|
Infect ag eia influenza a or b ea
|
$91.65 |
$91.65 |
$91.65 |
$64.00
|
|
Infect ag ia direct hiv-1 antgn
|
$89.70 |
$89.70 |
$89.70 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$63.05 |
$63.05 |
$63.05 |
$65.58
|
|
Infect ag if varicella zoster
|
$75.40 |
$75.40 |
$75.40 |
$68.25
|
|
Infect ag na hpv high-risk types
|
$117.65 |
$117.65 |
$117.65 |
$147.00
|
|
Infect ag na influenza r/amp 1st 2 types
|
$185.90 |
$185.90 |
$185.90 |
$248.80
|
|
Infect ag na orthopoxvirus amp prb each
|
$143.65 |
$143.65 |
$143.65 |
$127.50
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$112.45 |
$112.45 |
$112.45 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans
|
$65.00 |
$65.00 |
$65.00 |
$74.10
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$69.55 |
$69.55 |
$69.55 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$73.45 |
$73.45 |
$73.45 |
$73.45
|
|
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
|
$66.95 |
$66.95 |
$66.95 |
$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
|
$71.50 |
$71.50 |
$71.50 |
$107.90
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$120.90 |
$120.90 |
$120.90 |
$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
|
$262.60 |
$262.60 |
$262.60 |
$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)
|
$154.05 |
$154.05 |
$154.05 |
$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
|
$110.50 |
$110.50 |
$110.50 |
$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
|
$367.25 |
$367.25 |
$367.25 |
$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, daptomycin (hospira)
|
$243.75 |
$243.75 |
$243.75 |
$1.57
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$317.20 |
$317.20 |
$317.20 |
$1,017.28
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$103.35 |
$103.35 |
$103.35 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$103.35 |
$103.35 |
$103.35 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$103.35 |
$103.35 |
$103.35 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$66.95 |
$66.95 |
$66.95 |
$130.19
|
|
Inj meropenem (wg crit care)
|
$23.16 |
$23.16 |
$23.16 |
$20.78
|
|
Insertion catheter bladder non indwelling
|
$173.55 |
$173.55 |
$173.55 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$194.35 |
$194.35 |
$194.35 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$453.05 |
$453.05 |
$453.05 |
$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
|
|
In situ hybridization per specimen each additional single probe stain
|
$241.80 |
$241.80 |
$241.80 |
$291.00
|
|
Insulin total
|
$79.30 |
$79.30 |
$79.30 |
$72.15
|
|
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
|
$231.56 |
$231.56 |
$231.56 |
$145.52
|
|
Iron
|
$53.30 |
$53.30 |
$53.30 |
$67.50
|
|
Iron binding capacity
|
$68.25 |
$68.25 |
$68.25 |
$55.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$292.06 |
$292.06 |
$292.06 |
$211.09
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$150.80 |
$150.80 |
$150.80 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$150.80 |
$150.80 |
$150.80 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$150.80 |
$150.80 |
$150.80 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$150.80 |
$150.80 |
$150.80 |
$476.50
|
|
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)
|
$24.33 |
$24.33 |
$24.33 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$282.75 |
$282.75 |
$282.75 |
$618.54
|
|
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)
|
$7.15 |
$7.15 |
$7.15 |
$13.00
|
|
Lactate dehydrogenase (ldh)
|
$49.40 |
$49.40 |
$49.40 |
$50.55
|
|
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)
|
$468.65 |
$468.65 |
$468.65 |
$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
|
$30.71 |
$30.71 |
$30.71 |
$43.61
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$39.00 |
$39.00 |
$39.00 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$83.85 |
$83.85 |
$83.85 |
$82.50
|
|
Lipase
|
$42.90 |
$42.90 |
$42.90 |
$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
|
|
Lithium therapeutic drug level
|
$71.50 |
$71.50 |
$71.50 |
$62.40
|
|
Liver Function Test
|
$146.25 |
$146.25 |
$146.25 |
$92.85
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$97.76 |
$97.76 |
$97.76 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,533.05 |
$2,533.05 |
$2,533.05 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,997.45 |
$1,997.45 |
$1,997.45 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,966.90 |
$1,966.90 |
$1,966.90 |
$1,450.15
|
|
Lower Back (Lumbar Spine) X-ray
|
$159.90 |
$159.90 |
$159.90 |
$328.23
|
|
L/s ratio fetal lung
|
$179.40 |
$179.40 |
$179.40 |
$173.55
|
|
Lung function test (mbc/mvv)
|
$131.30 |
$131.30 |
$131.30 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$252.85 |
$252.85 |
$252.85 |
$290.89
|
|
Macroscopic exam arthropod
|
$34.45 |
$34.45 |
$34.45 |
$38.50
|
|
Macroscopic exam parasite
|
$34.45 |
$34.45 |
$34.45 |
$35.98
|
|
Magnesium
|
$71.50 |
$71.50 |
$71.50 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$45.34 |
$45.34 |
$45.34 |
$39.81
|