|
In situ hybridization per specimen initial single probe stain
|
$419.00 |
$419.00 |
$419.00 |
$338.40
|
|
Insj perq vad r hrt venous
|
$5,375.00 |
$5,375.00 |
$5,375.00 |
$3,796.00
|
|
Ins lv lead exist pm/icd
|
$48,560.00 |
$48,560.00 |
$48,560.00 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$3,406.00 |
$3,406.00 |
$3,406.00 |
$2,477.24
|
|
Ins mark thor for right perq
|
$4,136.00 |
$4,136.00 |
$4,136.00 |
$2,503.80
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$2,816.00 |
$2,816.00 |
$2,816.00 |
$1,690.00
|
|
Ins pm gen w/exist mlt leads
|
$41,691.00 |
$41,691.00 |
$41,691.00 |
$14,804.40
|
|
Ins pq tunnld ip cath w/img
|
$10,152.00 |
$10,152.00 |
$10,152.00 |
$5,486.00
|
|
Ins/rpl ldless pm right vent w img & eval
|
$59,582.00 |
$59,582.00 |
$59,582.00 |
$24,135.54
|
|
Ins/rpl pm w/tv ld atrl
|
$16,261.00 |
$16,261.00 |
$16,261.00 |
$11,583.66
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$111,688.00 |
$111,688.00 |
$111,688.00 |
$27,318.11
|
|
Instillation anticarcinogenic agent bladder
|
$816.00 |
$816.00 |
$816.00 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$16,600.00 |
$16,600.00 |
$16,600.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$4,824.00 |
$4,824.00 |
$4,824.00 |
$4,218.00
|
|
Ins tun intraperit dia cath
|
$9,631.00 |
$9,631.00 |
$9,631.00 |
$4,570.00
|
|
Insulin total
|
$51.00 |
$51.00 |
$51.00 |
$66.64
|
|
Ins vag brachytx device
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$950.00
|
|
Interdiscal perq aspir dx
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$1,222.26
|
|
Intermediate visual field xm
|
$183.00 |
$183.00 |
$183.00 |
$112.80
|
|
Interrogate subq defib
|
$126.00 |
$126.00 |
$126.00 |
$119.60
|
|
Interrog dev eval icpms ip
|
$146.00 |
$146.00 |
$146.00 |
$104.00
|
|
Interrog dev eval scrms ip
|
$175.00 |
$175.00 |
$175.00 |
$124.80
|
|
Interrog device eval heart
|
$264.00 |
$264.00 |
$264.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$223.00 |
$223.00 |
$223.00 |
$127.20
|
|
Intracard echo interv w/s&i
|
$3,135.00 |
$3,135.00 |
$3,135.00 |
$3,436.00
|
|
Intracran angioplsty w/stent
|
$12,994.00 |
$12,994.00 |
$12,994.00 |
$8,145.50
|
|
Intracranial angioplasty
|
$15,209.00 |
$15,209.00 |
$15,209.00 |
$5,181.00
|
|
Intracranial complete study
|
$2,730.00 |
$2,730.00 |
$2,730.00 |
$881.50
|
|
Intracranial limited study
|
$1,609.00 |
$1,609.00 |
$1,609.00 |
$467.50
|
|
Intraoral i+d tongue/floor lingual 41000
|
$748.00 |
$748.00 |
$748.00 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$475.00 |
$475.00 |
$475.00 |
$220.80
|
|
Intraventricular pacing
|
$22,304.00 |
$22,304.00 |
$22,304.00 |
$5,456.17
|
|
Intrinsic factor antibody
|
$32.00 |
$32.00 |
$32.00 |
$65.00
|
|
Intro cath dialysis circuit
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$17,199.00 |
$17,199.00 |
$17,199.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$35,038.00 |
$35,038.00 |
$35,038.00 |
$16,262.40
|
|
Intro catheter aorta
|
$6,862.00 |
$6,862.00 |
$6,862.00 |
$1,678.05
|
|
Intro cath svc/ivc
|
$7,591.00 |
$7,591.00 |
$7,591.00 |
$1,323.27
|
|
Intro long gi tube
|
$3,250.00 |
$3,250.00 |
$3,250.00 |
$974.17
|
|
Intro long gi tube w/mult fluo
|
$393.00 |
$393.00 |
$393.00 |
$469.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$16,160.00 |
$16,160.00 |
$16,160.00 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,513.00 |
$2,513.00 |
$2,513.00 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$742.00 |
$742.00 |
$742.00 |
$601.28
|
|
Iodine i-123 sod iodide mil
|
$1,615.65 |
$1,615.65 |
$1,615.65 |
$386.37
|
|
Ionm in operatng room 15 min
|
$238.00 |
$238.00 |
$238.00 |
$200.78
|
|
Iron
|
$29.00 |
$29.00 |
$29.00 |
$75.00
|
|
Iron binding capacity
|
$22.00 |
$22.00 |
$22.00 |
$63.91
|
|
Irradiation of blood product each unit reference
|
$129.00 |
$129.00 |
$129.00 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$457.00 |
$457.00 |
$457.00 |
$146.11
|
|
Ivc venogram s&i
|
$9,334.00 |
$9,334.00 |
$9,334.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$230.00 |
$230.00 |
$230.00 |
$133.90
|
|
IV Fluids (first hour)
|
$685.00 |
$685.00 |
$685.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$227.00 |
$227.00 |
$227.00 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$449.00 |
$449.00 |
$449.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$244.00 |
$244.00 |
$244.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$685.00 |
$685.00 |
$685.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$432.00 |
$432.00 |
$432.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$619.00 |
$619.00 |
$619.00 |
$252.76
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$461.00 |
$461.00 |
$461.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$444.00 |
$444.00 |
$444.00 |
$362.05
|
|
Keratomileusis
|
$866.00 |
$866.00 |
$866.00 |
$2,335.20
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.00 |
$36.00 |
$36.00 |
$58.56
|
|
Kidney function study
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$935.22
|
|
Kidney imaging morphology
|
$785.00 |
$785.00 |
$785.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$2,023.00 |
$2,023.00 |
$2,023.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$852.00 |
$852.00 |
$852.00 |
$490.75
|
|
Kit gene analys d816 variant
|
$355.00 |
$355.00 |
$355.00 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$5,536.00 |
$5,536.00 |
$5,536.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,832.00 |
$3,832.00 |
$3,832.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$2,130.88
|
|
Knee X-ray
|
$443.90 |
$443.90 |
$443.90 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$340.12 |
$340.12 |
$340.12 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$358.61 |
$358.61 |
$358.61 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$279.00 |
$279.00 |
$279.00 |
$251.20
|
|
Lactate dehydrogenase (ldh)
|
$53.00 |
$53.00 |
$53.00 |
$55.50
|
|
Lactic acid
|
$64.08 |
$64.08 |
$64.08 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$58.00 |
$58.00 |
$58.00 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$740.40
|
|
Laryngeal function studies
|
$658.00 |
$658.00 |
$658.00 |
$342.60
|
|
Laryngoscopic sensory vid
|
$340.00 |
$340.00 |
$340.00 |
$323.79
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$5,193.00 |
$5,193.00 |
$5,193.00 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$852.80
|
|
Laser surgery eye strands
|
$1,910.00 |
$1,910.00 |
$1,910.00 |
$1,513.20
|
|
Lead capillary
|
$46.00 |
$46.00 |
$46.00 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,771.00 |
$2,771.00 |
$2,771.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,207.00 |
$2,207.00 |
$2,207.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
$1,092.58
|
|
Levetiracetam therapeutic drug level
|
$102.00 |
$102.00 |
$102.00 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$5,137.00 |
$5,137.00 |
$5,137.00 |
$3,322.80
|
|
Limited visual field xm
|
$142.00 |
$142.00 |
$142.00 |
$79.20
|
|
Lipase
|
$31.00 |
$31.00 |
$31.00 |
$93.58
|
|
Lipoprotein blood quant
|
$24.43 |
$24.43 |
$24.43 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$36.00 |
$36.00 |
$36.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$66.00 |
$66.00 |
$66.00 |
$61.60
|
|
Lip surgery procedure
|
$725.00 |
$725.00 |
$725.00 |
$334.50
|
|
Lithium therapeutic drug level
|
$47.00 |
$47.00 |
$47.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,304.00 |
$3,304.00 |
$3,304.00 |
$4,371.12
|
