|
Ins/rplcmt prq eltrd ra pn 1
|
$22,747.60 |
$22,747.60 |
$22,747.60 |
$14,685.79
|
|
Ins/rplc spi npg/rcvr pocket
|
$14,026.40 |
$14,026.40 |
$14,026.40 |
$24,061.80
|
|
Ins/rpl ldless pm right vent w img & eval
|
$24,671.60 |
$24,671.60 |
$24,671.60 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$4,236.00 |
$4,236.00 |
$4,236.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$3,865.20 |
$3,865.20 |
$3,865.20 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$7,400.80 |
$7,400.80 |
$7,400.80 |
$11,583.66
|
|
Ins/rpl prph sac/gstr npg/r
|
$23,700.00 |
$23,700.00 |
$23,700.00 |
$21,857.50
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$32,226.00 |
$32,226.00 |
$32,226.00 |
$25,694.00
|
|
Instillation anticarcinogenic agent bladder
|
$578.40 |
$578.40 |
$578.40 |
$621.40
|
|
Instll rx agnt into rnal tub
|
$412.80 |
$412.80 |
$412.80 |
$619.20
|
|
Ins tun cv cath wo subq prt/pm
|
$3,237.60 |
$3,237.60 |
$3,237.60 |
$4,202.70
|
|
Insulin total
|
$15.20 |
$15.20 |
$15.20 |
$66.64
|
|
Ins vag brachytx device
|
$3,190.80 |
$3,190.80 |
$3,190.80 |
$935.50
|
|
Integra os putty 2.5cc - cost per 0.5cc
|
$856.80 |
$856.80 |
$856.80 |
$3,803.11
|
|
Interdiscal perq aspir dx
|
$2,386.00 |
$2,386.00 |
$2,386.00 |
$1,222.26
|
|
Interrogate subq defib
|
$68.00 |
$68.00 |
$68.00 |
$119.60
|
|
Intra-atrial pacing
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$4,780.80
|
|
Intra-atrial recording
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,247.20 |
$4,247.20 |
$4,247.20 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$2,164.40 |
$2,164.40 |
$2,164.40 |
$8,145.50
|
|
Intracranial angioplasty
|
$7,042.80 |
$7,042.80 |
$7,042.80 |
$4,962.40
|
|
Intracranial complete study
|
$521.60 |
$521.60 |
$521.60 |
$874.99
|
|
Intracranial limited study
|
$454.00 |
$454.00 |
$454.00 |
$465.01
|
|
Intrapul surf admin endo tube
|
$142.00 |
$142.00 |
$142.00 |
$220.80
|
|
Intraventricular pacing
|
$2,553.20 |
$2,553.20 |
$2,553.20 |
$5,456.17
|
|
Intrinsic factor antibody
|
$24.00 |
$24.00 |
$24.00 |
$63.15
|
|
Intrm oph exam est patient
|
$332.00 |
$332.00 |
$332.00 |
$161.25
|
|
Intro cath dialysis circuit
|
$1,146.00 |
$1,146.00 |
$1,146.00 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$8,084.00 |
$8,084.00 |
$8,084.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$16,338.40 |
$16,338.40 |
$16,338.40 |
$16,262.40
|
|
Intro catheter aorta
|
$938.80 |
$938.80 |
$938.80 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,029.60 |
$1,029.60 |
$1,029.60 |
$1,323.27
|
|
Intro long gi tube
|
$2,397.20 |
$2,397.20 |
$2,397.20 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$454.80 |
$454.80 |
$454.80 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,093.60 |
$5,093.60 |
$5,093.60 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$4,342.80 |
$4,342.80 |
$4,342.80 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$251.60 |
$251.60 |
$251.60 |
$598.80
|
|
Iodine i-125 sodium iodide
|
$49.20 |
$49.20 |
$49.20 |
$245.64
|
|
Ionm in operatng room 15 min
|
$136.40 |
$136.40 |
$136.40 |
$200.16
|
|
Iron
|
$31.20 |
$31.20 |
$31.20 |
$72.29
|
|
Iron binding capacity
|
$34.80 |
$34.80 |
$34.80 |
$63.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$318.80 |
$318.80 |
$318.80 |
$144.62
|
|
Ivc venogram s&i
|
$1,354.00 |
$1,354.00 |
$1,354.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$130.80 |
$130.80 |
$130.80 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$130.80 |
$130.80 |
$130.80 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$130.80 |
$130.80 |
$130.80 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$291.20 |
$291.20 |
$291.20 |
$437.45
|
|
Ivp w/nephrotomography
|
$370.80 |
$370.80 |
$370.80 |
$748.15
|
|
Jak2 targeted sequence analysis
|
$240.00 |
$240.00 |
$240.00 |
$393.43
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$32.40 |
$32.40 |
$32.40 |
$58.50
|
|
Kidney imaging morphology
|
$697.60 |
$697.60 |
$697.60 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,129.20 |
$1,129.20 |
$1,129.20 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,001.60 |
$1,001.60 |
$1,001.60 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$766.40 |
$766.40 |
$766.40 |
$673.36
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$5,922.00 |
$5,922.00 |
$5,922.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$39,060.00 |
$39,060.00 |
$39,060.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$25,200.00 |
$25,200.00 |
$25,200.00 |
$16,965.41
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,390.20 |
$1,390.20 |
$1,390.20 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$1,325.60 |
$1,325.60 |
$1,325.60 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,215.20 |
$1,215.20 |
$1,215.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,013.20 |
$1,013.20 |
$1,013.20 |
$2,110.76
|
|
Knee X-ray
|
$201.60 |
$201.60 |
$201.60 |
$425.55
|
|
Ko elastic w/joints pre ots
|
$26.46 |
$26.46 |
$26.46 |
$137.05
|
|
Kras gene addl variants
|
$262.40 |
$262.40 |
$262.40 |
$386.75
|
|
Kras gene variants exon 2
|
$262.40 |
$262.40 |
$262.40 |
$509.00
|
|
Lactate dehydrogenase (ldh)
|
$67.60 |
$67.60 |
$67.60 |
$55.50
|
|
Lactic acid
|
$46.40 |
$46.40 |
$46.40 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$40.80 |
$40.80 |
$40.80 |
$81.00
|
|
Lactoferrin fecal quant
|
$573.20 |
$573.20 |
$573.20 |
$108.93
|
|
Laryngoscopy telescopic
|
$1,674.80 |
$1,674.80 |
$1,674.80 |
$852.80
|
|
Laser surgery eye strands
|
$585.20 |
$585.20 |
$585.20 |
$1,513.20
|
|
Lead acuity x4 spiral l 86cm
|
$3,213.00 |
$3,213.00 |
$3,213.00 |
$5,534.00
|
|
Lead capillary
|
$14.40 |
$14.40 |
$14.40 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$756.00 |
$756.00 |
$756.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$4,662.00 |
$4,662.00 |
$4,662.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,459.20 |
$1,459.20 |
$1,459.20 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$630.00 |
$630.00 |
$630.00 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$623.70 |
$623.70 |
$623.70 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,253.70 |
$1,253.70 |
$1,253.70 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$189.00 |
$189.00 |
$189.00 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$102.40 |
$102.40 |
$102.40 |
$88.92
|
|
Liberta rc ipg
|
$29,610.00 |
$29,610.00 |
$29,610.00 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$72.00 |
$72.00 |
$72.00 |
$87.45
|
|
Lipase
|
$68.80 |
$68.80 |
$68.80 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$3.20 |
$3.20 |
$3.20 |
$86.42
|
|
Lipoprotein blood quant
|
$91.20 |
$91.20 |
$91.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$63.60 |
$63.60 |
$63.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$30.00 |
$30.00 |
$30.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$107.20 |
$107.20 |
$107.20 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$8,265.20 |
$8,265.20 |
$8,265.20 |
$4,113.20
|
|
Liver elastography 91200
|
$204.40 |
$204.40 |
$204.40 |
$280.00
|
|
Liver Function Test
|
$86.40 |
$86.40 |
$86.40 |
$115.44
|
|
Liver imag w/vasclr flow
|
$716.40 |
$716.40 |
$716.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$692.40 |
$692.40 |
$692.40 |
$1,123.50
|
|
Low cost skin substitute app
|
$1,134.40 |
$1,134.40 |
$1,134.40 |
$933.60
|
|
Low cost skin substitute app
|
$1,304.40 |
$1,304.40 |
$1,304.40 |
$1,012.00
|
|
Low cost skin substitute app
|
$416.80 |
$416.80 |
$416.80 |
$428.35
|
|
Low cost skin substitute app
|
$416.80 |
$416.80 |
$416.80 |
$408.04
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,340.80 |
$1,340.80 |
$1,340.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,282.80 |
$1,282.80 |
$1,282.80 |
$1,804.80
|
