|
Insitu hybridization (fish)
|
$462.00 |
$462.00 |
$462.00 |
$481.60
|
|
In situ hybridization per specimen each additional single probe stain
|
$222.20 |
$222.20 |
$222.20 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$194.15 |
$194.15 |
$194.15 |
$338.40
|
|
Insj perq vad r hrt venous
|
$5,334.45 |
$5,334.45 |
$5,334.45 |
$4,981.60
|
|
Ins lv lead exist pm/icd
|
$17,949.80 |
$17,949.80 |
$17,949.80 |
$12,384.25
|
|
Ins mark abd/pel for right perq
|
$3,056.90 |
$3,056.90 |
$3,056.90 |
$2,070.00
|
|
Ins mark thor for right perq
|
$2,396.35 |
$2,396.35 |
$2,396.35 |
$2,396.35
|
|
Ins picad w subq port 5yr>
|
$3,319.25 |
$3,319.25 |
$3,319.25 |
$4,341.66
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,919.50 |
$1,919.50 |
$1,919.50 |
$1,483.95
|
|
Ins pm gen exist dual lead
|
$33,216.70 |
$33,216.70 |
$33,216.70 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$13,026.20 |
$13,026.20 |
$13,026.20 |
$15,600.75
|
|
Ins pq tunnld ip cath w/img
|
$5,795.90 |
$5,795.90 |
$5,795.90 |
$5,593.60
|
|
Ins/rpl ldless pm right vent w img & eval
|
$10,969.20 |
$10,969.20 |
$10,969.20 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$12,426.70 |
$12,426.70 |
$12,426.70 |
$11,593.70
|
|
Ins/rpl pm gen exist sgl lead
|
$10,863.05 |
$10,863.05 |
$10,863.05 |
$9,746.29
|
|
Ins/rpl pm w/tv ld atrl
|
$10,355.95 |
$10,355.95 |
$10,355.95 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$21,492.90 |
$21,492.90 |
$21,492.90 |
$25,106.90
|
|
Ins subq extnsn pertneal cath
|
$1,194.05 |
$1,194.05 |
$1,194.05 |
$585.00
|
|
Inst fibrinolysis agent ini day
|
$900.90 |
$900.90 |
$900.90 |
$1,095.00
|
|
Inst fibrinolysis agent sbsq d
|
$731.50 |
$731.50 |
$731.50 |
$898.12
|
|
Instillation anticarcinogenic agent bladder
|
$616.00 |
$616.00 |
$616.00 |
$721.50
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$6,378.35 |
$6,378.35 |
$6,378.35 |
$6,396.57
|
|
Ins tun cv cath wo subq prt/pm
|
$5,888.85 |
$5,888.85 |
$5,888.85 |
$5,888.85
|
|
Ins tun cv cath wo subq prt/pm
|
$3,885.75 |
$3,885.75 |
$3,885.75 |
$4,748.00
|
|
Ins tun intraperit dia cath
|
$3,943.50 |
$3,943.50 |
$3,943.50 |
$4,657.46
|
|
Inst via cath agent pleurds
|
$1,713.80 |
$1,713.80 |
$1,713.80 |
$1,074.68
|
|
Insulin total
|
$31.35 |
$31.35 |
$31.35 |
$67.60
|
|
Ins vag brachytx device
|
$721.60 |
$721.60 |
$721.60 |
$909.35
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$2,952.43 |
$2,952.43 |
$2,952.43 |
$10,179.63
|
|
Integra meshed bil wound mat
|
$3,296.52 |
$3,296.52 |
$3,296.52 |
$24,354.93
|
|
Intens cardiac rehab no exer
|
$111.10 |
$111.10 |
$111.10 |
$149.00
|
|
Intens cardiac rehab w/exerc
|
$111.10 |
$111.10 |
$111.10 |
$226.98
|
|
Interdental fixation
|
$2,162.05 |
$2,162.05 |
$2,162.05 |
$2,133.48
|
|
Interdiscal perq aspir dx
|
$1,177.55 |
$1,177.55 |
$1,177.55 |
$1,222.26
|
|
Interrogate subq defib
|
$45.10 |
$45.10 |
$45.10 |
$139.10
|
|
Interrog device eval heart
|
$108.90 |
$108.90 |
$108.90 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$100.65 |
$100.65 |
$100.65 |
$127.20
|
|
Interstitial brachy inter
|
$481.25 |
$481.25 |
$481.25 |
$1,244.40
|
|
Intra-atrial pacing
|
$3,763.65 |
$3,763.65 |
$3,763.65 |
$5,155.51
|
|
Intra-atrial recording
|
$3,652.00 |
$3,652.00 |
$3,652.00 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$4,492.40 |
$4,492.40 |
$4,492.40 |
$3,982.59
|
|
Intracran angioplsty w/stent
|
$3,871.45 |
$3,871.45 |
$3,871.45 |
$11,364.78
|
|
Intracranial angioplasty
|
$3,573.35 |
$3,573.35 |
$3,573.35 |
$7,149.60
|
|
Intracranial complete study
|
$989.45 |
$989.45 |
$989.45 |
$883.30
|
|
Intracranial limited study
|
$459.25 |
$459.25 |
$459.25 |
$423.52
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,515.80 |
$1,515.80 |
$1,515.80 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$205.70 |
$205.70 |
$205.70 |
$239.52
|
|
Intrauterine transfusion ftl
|
$759.55 |
$759.55 |
$759.55 |
$1,004.25
|
|
Intraventricular pacing
|
$3,770.25 |
$3,770.25 |
$3,770.25 |
$5,775.22
|
|
Intrinsic factor antibody
|
$59.95 |
$59.95 |
$59.95 |
$59.95
|
|
Intro cath dialysis circuit
|
$2,554.75 |
$2,554.75 |
$2,554.75 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$7,021.30 |
$7,021.30 |
$7,021.30 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$10,195.35 |
$10,195.35 |
$10,195.35 |
$15,625.00
|
|
Intro catheter aorta
|
$1,678.05 |
$1,678.05 |
$1,678.05 |
$1,861.61
|
|
Intro cath svc/ivc
|
$1,059.85 |
$1,059.85 |
$1,059.85 |
$1,350.75
|
|
Intro long gi tube
|
$1,581.80 |
$1,581.80 |
$1,581.80 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$526.35 |
$526.35 |
$526.35 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,574.90 |
$4,574.90 |
$4,574.90 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,625.70 |
$2,625.70 |
$2,625.70 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,108.25 |
$1,108.25 |
$1,108.25 |
$617.60
|
|
Ionm in operatng room 15 min
|
$231.00 |
$231.00 |
$231.00 |
$200.78
|
|
Iron
|
$35.75 |
$35.75 |
$35.75 |
$70.72
|
|
Iron binding capacity
|
$36.30 |
$36.30 |
$36.30 |
$63.00
|
|
Irradiation of blood product each unit reference
|
$75.90 |
$75.90 |
$75.90 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$226.60 |
$226.60 |
$226.60 |
$154.50
|
|
Ivc venogram s&i
|
$2,494.80 |
$2,494.80 |
$2,494.80 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$223.85 |
$223.85 |
$223.85 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$226.60 |
$226.60 |
$226.60 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$234.30 |
$234.30 |
$234.30 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$420.75 |
$420.75 |
$420.75 |
$460.85
|
|
IV inj ra drug dx study
|
$235.40 |
$235.40 |
$235.40 |
$560.00
|
|
Ivp w/wo kub w/wo tomography
|
$618.75 |
$618.75 |
$618.75 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$223.30 |
$223.30 |
$223.30 |
$378.30
|
|
John cunningham antibody
|
$409.20 |
$409.20 |
$409.20 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$187.00 |
$187.00 |
$187.00 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$41.80 |
$41.80 |
$41.80 |
$56.61
|
|
Kidney function study
|
$349.25 |
$349.25 |
$349.25 |
$549.70
|
|
Kidney imaging morphology
|
$553.85 |
$553.85 |
$553.85 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$940.50 |
$940.50 |
$940.50 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$767.25 |
$767.25 |
$767.25 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$668.25 |
$668.25 |
$668.25 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$13,851.21 |
$13,851.21 |
$13,851.21 |
$9,384.04
|
|
Kit hfx iq ipg bundle
|
$14,979.07 |
$14,979.07 |
$14,979.07 |
$28,974.93
|
|
Kit lead specify 5-6-5
|
$5,794.25 |
$5,794.25 |
$5,794.25 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$712.64 |
$712.64 |
$712.64 |
$1,357.69
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$4,425.63 |
$4,425.63 |
$4,425.63 |
$5,329.23
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$384.52 |
$384.52 |
$384.52 |
$2,087.65
|
|
Knee MRI (with and without contrast)
|
$1,882.10 |
$1,882.10 |
$1,882.10 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,921.70 |
$1,921.70 |
$1,921.70 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,695.10 |
$1,695.10 |
$1,695.10 |
$2,181.10
|
|
Knee X-ray
|
$256.30 |
$256.30 |
$256.30 |
$443.90
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$46.20 |
$46.20 |
$46.20 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$52.80 |
$52.80 |
$52.80 |
$58.40
|
|
Lactate dehydrogenase (ldh)
|
$40.15 |
$40.15 |
$40.15 |
$53.30
|
|
Lactic acid
|
$183.15 |
$183.15 |
$183.15 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$43.45 |
$43.45 |
$43.45 |
$88.40
|
|
Lactoferrin fecal quant
|
$104.50 |
$104.50 |
$104.50 |
$106.10
|
|
Lap insert tunnel ip cath
|
$3,538.70 |
$3,538.70 |
$3,538.70 |
$6,311.00
|
|
Largsc w/rmvl foreign bdy(s)
|
$637.45 |
$637.45 |
$637.45 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,820.50 |
$1,820.50 |
$1,820.50 |
$2,480.71
|
