|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$3,251.00 |
$3,251.00 |
$3,251.00 |
$2,585.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$19,028.00 |
$19,028.00 |
$19,028.00 |
$12,384.25
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$15,995.00 |
$15,995.00 |
$15,995.00 |
$12,324.60
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$26,001.00 |
$26,001.00 |
$26,001.00 |
$9,884.16
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,196.00 |
$2,196.00 |
$2,196.00 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,297.00 |
$2,297.00 |
$2,297.00 |
$2,453.83
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$55,306.00 |
$55,306.00 |
$55,306.00 |
$29,180.00
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$7,704.00 |
$7,704.00 |
$7,704.00 |
$7,183.68
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$7,691.00 |
$7,691.00 |
$7,691.00 |
$7,267.20
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$15,634.00 |
$15,634.00 |
$15,634.00 |
$9,332.50
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$5,504.00 |
$5,504.00 |
$5,504.00 |
$5,236.80
|
|
Insert pessary/other device
|
$53.00 |
$53.00 |
$53.00 |
$278.90
|
|
Insert/repl sq defib w/eltrd
|
$73,406.00 |
$73,406.00 |
$73,406.00 |
$33,593.55
|
|
Insert swan-ganz cath
|
$4,864.00 |
$4,864.00 |
$4,864.00 |
$2,164.52
|
|
Insitu hybridization manual
|
$553.00 |
$553.00 |
$553.00 |
$401.28
|
|
In situ hybridization per specimen each additional single probe stain
|
$295.00 |
$295.00 |
$295.00 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$369.00 |
$369.00 |
$369.00 |
$338.40
|
|
Ins pq tunnld ip cath w/img
|
$6,190.00 |
$6,190.00 |
$6,190.00 |
$5,486.00
|
|
Instillation anticarcinogenic agent bladder
|
$553.00 |
$553.00 |
$553.00 |
$638.40
|
|
Ins tun cv cath wo subq prt/pm
|
$4,748.00 |
$4,748.00 |
$4,748.00 |
$4,218.00
|
|
Insulin total
|
$45.00 |
$45.00 |
$45.00 |
$66.64
|
|
Interdiscal perq aspir dx
|
$1,746.00 |
$1,746.00 |
$1,746.00 |
$1,222.26
|
|
Intracard echo interv w/s&i
|
$8,250.00 |
$8,250.00 |
$8,250.00 |
$3,436.00
|
|
Intro cath dialysis circuit
|
$1,452.00 |
$1,452.00 |
$1,452.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$10,041.00 |
$10,041.00 |
$10,041.00 |
$8,690.50
|
|
Intro catheter aorta
|
$483.00 |
$483.00 |
$483.00 |
$1,678.05
|
|
Intro cath svc/ivc
|
$585.00 |
$585.00 |
$585.00 |
$1,323.27
|
|
Intubation endotracheal emergency procedure
|
$693.00 |
$693.00 |
$693.00 |
$601.28
|
|
Iron
|
$56.00 |
$56.00 |
$56.00 |
$75.00
|
|
Iron binding capacity
|
$93.00 |
$93.00 |
$93.00 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$191.00 |
$191.00 |
$191.00 |
$146.11
|
|
Ivc venogram s&i
|
$3,675.00 |
$3,675.00 |
$3,675.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$259.00 |
$259.00 |
$259.00 |
$133.90
|
|
IV Fluids (first hour)
|
$344.00 |
$344.00 |
$344.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$98.00 |
$98.00 |
$98.00 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$232.00 |
$232.00 |
$232.00 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$278.00 |
$278.00 |
$278.00 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$493.00 |
$493.00 |
$493.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$260.00 |
$260.00 |
$260.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$235.00 |
$235.00 |
$235.00 |
$252.76
|
|
Jak2 targeted sequence analysis
|
$1,574.00 |
$1,574.00 |
$1,574.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$352.00 |
$352.00 |
$352.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$413.00 |
$413.00 |
$413.00 |
$362.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$34.00 |
$34.00 |
$34.00 |
$58.56
|
|
Kidney img w/bldflw sgl without rx
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$946.00 |
$946.00 |
$946.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$915.00 |
$915.00 |
$915.00 |
$490.75
|
|
Knee MRI (with and without contrast)
|
$4,039.00 |
$4,039.00 |
$4,039.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,688.00 |
$3,688.00 |
$3,688.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,223.00 |
$2,223.00 |
$2,223.00 |
$2,130.88
|
|
Knee X-ray
|
$452.00 |
$452.00 |
$452.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$332.00 |
$332.00 |
$332.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$371.00 |
$371.00 |
$371.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$231.00 |
$231.00 |
$231.00 |
$251.20
|
|
Kras gene addl variants
|
$440.00 |
$440.00 |
$440.00 |
$387.20
|
|
Kras gene variants exon 2
|
$440.00 |
$440.00 |
$440.00 |
$536.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$21.00 |
$21.00 |
$21.00 |
$70.20
|
|
Lactate dehydrogenase (ldh)
|
$63.00 |
$63.00 |
$63.00 |
$55.50
|
|
Lactation class
|
$182.00 |
$182.00 |
$182.00 |
$104.96
|
|
Lactic acid
|
$63.00 |
$63.00 |
$63.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$52.00 |
$52.00 |
$52.00 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$486.00 |
$486.00 |
$486.00 |
$740.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,914.00 |
$2,914.00 |
$2,914.00 |
$2,514.60
|
|
Laryngoscopy w/fb removal
|
$3,457.00 |
$3,457.00 |
$3,457.00 |
$2,854.09
|
|
Lead capillary
|
$40.00 |
$40.00 |
$40.00 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,603.00 |
$1,603.00 |
$1,603.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,116.00 |
$2,116.00 |
$2,116.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,343.00 |
$1,343.00 |
$1,343.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,436.00 |
$1,436.00 |
$1,436.00 |
$1,092.58
|
|
Levetiracetam therapeutic drug level
|
$51.00 |
$51.00 |
$51.00 |
$88.92
|
|
Lipase
|
$74.00 |
$74.00 |
$74.00 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$88.00 |
$88.00 |
$88.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$66.00 |
$66.00 |
$66.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$56.00 |
$56.00 |
$56.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,596.00 |
$2,596.00 |
$2,596.00 |
$4,371.12
|
|
Liver Function Test
|
$48.00 |
$48.00 |
$48.00 |
$115.44
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$126.00 |
$126.00 |
$126.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,821.00 |
$2,821.00 |
$2,821.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,433.00 |
$2,433.00 |
$2,433.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,554.00 |
$1,554.00 |
$1,554.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,412.00 |
$3,412.00 |
$3,412.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,155.00 |
$3,155.00 |
$3,155.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,822.00 |
$2,822.00 |
$2,822.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$381.00 |
$381.00 |
$381.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$599.00 |
$599.00 |
$599.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$830.00 |
$830.00 |
$830.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$332.00 |
$332.00 |
$332.00 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$459.00 |
$459.00 |
$459.00 |
$364.77
|
|
Lung Function Test Before and After an Inhaler
|
$489.00 |
$489.00 |
$489.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$209.00 |
$209.00 |
$209.00 |
$296.91
|
|
Lung perfusion imaging
|
$911.00 |
$911.00 |
$911.00 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$1,491.70
|
|
Macroscopic exam arthropod
|
$24.00 |
$24.00 |
$24.00 |
$38.58
|
|
Macroscopic exam parasite
|
$11.00 |
$11.00 |
$11.00 |
$37.05
|
|
Magnesium
|
$52.00 |
$52.00 |
$52.00 |
$73.00
|
|
Mayo aathr protein s free
|
$44.00 |
$44.00 |
$44.00 |
$130.00
|
|
Mayo alcohol definitive assay volatile screen
|
$144.00 |
$144.00 |
$144.00 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$30.00 |
$30.00 |
$30.00 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$89.00 |
$89.00 |
$89.00 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$48.00 |
$48.00 |
$48.00 |
$89.05
|
