|
Insert pm/icd lead dual
|
$2,933.40 |
$2,933.40 |
$2,933.40 |
$7,115.90
|
|
Insert/repl sq defib w/eltrd
|
$31,258.80 |
$31,258.80 |
$31,258.80 |
$33,593.55
|
|
Insert swan-ganz cath
|
$1,654.80 |
$1,654.80 |
$1,654.80 |
$2,164.52
|
|
Ins icd gen exist sgl lead
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$23,230.50
|
|
Insitu hybridization auto
|
$1,042.80 |
$1,042.80 |
$1,042.80 |
$377.37
|
|
Insitu hybridization manual
|
$1,473.00 |
$1,473.00 |
$1,473.00 |
$401.28
|
|
In situ hybridization per specimen initial single probe stain
|
$202.80 |
$202.80 |
$202.80 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$3,883.80 |
$3,883.80 |
$3,883.80 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$3,746.40 |
$3,746.40 |
$3,746.40 |
$4,078.00
|
|
Ins pq tunnld ip cath w/img
|
$11,393.40 |
$11,393.40 |
$11,393.40 |
$5,486.00
|
|
Ins/rpl pm gen exist dual lead
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$11,005.50
|
|
Ins/rpl pm gen exist sgl lead
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$9,428.64
|
|
Ins/rpl pm w/tv ld atrl
|
$3,294.60 |
$3,294.60 |
$3,294.60 |
$11,583.66
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$4,288.20 |
$4,288.20 |
$4,288.20 |
$7,826.00
|
|
Ins tun cv cath wo subq prt/pm
|
$3,278.40 |
$3,278.40 |
$3,278.40 |
$4,218.00
|
|
Insulin total
|
$169.20 |
$169.20 |
$169.20 |
$66.64
|
|
Ins vag brachytx device
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$950.00
|
|
Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper)
|
$106.20 |
$106.20 |
$106.20 |
$10,427.90
|
|
Interrog dev eval scrms ip
|
$192.60 |
$192.60 |
$192.60 |
$124.80
|
|
Intrinsic factor antibody
|
$318.00 |
$318.00 |
$318.00 |
$65.00
|
|
Intro cath dialysis circuit
|
$3,310.80 |
$3,310.80 |
$3,310.80 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$7,523.40 |
$7,523.40 |
$7,523.40 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$3,310.80 |
$3,310.80 |
$3,310.80 |
$16,262.40
|
|
Intro catheter aorta
|
$3,504.60 |
$3,504.60 |
$3,504.60 |
$1,678.05
|
|
Intro cath svc/ivc
|
$6,828.00 |
$6,828.00 |
$6,828.00 |
$1,323.27
|
|
Intro long gi tube
|
$235.20 |
$235.20 |
$235.20 |
$974.17
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,767.20 |
$2,767.20 |
$2,767.20 |
$3,472.95
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,328.40 |
$1,328.40 |
$1,328.40 |
$1,801.10
|
|
Intubation endotracheal emergency procedure
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$601.28
|
|
Ionm in operatng room 15 min
|
$191.40 |
$191.40 |
$191.40 |
$200.78
|
|
Ionm remote/>1 pt or per hr
|
$722.40 |
$722.40 |
$722.40 |
$622.70
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$116.40 |
$116.40 |
$116.40 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$6.40 |
$6.40 |
$6.40 |
$279.10
|
|
Ipratropium bromide non-comp
|
$37.20 |
$37.20 |
$37.20 |
$4.06
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$5,238.00 |
$5,238.00 |
$5,238.00 |
$173.98
|
|
Iron
|
$96.60 |
$96.60 |
$96.60 |
$75.00
|
|
Iron binding capacity
|
$131.40 |
$131.40 |
$131.40 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$72.60 |
$72.60 |
$72.60 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$540.60 |
$540.60 |
$540.60 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$287.40 |
$287.40 |
$287.40 |
$115.20
|
|
Irrigation implantable venous access device for drug delivery systems
|
$269.40 |
$269.40 |
$269.40 |
$146.11
|
|
Ivc venogram s&i
|
$5,562.00 |
$5,562.00 |
$5,562.00 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$194.40 |
$194.40 |
$194.40 |
$133.90
|
|
IV Fluids (first hour)
|
$609.00 |
$609.00 |
$609.00 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$241.20 |
$241.20 |
$241.20 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$412.20 |
$412.20 |
$412.20 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$251.40 |
$251.40 |
$251.40 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$745.80 |
$745.80 |
$745.80 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$259.20 |
$259.20 |
$259.20 |
$167.50
|
|
IV Push Injection (first drug)
|
$557.40 |
$557.40 |
$557.40 |
$252.76
|
|
Ixabepilone 15 mg intravenous solution
|
$147.60 |
$147.60 |
$147.60 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$436.20 |
$436.20 |
$436.20 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$436.20 |
$436.20 |
$436.20 |
$362.05
|
|
John cunningham antibody
|
$72.60 |
$72.60 |
$72.60 |
$78.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$99.00 |
$99.00 |
$99.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$92.80 |
$92.80 |
$92.80 |
$23.52
|
|
Kidney endoscopy & treatment
|
$3,040.80 |
$3,040.80 |
$3,040.80 |
$5,728.00
|
|
Kidney imag w/bld flow multi
|
$2,274.60 |
$2,274.60 |
$2,274.60 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,206.80 |
$2,206.80 |
$2,206.80 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,200.60 |
$1,200.60 |
$1,200.60 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$893.40 |
$893.40 |
$893.40 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$9,571.80 |
$9,571.80 |
$9,571.80 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,505.80 |
$9,505.80 |
$9,505.80 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$1,218.00 |
$1,218.00 |
$1,218.00 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$56,811.60 |
$56,811.60 |
$56,811.60 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$21,221.40 |
$21,221.40 |
$21,221.40 |
$16,672.10
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$4,897.20 |
$4,897.20 |
$4,897.20 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$5,074.20 |
$5,074.20 |
$5,074.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$2,130.88
|
|
Knee X-ray
|
$436.20 |
$436.20 |
$436.20 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$436.20 |
$436.20 |
$436.20 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$436.20 |
$436.20 |
$436.20 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$436.20 |
$436.20 |
$436.20 |
$251.20
|
|
Kras gene variants exon 2
|
$361.80 |
$361.80 |
$361.80 |
$536.20
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$171.00 |
$171.00 |
$171.00 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$89.40 |
$89.40 |
$89.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$108.80 |
$108.80 |
$108.80 |
$43.74
|
|
Lactic acid
|
$225.00 |
$225.00 |
$225.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$225.60 |
$225.60 |
$225.60 |
$82.16
|
|
Lactoferrin fecal quant
|
$295.20 |
$295.20 |
$295.20 |
$108.93
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$336.00 |
$336.00 |
$336.00 |
$740.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,281.20 |
$2,281.20 |
$2,281.20 |
$2,514.60
|
|
Laryngoscopy w/fb removal
|
$3,055.20 |
$3,055.20 |
$3,055.20 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$3,097.80 |
$3,097.80 |
$3,097.80 |
$981.40
|
|
Lead acuity x4 spiral l 86cm
|
$11,235.60 |
$11,235.60 |
$11,235.60 |
$5,460.00
|
|
Lead capillary
|
$181.20 |
$181.20 |
$181.20 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$6,252.00 |
$6,252.00 |
$6,252.00 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$31,804.20 |
$31,804.20 |
$31,804.20 |
$8,202.66
|
|
Left compres band >=3" <5"/yd
|
$3.60 |
$3.60 |
$3.60 |
$5.20
|
|
Leg Artery Ultrasound (complete, both legs)
|
$737.40 |
$737.40 |
$737.40 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$817.80 |
$817.80 |
$817.80 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$893.40 |
$893.40 |
$893.40 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$609.00 |
$609.00 |
$609.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,898.40 |
$1,898.40 |
$1,898.40 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$214.20 |
$214.20 |
$214.20 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$168.80 |
$168.80 |
$168.80 |
$163.62
|
