee X-ray
|
$992.00 |
$992.00 |
$992.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$574.00 |
$574.00 |
$574.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$862.00 |
$862.00 |
$862.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$292.00 |
$292.00 |
$292.00 |
$251.20
|
|
Kras gene addl variants
|
$495.00 |
$495.00 |
$495.00 |
$387.20
|
|
Kras gene variants exon 2
|
$495.00 |
$495.00 |
$495.00 |
$536.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$26.00 |
$26.00 |
$26.00 |
$70.20
|
|
Lactate dehydrogenase (ldh)
|
$24.00 |
$24.00 |
$24.00 |
$55.50
|
|
Lactation class
|
$80.00 |
$80.00 |
$80.00 |
$104.96
|
|
Lactic acid
|
$42.00 |
$42.00 |
$42.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$52.00 |
$52.00 |
$52.00 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$864.00 |
$864.00 |
$864.00 |
$740.40
|
|
Laryngoscopic sensory vid
|
$323.00 |
$323.00 |
$323.00 |
$323.79
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$5,665.00 |
$5,665.00 |
$5,665.00 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$745.00 |
$745.00 |
$745.00 |
$852.80
|
|
Laryngoscopy w/fb removal
|
$6,728.00 |
$6,728.00 |
$6,728.00 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$4,958.00 |
$4,958.00 |
$4,958.00 |
$3,297.83
|
|
Lead capillary
|
$41.00 |
$41.00 |
$41.00 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,165.00 |
$1,165.00 |
$1,165.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,336.00 |
$2,336.00 |
$2,336.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$3,533.00 |
$3,533.00 |
$3,533.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,395.00 |
$1,395.00 |
$1,395.00 |
$1,092.58
|
|
Levetiracetam therapeutic drug level
|
$113.00 |
$113.00 |
$113.00 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$104.00 |
$104.00 |
$104.00 |
$87.45
|
|
Lipase
|
$28.00 |
$28.00 |
$28.00 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$33.00 |
$33.00 |
$33.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$60.00 |
$60.00 |
$60.00 |
$61.60
|
|
Lip surgery procedure
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$334.50
|
|
Lithium therapeutic drug level
|
$52.00 |
$52.00 |
$52.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,128.00 |
$3,128.00 |
$3,128.00 |
$4,371.12
|
|
Liver Function Test
|
$26.00 |
$26.00 |
$26.00 |
$115.44
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$766.00 |
$766.00 |
$766.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,992.00 |
$1,992.00 |
$1,992.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,669.00 |
$1,669.00 |
$1,669.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,387.00 |
$3,387.00 |
$3,387.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,838.00 |
$2,838.00 |
$2,838.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$475.00 |
$475.00 |
$475.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$547.00 |
$547.00 |
$547.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$468.00 |
$468.00 |
$468.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$616.00 |
$616.00 |
$616.00 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$780.00 |
$780.00 |
$780.00 |
$364.77
|
|
Lumbar diskogram s&i
|
$1,807.00 |
$1,807.00 |
$1,807.00 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$477.00 |
$477.00 |
$477.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$325.00 |
$325.00 |
$325.00 |
$296.91
|
|
Lung perfusion imaging
|
$537.00 |
$537.00 |
$537.00 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$761.00 |
$761.00 |
$761.00 |
$1,491.70
|
|
Lymph vessel x-ray trunk
|
$4,566.00 |
$4,566.00 |
$4,566.00 |
$3,452.15
|
|
Macroscopic exam arthropod
|
$33.00 |
$33.00 |
$33.00 |
$38.58
|
|
Macroscopic exam parasite
|
$76.00 |
$76.00 |
$76.00 |
$37.05
|
|
Magnesium
|
$27.00 |
$27.00 |
$27.00 |
$73.00
|
|
Map tachycard site(s)
|
$2,273.00 |
$2,273.00 |
$2,273.00 |
$4,082.82
|
|
Mastoids complete
|
$272.00 |
$272.00 |
$272.00 |
$299.50
|
|
Mayo aathr protein s free
|
$55.00 |
$55.00 |
$55.00 |
$130.00
|
|
Mayo alcohol definitive assay volatile screen
|
$178.00 |
$178.00 |
$178.00 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$147.00 |
$147.00 |
$147.00 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$164.00 |
$164.00 |
$164.00 |
$112.77
|
