|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$130.00 |
$130.00 |
$130.00 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$143.65 |
$143.65 |
$143.65 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$250.90 |
$250.90 |
$250.90 |
$194.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$340.60 |
$340.60 |
$340.60 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$99.45 |
$99.45 |
$99.45 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$152.10 |
$152.10 |
$152.10 |
$135.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$220.35 |
$220.35 |
$220.35 |
$296.71
|
|
Infectious agent nucleic acid quantification bk virus
|
$356.20 |
$356.20 |
$356.20 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$284.70 |
$284.70 |
$284.70 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$356.85 |
$356.85 |
$356.85 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$191.10 |
$191.10 |
$191.10 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$304.20 |
$304.20 |
$304.20 |
$303.59
|
|
Initial nursing facility care/day 35 minutes
|
$188.50 |
$188.50 |
$188.50 |
$244.00
|
|
Initial nursing facility care/day 45 minutes
|
$226.20 |
$226.20 |
$226.20 |
$333.60
|
|
Initial nursing facility care/day low severity 99304
|
$145.60 |
$145.60 |
$145.60 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$608.40
|
|
Inj., benralizumab, 1 mg
|
$19,608.78 |
$19,608.78 |
$19,608.78 |
$12,417.10
|
|
Injection epidural blood patch or clot
|
$585.00 |
$585.00 |
$585.00 |
$1,470.60
|
|
Injection, inclisiran, 1 mg
|
$10,913.88 |
$10,913.88 |
$10,913.88 |
$12.72
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$1,242.15 |
$1,242.15 |
$1,242.15 |
$1,066.24
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$298.35 |
$298.35 |
$298.35 |
$1,017.28
|
|
Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides)
|
$560.30 |
$560.30 |
$560.30 |
$2,251.00
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level
|
$341.25 |
$341.25 |
$341.25 |
$1,131.41
|
|
Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level
|
$577.20 |
$577.20 |
$577.20 |
$1,985.61
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance
|
$306.15 |
$306.15 |
$306.15 |
$1,119.88
|
|
Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level
|
$507.65 |
$507.65 |
$507.65 |
$1,961.05
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$154.70 |
$154.70 |
$154.70 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$195.00 |
$195.00 |
$195.00 |
$654.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$136.50 |
$136.50 |
$136.50 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$136.50 |
$136.50 |
$136.50 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$136.50 |
$136.50 |
$136.50 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$102.70 |
$102.70 |
$102.70 |
$130.19
|
|
Inject sacroiliac joint
|
$791.05 |
$791.05 |
$791.05 |
$1,028.95
|
|
Inj meropenem (wg crit care)
|
$20.78 |
$20.78 |
$20.78 |
$20.78
|
|
Inj multihance
|
$124.11 |
$124.11 |
$124.11 |
$86.40
|
|
Insert cath pleura without image
|
$436.15 |
$436.15 |
$436.15 |
$2,157.58
|
|
Insertion catheter bladder non indwelling
|
$139.75 |
$139.75 |
$139.75 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$214.50 |
$214.50 |
$214.50 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$448.50 |
$448.50 |
$448.50 |
$2,457.24
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,360.45 |
$1,360.45 |
$1,360.45 |
$2,079.43
|
|
Insert tunneled cv 2cath 2sits without port/pmp 36565
|
$1,422.85 |
$1,422.85 |
$1,422.85 |
$4,705.13
|
|
In situ hybridization per specimen each additional single probe stain
|
$230.75 |
$230.75 |
$230.75 |
$291.00
|
|
Ins tun cv cath wo subq prt/pm
|
$1,069.25 |
$1,069.25 |
$1,069.25 |
$4,314.75
|
|
Insulin total
|
$76.70 |
$76.70 |
$76.70 |
$72.15
|
|
Intrinsic factor antibody
|
$79.30 |
$79.30 |
$79.30 |
$76.77
|
|
Intubation endotracheal emergency procedure
|
$722.15 |
$722.15 |
$722.15 |
$565.00
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$111.12 |
$111.12 |
$111.12 |
$145.52
|
|
Iron
|
$60.45 |
$60.45 |
$60.45 |
$67.50
|
|
Iron binding capacity
|
$65.00 |
$65.00 |
$65.00 |
$55.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$262.08 |
$262.08 |
$262.08 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$79.30 |
$79.30 |
$79.30 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$130.65 |
$130.65 |
$130.65 |
$149.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$157.95 |
$157.95 |
$157.95 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$157.95 |
$157.95 |
$157.95 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$157.95 |
$157.95 |
$157.95 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$181.35 |
$181.35 |
$181.35 |
$476.50
|
|
Ivp w/nephrotomography
|
$748.15 |
$748.15 |
$748.15 |
$673.90
|
|
Ivp w/wo kub w/wo tomography
|
$761.15 |
$761.15 |
$761.15 |
$687.80
|
|
Jak2 targeted sequence analysis
|
$449.15 |
$449.15 |
$449.15 |
$465.74
|
|
John cunningham antibody
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$39.65
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$58.50 |
$58.50 |
$58.50 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$14.31 |
$14.31 |
$14.31 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$663.65 |
$663.65 |
$663.65 |
$618.54
|
|
Knee Arthroscopy (Cartilage Repair)
|
$1,906.45 |
$1,906.45 |
$1,906.45 |
$3,594.44
|
|
Knee arthroscopy dx
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$3,591.33
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,811.55 |
$1,811.55 |
$1,811.55 |
$3,705.22
|
|
Knee arthroscopy/surgery
|
$1,363.05 |
$1,363.05 |
$1,363.05 |
$3,591.33
|
|
Knee arthroscopy/surgery
|
$1,422.20 |
$1,422.20 |
$1,422.20 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$1,501.50 |
$1,501.50 |
$1,501.50 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$1,689.35 |
$1,689.35 |
$1,689.35 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$2,028.65 |
$2,028.65 |
$2,028.65 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$2,914.60 |
$2,914.60 |
$2,914.60 |
$7,907.11
|
|
Knee MRI (with and without contrast)
|
$4,414.80 |
$4,414.80 |
$4,414.80 |
$2,703.85
|
|
Knee MRI (without contrast)
|
$3,461.90 |
$3,461.90 |
$3,461.90 |
$2,120.00
|
|
Knee X-ray
|
$539.50 |
$539.50 |
$539.50 |
$387.20
|
|
Kras gene addl variants
|
$384.80 |
$384.80 |
$384.80 |
$366.56
|
|
Kras gene variants exon 2
|
$664.30 |
$664.30 |
$664.30 |
$495.00
|
|
Lactate dehydrogenase (ldh)
|
$46.15 |
$46.15 |
$46.15 |
$50.55
|
|
Lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Lactic acid
|
$177.45 |
$177.45 |
$177.45 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$80.60 |
$80.60 |
$80.60 |
$88.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$641.55 |
$641.55 |
$641.55 |
$2,480.71
|
|
Lead capillary
|
$58.50 |
$58.50 |
$58.50 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$967.20 |
$967.20 |
$967.20 |
$1,053.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$17.02 |
$17.02 |
$17.02 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$120.90 |
$120.90 |
$120.90 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$58.40 |
$58.40 |
$58.40 |
$43.61
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$30.62 |
$30.62 |
$30.62 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$80.60 |
$80.60 |
$80.60 |
$82.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$61.68 |
$61.68 |
$61.68 |
$84.28
|
|
Lipase
|
$85.80 |
$85.80 |
$85.80 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$70.85 |
$70.85 |
$70.85 |
$90.60
|
|
Lipoprotein direct measurement hdl
|
$48.75 |
$48.75 |
$48.75 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$48.75 |
$48.75 |
$48.75 |
$61.60
|
|
Lithium therapeutic drug level
|
$72.15 |
$72.15 |
$72.15 |
$62.40
|
|
Liver Function Test
|
$95.55 |
$95.55 |
$95.55 |
$92.85
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.62 |
$13.62 |
$13.62 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,507.05 |
$2,507.05 |
$2,507.05 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,113.15 |
$2,113.15 |
$2,113.15 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,825.85 |
$1,825.85 |
$1,825.85 |
$1,450.15
|