|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$15,223.77 |
$15,223.77 |
$15,223.77 |
$13,806.24
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$29,787.66 |
$29,787.66 |
$29,787.66 |
$9,855.00
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$55,296.44 |
$55,296.44 |
$55,296.44 |
$32,608.80
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,191.94 |
$7,191.94 |
$7,191.94 |
$8,460.40
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$8,651.29 |
$8,651.29 |
$8,651.29 |
$9,824.59
|
|
Insert/repl sq defib w/eltrd
|
$51,009.57 |
$51,009.57 |
$51,009.57 |
$33,948.20
|
|
Insert swan-ganz cath
|
$4,692.95 |
$4,692.95 |
$4,692.95 |
$2,269.00
|
|
Ins icd gen exist sgl lead
|
$41,379.74 |
$41,379.74 |
$41,379.74 |
$26,433.98
|
|
Insitu hybridization auto
|
$123.61 |
$123.61 |
$123.61 |
$328.79
|
|
Insitu hybridization manual
|
$83.66 |
$83.66 |
$83.66 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$68.62 |
$68.62 |
$68.62 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$75.20 |
$75.20 |
$75.20 |
$364.00
|
|
Ins lv lead exist pm/icd
|
$29,787.66 |
$29,787.66 |
$29,787.66 |
$12,270.00
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,470.16 |
$1,470.16 |
$1,470.16 |
$1,483.95
|
|
Ins/rpl ldless pm right vent w img & eval
|
$24,675.94 |
$24,675.94 |
$24,675.94 |
$24,705.20
|
|
Ins/rpl pm gen exist dual lead
|
$14,092.95 |
$14,092.95 |
$14,092.95 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$12,450.30 |
$12,450.30 |
$12,450.30 |
$9,824.59
|
|
Inst via cath agent pleurds
|
$723.80 |
$723.80 |
$723.80 |
$970.40
|
|
Insulin total
|
$306.30 |
$306.30 |
$306.30 |
$72.15
|
|
Integra meshed bil wound mat
|
$11,119.26 |
$11,119.26 |
$11,119.26 |
$11,119.26
|
|
Interrogate subq defib
|
$97.76 |
$97.76 |
$97.76 |
$148.00
|
|
Interrog dev eval icpms ip
|
$44.18 |
$44.18 |
$44.18 |
$108.80
|
|
Interrog evl pm/ldls pm ip
|
$54.05 |
$54.05 |
$54.05 |
$130.00
|
|
Intracard echo interv w/s&i
|
$887.83 |
$887.83 |
$887.83 |
$4,328.45
|
|
Intracranial complete study
|
$468.12 |
$468.12 |
$468.12 |
$903.50
|
|
Intracranial limited study
|
$187.06 |
$187.06 |
$187.06 |
$398.34
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$3,921.68 |
$3,921.68 |
$3,921.68 |
$4,144.80
|
|
Intrapul surf admin endo tube
|
$27.26 |
$27.26 |
$27.26 |
$220.80
|
|
Intrinsic factor antibody
|
$9.75 |
$9.75 |
$9.75 |
$76.77
|
|
Intro catheter aorta
|
$2,559.62 |
$2,559.62 |
$2,559.62 |
$1,963.80
|
|
Intro cath svc/ivc
|
$1,435.85 |
$1,435.85 |
$1,435.85 |
$1,942.50
|
|
Intubation endotracheal emergency procedure
|
$413.13 |
$413.13 |
$413.13 |
$565.00
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$11.28 |
$11.28 |
$11.28 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$110.45 |
$110.45 |
$110.45 |
$145.52
|
|
Ioxaglate 39.3%-19.6% inj 200 ml
|
$0.54 |
$0.54 |
$0.54 |
$16.79
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$4,495.67 |
$4,495.67 |
$4,495.67 |
$261.10
|
|
Iron
|
$25.95 |
$25.95 |
$25.95 |
$67.50
|
|
Iron binding capacity
|
$18.33 |
$18.33 |
$18.33 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$12.94 |
$12.94 |
$12.94 |
$38.16
|
|
Iron stain peripheral blood
|
$22.09 |
$22.09 |
$22.09 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$0.39 |
$0.39 |
$0.39 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$52.17 |
$52.17 |
$52.17 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$35.72 |
$35.72 |
$35.72 |
$149.00
|
|
Ivc venogram s&i
|
$348.27 |
$348.27 |
$348.27 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$127.37 |
$127.37 |
$127.37 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$127.37 |
$127.37 |
$127.37 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$127.37 |
$127.37 |
$127.37 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$199.75 |
$199.75 |
$199.75 |
$476.50
|
|
Ivp w/wo kub w/wo tomography
|
$169.20 |
$169.20 |
$169.20 |
$687.80
|
|
Jak2 targeted sequence analysis
|
$172.96 |
$172.96 |
$172.96 |
$465.74
|
|
Ketogenic steroids fract
|
$13.63 |
$13.63 |
$13.63 |
$81.12
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$9.40 |
$9.40 |
$9.40 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$18.30 |
$18.30 |
$18.30 |
$17.11
|
|
Kidney imag w/bld flow multi
|
$777.85 |
$777.85 |
$777.85 |
$1,319.61
|
|
Kidney img w/bldflw sgl without rx
|
$846.94 |
$846.94 |
$846.94 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$326.18 |
$326.18 |
$326.18 |
$618.54
|
|
Kit gene analys d816 variant
|
$58.75 |
$58.75 |
$58.75 |
$276.38
|
|
Knee MRI (with and without contrast)
|
$360.49 |
$360.49 |
$360.49 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$1,552.88 |
$1,552.88 |
$1,552.88 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$233.59 |
$233.59 |
$233.59 |
$2,120.00
|
|
Knee X-ray
|
$184.71 |
$184.71 |
$184.71 |
$387.20
|
|
Kras gene addl variants
|
$90.71 |
$90.71 |
$90.71 |
$366.56
|
|
Kras gene variants exon 2
|
$90.71 |
$90.71 |
$90.71 |
$495.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$443.21 |
$443.21 |
$443.21 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$8.93 |
$8.93 |
$8.93 |
$50.55
|
|
Lactated ringers intravenous solution
|
$21.13 |
$21.13 |
$21.13 |
$46.35
|
|
Lactic acid
|
$31.49 |
$31.49 |
$31.49 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$11.21 |
$11.21 |
$11.21 |
$88.40
|
|
Lactoferrin fecal quant
|
$10.34 |
$10.34 |
$10.34 |
$106.10
|
|
Lead acuity x4 spiral l 86cm
|
$51,323.53 |
$51,323.53 |
$51,323.53 |
$4,863.24
|
|
Lead capillary
|
$15.04 |
$15.04 |
$15.04 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$483.63 |
$483.63 |
$483.63 |
$1,053.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$6.33 |
$6.33 |
$6.33 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$13.63 |
$13.63 |
$13.63 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$20.19 |
$20.19 |
$20.19 |
$43.61
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$24.66 |
$24.66 |
$24.66 |
$84.28
|
|
Lipase
|
$43.24 |
$43.24 |
$43.24 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$25.85 |
$25.85 |
$25.85 |
$90.60
|
|
Lipoprotein blood quant
|
$25.85 |
$25.85 |
$25.85 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$7.05 |
$7.05 |
$7.05 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$13.40 |
$13.40 |
$13.40 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$16.45 |
$16.45 |
$16.45 |
$34.19
|
|
Lithium therapeutic drug level
|
$44.18 |
$44.18 |
$44.18 |
$62.40
|
|
Liver Function Test
|
$15.04 |
$15.04 |
$15.04 |
$92.85
|
|
Liver imaging
|
$593.14 |
$593.14 |
$593.14 |
$827.28
|
|
Liver/spleen imag static only
|
$397.62 |
$397.62 |
$397.62 |
$1,135.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$7.99 |
$7.99 |
$7.99 |
$2.57
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$21.72 |
$21.72 |
$21.72 |
$37.37
|
|
Low cost skin substitute app
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$879.60
|
|
Low cost skin substitute app
|
$1,558.05 |
$1,558.05 |
$1,558.05 |
$879.60
|
|
Low cost skin substitute app
|
$694.19 |
$694.19 |
$694.19 |
$1,214.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,210.72 |
$1,210.72 |
$1,210.72 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,100.27 |
$1,100.27 |
$1,100.27 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$877.96 |
$877.96 |
$877.96 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$360.49 |
$360.49 |
$360.49 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$287.17 |
$287.17 |
$287.17 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$233.59 |
$233.59 |
$233.59 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$124.55 |
$124.55 |
$124.55 |
$328.23
|
|
L/s ratio fetal lung
|
$71.44 |
$71.44 |
$71.44 |
$173.55
|
|
Lumbar diskogram s&i
|
$836.60 |
$836.60 |
$836.60 |
$2,358.23
|
