|
Infect ag na orthopoxvirus amp prb each
|
$221.00 |
$221.00 |
$221.00 |
$127.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$50.00 |
$50.00 |
$173.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$100.00 |
$100.00 |
$100.00 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$58.00 |
$58.00 |
$66.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$59.00 |
$59.00 |
$66.00 |
$73.45
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$226.00 |
$226.00 |
$226.00 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$57.00 |
$57.00 |
$60.00 |
$75.27
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$49.00 |
$49.00 |
$75.00 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$225.00 |
$225.00 |
$225.00 |
$132.60
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$100.00 |
$100.00 |
$161.00 |
$98.40
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$83.00 |
$83.00 |
$83.00 |
$55.31
|
|
Infectious agent nucleic acid amplified probe
|
$87.00 |
$87.00 |
$383.00 |
$276.90
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$110.00 |
$110.00 |
$128.00 |
$144.00
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$100.00 |
$100.00 |
$155.00 |
$174.06
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$155.00 |
$155.00 |
$155.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$155.00 |
$155.00 |
$155.00 |
$148.80
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$84.00 |
$84.00 |
$128.00 |
$134.55
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$200.00 |
$200.00 |
$200.00 |
$109.18
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$275.00 |
$275.00 |
$275.00 |
$194.40
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$395.00 |
$395.00 |
$395.00 |
$211.09
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$242.00 |
$242.00 |
$242.00 |
$135.00
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$193.00 |
$193.00 |
$193.00 |
$296.71
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$220.00 |
$220.00 |
$220.00 |
$248.18
|
|
Infectious agent nucleic acid quantification bk virus
|
$587.00 |
$587.00 |
$587.00 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$168.00 |
$168.00 |
$459.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$169.00 |
$169.00 |
$294.00 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$332.00 |
$332.00 |
$332.00 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$439.00 |
$439.00 |
$439.00 |
$303.59
|
|
Initial nursing facility care/day 35 minutes
|
$210.00 |
$210.00 |
$299.00 |
$244.00
|
|
Initial nursing facility care/day 45 minutes
|
$262.00 |
$262.00 |
$391.00 |
$333.60
|
|
Initial nursing facility care/day low severity 99304
|
$154.00 |
$154.00 |
$224.00 |
$162.40
|
|
Injection during cath supravalvular aortography
|
$2,401.00 |
$2,401.00 |
$2,401.00 |
$1,604.20
|
|
Injection epidural blood patch or clot
|
$1,745.00 |
$1,745.00 |
$1,745.00 |
$1,470.60
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$488.00 |
$488.00 |
$488.00 |
$1,017.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$237.00 |
$237.00 |
$237.00 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$218.00 |
$218.00 |
$218.00 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$218.00 |
$218.00 |
$218.00 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$25.00 |
$25.00 |
$149.00 |
$130.19
|
|
Inj hrt cath w/s&i nonsel p-art angrp
|
$2,519.00 |
$2,519.00 |
$2,519.00 |
$1,646.97
|
|
Inj hrt cath w/s&i sel hrt ang
|
$2,471.00 |
$2,471.00 |
$2,471.00 |
$2,471.00
|
|
Inj hrt cath w/s&i sel hrt art
|
$1,596.00 |
$1,596.00 |
$1,596.00 |
$1,192.50
|
|
Inj hrt cath w/s&i sel left vent
|
$2,445.00 |
$2,445.00 |
$2,445.00 |
$1,239.00
|
|
Inj hrt cath w/s&i sel right vent
|
$2,081.00 |
$2,081.00 |
$2,081.00 |
$1,352.65
|
|
Ins cerv dilator (sep proc)
|
$457.00 |
$457.00 |
$457.00 |
$557.60
|
|
Insertion catheter bladder non indwelling
|
$267.00 |
$267.00 |
$267.00 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$299.00 |
$299.00 |
$299.00 |
$245.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,365.00 |
$2,365.00 |
$2,365.00 |
$2,079.43
|
|
Insert swan-ganz cath
|
$4,040.00 |
$4,040.00 |
$4,040.00 |
$2,269.00
|
|
Insitu hybridization manual
|
$485.00 |
$485.00 |
$485.00 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$372.00 |
$372.00 |
$372.00 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$432.00 |
$432.00 |
$432.00 |
$364.00
|
|
Insulin total
|
$47.00 |
$47.00 |
$67.00 |
$72.15
|
|
Intra-atrial pacing
|
$4,464.00 |
$4,464.00 |
$4,464.00 |
$4,614.35
|
|
Intra-atrial recording
|
$4,464.00 |
$4,464.00 |
$4,464.00 |
$5,252.30
|
|
Intraventricular pacing
|
$4,464.00 |
$4,464.00 |
$4,464.00 |
$5,625.00
|
|
Intrinsic factor antibody
|
$132.00 |
$132.00 |
$132.00 |
$76.77
|
|
Intro long gi tube w/mult fluo
|
$34.00 |
$34.00 |
$34.00 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$880.00 |
$880.00 |
$880.00 |
$565.00
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$103.05 |
$103.05 |
$103.05 |
$145.52
|
|
Iron
|
$45.00 |
$45.00 |
$95.00 |
$67.50
|
|
Iron binding capacity
|
$48.00 |
$48.00 |
$55.00 |
$55.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$487.13 |
$487.13 |
$487.13 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$141.00 |
$141.00 |
$141.00 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$204.00 |
$204.00 |
$204.00 |
$149.00
|
|
Ivc venogram s&i
|
$3,341.00 |
$3,341.00 |
$3,341.00 |
$2,975.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$287.00 |
$287.00 |
$287.00 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$287.00 |
$287.00 |
$287.00 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$287.00 |
$287.00 |
$287.00 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$287.00 |
$287.00 |
$287.00 |
$476.50
|
|
Ivp w/wo kub w/wo tomography
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$687.80
|
|
John cunningham antibody
|
$1,592.00 |
$1,592.00 |
$1,592.00 |
$39.65
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$96.00 |
$96.00 |
$96.00 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$13.13 |
$13.13 |
$42.00 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,017.00 |
$1,017.00 |
$1,017.00 |
$618.54
|
|
Knee MRI (with and without contrast)
|
$6,660.00 |
$6,660.00 |
$6,660.00 |
$2,703.85
|
|
Knee MRI (without contrast)
|
$6,086.00 |
$6,086.00 |
$6,086.00 |
$2,120.00
|
|
Knee X-ray
|
$80.00 |
$80.00 |
$855.00 |
$387.20
|
|
Kras gene addl variants
|
$576.00 |
$576.00 |
$576.00 |
$366.56
|
|
Kras gene variants exon 2
|
$992.00 |
$992.00 |
$992.00 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$11.00 |
$11.00 |
$11.00 |
$13.00
|
|
Lactate dehydrogenase (ldh)
|
$46.00 |
$46.00 |
$76.00 |
$50.55
|
|
Lactated ringers intravenous solution
|
$65.00 |
$65.00 |
$65.00 |
$46.35
|
|
Lactic acid
|
$53.00 |
$53.00 |
$282.00 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$83.00 |
$83.00 |
$83.00 |
$88.40
|
|
Lead capillary
|
$67.00 |
$67.00 |
$67.00 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,409.00 |
$1,409.00 |
$1,409.00 |
$1,053.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$29.18 |
$29.18 |
$29.18 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$75.00 |
$75.00 |
$77.00 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$100.13 |
$100.13 |
$100.13 |
$43.61
|
|
Lidocaine therapeutic drug level
|
$129.00 |
$129.00 |
$129.00 |
$82.50
|
|
Lincomycin injection
|
$73.00 |
$73.00 |
$73.00 |
$13.25
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$141.75 |
$141.75 |
$141.75 |
$84.28
|
|
Lipase
|
$38.00 |
$38.00 |
$128.00 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$109.00 |
$109.00 |
$109.00 |
$90.60
|
|
Lipoprotein direct measurement hdl
|
$60.00 |
$60.00 |
$74.00 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$33.00 |
$33.00 |
$80.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$36.00 |
$36.00 |
$55.00 |
$62.40
|
|
Liver Function Test
|
$34.00 |
$34.00 |
$58.00 |
$92.85
|
|
Liver/spleen imag static only
|
$1,185.00 |
$1,185.00 |
$1,185.00 |
$1,135.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$150.40 |
$150.40 |
$150.40 |
$37.37
|
