|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$99.32 |
$99.32 |
$99.32 |
$81.90
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$121.03 |
$121.03 |
$121.03 |
$80.05
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$58.96 |
$58.96 |
$58.96 |
$79.40
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$162.89 |
$162.89 |
$162.89 |
$85.15
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$87.69 |
$87.69 |
$87.69 |
$79.33
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$243.23 |
$243.23 |
$243.23 |
$138.05
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$166.40 |
$166.40 |
$166.40 |
$93.60
|
|
Infectious agent nucleic acid amplified probe
|
$2,260.77 |
$2,260.77 |
$2,260.77 |
$278.95
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$206.70 |
$206.70 |
$206.70 |
$143.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$162.83 |
$162.83 |
$162.83 |
$172.15
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$167.51 |
$167.51 |
$167.51 |
$173.55
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$89.57 |
$89.57 |
$89.57 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$306.80 |
$306.80 |
$306.80 |
$210.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$219.12 |
$219.12 |
$219.12 |
$135.85
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$113.69 |
$113.69 |
$113.69 |
$102.57
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$227.37 |
$227.37 |
$227.37 |
$222.60
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$74.69 |
$74.69 |
$74.69 |
$99.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$82.36 |
$82.36 |
$82.36 |
$112.15
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$300.30 |
$300.30 |
$300.30 |
$727.50
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$245.31 |
$245.31 |
$245.31 |
$496.28
|
|
Infectious agent nucleic acid quantification bk virus
|
$387.79 |
$387.79 |
$387.79 |
$297.50
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$155.55 |
$155.55 |
$155.55 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$269.75 |
$269.75 |
$269.75 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$383.44 |
$383.44 |
$383.44 |
$381.55
|
|
Initiation & management bipap/cpap initial day
|
$432.77 |
$432.77 |
$432.77 |
$627.00
|
|
Injection for bladder x-ray
|
$353.34 |
$353.34 |
$353.34 |
$572.25
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$328.25 |
$328.25 |
$328.25 |
$1,017.28
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$102.12 |
$102.12 |
$102.12 |
$168.05
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$102.12 |
$102.12 |
$102.12 |
$154.05
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$188.24 |
$188.24 |
$188.24 |
$271.65
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$188.24 |
$188.24 |
$188.24 |
$140.34
|
|
Insertion catheter bladder non indwelling
|
$123.57 |
$123.57 |
$123.57 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$123.57 |
$123.57 |
$123.57 |
$264.80
|
|
Insitu hybridization manual
|
$862.94 |
$862.94 |
$862.94 |
$411.33
|
|
In situ hybridization per specimen each additional single probe stain
|
$138.19 |
$138.19 |
$138.19 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$341.90 |
$341.90 |
$341.90 |
$340.00
|
|
Instillation anticarcinogenic agent bladder
|
$321.69 |
$321.69 |
$321.69 |
$721.50
|
|
Insulin total
|
$105.43 |
$105.43 |
$105.43 |
$67.50
|
|
Intrinsic factor antibody
|
$142.55 |
$142.55 |
$142.55 |
$59.95
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$131.90 |
$131.90 |
$131.90 |
$186.70
|
|
Iron
|
$61.04 |
$61.04 |
$61.04 |
$74.40
|
|
Iron binding capacity
|
$82.42 |
$82.42 |
$82.42 |
$63.05
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$143.46 |
$143.46 |
$143.46 |
$236.18
|
|
Irradiation of blood product each unit reference
|
$61.95 |
$61.95 |
$61.95 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$118.89 |
$118.89 |
$118.89 |
$153.75
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$79.56 |
$79.56 |
$79.56 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$100.62 |
$100.62 |
$100.62 |
$180.80
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$79.56 |
$79.56 |
$79.56 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$238.10 |
$238.10 |
$238.10 |
$460.85
|
|
IV inj ra drug dx study
|
$397.54 |
$397.54 |
$397.54 |
$544.45
|
|
Ivp w/wo kub w/wo tomography
|
$632.19 |
$632.19 |
$632.19 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$1,272.96 |
$1,272.96 |
$1,272.96 |
$379.87
|
|
Ketogenic steroids fract
|
$107.06 |
$107.06 |
$107.06 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$45.63 |
$45.63 |
$45.63 |
$53.78
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$2.35 |
$2.35 |
$2.35 |
$25.29
|
|
Kidney imag w/bld flow multi
|
$2,226.25 |
$2,226.25 |
$2,226.25 |
$1,574.40
|
|
Kidney img w/bldflw sgl without rx
|
$1,113.26 |
$1,113.26 |
$1,113.26 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$673.40 |
$673.40 |
$673.40 |
$671.84
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$31.27 |
$31.27 |
$31.27 |
$100.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$862.42 |
$862.42 |
$862.42 |
$9,384.04
|
|
Kit gene analys d816 variant
|
$897.78 |
$897.78 |
$897.78 |
$355.00
|
|
Kit lead specify 5-6-5
|
$9,149.14 |
$9,149.14 |
$9,149.14 |
$13,500.00
|
|
Knee MRI (with and without contrast)
|
$2,486.90 |
$2,486.90 |
$2,486.90 |
$2,928.75
|
|
Knee MRI (with contrast)
|
$2,291.84 |
$2,291.84 |
$2,291.84 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,096.84 |
$2,096.84 |
$2,096.84 |
$2,209.22
|
|
Knee X-ray
|
$318.50 |
$318.50 |
$318.50 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$20.66 |
$20.66 |
$20.66 |
$33.78
|
|
Lactate dehydrogenase (ldh)
|
$57.01 |
$57.01 |
$57.01 |
$53.30
|
|
Lactic acid
|
$99.65 |
$99.65 |
$99.65 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$180.90 |
$180.90 |
$180.90 |
$87.21
|
|
Lead capillary
|
$113.95 |
$113.95 |
$113.95 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$780.39 |
$780.39 |
$780.39 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$583.18 |
$583.18 |
$583.18 |
$843.00
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$11,958.13 |
$11,958.13 |
$11,958.13 |
$4,250.55
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$5,017.42 |
$5,017.42 |
$5,017.42 |
$4,799.28
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$8.19 |
$8.19 |
$8.19 |
$89.50
|
|
Levetiracetam therapeutic drug level
|
$140.60 |
$140.60 |
$140.60 |
$74.00
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$5.03 |
$5.03 |
$5.03 |
$64.88
|
|
Liberta rc ipg
|
$42,129.75 |
$42,129.75 |
$42,129.75 |
$33,765.14
|
|
Liletta, 52 mg
|
$1,441.96 |
$1,441.96 |
$1,441.96 |
$2,360.29
|
|
Lipase
|
$64.94 |
$64.94 |
$64.94 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$142.09 |
$142.09 |
$142.09 |
$89.52
|
|
Lipoprotein blood quant
|
$129.55 |
$129.55 |
$129.55 |
$103.40
|
|
Lipoprotein direct measurement hdl
|
$77.16 |
$77.16 |
$77.16 |
$55.80
|
|
Lipoprotein direct measurement ldl
|
$77.16 |
$77.16 |
$77.16 |
$60.00
|
|
Lithium therapeutic drug level
|
$62.27 |
$62.27 |
$62.27 |
$67.60
|
|
Liver Function Test
|
$68.77 |
$68.77 |
$68.77 |
$112.80
|
|
Liver imaging
|
$445.38 |
$445.38 |
$445.38 |
$1,241.25
|
|
Liver/spleen imag static only
|
$445.38 |
$445.38 |
$445.38 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$2.94 |
$2.94 |
$2.94 |
$41.76
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,171.20 |
$2,171.20 |
$2,171.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,976.13 |
$1,976.13 |
$1,976.13 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,780.94 |
$1,780.94 |
$1,780.94 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,486.90 |
$2,486.90 |
$2,486.90 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,291.84 |
$2,291.84 |
$2,291.84 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,096.84 |
$2,096.84 |
$2,096.84 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$333.32 |
$333.32 |
$333.32 |
$344.00
|
|
Lumbar diskogram s&i
|
$796.38 |
$796.38 |
$796.38 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$191.49 |
$191.49 |
$191.49 |
$295.35
|
|
Lung perfusion imaging
|
$445.38 |
$445.38 |
$445.38 |
$1,082.75
|