|
Infectious agent nucleic acid quantification hiv-1
|
$295.05 |
$295.05 |
$295.05 |
$381.55
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$203.37 |
$203.37 |
$203.37 |
$157.14
|
|
Influenza dna amp prob addl
|
$39.92 |
$39.92 |
$39.92 |
$75.80
|
|
Initiation & management bipap/cpap initial day
|
$481.11 |
$481.11 |
$481.11 |
$608.40
|
|
Inj crotalidae im f(ab')2 eq
|
$2,836.95 |
$2,836.95 |
$2,836.95 |
$2,388.06
|
|
Injection epidural blood patch or clot
|
$1,008.83 |
$1,008.83 |
$1,008.83 |
$1,470.60
|
|
Injection for arthrography wrist (both sides)
|
$395.57 |
$395.57 |
$395.57 |
$521.18
|
|
Injection, inclisiran, 1 mg
|
$25.83 |
$25.83 |
$25.83 |
$12.72
|
|
Injection into hemorrhoid(s)
|
$713.27 |
$713.27 |
$713.27 |
$1,133.20
|
|
Injection,onabotulinumtoxina
|
$13.88 |
$13.88 |
$13.88 |
$12.88
|
|
Injection radioactive tracer sentinel node (both sides)
|
$347.75 |
$347.75 |
$347.75 |
$787.50
|
|
Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides)
|
$725.12 |
$725.12 |
$725.12 |
$1,066.24
|
|
Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance
|
$984.14 |
$984.14 |
$984.14 |
$1,758.12
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$55.98 |
$55.98 |
$55.98 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$55.98 |
$55.98 |
$55.98 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$127.74 |
$127.74 |
$127.74 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$90.32 |
$90.32 |
$90.32 |
$130.19
|
|
Inj epidural sgl lumb-sacral without img
|
$937.22 |
$937.22 |
$937.22 |
$1,260.60
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$1,246.05 |
$1,246.05 |
$1,246.05 |
$1,522.56
|
|
Inj w/fluor eval cv device
|
$1,228.01 |
$1,228.01 |
$1,228.01 |
$573.00
|
|
Ins cerv dilator (sep proc)
|
$207.93 |
$207.93 |
$207.93 |
$557.60
|
|
Insert cath pleura with image
|
$1,808.99 |
$1,808.99 |
$1,808.99 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$127.59 |
$127.59 |
$127.59 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$131.54 |
$131.54 |
$131.54 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,274.12 |
$1,274.12 |
$1,274.12 |
$2,457.24
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,417.76 |
$1,417.76 |
$1,417.76 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,714.17 |
$1,714.17 |
$1,714.17 |
$2,367.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$264.15 |
$264.15 |
$264.15 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$251.55 |
$251.55 |
$251.55 |
$364.00
|
|
Ins mark abd/pel for right perq
|
$1,342.05 |
$1,342.05 |
$1,342.05 |
$2,000.78
|
|
Ins pq tunnld ip cath w/img
|
$3,024.83 |
$3,024.83 |
$3,024.83 |
$5,597.45
|
|
Insulin total
|
$72.20 |
$72.20 |
$72.20 |
$72.15
|
|
Integra meshed bil wound mat
|
$155.94 |
$155.94 |
$155.94 |
$11,119.26
|
|
Interdiscal perq aspir dx
|
$775.85 |
$775.85 |
$775.85 |
$1,222.26
|
|
Intrapul surf admin endo tube
|
$128.94 |
$128.94 |
$128.94 |
$220.80
|
|
Intrinsic factor antibody
|
$74.40 |
$74.40 |
$74.40 |
$76.77
|
|
Intro long gi tube w/mult fluo
|
$205.52 |
$205.52 |
$205.52 |
$469.00
|
|
Intubation endotracheal emergency procedure
|
$565.88 |
$565.88 |
$565.88 |
$565.00
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$9.32 |
$9.32 |
$9.32 |
$4.59
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.99 |
$2.99 |
$2.99 |
$145.52
|
|
Ipratropium bromide non-comp
|
$0.29 |
$0.29 |
$0.29 |
$2.43
|
|
Iron
|
$449.37 |
$449.37 |
$449.37 |
$67.50
|
|
Iron binding capacity
|
$49.31 |
$49.31 |
$49.31 |
$55.00
|
|
Iron dextran 50 mg/ml injection solution
|
$38.16 |
$38.16 |
$38.16 |
$38.16
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.37 |
$1.37 |
$1.37 |
$211.09
|
|
Irrigation implantable venous access device for drug delivery systems
|
$46.80 |
$46.80 |
$46.80 |
$149.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$148.44 |
$148.44 |
$148.44 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$36.90 |
$36.90 |
$36.90 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$71.96 |
$71.96 |
$71.96 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$148.43 |
$148.43 |
$148.43 |
$476.50
|
|
Ivp w/wo kub w/wo tomography
|
$313.01 |
$313.01 |
$313.01 |
$687.80
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$44.42 |
$44.42 |
$44.42 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$7.02 |
$7.02 |
$7.02 |
$17.11
|
|
Kidney imag w/bld flow multi
|
$607.40 |
$607.40 |
$607.40 |
$1,319.61
|
|
Kidney img w/bldflw sgl without rx
|
$567.90 |
$567.90 |
$567.90 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$280.17 |
$280.17 |
$280.17 |
$618.54
|
|
Knee MRI (with and without contrast)
|
$972.87 |
$972.87 |
$972.87 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$1,150.11 |
$1,150.11 |
$1,150.11 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$927.65 |
$927.65 |
$927.65 |
$2,120.00
|
|
Knee X-ray
|
$146.13 |
$146.13 |
$146.13 |
$387.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$4.89 |
$4.89 |
$4.89 |
$13.00
|
|
Lactate dehydrogenase (ldh)
|
$34.23 |
$34.23 |
$34.23 |
$50.55
|
|
Lactated ringers intravenous solution
|
$46.35 |
$46.35 |
$46.35 |
$46.35
|
|
Lactic acid
|
$68.00 |
$68.00 |
$68.00 |
$85.20
|
|
Lead capillary
|
$66.32 |
$66.32 |
$66.32 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$634.35 |
$634.35 |
$634.35 |
$1,053.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$21.50 |
$21.50 |
$21.50 |
$115.27
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.18 |
$0.18 |
$0.18 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$148.74 |
$148.74 |
$148.74 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$11.82 |
$11.82 |
$11.82 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$20.46 |
$20.46 |
$20.46 |
$343.13
|
|
Lidocaine therapeutic drug level
|
$77.45 |
$77.45 |
$77.45 |
$82.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$46.65 |
$46.65 |
$46.65 |
$84.28
|
|
Lipase
|
$41.90 |
$41.90 |
$41.90 |
$67.68
|
|
Lipoprotein blood quant
|
$28.82 |
$28.82 |
$28.82 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$53.36 |
$53.36 |
$53.36 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$81.65 |
$81.65 |
$81.65 |
$61.60
|
|
Lithium therapeutic drug level
|
$50.33 |
$50.33 |
$50.33 |
$62.40
|
|
Liver Function Test
|
$105.26 |
$105.26 |
$105.26 |
$92.85
|
|
Liver/spleen imag static only
|
$540.83 |
$540.83 |
$540.83 |
$1,135.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$6.12 |
$6.12 |
$6.12 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$861.47 |
$861.47 |
$861.47 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$961.67 |
$961.67 |
$961.67 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$889.92 |
$889.92 |
$889.92 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,356.98 |
$1,356.98 |
$1,356.98 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$965.33 |
$965.33 |
$965.33 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$930.30 |
$930.30 |
$930.30 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$172.35 |
$172.35 |
$172.35 |
$328.23
|
|
L/s ratio fetal lung
|
$136.35 |
$136.35 |
$136.35 |
$173.55
|
|
Lung Function Test (Spirometry)
|
$161.93 |
$161.93 |
$161.93 |
$290.89
|
|
Lung perfusion imaging
|
$657.60 |
$657.60 |
$657.60 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$718.80 |
$718.80 |
$718.80 |
$1,330.00
|
|
Macroscopic exam arthropod
|
$3.63 |
$3.63 |
$3.63 |
$38.50
|
|
Macroscopic exam parasite
|
$3.66 |
$3.66 |
$3.66 |
$35.98
|
|
Magnesium
|
$73.44 |
$73.44 |
$73.44 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$8.84 |
$8.84 |
$8.84 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$72.00 |
$72.00 |
$72.00 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$75.56 |
$75.56 |
$75.56 |
$147.72
|
|
Mannitol 12.5 gm/50 ml inj
|
$6.32 |
$6.32 |
$6.32 |
$33.24
|
|
M.avium-intra dna amp prob
|
$112.07 |
$112.07 |
$112.07 |
$113.31
|