|
Interrog dev eval scrms ip
|
$513.90 |
$513.90 |
$513.90 |
$124.80
|
|
Interrog&prgrmg ipnss
|
$47.55 |
$47.55 |
$47.55 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$147.00 |
$147.00 |
$147.00 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$147.00 |
$147.00 |
$147.00 |
$147.00
|
|
Intracard echo interv w/s&i
|
$513.90 |
$513.90 |
$513.90 |
$3,429.40
|
|
Intracran angioplsty w/stent
|
$2,838.75 |
$2,838.75 |
$2,838.75 |
$8,440.20
|
|
Intracranial angioplasty
|
$1,912.80 |
$1,912.80 |
$1,912.80 |
$5,099.25
|
|
Intracranial complete study
|
$317.55 |
$317.55 |
$317.55 |
$900.50
|
|
Intracranial limited study
|
$229.50 |
$229.50 |
$229.50 |
$444.66
|
|
Intrapul surf admin endo tube
|
$58.65 |
$58.65 |
$58.65 |
$220.80
|
|
Intrinsic factor antibody
|
$26.40 |
$26.40 |
$26.40 |
$66.60
|
|
Intro cath dialysis circuit
|
$736.65 |
$736.65 |
$736.65 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$2,648.25 |
$2,648.25 |
$2,648.25 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$5,352.30 |
$5,352.30 |
$5,352.30 |
$15,805.00
|
|
Intro catheter aorta
|
$67.35 |
$67.35 |
$67.35 |
$1,654.05
|
|
Intro cath svc/ivc
|
$1,818.15 |
$1,818.15 |
$1,818.15 |
$1,329.90
|
|
Intro long gi tube
|
$329.25 |
$329.25 |
$329.25 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$71.70 |
$71.70 |
$71.70 |
$449.40
|
|
Intubation endotracheal emergency procedure
|
$235.05 |
$235.05 |
$235.05 |
$589.60
|
|
Iodine i-123 sod iodide mil
|
$49.95 |
$49.95 |
$49.95 |
$350.74
|
|
Ionm in operatng room 15 min
|
$77.55 |
$77.55 |
$77.55 |
$191.40
|
|
Ionm remote/>1 pt or per hr
|
$265.35 |
$265.35 |
$265.35 |
$591.36
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$45.83 |
$45.83 |
$45.83 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$60.90 |
$60.90 |
$60.90 |
$279.10
|
|
Ip/obs cnsltj new/est low 45
|
$72.15 |
$72.15 |
$72.15 |
$174.20
|
|
Ipratropium bromide non-comp
|
$1.09 |
$1.09 |
$1.09 |
$3.75
|
|
Iron
|
$11.40 |
$11.40 |
$11.40 |
$74.40
|
|
Iron binding capacity
|
$15.45 |
$15.45 |
$15.45 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$282.45 |
$282.45 |
$282.45 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$122.10 |
$122.10 |
$122.10 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$29.40 |
$29.40 |
$29.40 |
$142.20
|
|
Ivc venogram s&i
|
$1,357.80 |
$1,357.80 |
$1,357.80 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$43.95 |
$43.95 |
$43.95 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$25.65 |
$25.65 |
$25.65 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$36.00 |
$36.00 |
$36.00 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$92.55 |
$92.55 |
$92.55 |
$439.56
|
|
IV inj ra drug dx study
|
$452.25 |
$452.25 |
$452.25 |
$549.70
|
|
Ivp w/wo kub w/wo tomography
|
$119.55 |
$119.55 |
$119.55 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$121.05 |
$121.05 |
$121.05 |
$379.87
|
|
John cunningham antibody
|
$25.20 |
$25.20 |
$25.20 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$20.25 |
$20.25 |
$20.25 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$14.40 |
$14.40 |
$14.40 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$12.23 |
$12.23 |
$12.23 |
$23.50
|
|
Kidney imaging morphology
|
$452.25 |
$452.25 |
$452.25 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$452.25 |
$452.25 |
$452.25 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$452.25 |
$452.25 |
$452.25 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$101.55 |
$101.55 |
$101.55 |
$666.00
|
|
Kit gene analys d816 variant
|
$108.15 |
$108.15 |
$108.15 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$614.85 |
$614.85 |
$614.85 |
$2,169.60
|
|
Knee X-ray
|
$80.10 |
$80.10 |
$80.10 |
$425.55
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$213.59 |
$213.59 |
$213.59 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$10.50 |
$10.50 |
$10.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$7.26 |
$7.26 |
$7.26 |
$45.56
|
|
Lactic acid
|
$18.75 |
$18.75 |
$18.75 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$34.35 |
$34.35 |
$34.35 |
$80.40
|
|
Lactoferrin fecal quant
|
$21.00 |
$21.00 |
$21.00 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$5,293.28 |
$5,293.28 |
$5,293.28 |
$19,124.00
|
|
Laryngoscopy w/fb removal
|
$599.25 |
$599.25 |
$599.25 |
$3,055.20
|
|
Lead capillary
|
$21.15 |
$21.15 |
$21.15 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$344.25 |
$344.25 |
$344.25 |
$1,088.26
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$33.72 |
$33.72 |
$33.72 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$23.10 |
$23.10 |
$23.10 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.26 |
$7.26 |
$7.26 |
$55.60
|
|
Lidocaine therapeutic drug level
|
$25.80 |
$25.80 |
$25.80 |
$89.70
|
|
Ligation/major artery/extremity 37618
|
$644.55 |
$644.55 |
$644.55 |
$1,525.00
|
|
Ligation vericose vein cluster(s) 1 leg
|
$1,070.70 |
$1,070.70 |
$1,070.70 |
$3,724.63
|
|
Limb exercise test
|
$101.40 |
$101.40 |
$101.40 |
$355.54
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$28.90 |
$28.90 |
$28.90 |
$125.66
|
|
Lipase
|
$12.15 |
$12.15 |
$12.15 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$43.50 |
$43.50 |
$43.50 |
$90.35
|
|
Lipoprotein blood quant
|
$55.35 |
$55.35 |
$55.35 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$14.40 |
$14.40 |
$14.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$16.65 |
$16.65 |
$16.65 |
$61.60
|
|
Listeria monocytogenes
|
$15.00 |
$15.00 |
$15.00 |
$117.52
|
|
Lithium therapeutic drug level
|
$11.70 |
$11.70 |
$11.70 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,285.10 |
$2,285.10 |
$2,285.10 |
$3,900.00
|
|
Liver ds alys 3 bmrk srm alg
|
$79.65 |
$79.65 |
$79.65 |
$340.00
|
|
Liver Function Test
|
$13.65 |
$13.65 |
$13.65 |
$115.44
|
|
Liver imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,093.50
|
|
Liver imag w/vasclr flow
|
$474.90 |
$474.90 |
$474.90 |
$1,238.65
|
|
Liver/spleen imag static only
|
$474.90 |
$474.90 |
$474.90 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$498.60 |
$498.60 |
$498.60 |
$1,067.48
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$35.41 |
$35.41 |
$35.41 |
$37.20
|
|
Low cost skin substitute app
|
$267.00 |
$267.00 |
$267.00 |
$909.35
|
|
Low cost skin substitute app
|
$267.00 |
$267.00 |
$267.00 |
$933.60
|
|
Low cost skin substitute app
|
$112.05 |
$112.05 |
$112.05 |
$429.50
|
|
Low cost skin substitute app
|
$112.05 |
$112.05 |
$112.05 |
$349.44
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$587.70 |
$587.70 |
$587.70 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$559.65 |
$559.65 |
$559.65 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$531.75 |
$531.75 |
$531.75 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$668.55 |
$668.55 |
$668.55 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$636.75 |
$636.75 |
$636.75 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$604.95 |
$604.95 |
$604.95 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$65.85 |
$65.85 |
$65.85 |
$352.32
|
|
Lung function test (mbc/mvv)
|
$28.95 |
$28.95 |
$28.95 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$86.40 |
$86.40 |
$86.40 |
$295.35
|
|
Lung perfusion imaging
|
$452.25 |
$452.25 |
$452.25 |
$1,075.25
|
|
Lutetium lu 177 dotatat ther
|
$150.15 |
$150.15 |
$150.15 |
$312.69
|