|
Insertion of new/replacement ppm w/transvenous electrode(s) ventricular
|
$37,438.83 |
$37,438.83 |
$37,438.83 |
$12,813.28
|
|
Insertion pacing electrode lv pacing w/insertion of ppm/implantable defibrillator
|
$52,645.20 |
$52,645.20 |
$52,645.20 |
$9,855.00
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$2,368.85 |
$2,368.85 |
$2,368.85 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$5,978.45 |
$5,978.45 |
$5,978.45 |
$2,527.91
|
|
Insertion/replacement implantable defibrillator w/lead(s) single/dual chamber
|
$28,468.21 |
$28,468.21 |
$28,468.21 |
$29,997.52
|
|
Insertion/replacement temporary single chamber electrode/pacemaker catheter
|
$20,782.90 |
$20,782.90 |
$20,782.90 |
$7,572.47
|
|
Insertion single tranvenous electrode/ppm/implantable defibrillator
|
$26,050.73 |
$26,050.73 |
$26,050.73 |
$7,673.12
|
|
Insertion subcutaneous cardiac rhythm monitor
|
$16,974.45 |
$16,974.45 |
$16,974.45 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$7,825.02 |
$7,825.02 |
$7,825.02 |
$5,470.54
|
|
Insert/repl sq defib w/eltrd
|
$69,312.00 |
$69,312.00 |
$69,312.00 |
$33,948.20
|
|
Insert vad art access left hrt arterial access
|
$5,324.70 |
$5,324.70 |
$5,324.70 |
$5,062.80
|
|
In situ hybridization per specimen each additional single probe stain
|
$936.62 |
$936.62 |
$936.62 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$684.92 |
$684.92 |
$684.92 |
$338.40
|
|
Ins lv lead exist pm/icd
|
$52,645.20 |
$52,645.20 |
$52,645.20 |
$12,384.25
|
|
Ins picad w subq port 5yr>
|
$8,891.66 |
$8,891.66 |
$8,891.66 |
$4,341.66
|
|
Ins pq tunnld ip cath w/img
|
$10,181.55 |
$10,181.55 |
$10,181.55 |
$5,593.60
|
|
Ins/rpl pm w/tv ld atrl
|
$27,856.28 |
$27,856.28 |
$27,856.28 |
$12,384.25
|
|
Instill, bupivac and meloxic
|
$786.78 |
$786.78 |
$786.78 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$11,089.20 |
$11,089.20 |
$11,089.20 |
$4,748.00
|
|
Insulin total
|
$189.02 |
$189.02 |
$189.02 |
$67.60
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,935.92 |
$2,935.92 |
$2,935.92 |
$1,182.15
|
|
Intrapul surf admin endo tube
|
$1,335.52 |
$1,335.52 |
$1,335.52 |
$239.52
|
|
Intrinsic factor antibody
|
$334.57 |
$334.57 |
$334.57 |
$59.95
|
|
Intro cath dialysis circuit
|
$2,583.12 |
$2,583.12 |
$2,583.12 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$13,492.54 |
$13,492.54 |
$13,492.54 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$21,917.13 |
$21,917.13 |
$21,917.13 |
$15,625.00
|
|
Intro catheter aorta
|
$1,861.61 |
$1,861.61 |
$1,861.61 |
$1,861.61
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,189.90 |
$4,189.90 |
$4,189.90 |
$3,510.75
|
|
Intubation endotracheal emergency procedure
|
$1,189.22 |
$1,189.22 |
$1,189.22 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$492.98 |
$492.98 |
$492.98 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$768.29 |
$768.29 |
$768.29 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$13,338.91 |
$13,338.91 |
$13,338.91 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$6.92 |
$6.92 |
$6.92 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$96.74 |
$96.74 |
$96.74 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$1,008.58 |
$1,008.58 |
$1,008.58 |
$6,655.71
|
|
Iron
|
$691.23 |
$691.23 |
$691.23 |
$70.72
|
|
Iron binding capacity
|
$160.38 |
$160.38 |
$160.38 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$129.63 |
$129.63 |
$129.63 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$277.26 |
$277.26 |
$277.26 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$260.79 |
$260.79 |
$260.79 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$4,058.50 |
$4,058.50 |
$4,058.50 |
$13,419.80
|
|
Ivc venogram s&i
|
$6,141.98 |
$6,141.98 |
$6,141.98 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$1,833.06 |
$1,833.06 |
$1,833.06 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$357.20 |
$357.20 |
$357.20 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$366.64 |
$366.64 |
$366.64 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,876.96 |
$1,876.96 |
$1,876.96 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$1,339.96 |
$1,339.96 |
$1,339.96 |
$378.30
|
|
John cunningham antibody
|
$207.17 |
$207.17 |
$207.17 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$132.42 |
$132.42 |
$132.42 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$89.22 |
$89.22 |
$89.22 |
$30.08
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,161.71 |
$1,161.71 |
$1,161.71 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$5,923.72 |
$5,923.72 |
$5,923.72 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$4,149.99 |
$4,149.99 |
$4,149.99 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,056.69 |
$4,056.69 |
$4,056.69 |
$2,181.10
|
|
Knee X-ray
|
$679.13 |
$679.13 |
$679.13 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$154.96 |
$154.96 |
$154.96 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$132.31 |
$132.31 |
$132.31 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$176.01 |
$176.01 |
$176.01 |
$53.30
|
|
Lactated ringers intravenous solution
|
$116.56 |
$116.56 |
$116.56 |
$54.11
|
|
Lactic acid
|
$76.37 |
$76.37 |
$76.37 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$99.46 |
$99.46 |
$99.46 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$30,508.06 |
$30,508.06 |
$30,508.06 |
$22,903.90
|
|
Lead capillary
|
$309.88 |
$309.88 |
$309.88 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,975.02 |
$2,975.02 |
$2,975.02 |
$1,100.74
|
|
Leishmania antibody
|
$121.19 |
$121.19 |
$121.19 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$202.68 |
$202.68 |
$202.68 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$323.37 |
$323.37 |
$323.37 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$243.75 |
$243.75 |
$243.75 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$190.78 |
$190.78 |
$190.78 |
$66.59
|
|
Lidocaine therapeutic drug level
|
$390.22 |
$390.22 |
$390.22 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$294.41 |
$294.41 |
$294.41 |
$177.90
|
|
Lipase
|
$326.49 |
$326.49 |
$326.49 |
$83.20
|
|
Lipoprotein blood quant
|
$547.19 |
$547.19 |
$547.19 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$213.86 |
$213.86 |
$213.86 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$43.92 |
$43.92 |
$43.92 |
$60.00
|
|
Lithium therapeutic drug level
|
$225.36 |
$225.36 |
$225.36 |
$67.60
|
|
Liver Function Test
|
$363.81 |
$363.81 |
$363.81 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.10 |
$44.10 |
$44.10 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$36.76 |
$36.76 |
$36.76 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,081.55 |
$5,081.55 |
$5,081.55 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,302.62 |
$4,302.62 |
$4,302.62 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$4,007.51 |
$4,007.51 |
$4,007.51 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,565.11 |
$5,565.11 |
$5,565.11 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,346.09 |
$4,346.09 |
$4,346.09 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$620.07 |
$620.07 |
$620.07 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$404.69 |
$404.69 |
$404.69 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$574.01 |
$574.01 |
$574.01 |
$298.50
|
|
Lymphatics/lymph node imaging
|
$3,529.80 |
$3,529.80 |
$3,529.80 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$2,025.58 |
$2,025.58 |
$2,025.58 |
$266.20
|
|
Macroscopic exam parasite
|
$136.58 |
$136.58 |
$136.58 |
$38.50
|
|
Magnesium
|
$222.26 |
$222.26 |
$222.26 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$190.78 |
$190.78 |
$190.78 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$354.44 |
$354.44 |
$354.44 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$572.01 |
$572.01 |
$572.01 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$95.92 |
$95.92 |
$95.92 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$13,011.21 |
$13,011.21 |
$13,011.21 |
$34,164.07
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$198.21 |
$198.21 |
$198.21 |
$66.50
|
|
Mayo aathr protein s free
|
$411.36 |
$411.36 |
$411.36 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$292.94 |
$292.94 |
$292.94 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$400.21 |
$400.21 |
$400.21 |
$172.90
|