|
Intro long gi tube w/mult fluo
|
$361.35 |
$361.35 |
$994.71 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,392.24 |
$4,392.24 |
$5,381.75 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,265.12 |
$2,265.12 |
$4,602.40 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,378.30 |
$1,378.30 |
$1,973.40 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$211.27 |
$211.27 |
$2,359.35 |
$677.98
|
|
Ionm in operatng room 15 min
|
$234.30 |
$234.30 |
$416.13 |
$200.78
|
|
Iron
|
$36.30 |
$36.30 |
$36.30 |
$70.72
|
|
Iron binding capacity
|
$68.20 |
$68.20 |
$68.20 |
$63.00
|
|
Iron stain peripheral blood
|
$213.40 |
$213.40 |
$213.40 |
$17.60
|
|
Irradiation of blood product each unit reference
|
$73.70 |
$73.70 |
$98.45 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$187.00 |
$187.00 |
$241.67 |
$154.50
|
|
Irrigation vagina and/or appl medicament tx disease
|
$280.28 |
$280.28 |
$280.28 |
$131.88
|
|
Ivc venogram s&i
|
$4,129.12 |
$4,129.12 |
$5,865.20 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$177.10 |
$177.10 |
$201.90 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$126.73 |
$126.73 |
$207.90 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$138.60 |
$138.60 |
$185.12 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$427.90 |
$427.90 |
$489.50 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$729.85 |
$729.85 |
$747.77 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$227.15 |
$227.15 |
$447.15 |
$378.30
|
|
John cunningham antibody
|
$227.70 |
$227.70 |
$227.70 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$155.10 |
$155.10 |
$155.10 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$56.65 |
$56.65 |
$60.50 |
$56.61
|
|
Kidney endoscopy
|
$3,263.70 |
$3,263.70 |
$3,263.70 |
$5,098.80
|
|
Kidney function study
|
$645.15 |
$645.15 |
$892.10 |
$549.70
|
|
Kidney imaging morphology
|
$539.55 |
$539.55 |
$592.90 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,320.00 |
$1,320.00 |
$1,320.00 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,344.20 |
$1,344.20 |
$1,375.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$556.60 |
$556.60 |
$695.20 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$10,299.19 |
$10,299.19 |
$10,299.19 |
$7,751.14
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$69.18 |
$69.18 |
$69.18 |
$103.20
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$13,851.21 |
$13,851.21 |
$13,851.21 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$116.60 |
$116.60 |
$834.90 |
$355.00
|
|
Kit lead specify 5-6-5
|
$5,984.35 |
$5,984.35 |
$6,838.51 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$734.63 |
$734.63 |
$1,877.29 |
$1,391.79
|
|
Kit sound processor cochlear osia 2
|
$4,598.13 |
$4,598.13 |
$4,598.13 |
$10,653.60
|
|
Knee MRI (with and without contrast)
|
$1,935.45 |
$1,935.45 |
$2,431.00 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,666.50 |
$1,666.50 |
$1,948.38 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,315.60 |
$1,315.60 |
$1,344.20 |
$2,181.10
|
|
Knee X-ray
|
$335.50 |
$335.50 |
$394.90 |
$443.90
|
|
Kras gene addl variants
|
$566.50 |
$566.50 |
$566.50 |
$346.45
|
|
Kras gene variants exon 2
|
$1,299.65 |
$1,299.65 |
$1,299.65 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$52.91 |
$52.91 |
$52.91 |
$100.75
|
|
Lactate dehydrogenase (ldh)
|
$31.90 |
$31.90 |
$44.55 |
$53.30
|
|
Lactic acid
|
$88.00 |
$88.00 |
$192.50 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$25.30 |
$25.30 |
$33.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$185.35 |
$185.35 |
$185.35 |
$106.10
|
|
Lap insert tunnel ip cath
|
$3,993.55 |
$3,993.55 |
$3,993.55 |
$6,311.00
|
|
Largsc w/njx augmentation
|
$1,472.35 |
$1,472.35 |
$1,472.35 |
$3,482.74
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,690.15 |
$1,690.15 |
$1,690.15 |
$765.97
|
|
Largsc w/ther injection
|
$1,472.35 |
$1,472.35 |
$1,472.35 |
$2,040.67
|
|
Laryngoscopy and dilation
|
$3,171.85 |
$3,171.85 |
$3,171.85 |
$4,278.61
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,559.25 |
$1,559.25 |
$1,613.70 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$568.70 |
$568.70 |
$568.70 |
$762.30
|
|
Laryngoscopy w/fb removal
|
$6,735.30 |
$6,735.30 |
$6,735.30 |
$3,390.75
|
|
Laryngoscopy with biopsy
|
$1,690.15 |
$1,690.15 |
$1,690.15 |
$2,954.40
|
|
Lb with mastopexy 15839
|
$2,111.40 |
$2,111.40 |
$2,111.40 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$3,472.71 |
$3,472.71 |
$3,472.71 |
$5,831.00
|
|
Lead capillary
|
$99.00 |
$99.00 |
$106.15 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$310.41 |
$310.41 |
$385.23 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$1,807.94 |
$1,807.94 |
$5,488.99 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$950.40 |
$950.40 |
$1,144.00 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$402.64 |
$402.64 |
$402.64 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$143.82 |
$143.82 |
$469.63 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$154.17 |
$154.17 |
$154.17 |
$216.48
|
|
Levetiracetam therapeutic drug level
|
$62.70 |
$62.70 |
$62.70 |
$71.40
|
|
L hrt cath chd nm/abn nt cnj
|
$3,262.60 |
$3,262.60 |
$10,398.93 |
$6,242.85
|
|
Liberta rc ipg
|
$736.11 |
$736.11 |
$47,587.08 |
$39,840.21
|
|
Lidocaine therapeutic drug level
|
$81.95 |
$81.95 |
$159.50 |
$83.85
|
|
Ligation/major artery/extremity 37618
|
$990.00 |
$990.00 |
$990.00 |
$1,567.80
|
|
Ligation major artery neck
|
$5,465.90 |
$5,465.90 |
$5,465.90 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$3,584.88 |
$3,584.88 |
$4,070.00 |
$4,240.23
|
|
Limb exercise test
|
$1,861.20 |
$1,861.20 |
$1,861.20 |
$290.40
|
|
Lipase
|
$36.30 |
$36.30 |
$60.50 |
$83.20
|
|
Lip exc/transverse wedge/w closure 40510
|
$4,323.00 |
$4,323.00 |
$4,323.00 |
$3,780.73
|
|
Lipoprotein blood quant
|
$51.15 |
$51.15 |
$205.15 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$44.00 |
$44.00 |
$47.85 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$38.50 |
$38.50 |
$77.00 |
$60.00
|
|
Lip surgery procedure
|
$498.30 |
$498.30 |
$498.30 |
$325.68
|
|
Lithium therapeutic drug level
|
$49.50 |
$49.50 |
$105.05 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$6,696.80 |
$6,696.80 |
$6,696.80 |
$4,371.12
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,045.00 |
$1,045.00 |
$1,045.00 |
$1,882.80
|
|
Liver elastography 91200
|
$242.55 |
$242.55 |
$242.55 |
$291.74
|
|
Liver Function Test
|
$37.95 |
$37.95 |
$135.85 |
$110.50
|
|
Liver imaging
|
$1,019.70 |
$1,019.70 |
$1,876.60 |
$1,241.25
|
|
Liver/spleen imag static only
|
$591.25 |
$591.25 |
$1,336.50 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,532.85 |
$1,532.85 |
$1,532.85 |
$949.00
|
|
Low cost skin substitute app
|
$1,265.55 |
$1,265.55 |
$1,265.55 |
$1,030.00
|
|
Low cost skin substitute app
|
$3,913.20 |
$3,913.20 |
$3,913.20 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,162.70 |
$1,162.70 |
$1,167.60 |
$1,132.56
|
|
Low cost skin substitute app
|
$1,167.60 |
$1,167.60 |
$1,167.60 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,596.10 |
$1,596.10 |
$2,030.60 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,408.00 |
$1,408.00 |
$1,785.36 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$858.00 |
$858.00 |
$880.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,530.00 |
$2,530.00 |
$3,192.75 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,791.90 |
$1,791.90 |
$2,445.30 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,375.00 |
$1,375.00 |
$1,428.90 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$308.00 |
$308.00 |
$355.85 |
$344.00
|
|
L/s ratio fetal lung
|
$276.65 |
$276.65 |
$276.65 |
$168.00
|
|
Lumbar diskogram s&i
|
$1,026.30 |
$1,026.30 |
$3,779.46 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$343.75 |
$343.75 |
$368.22 |
$298.50
|
