|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$146.90 |
$146.90 |
$146.90 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$87.75 |
$87.75 |
$87.75 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$72.80 |
$72.80 |
$72.80 |
$60.95
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$73.45 |
$73.45 |
$73.45 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$146.25 |
$146.25 |
$146.25 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$104.65 |
$104.65 |
$104.65 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$53.95 |
$53.95 |
$53.95 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$248.95 |
$248.95 |
$248.95 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$156.00 |
$156.00 |
$156.00 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$157.30 |
$157.30 |
$157.30 |
$174.06
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$700.70 |
$700.70 |
$700.70 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$161.85 |
$161.85 |
$161.85 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$119.60 |
$119.60 |
$119.60 |
$148.80
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$156.00 |
$156.00 |
$156.00 |
$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
|
$243.75 |
$243.75 |
$243.75 |
$194.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$332.80 |
$332.80 |
$332.80 |
$211.09
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$84.50 |
$84.50 |
$84.50 |
$96.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$157.30 |
$157.30 |
$157.30 |
$135.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$210.60 |
$210.60 |
$210.60 |
$296.71
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$602.55 |
$602.55 |
$602.55 |
$727.50
|
|
Infectious agent nucleic acid quantification bk virus
|
$381.55 |
$381.55 |
$381.55 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$298.35 |
$298.35 |
$298.35 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$354.25 |
$354.25 |
$354.25 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$215.80 |
$215.80 |
$215.80 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$285.35 |
$285.35 |
$285.35 |
$303.59
|
|
Initial nursing facility care/day 35 minutes
|
$194.35 |
$194.35 |
$194.35 |
$244.00
|
|
Initial nursing facility care/day 45 minutes
|
$254.15 |
$254.15 |
$254.15 |
$333.60
|
|
Initial nursing facility care/day low severity 99304
|
$145.60 |
$145.60 |
$145.60 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$767.65 |
$767.65 |
$767.65 |
$608.40
|
|
Inj, cefiderocol, 10 mg
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
$79.20
|
|
Inj. denosumab-bbdz, 1 mg
|
$4,698.58 |
$4,698.58 |
$4,698.58 |
$6,618.42
|
|
Injection during cath supravalvular aortography
|
$1,560.65 |
$1,560.65 |
$1,560.65 |
$1,604.20
|
|
Injection epidural blood patch or clot
|
$1,134.25 |
$1,134.25 |
$1,134.25 |
$1,470.60
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$317.20 |
$317.20 |
$317.20 |
$1,017.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$169.65 |
$169.65 |
$169.65 |
$517.24
|
|
Injection(s) trigger point(s) single/multiple >= 3 muscle(s)
|
$193.70 |
$193.70 |
$193.70 |
$654.00
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$141.70 |
$141.70 |
$141.70 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$141.70 |
$141.70 |
$141.70 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$141.70 |
$141.70 |
$141.70 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$96.85 |
$96.85 |
$96.85 |
$130.19
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$1,637.35 |
$1,637.35 |
$1,637.35 |
$1,646.97
|
|
Inj hrt cath w/s&i sel hrt ang
|
$1,606.15 |
$1,606.15 |
$1,606.15 |
$2,471.00
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,037.40 |
$1,037.40 |
$1,037.40 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$1,589.25 |
$1,589.25 |
$1,589.25 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$1,352.65 |
$1,352.65 |
$1,352.65 |
$1,352.65
|
|
Inj meropenem (wg crit care)
|
$23.16 |
$23.16 |
$23.16 |
$20.78
|
|
Ins cerv dilator (sep proc)
|
$297.05 |
$297.05 |
$297.05 |
$557.60
|
|
Insertion catheter bladder non indwelling
|
$173.55 |
$173.55 |
$173.55 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$203.45 |
$203.45 |
$203.45 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$384.80 |
$384.80 |
$384.80 |
$2,457.24
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,537.25 |
$1,537.25 |
$1,537.25 |
$2,079.43
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$1,955.20 |
$1,955.20 |
$1,955.20 |
$5,423.04
|
|
Insert swan-ganz cath
|
$2,626.00 |
$2,626.00 |
$2,626.00 |
$2,269.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$241.80 |
$241.80 |
$241.80 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$280.80 |
$280.80 |
$280.80 |
$364.00
|
|
Insulin total
|
$79.30 |
$79.30 |
$79.30 |
$72.15
|
|
Intra-atrial pacing
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$4,614.35
|
|
Intra-atrial recording
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$5,252.30
|
|
Intraventricular pacing
|
$2,901.60 |
$2,901.60 |
$2,901.60 |
$5,625.00
|
|
Intrinsic factor antibody
|
$85.80 |
$85.80 |
$85.80 |
$76.77
|
|
Intubation endotracheal emergency procedure
|
$572.00 |
$572.00 |
$572.00 |
$565.00
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$788.77 |
$788.77 |
$788.77 |
$145.52
|
|
Iron
|
$65.00 |
$65.00 |
$65.00 |
$67.50
|
|
Iron binding capacity
|
$70.20 |
$70.20 |
$70.20 |
$55.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$292.06 |
$292.06 |
$292.06 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$91.65 |
$91.65 |
$91.65 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$132.60 |
$132.60 |
$132.60 |
$149.00
|
|
Ivc venogram s&i
|
$2,171.65 |
$2,171.65 |
$2,171.65 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$186.55 |
$186.55 |
$186.55 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$186.55 |
$186.55 |
$186.55 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$186.55 |
$186.55 |
$186.55 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$186.55 |
$186.55 |
$186.55 |
$476.50
|
|
Ivp w/wo kub w/wo tomography
|
$733.20 |
$733.20 |
$733.20 |
$687.80
|
|
John cunningham antibody
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$39.65
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$62.40 |
$62.40 |
$62.40 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$13.90 |
$13.90 |
$13.90 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$661.05 |
$661.05 |
$661.05 |
$618.54
|
|
Knee MRI (with and without contrast)
|
$4,329.00 |
$4,329.00 |
$4,329.00 |
$2,703.85
|
|
Knee MRI (without contrast)
|
$3,955.90 |
$3,955.90 |
$3,955.90 |
$2,120.00
|
|
Knee X-ray
|
$555.75 |
$555.75 |
$555.75 |
$387.20
|
|
Kras gene addl variants
|
$374.40 |
$374.40 |
$374.40 |
$366.56
|
|
Kras gene variants exon 2
|
$644.80 |
$644.80 |
$644.80 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$19.50 |
$19.50 |
$19.50 |
$13.00
|
|
Lactate dehydrogenase (ldh)
|
$49.40 |
$49.40 |
$49.40 |
$50.55
|
|
Lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Lactic acid
|
$183.30 |
$183.30 |
$183.30 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$53.95 |
$53.95 |
$53.95 |
$88.40
|
|
Lead capillary
|
$65.00 |
$65.00 |
$65.00 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$915.85 |
$915.85 |
$915.85 |
$1,053.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$14.62 |
$14.62 |
$14.62 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$115.05 |
$115.05 |
$115.05 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$65.08 |
$65.08 |
$65.08 |
$43.61
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$34.12 |
$34.12 |
$34.12 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$83.85 |
$83.85 |
$83.85 |
$82.50
|
|
Lincomycin injection
|
$13.41 |
$13.41 |
$13.41 |
$13.25
|
|
Lipase
|
$83.20 |
$83.20 |
$83.20 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$70.85 |
$70.85 |
$70.85 |
$90.60
|
|
Lipoprotein direct measurement hdl
|
$48.10 |
$48.10 |
$48.10 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$45.50 |
$45.50 |
$45.50 |
$61.60
|