|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$1,209.93 |
$1,209.93 |
$1,209.93 |
$93.60
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$856.46 |
$856.46 |
$856.46 |
$143.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$4,167.80 |
$4,167.80 |
$4,167.80 |
$855.45
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$500.00 |
$500.00 |
$500.00 |
$149.13
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$1,033.19 |
$1,033.19 |
$1,033.19 |
$208.00
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$856.46 |
$856.46 |
$856.46 |
$136.00
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$631.41 |
$631.41 |
$631.41 |
$97.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$500.00 |
$500.00 |
$500.00 |
$112.45
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$1,426.30 |
$1,426.30 |
$1,426.30 |
$296.71
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$767.70 |
$767.70 |
$767.70 |
$200.20
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,252.22 |
$1,252.22 |
$1,252.22 |
$228.38
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$1,900.24 |
$1,900.24 |
$1,900.24 |
$381.55
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$173.56 |
$173.56 |
$173.56 |
$76.00
|
|
Infuse radioactive materials
|
$6,199.17 |
$6,199.17 |
$6,199.17 |
$600.89
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$782.08 |
$782.08 |
$782.08 |
$357.05
|
|
Initiation & management bipap/cpap initial day
|
$3,520.09 |
$3,520.09 |
$3,520.09 |
$627.00
|
|
Inj, bupivacaine liposome
|
$1,073.79 |
$1,073.79 |
$1,073.79 |
$1,040.36
|
|
Inj calcitriol per 0.1 mcg
|
$407.46 |
$407.46 |
$407.46 |
$29.35
|
|
Inj cefazolin (wg crit care)
|
$32.05 |
$32.05 |
$32.05 |
$18.05
|
|
Inj ceftolozane tazobactam
|
$647.92 |
$647.92 |
$647.92 |
$333.00
|
|
Inj crotalidae im f(ab')2 eq
|
$2,645.56 |
$2,645.56 |
$2,645.56 |
$2,735.85
|
|
Injection, doxercalciferol
|
$427.50 |
$427.50 |
$427.50 |
$28.25
|
|
Inj hydroxocobalamin IV 25mg
|
$2,739.71 |
$2,739.71 |
$2,739.71 |
$3,180.35
|
|
Inj levocarnitine per 1 gm
|
$122.13 |
$122.13 |
$122.13 |
$122.28
|
|
Inj., meropenem, vaborbactam
|
$670.10 |
$670.10 |
$670.10 |
$618.43
|
|
Inj meropenem (wg crit care)
|
$2,041.30 |
$2,041.30 |
$2,041.30 |
$104.12
|
|
Inj, moxifloxacin 100 mg
|
$629.22 |
$629.22 |
$629.22 |
$153.27
|
|
Inj. mycophenolate mofetil
|
$281.88 |
$281.88 |
$281.88 |
$374.72
|
|
Inj progesterone per 50 mg
|
$17.37 |
$17.37 |
$17.37 |
$49.00
|
|
Ins cath ren art 1st bi
|
$4,344.17 |
$4,344.17 |
$4,344.17 |
$6,033.75
|
|
Ins cath ren art 2nd+ bi
|
$4,999.26 |
$4,999.26 |
$4,999.26 |
$5,349.00
|
|
Insert cath pleura with image
|
$8,579.16 |
$8,579.16 |
$8,579.16 |
$2,239.02
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$5,136.58 |
$5,136.58 |
$5,136.58 |
$6,832.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$5,366.52 |
$5,366.52 |
$5,366.52 |
$2,505.60
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular
|
$18,642.20 |
$18,642.20 |
$18,642.20 |
$13,588.90
|
|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$17,059.06 |
$17,059.06 |
$17,059.06 |
$12,384.25
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$29,146.96 |
$29,146.96 |
$29,146.96 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$6,410.38 |
$6,410.38 |
$6,410.38 |
$7,216.00
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$8,929.86 |
$8,929.86 |
$8,929.86 |
$7,504.00
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$17,753.85 |
$17,753.85 |
$17,753.85 |
$9,746.29
|
|
Insert pm/icd lead dual
|
$14,231.87 |
$14,231.87 |
$14,231.87 |
$7,562.63
|
|
Insert/repl sq defib w/eltrd
|
$35,446.52 |
$35,446.52 |
$35,446.52 |
$33,948.20
|
|
Insert sq defib electrode
|
$19,006.14 |
$19,006.14 |
$19,006.14 |
$8,177.40
|
|
Insert vad art access left hrt arterial access
|
$6,380.60 |
$6,380.60 |
$6,380.60 |
$5,135.65
|
|
Ins icd gen exist mlt leads
|
$7,436.03 |
$7,436.03 |
$7,436.03 |
$31,286.77
|
|
Ins icd gen exist sgl lead
|
$17,287.35 |
$17,287.35 |
$17,287.35 |
$24,844.79
|
|
Insitu hybridization auto
|
$735.00 |
$735.00 |
$735.00 |
$398.16
|
|
Insitu hybridization (fish)
|
$2,746.14 |
$2,746.14 |
$2,746.14 |
$481.60
|
|
Insitu hybridization manual
|
$1,887.00 |
$1,887.00 |
$1,887.00 |
$411.33
|
|
In situ hybridization per specimen each additional single probe stain
|
$2,746.14 |
$2,746.14 |
$2,746.14 |
$264.00
|
|
Insj perq vad r hrt venous
|
$32,244.38 |
$32,244.38 |
$32,244.38 |
$5,334.45
|
|
Ins lv lead exist pm/icd
|
$13,666.10 |
$13,666.10 |
$13,666.10 |
$12,384.25
|
|
Ins pm gen exist dual lead
|
$7,158.13 |
$7,158.13 |
$7,158.13 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$6,651.91 |
$6,651.91 |
$6,651.91 |
$15,522.84
|
|
Ins/rpl ldless pm right vent w img & eval
|
$66,436.34 |
$66,436.34 |
$66,436.34 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$18,523.10 |
$18,523.10 |
$18,523.10 |
$11,583.66
|
|
Ins/rpl pm gen exist sgl lead
|
$18,337.81 |
$18,337.81 |
$18,337.81 |
$9,793.46
|
|
Ins/rpl pm w/tv ld atrl
|
$16,043.32 |
$16,043.32 |
$16,043.32 |
$12,384.25
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$142,140.00 |
$142,140.00 |
$142,140.00 |
$25,106.90
|
|
Interferon alfa-2b inj
|
$188.36 |
$188.36 |
$188.36 |
$473.03
|
|
Interrog device eval heart
|
$1,300.13 |
$1,300.13 |
$1,300.13 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$850.85 |
$850.85 |
$850.85 |
$124.80
|
|
Intracard echo interv w/s&i
|
$2,812.61 |
$2,812.61 |
$2,812.61 |
$4,013.16
|
|
Intracranial complete study
|
$304.55 |
$304.55 |
$304.55 |
$841.73
|
|
Intracranial limited study
|
$304.55 |
$304.55 |
$304.55 |
$418.44
|
|
Intrapul surf admin endo tube
|
$1,152.52 |
$1,152.52 |
$1,152.52 |
$239.52
|
|
Intrinsic factor antibody
|
$500.00 |
$500.00 |
$500.00 |
$59.95
|
|
Intro cath dialysis circuit
|
$5,808.23 |
$5,808.23 |
$5,808.23 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$9,297.11 |
$9,297.11 |
$9,297.11 |
$8,683.70
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$16,448.62 |
$16,448.62 |
$16,448.62 |
$15,762.09
|
|
Ipratropium bromide non-comp
|
$36.06 |
$36.06 |
$36.06 |
$11.59
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$23,998.55 |
$23,998.55 |
$23,998.55 |
$236.99
|
|
Iron binding capacity
|
$1,341.34 |
$1,341.34 |
$1,341.34 |
$61.47
|
|
Iron dextran 50 mg/ml injection solution
|
$66.80 |
$66.80 |
$66.80 |
$61.17
|
|
Irradiation of blood product each unit reference
|
$271.90 |
$271.90 |
$271.90 |
$124.24
|
|
Ivp w/wo kub w/wo tomography
|
$7,960.08 |
$7,960.08 |
$7,960.08 |
$692.18
|
|
Kras gene variants exon 2
|
$1,932.50 |
$1,932.50 |
$1,932.50 |
$495.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$726.45 |
$726.45 |
$726.45 |
$207.29
|
|
Lactoferrin fecal qualitative
|
$1,570.95 |
$1,570.95 |
$1,570.95 |
$85.83
|
|
Levetiracetam therapeutic drug level
|
$415.40 |
$415.40 |
$415.40 |
$74.92
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$51.84 |
$51.84 |
$51.84 |
$35.62
|
|
Lidocaine therapeutic drug level
|
$164.65 |
$164.65 |
$164.65 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$366.00 |
$366.00 |
$366.00 |
$172.04
|
|
Lipase
|
$936.52 |
$936.52 |
$936.52 |
$81.25
|
|
Lipoprotein direct measurement hdl
|
$1,151.01 |
$1,151.01 |
$1,151.01 |
$54.60
|
|
Lithium therapeutic drug level
|
$868.55 |
$868.55 |
$868.55 |
$66.43
|
|
Liver Function Test
|
$2,178.17 |
$2,178.17 |
$2,178.17 |
$111.13
|
|
Lower Back (Lumbar Spine) X-ray
|
$3,837.12 |
$3,837.12 |
$3,837.12 |
$341.64
|
|
L/s ratio fetal lung
|
$3,595.04 |
$3,595.04 |
$3,595.04 |
$168.00
|
|
Lumbar diskogram s&i
|
$4,521.04 |
$4,521.04 |
$4,521.04 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$250.62 |
$250.62 |
$250.62 |
$295.35
|
|
Lung perfusion imaging
|
$5,065.36 |
$5,065.36 |
$5,065.36 |
$1,082.75
|
|
Macroscopic exam parasite
|
$500.00 |
$500.00 |
$500.00 |
$36.40
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$807.98 |
$807.98 |
$807.98 |
$136.64
|
|
Manipulation chest wall initial demonstration/evaluation
|
$621.99 |
$621.99 |
$621.99 |
$163.15
|
|
Mannitol 12.5 gm/50 ml inj
|
$32.05 |
$32.05 |
$32.05 |
$40.12
|
|
Map tachycard site(s)
|
$10,138.00 |
$10,138.00 |
$10,138.00 |
$3,960.00
|
|
M.avium-intra dna amp prob
|
$125.37 |
$125.37 |
$125.37 |
$112.07
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$2,087.54 |
$2,087.54 |
$2,087.54 |
$71.78
|