|
Inj for mammo ductogram
|
$125.00 |
$125.00 |
$125.00 |
$397.80
|
|
Inj peritoneal venous shunt
|
$76.23 |
$76.23 |
$76.23 |
$406.80
|
|
Inj proc ankle arthr
|
$121.77 |
$121.77 |
$121.77 |
$405.31
|
|
Inj proc elbow arthro
|
$153.10 |
$153.10 |
$153.10 |
$432.00
|
|
Inj proc myelogram lumbar
|
$182.17 |
$182.17 |
$182.17 |
$838.30
|
|
Inj retacrit esrd on dialysi
|
$3.30 |
$3.30 |
$3.30 |
$349.45
|
|
Inj, vancomycin hcl (mylan)
|
$0.91 |
$0.91 |
$0.91 |
$72.33
|
|
Ins cerv dilator (sep proc)
|
$290.32 |
$290.32 |
$290.32 |
$490.73
|
|
Insert cath pleura with image
|
$886.31 |
$886.31 |
$886.31 |
$2,194.40
|
|
Insertion catheter bladder non indwelling
|
$57.20 |
$57.20 |
$57.20 |
$208.01
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$748.84 |
$748.84 |
$748.84 |
$2,103.75
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$678.61 |
$678.61 |
$678.61 |
$2,453.83
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$661.93 |
$661.93 |
$661.93 |
$1,690.00
|
|
Insulin total
|
$27.47 |
$27.47 |
$27.47 |
$66.64
|
|
Intrinsic factor antibody
|
$33.98 |
$33.98 |
$33.98 |
$65.00
|
|
Intro long gi tube w/mult fluo
|
$161.87 |
$161.87 |
$161.87 |
$469.00
|
|
Ionm in operatng room 15 min
|
$165.22 |
$165.22 |
$165.22 |
$200.78
|
|
Iron
|
$100.26 |
$100.26 |
$100.26 |
$75.00
|
|
Irrigation implantable venous access device for drug delivery systems
|
$109.04 |
$109.04 |
$109.04 |
$146.11
|
|
IV Fluids (each additional hour)
|
$37.30 |
$37.30 |
$37.30 |
$133.90
|
|
IV Fluids (first hour)
|
$193.21 |
$193.21 |
$193.21 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$71.48 |
$71.48 |
$71.48 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$81.84 |
$81.84 |
$81.84 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$43.51 |
$43.51 |
$43.51 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$233.10 |
$233.10 |
$233.10 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$49.61 |
$49.61 |
$49.61 |
$167.50
|
|
IV Push Injection (first drug)
|
$212.00 |
$212.00 |
$212.00 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$504.38 |
$504.38 |
$504.38 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$270.22 |
$270.22 |
$270.22 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$307.13 |
$307.13 |
$307.13 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$202.61 |
$202.61 |
$202.61 |
$362.05
|
|
John cunningham antibody
|
$834.05 |
$834.05 |
$834.05 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$69.89 |
$69.89 |
$69.89 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$29.40 |
$29.40 |
$29.40 |
$58.56
|
|
Kidney imaging morphology
|
$324.54 |
$324.54 |
$324.54 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$801.90 |
$801.90 |
$801.90 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$505.98 |
$505.98 |
$505.98 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$683.34 |
$683.34 |
$683.34 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$355.28 |
$355.28 |
$355.28 |
$490.75
|
|
Kit lead specify 5-6-5
|
$17,631.80 |
$17,631.80 |
$17,631.80 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,549.62 |
$1,549.62 |
$1,549.62 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,510.37 |
$3,510.37 |
$3,510.37 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$2,314.72 |
$2,314.72 |
$2,314.72 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,929.19 |
$1,929.19 |
$1,929.19 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,543.15 |
$1,543.15 |
$1,543.15 |
$2,130.88
|
|
Knee X-ray
|
$280.33 |
$280.33 |
$280.33 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$136.68 |
$136.68 |
$136.68 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$166.16 |
$166.16 |
$166.16 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$248.17 |
$248.17 |
$248.17 |
$251.20
|
|
Kras gene addl variants
|
$281.88 |
$281.88 |
$281.88 |
$387.20
|
|
Kras gene variants exon 2
|
$281.88 |
$281.88 |
$281.88 |
$536.20
|
|
Lactate dehydrogenase (ldh)
|
$27.47 |
$27.47 |
$27.47 |
$55.50
|
|
Lactic acid
|
$62.18 |
$62.18 |
$62.18 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$47.24 |
$47.24 |
$47.24 |
$82.16
|
|
Lactoferrin fecal quant
|
$98.33 |
$98.33 |
$98.33 |
$108.93
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$346.58 |
$346.58 |
$346.58 |
$740.40
|
|
Lead acuity x4 spiral l 86cm
|
$17,631.80 |
$17,631.80 |
$17,631.80 |
$5,460.00
|
|
Lead capillary
|
$38.08 |
$38.08 |
$38.08 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$17,631.80 |
$17,631.80 |
$17,631.80 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$11,335.55 |
$11,335.55 |
$11,335.55 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$552.19 |
$552.19 |
$552.19 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$765.87 |
$765.87 |
$765.87 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$612.50 |
$612.50 |
$612.50 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$650.31 |
$650.31 |
$650.31 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$566.61 |
$566.61 |
$566.61 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,545.05 |
$1,545.05 |
$1,545.05 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$864.96 |
$864.96 |
$864.96 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$30.37 |
$30.37 |
$30.37 |
$88.92
|
|
Lifileucel til/dose 7.5b-72b snij
|
$2,135,962.20 |
$2,135,962.20 |
$2,135,962.20 |
$30,744.64
|
|
Lipase
|
$41.45 |
$41.45 |
$41.45 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$49.16 |
$49.16 |
$49.16 |
$87.00
|
|
Lipoprotein blood quant
|
$49.65 |
$49.65 |
$49.65 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$30.85 |
$30.85 |
$30.85 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$45.31 |
$45.31 |
$45.31 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$49.65 |
$49.65 |
$49.65 |
$47.18
|
|
Lithium therapeutic drug level
|
$25.06 |
$25.06 |
$25.06 |
$69.75
|
|
Liver ds alys 3 bmrk srm alg
|
$257.09 |
$257.09 |
$257.09 |
$365.28
|
|
Liver Function Test
|
$52.06 |
$52.06 |
$52.06 |
$115.44
|
|
Liver imaging
|
$414.18 |
$414.18 |
$414.18 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$606.96 |
$606.96 |
$606.96 |
$1,227.60
|
|
Liver/spleen imag static only
|
$565.38 |
$565.38 |
$565.38 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$490.32 |
$490.32 |
$490.32 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.27 |
$1.27 |
$1.27 |
$49.70
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$599.76 |
$599.76 |
$599.76 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,495.97 |
$1,495.97 |
$1,495.97 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,246.56 |
$1,246.56 |
$1,246.56 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$997.15 |
$997.15 |
$997.15 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,926.43 |
$2,926.43 |
$2,926.43 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,438.69 |
$2,438.69 |
$2,438.69 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,950.95 |
$1,950.95 |
$1,950.95 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$319.99 |
$319.99 |
$319.99 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$448.63 |
$448.63 |
$448.63 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$511.88 |
$511.88 |
$511.88 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$121.14 |
$121.14 |
$121.14 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$161.73 |
$161.73 |
$161.73 |
$364.77
|
|
Lung Function Test Before and After an Inhaler
|
$215.76 |
$215.76 |
$215.76 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$49.85 |
$49.85 |
$49.85 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$150.29 |
$150.29 |
$150.29 |
$296.91
|
|
Lung perfusion imaging
|
$609.12 |
$609.12 |
$609.12 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$911.52 |
$911.52 |
$911.52 |
$1,491.70
|