|
Ins tun cv cath wo subq prt/pm
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,745.00 |
$2,745.00 |
$2,745.00 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,025.50 |
$3,025.50 |
$3,025.50 |
$4,570.00
|
|
Inst via cath agent pleurds
|
$2,134.00 |
$2,134.00 |
$2,134.00 |
$1,065.00
|
|
Insulin total
|
$94.00 |
$94.00 |
$94.00 |
$66.64
|
|
Intens cardiac rehab no exer
|
$140.50 |
$140.50 |
$140.50 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$140.50 |
$140.50 |
$140.50 |
$238.40
|
|
Interdental wirg oth/thn fx
|
$1,005.50 |
$1,005.50 |
$1,005.50 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$891.00 |
$891.00 |
$891.00 |
$1,222.26
|
|
Intermediate visual field xm
|
$160.50 |
$160.50 |
$160.50 |
$112.80
|
|
Interrogate subq defib
|
$60.50 |
$60.50 |
$60.50 |
$119.60
|
|
Interrog dev eval icpms ip
|
$71.50 |
$71.50 |
$71.50 |
$103.50
|
|
Interrog dev eval scrms ip
|
$239.00 |
$239.00 |
$239.00 |
$124.80
|
|
Interrog device eval heart
|
$180.50 |
$180.50 |
$180.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$92.00 |
$92.00 |
$92.00 |
$124.80
|
|
Intra-atrial pacing
|
$3,818.00 |
$3,818.00 |
$3,818.00 |
$4,780.80
|
|
Intra-atrial recording
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$3,213.00 |
$3,213.00 |
$3,213.00 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$7,725.00 |
$7,725.00 |
$7,725.00 |
$8,145.50
|
|
Intracranial angioplasty
|
$8,309.00 |
$8,309.00 |
$8,309.00 |
$4,962.40
|
|
Intracranial complete study
|
$801.50 |
$801.50 |
$801.50 |
$874.99
|
|
Intracranial limited study
|
$425.00 |
$425.00 |
$425.00 |
$465.01
|
|
Intranasal biopsy 30100
|
$1,846.50 |
$1,846.50 |
$1,846.50 |
$2,133.48
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,445.00 |
$1,445.00 |
$1,445.00 |
$1,331.45
|
|
Intrauterine transfusion ftl
|
$1,151.00 |
$1,151.00 |
$1,151.00 |
$1,063.50
|
|
Intrinsic factor antibody
|
$117.50 |
$117.50 |
$117.50 |
$63.15
|
|
Intrm oph exam est patient
|
$146.00 |
$146.00 |
$146.00 |
$161.25
|
|
Intro cath dialysis circuit
|
$1,879.00 |
$1,879.00 |
$1,879.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$9,081.00 |
$9,081.00 |
$9,081.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$18,352.50 |
$18,352.50 |
$18,352.50 |
$16,262.40
|
|
Intro catheter aorta
|
$342.00 |
$342.00 |
$342.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$344.00 |
$344.00 |
$344.00 |
$1,323.27
|
|
Intro long gi tube
|
$1,126.00 |
$1,126.00 |
$1,126.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$171.00 |
$171.00 |
$171.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,134.50 |
$4,134.50 |
$4,134.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,475.50 |
$3,475.50 |
$3,475.50 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$1,022.50 |
$1,022.50 |
$1,022.50 |
$598.80
|
|
Ionm in operatng room 15 min
|
$67.50 |
$67.50 |
$67.50 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$260.00 |
$260.00 |
$260.00 |
$622.70
|
|
Io rad tx delivery by x-ray
|
$3,906.50 |
$3,906.50 |
$3,906.50 |
$9,046.18
|
|
Iron
|
$57.50 |
$57.50 |
$57.50 |
$72.29
|
|
Iron binding capacity
|
$108.50 |
$108.50 |
$108.50 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$43.00 |
$43.00 |
$43.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$113.50 |
$113.50 |
$113.50 |
$144.62
|
|
Ivc venogram s&i
|
$3,837.50 |
$3,837.50 |
$3,837.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$116.50 |
$116.50 |
$116.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$77.50 |
$77.50 |
$77.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$102.00 |
$102.00 |
$102.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$378.00 |
$378.00 |
$378.00 |
$437.45
|
|
IV inj ra drug dx study
|
$395.50 |
$395.50 |
$395.50 |
$552.60
|
|
IV njx tst vasc flo flap/grf
|
$684.00 |
$684.00 |
$684.00 |
$476.00
|
|
Ivp w/nephrotomography
|
$1,178.00 |
$1,178.00 |
$1,178.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,046.00 |
$1,046.00 |
$1,046.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$463.50 |
$463.50 |
$463.50 |
$393.43
|
|
Jejunstmy tube plcmt
|
$2,199.50 |
$2,199.50 |
$2,199.50 |
$2,174.40
|
|
John cunningham antibody
|
$172.50 |
$172.50 |
$172.50 |
$66.31
|
|
J-tube placement
|
$1,990.00 |
$1,990.00 |
$1,990.00 |
$593.08
|
|
Kafo dbl solid stirrup band/
|
$944.96 |
$944.96 |
$944.96 |
$2,185.15
|
|
Kafo femoral fx cast rigid
|
$980.66 |
$980.66 |
$980.66 |
$2,162.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$80.50 |
$80.50 |
$80.50 |
$58.50
|
|
Kidney imaging morphology
|
$914.00 |
$914.00 |
$914.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,969.50 |
$1,969.50 |
$1,969.50 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,383.00 |
$1,383.00 |
$1,383.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$666.00 |
$666.00 |
$666.00 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$95.74 |
$95.74 |
$95.74 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,080.62 |
$6,080.62 |
$6,080.62 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$367.00 |
$367.00 |
$367.00 |
$366.03
|
|
Kit lead specify 5-6-5
|
$3,277.84 |
$3,277.84 |
$3,277.84 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$420.73 |
$420.73 |
$420.73 |
$1,667.50
|
|
Knee cap medial or lateral p
|
$104.54 |
$104.54 |
$104.54 |
$104.54
|
|
Knee MRI (with and without contrast)
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$2,110.76
|
|
Knee orth pos locking joint
|
$180.61 |
$180.61 |
$180.61 |
$585.60
|
|
Knee X-ray
|
$398.00 |
$398.00 |
$398.00 |
$425.55
|
|
Ko elastic w/joints pre ots
|
$56.41 |
$56.41 |
$56.41 |
$137.05
|
|
Kras gene addl variants
|
$299.00 |
$299.00 |
$299.00 |
$386.75
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$72.50 |
$72.50 |
$72.50 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$395.00 |
$395.00 |
$395.00 |
$72.80
|
|
Lactate dehydrogenase (ldh)
|
$53.50 |
$53.50 |
$53.50 |
$55.50
|
|
Lactation class
|
$25.00 |
$25.00 |
$25.00 |
$93.71
|
|
Lactic acid
|
$183.00 |
$183.00 |
$183.00 |
$107.00
|
|
Lactoferrin fecal quant
|
$149.50 |
$149.50 |
$149.50 |
$108.93
|
|
Laparo drng lymphocele 49323
|
$2,805.00 |
$2,805.00 |
$2,805.00 |
$5,741.00
|
|
Laparo proc abdm/per/oment 49329
|
$3,803.00 |
$3,803.00 |
$3,803.00 |
$6,622.75
|
|
Largsc w/rmvl foreign bdy(s)
|
$587.00 |
$587.00 |
$587.00 |
$765.97
|
|
Laryngeal function studies
|
$152.50 |
$152.50 |
$152.50 |
$335.40
|
|
Laryngoscopic sensory vid
|
$308.50 |
$308.50 |
$308.50 |
$336.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,139.50 |
$1,139.50 |
$1,139.50 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$691.00 |
$691.00 |
$691.00 |
$852.80
|
|
Laryngoscopy with biopsy
|
$2,081.00 |
$2,081.00 |
$2,081.00 |
$3,297.83
|
|
Lead acuity x4 spiral l 86cm
|
$4,239.88 |
$4,239.88 |
$4,239.88 |
$5,534.00
|
|
Lead capillary
|
$40.50 |
$40.50 |
$40.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$2,012.56 |
$2,012.56 |
$2,012.56 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$15,709.23 |
$15,709.23 |
$15,709.23 |
$8,204.74
|
|
Left compres band >=3" <5"/yd
|
$10.87 |
$10.87 |
$10.87 |
$5.20
|
|
Left compres band <3"/yd
|
$5.70 |
$5.70 |
$5.70 |
$3.64
|
|
Left compres band >=5"/yd
|
$6.73 |
$6.73 |
$6.73 |
$6.73
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,016.50 |
$1,016.50 |
$1,016.50 |
$1,092.58
|
|
Leishmania antibody
|
$52.00 |
$52.00 |
$52.00 |
$58.50
|
