|
Intens cardiac rehab w/exerc
|
$93.38 |
$93.38 |
$111.40 |
|
|
Interdiscal perq aspir dx
|
$261.20 |
$277.84 |
$300.09 |
|
|
Interrogate subq defib
|
$25.20 |
$28.20 |
$32.43 |
|
|
Interrog dev eval icpms ip
|
$40.00 |
$46.00 |
$167.79 |
|
|
Interrog dev eval scrms ip
|
$24.50 |
$40.00 |
$167.79 |
|
|
Interrog device eval heart
|
$40.00 |
$46.00 |
$167.79 |
|
|
Interrog evl pm/ldls pm ip
|
$28.20 |
$32.64 |
$167.79 |
|
|
Intra-atrial pacing
|
$266.42 |
$575.82 |
$2,945.84 |
|
|
Intra-atrial recording
|
$575.82 |
$2,451.00 |
$2,945.84 |
|
|
Intracard echo interv w/s&i
|
$931.56 |
$1,876.40 |
$2,462.50 |
|
|
Intracranial complete study
|
$265.86 |
$265.86 |
$265.86 |
|
|
Intracranial limited study
|
$253.47 |
$253.47 |
$253.47 |
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$3,993.49 |
$3,993.49 |
$3,993.49 |
|
|
Intrapul surf admin endo tube
|
$54.81 |
$60.26 |
$62.75 |
|
|
Intraventricular pacing
|
$575.82 |
$2,451.00 |
$2,945.84 |
|
|
Intrinsic factor antibody
|
$12.54 |
$27.45 |
$160.08 |
|
|
Intro cath dialysis circuit
|
$276.00 |
$327.29 |
$813.20 |
|
|
Intro cath dialysis circuit w/pta
|
$1,947.75 |
$2,399.13 |
$4,602.15 |
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$3,937.00 |
$4,301.40 |
$9,153.60 |
|
|
Intro catheter aorta
|
$237.09 |
$424.81 |
$1,457.20 |
|
|
Intro cath svc/ivc
|
$230.16 |
$521.64 |
$1,457.20 |
|
|
Intro long gi tube
|
$370.99 |
$389.50 |
$490.14 |
|
|
Intro long gi tube w/mult fluo
|
$90.80 |
$138.69 |
$207.00 |
|
|
Intro windpipe wire/tube
|
$561.75 |
$564.60 |
$694.50 |
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$153.93 |
$1,457.20 |
$2,512.50 |
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$153.93 |
$703.20 |
$2,512.50 |
|
|
Intubation endotracheal emergency procedure
|
$116.60 |
$282.25 |
$521.60 |
|
|
Iodine i-123 sod iodide mil
|
$280.59 |
$322.68 |
$561.18 |
|
|
Ionm in operatng room 15 min
|
$60.90 |
$60.90 |
$60.90 |
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$56.25 |
$64.69 |
$112.50 |
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$209.47 |
$240.90 |
$418.95 |
|
|
Ip/obs cnsltj new/est low 45
|
$97.60 |
$97.60 |
$97.60 |
|
|
Ip/obs consltj new/est sf 35
|
$82.56 |
$82.56 |
$82.56 |
|
|
Ipratropium bromide non-comp
|
$14.98 |
$14.98 |
$14.98 |
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$63.82 |
$76.59 |
$255.30 |
|
|
Iron
|
$5.94 |
$34.23 |
$281.76 |
|
|
Iron binding capacity
|
$20.02 |
$36.57 |
$83.50 |
|
|
Iron dextran 50 mg/ml injection solution
|
$138.53 |
$138.53 |
$138.53 |
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$239.24 |
$239.24 |
$239.24 |
|
|
Irradiation of blood product each unit reference
|
$14.52 |
$14.52 |
$26.40 |
|
|
Irrigation implantable venous access device for drug delivery systems
|
$43.12 |
$93.44 |
$117.45 |
|
|
Ivc venogram s&i
|
$865.44 |
$1,577.80 |
$2,047.00 |
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$40.53 |
$83.60 |
$246.80 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$14.08 |
$53.13 |
$65.50 |
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$22.14 |
$48.00 |
$89.44 |
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$129.80 |
$210.42 |
$313.60 |
|
|
IV inj ra drug dx study
|
$130.18 |
$138.60 |
$250.11 |
|
|
Ivp w/nephrotomography
|
$231.44 |
$420.80 |
$451.50 |
|
|
Ivp w/wo kub w/wo tomography
|
$167.20 |
$301.60 |
$433.44 |
|
|
Jak2 targeted sequence analysis
|
$129.80 |
$149.27 |
$162.25 |
|
|
John cunningham antibody
|
$11.60 |
$13.92 |
$30.16 |
|
|
Ketamine and metabolite screen - quest
|
$74.20 |
$89.04 |
$192.92 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$3.30 |
$28.52 |
$68.67 |
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$12.67 |
$25.98 |
$50.70 |
|
|
Kidney endoscopy
|
$1,674.50 |
$1,674.50 |
$1,674.50 |
|
|
Kidney imaging (3d)
|
$393.20 |
$393.20 |
$393.20 |
|
|
Kidney imaging morphology
|
$174.57 |
$174.57 |
$688.56 |
|
|
Kidney imag w/bld flow multi
|
$490.43 |
$638.60 |
$1,124.40 |
|
|
Kidney img w/bldflw sgl without rx
|
$328.46 |
$436.08 |
$784.98 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$90.64 |
$238.97 |
$374.85 |
|
|
Kit gene analys d816 variant
|
$45.80 |
$57.25 |
$154.80 |
|
|
Knee Arthroscopy (Cartilage Repair)
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
|
|
Knee arthroscopy dx
|
$680.96 |
$680.96 |
$680.96 |
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
|
|
Knee arthroscopy/surgery
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
|
|
Knee arthroscopy/surgery
|
$702.72 |
$702.72 |
$702.72 |
|
|
Knee arthroscopy/surgery
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
|
|
Knee arthroscopy/surgery
|
$1,070.40 |
$1,070.40 |
$1,070.40 |
|
|
Knee arthroscopy/surgery
|
$1,272.32 |
$1,272.32 |
$1,272.32 |
|
|
Knee arthroscopy/surgery
|
$1,237.12 |
$1,237.12 |
$1,237.12 |
|
|
Knee arthroscopy/surgery
|
$1,184.00 |
$1,184.00 |
$1,184.00 |
|
|
Knee arthroscopy/surgery
|
$957.60 |
$957.60 |
$957.60 |
|
|
Knee arthroscopy/surgery
|
$1,842.56 |
$1,842.56 |
$1,842.56 |
|
|
Knee MRI (with and without contrast)
|
$444.18 |
$1,419.60 |
$2,131.65 |
|
|
Knee MRI (with contrast)
|
$444.18 |
$904.64 |
$1,414.56 |
|
|
Knee MRI (without contrast)
|
$322.96 |
$1,025.00 |
$1,419.60 |
|
|
Knee X-ray
|
$79.20 |
$118.90 |
$174.72 |
|
|
Kras gene addl variants
|
$76.20 |
$82.11 |
$87.63 |
|
|
Kras gene variants exon 2
|
$76.20 |
$87.63 |
$175.95 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$30.54 |
$38.17 |
$122.16 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$763.20 |
$915.84 |
$3,052.80 |
|
|
Lactate dehydrogenase (ldh)
|
$6.82 |
$34.23 |
$67.40 |
|
|
Lactated ringers intravenous solution
|
$340.40 |
$408.48 |
$1,272.80 |
|
|
Lactic acid
|
$32.00 |
$47.46 |
$285.75 |
|
|
Lactoferrin fecal qualitative
|
$11.34 |
$24.30 |
$40.75 |
|
|
Lactoferrin fecal quant
|
$13.68 |
$13.68 |
$13.68 |
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$3,715.24 |
$4,644.04 |
$14,860.94 |
|
|
Laparo cholecystectomy/graph
|
$1,379.20 |
$1,379.20 |
$1,379.20 |
|
|
Laparo partial colectomy 44204
|
$2,111.36 |
$2,111.36 |
$2,111.36 |
|
|
Lap enterectomy 44202
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
|
|
Lap enterolysis
|
$1,297.28 |
$1,297.28 |
$1,297.28 |
|
|
Lap inc hernia repair 49654
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
|
|
Lap inc hernia repair recurr 49656
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
|
|
Lap inc hern repair comp 49655
|
$1,448.96 |
$1,448.96 |
$1,448.96 |
|
|
Lap ing hernia repair init
|
$707.20 |
$707.20 |
$707.20 |
|
|
Lap ing hernia repair recur
|
$409.60 |
$409.60 |
$409.60 |
|
|
Lap vent/abd hernia repair 49652
|
$1,046.40 |
$1,046.40 |
$1,046.40 |
|
|
Lap vent/abd hern proc comp 49653
|
$1,307.52 |
$1,307.52 |
$1,307.52 |
|
|
Laryngeal function studies
|
$143.52 |
$164.22 |
$312.80 |
|
|
Lead capillary
|
$5.06 |
$51.20 |
$121.44 |
|