|
Intraoral i+d tongue/floor lingual 41000
|
$929.00 |
$929.00 |
$929.00 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$418.50 |
$418.50 |
$418.50 |
$220.80
|
|
Intraventricular pacing
|
$1,705.50 |
$1,705.50 |
$1,705.50 |
$5,456.17
|
|
Intrinsic factor antibody
|
$20.00 |
$20.00 |
$20.00 |
$63.15
|
|
Intro cath dialysis circuit
|
$3,683.50 |
$3,683.50 |
$3,683.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$8,568.50 |
$8,568.50 |
$8,568.50 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$10,186.00 |
$10,186.00 |
$10,186.00 |
$16,262.40
|
|
Intro catheter aorta
|
$2,795.00 |
$2,795.00 |
$2,795.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,633.00 |
$1,633.00 |
$1,633.00 |
$1,323.27
|
|
Intro long gi tube
|
$767.00 |
$767.00 |
$767.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$652.00 |
$652.00 |
$652.00 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$7,280.50 |
$7,280.50 |
$7,280.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$5,116.00 |
$5,116.00 |
$5,116.00 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$1,491.00 |
$1,491.00 |
$1,491.00 |
$598.80
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$951.50 |
$951.50 |
$951.50 |
$288.11
|
|
Iron
|
$272.50 |
$272.50 |
$272.50 |
$72.29
|
|
Iron binding capacity
|
$245.50 |
$245.50 |
$245.50 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$92.00 |
$92.00 |
$92.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$168.00 |
$168.00 |
$168.00 |
$144.62
|
|
Ivc venogram s&i
|
$3,181.00 |
$3,181.00 |
$3,181.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$560.50 |
$560.50 |
$560.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$510.00 |
$510.00 |
$510.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$324.00 |
$324.00 |
$324.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$642.00 |
$642.00 |
$642.00 |
$437.45
|
|
Ivp w/nephrotomography
|
$1,523.00 |
$1,523.00 |
$1,523.00 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$2,097.00 |
$2,097.00 |
$2,097.00 |
$692.18
|
|
Jejunstmy tube plcmt
|
$812.00 |
$812.00 |
$812.00 |
$2,174.40
|
|
John cunningham antibody
|
$30.00 |
$30.00 |
$30.00 |
$66.31
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$219.00 |
$219.00 |
$219.00 |
$58.50
|
|
Kidney endoscopy & treatment
|
$555.50 |
$555.50 |
$555.50 |
$5,626.86
|
|
Kidney function study
|
$968.50 |
$968.50 |
$968.50 |
$968.50
|
|
Kidney imag w/bld flow multi
|
$1,675.50 |
$1,675.50 |
$1,675.50 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$2,255.50 |
$2,255.50 |
$2,255.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,295.50 |
$2,295.50 |
$2,295.50 |
$673.36
|
|
Kit gene analys d816 variant
|
$280.00 |
$280.00 |
$280.00 |
$366.03
|
|
Knee MRI (with and without contrast)
|
$1,504.00 |
$1,504.00 |
$1,504.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,367.50 |
$1,367.50 |
$1,367.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,243.50 |
$1,243.50 |
$1,243.50 |
$2,110.76
|
|
Knee X-ray
|
$904.50 |
$904.50 |
$904.50 |
$425.55
|
|
Kras gene addl variants
|
$329.00 |
$329.00 |
$329.00 |
$386.75
|
|
Kras gene variants exon 2
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$509.00
|
|
Lactate dehydrogenase (ldh)
|
$426.50 |
$426.50 |
$426.50 |
$55.50
|
|
Lactation class
|
$123.00 |
$123.00 |
$123.00 |
$93.71
|
|
Lactic acid
|
$373.00 |
$373.00 |
$373.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$162.50 |
$162.50 |
$162.50 |
$81.00
|
|
Laryngoscopy and dilation
|
$1,642.50 |
$1,642.50 |
$1,642.50 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$919.00 |
$919.00 |
$919.00 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$2,854.09
|
|
Lead capillary
|
$10.50 |
$10.50 |
$10.50 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$3,446.00 |
$3,446.00 |
$3,446.00 |
$1,092.58
|
|
Leishmania antibody
|
$44.00 |
$44.00 |
$44.00 |
$58.50
|
|
Levetiracetam therapeutic drug level
|
$20.00 |
$20.00 |
$20.00 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$4,507.50 |
$4,507.50 |
$4,507.50 |
$6,095.95
|
|
Lidocaine therapeutic drug level
|
$158.50 |
$158.50 |
$158.50 |
$87.45
|
|
Ligate oviduct(s) add-on 58611
|
$800.00 |
$800.00 |
$800.00 |
$800.00
|
|
Ligation vericose vein cluster(s) 1 leg
|
$3,926.50 |
$3,926.50 |
$3,926.50 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$3,918.50 |
$3,918.50 |
$3,918.50 |
$4,676.50
|
|
Lipase
|
$337.00 |
$337.00 |
$337.00 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$61.00 |
$61.00 |
$61.00 |
$86.42
|
|
Lipoprotein blood quant
|
$32.00 |
$32.00 |
$32.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$126.50 |
$126.50 |
$126.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$26.50 |
$26.50 |
$26.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$208.00 |
$208.00 |
$208.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,943.50 |
$4,943.50 |
$4,943.50 |
$4,113.20
|
|
Liver Function Test
|
$558.00 |
$558.00 |
$558.00 |
$115.44
|
|
Liver image (3d) with flow
|
$2,182.00 |
$2,182.00 |
$2,182.00 |
$1,505.81
|
|
Liver/spleen imag static only
|
$1,933.50 |
$1,933.50 |
$1,933.50 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,816.00 |
$1,816.00 |
$1,816.00 |
$1,069.20
|
|
Low cost skin substitute app
|
$829.50 |
$829.50 |
$829.50 |
$933.60
|
|
Low cost skin substitute app
|
$1,693.00 |
$1,693.00 |
$1,693.00 |
$2,147.57
|
|
Low cost skin substitute app
|
$667.50 |
$667.50 |
$667.50 |
$1,012.00
|
|
Low cost skin substitute app
|
$923.50 |
$923.50 |
$923.50 |
$1,009.49
|
|
Low cost skin substitute app
|
$246.50 |
$246.50 |
$246.50 |
$428.35
|
|
Low cost skin substitute app
|
$833.00 |
$833.00 |
$833.00 |
$727.77
|
|
Low cost skin substitute app
|
$246.50 |
$246.50 |
$246.50 |
$408.04
|
|
Low cost skin substitute app
|
$758.00 |
$758.00 |
$758.00 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,481.50 |
$1,481.50 |
$1,481.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,347.00 |
$1,347.00 |
$1,347.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,224.50 |
$1,224.50 |
$1,224.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,278.00 |
$1,278.00 |
$1,278.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,161.50 |
$1,161.50 |
$1,161.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$732.00 |
$732.00 |
$732.00 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$749.00 |
$749.00 |
$749.00 |
$364.00
|
|
Lumbar diskogram s&i
|
$1,966.50 |
$1,966.50 |
$1,966.50 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$296.00 |
$296.00 |
$296.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$963.50 |
$963.50 |
$963.50 |
$295.35
|
|
Lung perfusion imaging
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$1,059.97
|
|
Lvad shower bag heartmate
|
$958.50 |
$958.50 |
$958.50 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$2,239.00 |
$2,239.00 |
$2,239.00 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$339.00 |
$339.00 |
$339.00 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$3,549.50 |
$3,549.50 |
$3,549.50 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$46.50 |
$46.50 |
$46.50 |
$38.58
|
|
Macroscopic exam parasite
|
$46.50 |
$46.50 |
$46.50 |
$36.55
|
|
Magnesium
|
$290.00 |
$290.00 |
$290.00 |
$72.50
|
|
Magnetic image bone marrow
|
$771.50 |
$771.50 |
$771.50 |
$1,302.80
|
|
Malaria antibody
|
$105.00 |
$105.00 |
$105.00 |
$94.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$143.00 |
$143.00 |
$143.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$219.50 |
$219.50 |
$219.50 |
$160.80
|
|
Manipulation of hip joint
|
$2,491.50 |
$2,491.50 |
$2,491.50 |
$2,211.05
|
