|
Ivc venogram s&i
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$133.11 |
$133.11 |
$133.11 |
$133.90
|
|
IV Fluids (first hour)
|
$348.36 |
$348.36 |
$348.36 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$168.98 |
$168.98 |
$168.98 |
$162.68
|
|
IV inj ra drug dx study
|
$837.15 |
$837.15 |
$837.15 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$80.28 |
$80.28 |
$80.28 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$133.11 |
$133.11 |
$133.11 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$348.36 |
$348.36 |
$348.36 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$133.11 |
$133.11 |
$133.11 |
$167.50
|
|
IV Push Injection (first drug)
|
$348.36 |
$348.36 |
$348.36 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$336.54 |
$336.54 |
$336.54 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$492.40 |
$492.40 |
$492.40 |
$405.00
|
|
Jaw arthroscopy/surgery
|
$5,712.22 |
$5,712.22 |
$5,712.22 |
$4,541.04
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$201.75 |
$201.75 |
$201.75 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$275.16 |
$275.16 |
$275.16 |
$362.05
|
|
John cunningham antibody
|
$52.10 |
$52.10 |
$52.10 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$335.41 |
$335.41 |
$335.41 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$29.58 |
$29.58 |
$29.58 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$2.27 |
$2.27 |
$2.27 |
$23.52
|
|
Kidney imaging morphology
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,129.74 |
$1,129.74 |
$1,129.74 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,129.74 |
$1,129.74 |
$1,129.74 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$425.45 |
$425.45 |
$425.45 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$425.45 |
$425.45 |
$425.45 |
$490.75
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$56.56 |
$56.56 |
$56.56 |
$174.00
|
|
Kit gene analys d816 variant
|
$366.03 |
$366.03 |
$366.03 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$1,648.98 |
$1,648.98 |
$1,648.98 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,648.98 |
$1,648.98 |
$1,648.98 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,006.36 |
$1,006.36 |
$1,006.36 |
$2,130.88
|
|
Knee X-ray
|
$275.16 |
$275.16 |
$275.16 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$201.75 |
$201.75 |
$201.75 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$201.75 |
$201.75 |
$201.75 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$201.75 |
$201.75 |
$201.75 |
$251.20
|
|
Ko rigid without joints pre ots
|
$249.87 |
$249.87 |
$249.87 |
$215.32
|
|
Ko single upright pre cst
|
$1,680.18 |
$1,680.18 |
$1,680.18 |
$988.40
|
|
Ko w adj flex/ext rotat mold
|
$2,418.09 |
$2,418.09 |
$2,418.09 |
$2,418.09
|
|
Kras gene addl variants
|
$566.48 |
$566.48 |
$566.48 |
$387.20
|
|
Kras gene variants exon 2
|
$566.48 |
$566.48 |
$566.48 |
$536.20
|
|
Kyleena, 19.5 mg
|
$2,565.91 |
$2,565.91 |
$2,565.91 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$25.68 |
$25.68 |
$25.68 |
$109.20
|
|
Lactate dehydrogenase (ldh)
|
$21.83 |
$21.83 |
$21.83 |
$55.50
|
|
Lactated ringers intravenous solution
|
$11.54 |
$11.54 |
$11.54 |
$43.74
|
|
Lactic acid
|
$38.67 |
$38.67 |
$38.67 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$71.06 |
$71.06 |
$71.06 |
$82.16
|
|
Lanthanum carbonate oral 5mg
|
$0.03 |
$0.03 |
$0.03 |
$14.53
|
|
Laparoscopy lymph node biop
|
$14,223.16 |
$14,223.16 |
$14,223.16 |
$6,904.15
|
|
Laparoscopy lysis
|
$14,223.16 |
$14,223.16 |
$14,223.16 |
$5,814.32
|
|
Laparoscopy surg colpopexy
|
$23,062.44 |
$23,062.44 |
$23,062.44 |
$10,897.60
|
|
Laparotomy; inject/aspirate liver cyst 47015
|
$1,591.12 |
$1,591.12 |
$1,591.12 |
$1,659.80
|
|
Laparo-vag hyst incl t/o
|
$23,062.44 |
$23,062.44 |
$23,062.44 |
$12,100.40
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$14,253.97 |
$14,253.97 |
$14,253.97 |
$4,896.80
|
|
Lap jejunostomy 44186
|
$10,821.09 |
$10,821.09 |
$10,821.09 |
$6,376.26
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$418.44 |
$418.44 |
$418.44 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,345.65 |
$1,345.65 |
$1,345.65 |
$765.97
|
|
Laryngoscopy and dilation
|
$7,261.94 |
$7,261.94 |
$7,261.94 |
$4,745.55
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$4,480.42 |
$4,480.42 |
$4,480.42 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$1,200.54 |
$1,200.54 |
$1,200.54 |
$852.80
|
|
Laryngoscopy w/bx & op scope
|
$7,364.23 |
$7,364.23 |
$7,364.23 |
$4,627.00
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$1,345.65 |
$1,345.65 |
$1,345.65 |
$981.40
|
|
Laser surgery eye strands
|
$1,639.22 |
$1,639.22 |
$1,639.22 |
$1,513.20
|
|
Laser surg penis lesion(s)
|
$2,699.50 |
$2,699.50 |
$2,699.50 |
$3,562.00
|
|
Lavage cannulation maxillary sinus
|
$533.22 |
$533.22 |
$533.22 |
$728.00
|
|
Lead acuity x4 spiral l 86cm
|
$2,568.66 |
$2,568.66 |
$2,568.66 |
$5,460.00
|
|
Lead capillary
|
$43.81 |
$43.81 |
$43.81 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$856.22 |
$856.22 |
$856.22 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$5,993.53 |
$5,993.53 |
$5,993.53 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$875.65 |
$875.65 |
$875.65 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$845.92 |
$845.92 |
$845.92 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$520.31 |
$520.31 |
$520.31 |
$1,372.50
|
|
Legion pneumo dna dir prob
|
$47.22 |
$47.22 |
$47.22 |
$49.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$875.65 |
$875.65 |
$875.65 |
$1,092.58
|
|
Leishmania antibody
|
$44.32 |
$44.32 |
$44.32 |
$58.50
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$362.47 |
$362.47 |
$362.47 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,686.90 |
$3,686.90 |
$3,686.90 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$34.18 |
$34.18 |
$34.18 |
$1,322.50
|
|
Levetiracetam therapeutic drug level
|
$47.96 |
$47.96 |
$47.96 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$6,095.95 |
$6,095.95 |
$6,095.95 |
$6,104.00
|
|
Lidocaine therapeutic drug level
|
$53.18 |
$53.18 |
$53.18 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$3,168.00 |
$3,168.00 |
$3,168.00 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$5,265.85 |
$5,265.85 |
$5,265.85 |
$4,255.00
|
|
Lig/band angioaccess av fistula
|
$5,765.71 |
$5,765.71 |
$5,765.71 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,968.28 |
$1,968.28 |
$1,968.28 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$88.37 |
$88.37 |
$88.37 |
$108.64
|
|
Limited visual field xm
|
$192.19 |
$192.19 |
$192.19 |
$79.20
|
|
Lipase
|
$24.96 |
$24.96 |
$24.96 |
$93.58
|
|
Lip exc/transverse wedge/w closure 40510
|
$7,267.74 |
$7,267.74 |
$7,267.74 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$99.26 |
$99.26 |
$99.26 |
$87.00
|
|
Lipoprotein blood quant
|
$114.17 |
$114.17 |
$114.17 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$29.67 |
$29.67 |
$29.67 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$34.54 |
$34.54 |
$34.54 |
$61.60
|
|
Listeria monocytogenes
|
$47.72 |
$47.72 |
$47.72 |
$100.40
|
|
Lithium therapeutic drug level
|
$23.92 |
$23.92 |
$23.92 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$8,313.00 |
$8,313.00 |
$8,313.00 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$610.08 |
$610.08 |
$610.08 |
$365.28
|
|
Liver elastography 91200
|
$482.35 |
$482.35 |
$482.35 |
$285.18
|
|
Liver Function Test
|
$29.58 |
$29.58 |
$29.58 |
$115.44
|
|
Liver/spleen imag static only
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$1,067.57 |
$1,067.57 |
$1,067.57 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.20 |
$0.20 |
$0.20 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.44 |
$1.44 |
$1.44 |
$37.20
|
