|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$903.87 |
$903.87 |
$903.87 |
$1,685.00
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$380.91 |
$380.91 |
$380.91 |
$475.80
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$327.18 |
$327.18 |
$327.18 |
$548.80
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$348.99 |
$348.99 |
$348.99 |
$637.92
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$93.32 |
$93.32 |
$93.32 |
$145.60
|
|
Inject sacroiliac joint
|
$1,099.11 |
$1,099.11 |
$1,099.11 |
$1,029.04
|
|
Inj epidural sgl lumb-sacral without img
|
$227.74 |
$227.74 |
$227.74 |
$1,450.84
|
|
Inj intralesional <= 7 lsn(s)
|
$29.79 |
$29.79 |
$29.79 |
$235.13
|
|
Inj retacrit esrd on dialysi
|
$4.04 |
$4.04 |
$4.04 |
$349.45
|
|
Ins cerv dilator (sep proc)
|
$356.11 |
$356.11 |
$356.11 |
$490.73
|
|
Insertion catheter bladder non indwelling
|
$133.71 |
$133.71 |
$133.71 |
$208.01
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$230.69 |
$230.69 |
$230.69 |
$2,585.25
|
|
Insert pessary/other device
|
$42.03 |
$42.03 |
$42.03 |
$278.90
|
|
In situ hybridization per specimen initial single probe stain
|
$215.69 |
$215.69 |
$215.69 |
$338.40
|
|
Ins/rplc spi npg/rcvr pocket
|
$3,405.33 |
$3,405.33 |
$3,405.33 |
$24,061.80
|
|
Instillation anticarcinogenic agent bladder
|
$436.77 |
$436.77 |
$436.77 |
$638.40
|
|
Insulin total
|
$34.94 |
$34.94 |
$34.94 |
$66.64
|
|
Intracranial complete study
|
$585.00 |
$585.00 |
$585.00 |
$881.50
|
|
Intracranial limited study
|
$339.30 |
$339.30 |
$339.30 |
$467.50
|
|
Intranasal biopsy 30100
|
$62.38 |
$62.38 |
$62.38 |
$2,265.00
|
|
Intrapul surf admin endo tube
|
$96.54 |
$96.54 |
$96.54 |
$220.80
|
|
Intrinsic factor antibody
|
$45.31 |
$45.31 |
$45.31 |
$65.00
|
|
Intro long gi tube w/mult fluo
|
$331.72 |
$331.72 |
$331.72 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$388.22 |
$388.22 |
$388.22 |
$601.28
|
|
Iron
|
$127.50 |
$127.50 |
$127.50 |
$75.00
|
|
Iron binding capacity
|
$16.55 |
$16.55 |
$16.55 |
$63.91
|
|
Irrigation implantable venous access device for drug delivery systems
|
$132.08 |
$132.08 |
$132.08 |
$146.11
|
|
IV Fluids (each additional hour)
|
$73.30 |
$73.30 |
$73.30 |
$133.90
|
|
IV Fluids (first hour)
|
$272.63 |
$272.63 |
$272.63 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$162.68 |
$162.68 |
$162.68 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$85.52 |
$85.52 |
$85.52 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$78.45 |
$78.45 |
$78.45 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$289.35 |
$289.35 |
$289.35 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$126.32 |
$126.32 |
$126.32 |
$167.50
|
|
IV Push Injection (first drug)
|
$182.08 |
$182.08 |
$182.08 |
$252.76
|
|
Ivp w/nephrotomography
|
$1,000.17 |
$1,000.17 |
$1,000.17 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,107.16 |
$1,107.16 |
$1,107.16 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$409.77 |
$409.77 |
$409.77 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$280.02 |
$280.02 |
$280.02 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$356.85 |
$356.85 |
$356.85 |
$362.05
|
|
John cunningham antibody
|
$39.17 |
$39.17 |
$39.17 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$88.89 |
$88.89 |
$88.89 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$37.39 |
$37.39 |
$37.39 |
$58.56
|
|
Kidney imaging morphology
|
$488.07 |
$488.07 |
$488.07 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,059.08 |
$1,059.08 |
$1,059.08 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$667.99 |
$667.99 |
$667.99 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$869.87 |
$869.87 |
$869.87 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$285.44 |
$285.44 |
$285.44 |
$490.75
|
|
Kit gene analys d816 variant
|
$276.38 |
$276.38 |
$276.38 |
$374.61
|
|
Kit lead specify 5-6-5
|
$20,391.56 |
$20,391.56 |
$20,391.56 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,792.18 |
$1,792.18 |
$1,792.18 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,059.83 |
$4,059.83 |
$4,059.83 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$2,498.74 |
$2,498.74 |
$2,498.74 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,082.64 |
$2,082.64 |
$2,082.64 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,665.83 |
$1,665.83 |
$1,665.83 |
$2,130.88
|
|
Knee X-ray
|
$420.03 |
$420.03 |
$420.03 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$226.17 |
$226.17 |
$226.17 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$275.71 |
$275.71 |
$275.71 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$377.67 |
$377.67 |
$377.67 |
$251.20
|
|
Kras gene addl variants
|
$427.46 |
$427.46 |
$427.46 |
$387.20
|
|
Kras gene variants exon 2
|
$427.46 |
$427.46 |
$427.46 |
$536.20
|
|
Lactate dehydrogenase (ldh)
|
$34.94 |
$34.94 |
$34.94 |
$55.50
|
|
Lactic acid
|
$79.08 |
$79.08 |
$79.08 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$60.07 |
$60.07 |
$60.07 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$651.17 |
$651.17 |
$651.17 |
$740.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$179.19 |
$179.19 |
$179.19 |
$2,514.60
|
|
Laryngoscopy w/fb removal
|
$223.72 |
$223.72 |
$223.72 |
$2,854.09
|
|
Lead acuity x4 spiral l 86cm
|
$20,391.56 |
$20,391.56 |
$20,391.56 |
$5,460.00
|
|
Lead capillary
|
$48.43 |
$48.43 |
$48.43 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$20,391.56 |
$20,391.56 |
$20,391.56 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$13,109.81 |
$13,109.81 |
$13,109.81 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$870.48 |
$870.48 |
$870.48 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,307.26 |
$1,307.26 |
$1,307.26 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,045.68 |
$1,045.68 |
$1,045.68 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,003.86 |
$1,003.86 |
$1,003.86 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$2,711.18 |
$2,711.18 |
$2,711.18 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,711.18 |
$2,711.18 |
$2,711.18 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,711.18 |
$2,711.18 |
$2,711.18 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$1,197.14 |
$1,197.14 |
$1,197.14 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$38.62 |
$38.62 |
$38.62 |
$88.92
|
|
Liberta rc ipg
|
$72,820.16 |
$72,820.16 |
$72,820.16 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$27.59 |
$27.59 |
$27.59 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$2,619,960.74 |
$2,619,960.74 |
$2,619,960.74 |
$30,744.64
|
|
Lipase
|
$35.55 |
$35.55 |
$35.55 |
$93.58
|
|
Lip exc/transverse wedge/w closure 40510
|
$328.15 |
$328.15 |
$328.15 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$62.53 |
$62.53 |
$62.53 |
$87.00
|
|
Lipoprotein blood quant
|
$63.14 |
$63.14 |
$63.14 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$39.23 |
$39.23 |
$39.23 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$57.62 |
$57.62 |
$57.62 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$63.14 |
$63.14 |
$63.14 |
$47.18
|
|
Lithium therapeutic drug level
|
$31.88 |
$31.88 |
$31.88 |
$69.75
|
|
Liver Function Test
|
$66.20 |
$66.20 |
$66.20 |
$115.44
|
|
Liver/spleen imag static only
|
$921.27 |
$921.27 |
$921.27 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$437.03 |
$437.03 |
$437.03 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.56 |
$1.56 |
$1.56 |
$49.70
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$350.26 |
$350.26 |
$350.26 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,991.58 |
$2,991.58 |
$2,991.58 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,493.30 |
$2,493.30 |
$2,493.30 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,994.39 |
$1,994.39 |
$1,994.39 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,716.04 |
$1,716.04 |
$1,716.04 |
$3,097.92
|