|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$8,670.75 |
$8,670.75 |
$8,670.75 |
$7,504.00
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$13,017.40 |
$13,017.40 |
$13,017.40 |
$9,746.29
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$4,779.50 |
$4,779.50 |
$4,779.50 |
$5,423.04
|
|
Insitu hybridization auto
|
$386.10 |
$386.10 |
$386.10 |
$398.16
|
|
Insitu hybridization manual
|
$278.85 |
$278.85 |
$278.85 |
$411.33
|
|
In situ hybridization per specimen each additional single probe stain
|
$108.90 |
$108.90 |
$108.90 |
$264.00
|
|
In situ hybridization per specimen initial single probe stain
|
$131.45 |
$131.45 |
$131.45 |
$341.90
|
|
Ins lv lead exist pm/icd
|
$7,339.75 |
$7,339.75 |
$7,339.75 |
$12,384.25
|
|
Ins/rpl ldless pm right vent w img & eval
|
$17,028.00 |
$17,028.00 |
$17,028.00 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$9,550.20 |
$9,550.20 |
$9,550.20 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$8,847.85 |
$8,847.85 |
$8,847.85 |
$9,793.46
|
|
Ins/rpl pm w/tv ld atrl
|
$11,512.60 |
$11,512.60 |
$11,512.60 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$20,362.65 |
$20,362.65 |
$20,362.65 |
$25,106.90
|
|
Ins tun cv cath wo subq prt/pm
|
$3,914.90 |
$3,914.90 |
$3,914.90 |
$4,341.66
|
|
Insulin total
|
$70.40 |
$70.40 |
$70.40 |
$67.50
|
|
Interrog dev eval icpms ip
|
$36.96 |
$36.96 |
$36.96 |
$106.80
|
|
Intraoral i+d tongue/floor lingual 41000
|
$1,184.70 |
$1,184.70 |
$1,184.70 |
$1,291.20
|
|
Intrinsic factor antibody
|
$124.85 |
$124.85 |
$124.85 |
$59.95
|
|
Intro cath dialysis circuit
|
$4,202.00 |
$4,202.00 |
$4,202.00 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$12,025.75 |
$12,025.75 |
$12,025.75 |
$8,683.70
|
|
Intro catheter aorta
|
$938.85 |
$938.85 |
$938.85 |
$1,885.00
|
|
Intro cath svc/ivc
|
$645.15 |
$645.15 |
$645.15 |
$1,435.85
|
|
Intro long gi tube
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$930.31
|
|
Intro long gi tube w/mult fluo
|
$533.50 |
$533.50 |
$533.50 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$6,210.60 |
$6,210.60 |
$6,210.60 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$3,424.85 |
$3,424.85 |
$3,424.85 |
$1,764.10
|
|
Intubation endotracheal emergency procedure
|
$578.60 |
$578.60 |
$578.60 |
$592.80
|
|
Iron
|
$64.90 |
$64.90 |
$64.90 |
$72.15
|
|
Iron binding capacity
|
$68.75 |
$68.75 |
$68.75 |
$61.47
|
|
Irrigation implantable venous access device for drug delivery systems
|
$94.05 |
$94.05 |
$94.05 |
$153.75
|
|
Ivc venogram s&i
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$3,258.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$171.60 |
$171.60 |
$171.60 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$171.60 |
$171.60 |
$171.60 |
$181.26
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$206.80 |
$206.80 |
$206.80 |
$154.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$306.35 |
$306.35 |
$306.35 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$164.45 |
$164.45 |
$164.45 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$401.50 |
$401.50 |
$401.50 |
$379.87
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$92.95 |
$92.95 |
$92.95 |
$52.80
|
|
Kidney img w/bldflw sgl without rx
|
$1,518.00 |
$1,518.00 |
$1,518.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$547.80 |
$547.80 |
$547.80 |
$668.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$95.15 |
$95.15 |
$95.15 |
$100.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,391.25 |
$9,391.25 |
$9,391.25 |
$9,391.25
|
|
Knee MRI (with and without contrast)
|
$2,861.10 |
$2,861.10 |
$2,861.10 |
$2,879.37
|
|
Knee MRI (with contrast)
|
$1,758.35 |
$1,758.35 |
$1,758.35 |
$2,384.25
|
|
Knee MRI (without contrast)
|
$1,416.80 |
$1,416.80 |
$1,416.80 |
$2,200.00
|
|
Knee X-ray
|
$414.70 |
$414.70 |
$414.70 |
$440.00
|
|
Kras gene addl variants
|
$194.70 |
$194.70 |
$194.70 |
$346.45
|
|
Kras gene variants exon 2
|
$204.05 |
$204.05 |
$204.05 |
$495.00
|
|
Lactate dehydrogenase (ldh)
|
$49.50 |
$49.50 |
$49.50 |
$52.80
|
|
Lactic acid
|
$100.65 |
$100.65 |
$100.65 |
$100.65
|
|
Lactoferrin fecal qualitative
|
$121.00 |
$121.00 |
$121.00 |
$85.83
|
|
Lead acuity x4 spiral l 86cm
|
$3,094.85 |
$3,094.85 |
$3,094.85 |
$5,987.68
|
|
Lead capillary
|
$78.65 |
$78.65 |
$78.65 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,075.80 |
$1,075.80 |
$1,075.80 |
$1,913.57
|
|
Lead tachy durata sj4 58cm
|
$5,316.85 |
$5,316.85 |
$5,316.85 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,200.65 |
$1,200.65 |
$1,200.65 |
$1,090.23
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$812.97 |
$812.97 |
$812.97 |
$810.60
|
|
Lens iol ant bicnvx 24.0 multi
|
$223.43 |
$223.43 |
$223.43 |
$910.16
|
|
Levetiracetam therapeutic drug level
|
$146.30 |
$146.30 |
$146.30 |
$74.92
|
|
Lidocaine therapeutic drug level
|
$172.15 |
$172.15 |
$172.15 |
$87.45
|
|
Ligate/transect fallopian tubes 58600
|
$3,949.55 |
$3,949.55 |
$3,949.55 |
$3,762.53
|
|
Lipase
|
$140.25 |
$140.25 |
$140.25 |
$81.25
|
|
Lipoprotein blood high res frac & quant
|
$57.75 |
$57.75 |
$57.75 |
$87.00
|
|
Lipoprotein direct measurement hdl
|
$51.70 |
$51.70 |
$51.70 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$62.15 |
$62.15 |
$62.15 |
$60.00
|
|
Lithium therapeutic drug level
|
$116.60 |
$116.60 |
$116.60 |
$66.43
|
|
Lithotripsy transluminal coronary percutaneous
|
$9,271.35 |
$9,271.35 |
$9,271.35 |
$4,371.12
|
|
Liver Function Test
|
$100.65 |
$100.65 |
$100.65 |
$111.13
|
|
Low cost skin substitute app
|
$661.10 |
$661.10 |
$661.10 |
$724.37
|
|
Low cost skin substitute app
|
$661.10 |
$661.10 |
$661.10 |
$724.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,191.75 |
$2,191.75 |
$2,191.75 |
$1,892.15
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,133.45 |
$2,133.45 |
$2,133.45 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,829.30 |
$1,829.30 |
$1,829.30 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,141.70 |
$2,141.70 |
$2,141.70 |
$2,893.15
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,934.35 |
$1,934.35 |
$1,934.35 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,629.65 |
$1,629.65 |
$1,629.65 |
$2,013.08
|
|
Lower Back (Lumbar Spine) X-ray
|
$386.86 |
$386.86 |
$386.86 |
$341.64
|
|
Lung Function Test (Spirometry)
|
$309.10 |
$309.10 |
$309.10 |
$295.35
|
|
Lung perfusion imaging
|
$934.45 |
$934.45 |
$934.45 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$669.90 |
$669.90 |
$669.90 |
$1,526.38
|
|
Lymphocyte transformation mitogen
|
$348.70 |
$348.70 |
$348.70 |
$266.20
|
|
Lysis penil circumic lesion
|
$210.28 |
$210.28 |
$210.28 |
$3,986.00
|
|
Macroscopic exam arthropod
|
$84.70 |
$84.70 |
$84.70 |
$38.58
|
|
Macroscopic exam parasite
|
$44.55 |
$44.55 |
$44.55 |
$36.40
|
|
Magnesium
|
$67.65 |
$67.65 |
$67.65 |
$72.57
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$85.25 |
$85.25 |
$85.25 |
$136.64
|
|
Manipulation chest wall initial demonstration/evaluation
|
$150.70 |
$150.70 |
$150.70 |
$163.15
|
|
Marker biop eviva buckle ss
|
$123.75 |
$123.75 |
$123.75 |
$848.10
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$176.00 |
$176.00 |
$176.00 |
$71.78
|
|
Mayo aathr protein s free
|
$61.60 |
$61.60 |
$61.60 |
$134.55
|
|
Mayo activated protein c resistance assay
|
$70.95 |
$70.95 |
$70.95 |
$100.10
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$270.60 |
$270.60 |
$270.60 |
$176.00
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$96.25 |
$96.25 |
$96.25 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$103.40 |
$103.40 |
$103.40 |
$105.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$105.05 |
$105.05 |
$105.05 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$244.20 |
$244.20 |
$244.20 |
$137.80
|
|
Mayo alpha 1 antitrypsin
|
$78.10 |
$78.10 |
$78.10 |
$85.80
|
|
Mayo amikacin trough therapeutic drug level
|
$158.40 |
$158.40 |
$158.40 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$52.25 |
$52.25 |
$52.25 |
$87.00
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$144.65 |
$144.65 |
$144.65 |
$73.32
|