|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$60.03 |
$60.03 |
$60.03 |
$137.67
|
|
Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s)
|
$60.03 |
$60.03 |
$60.03 |
$166.40
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$720.13 |
$720.13 |
$720.13 |
$860.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$60.03 |
$60.03 |
$60.03 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$60.03 |
$60.03 |
$60.03 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$60.03 |
$60.03 |
$60.03 |
$201.50
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$60.03 |
$60.03 |
$60.03 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$14.72 |
$14.72 |
$14.72 |
$100.00
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b
|
$46.23 |
$46.23 |
$46.23 |
$217.70
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv
|
$60.26 |
$60.26 |
$60.26 |
$236.08
|
|
Infectious agent nucleic acid amplified probe streptococcus group a
|
$60.03 |
$60.03 |
$60.03 |
$94.50
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$30.36 |
$30.36 |
$30.36 |
$105.27
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$34.27 |
$34.27 |
$34.27 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$395.14 |
$395.14 |
$395.14 |
$711.93
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets
|
$219.88 |
$219.88 |
$219.88 |
$283.20
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets
|
$365.93 |
$365.93 |
$365.93 |
$429.93
|
|
Infectious agent nucleic acid quantification bk virus
|
$73.83 |
$73.83 |
$73.83 |
$283.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$73.83 |
$73.83 |
$73.83 |
$237.78
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$73.83 |
$73.83 |
$73.83 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$146.28 |
$146.28 |
$146.28 |
$375.00
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$52.67 |
$52.67 |
$52.67 |
$293.04
|
|
Initiation & management bipap/cpap initial day
|
$230.23 |
$230.23 |
$230.23 |
$576.00
|
|
Injection radioactive tracer sentinel node (both sides)
|
$474.03 |
$474.03 |
$474.03 |
$674.48
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$201.94 |
$201.94 |
$201.94 |
$1,045.65
|
|
Injection(s) tendon sheath/ligament aponeurosis single (both sides)
|
$231.15 |
$231.15 |
$231.15 |
$460.94
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$241.50 |
$241.50 |
$241.50 |
$522.55
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$27.37 |
$27.37 |
$27.37 |
$166.38
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$42.78 |
$42.78 |
$42.78 |
$145.60
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$58.65 |
$58.65 |
$58.65 |
$261.00
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$31.51 |
$31.51 |
$31.51 |
$135.20
|
|
Inj intralesional <= 7 lsn(s)
|
$81.88 |
$81.88 |
$81.88 |
$235.13
|
|
Insert and remove bone pin
|
$497.26 |
$497.26 |
$497.26 |
$4,421.00
|
|
Insert cath pleura without image
|
$1,039.60 |
$1,039.60 |
$1,039.60 |
$2,019.00
|
|
Insertion catheter bladder non indwelling
|
$34.27 |
$34.27 |
$34.27 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$42.32 |
$42.32 |
$42.32 |
$229.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$529.00 |
$529.00 |
$529.00 |
$2,510.50
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$505.08 |
$505.08 |
$505.08 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$1,027.64 |
$1,027.64 |
$1,027.64 |
$2,414.10
|
|
Insert swan-ganz cath
|
$1,784.11 |
$1,784.11 |
$1,784.11 |
$2,210.50
|
|
Insitu hybridization auto
|
$218.27 |
$218.27 |
$218.27 |
$371.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$91.54 |
$91.54 |
$91.54 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$132.25 |
$132.25 |
$132.25 |
$326.04
|
|
Insj phrnc nrv stim sys
|
$13,714.21 |
$13,714.21 |
$13,714.21 |
$53,251.79
|
|
Insj phrnc nrv stim transvns
|
$5,233.65 |
$5,233.65 |
$5,233.65 |
$13,142.86
|
|
Ins left heart vent thor inscn ecmo
|
$454.48 |
$454.48 |
$454.48 |
$1,901.60
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,008.55 |
$1,008.55 |
$1,008.55 |
$1,609.25
|
|
Instll rx agnt into rnal tub
|
$126.50 |
$126.50 |
$126.50 |
$676.00
|
|
Insulin total
|
$19.55 |
$19.55 |
$19.55 |
$66.64
|
|
Integra meshed bil wound mat
|
$114.59 |
$114.59 |
$114.59 |
$9,924.00
|
|
Interrog&prgrmg ipnss
|
$46.69 |
$46.69 |
$46.69 |
$200.00
|
|
Interrog&prgrmg ipnss polysm
|
$144.21 |
$144.21 |
$144.21 |
$422.32
|
|
Interrog without prgrmg ipnss
|
$144.21 |
$144.21 |
$144.21 |
$147.00
|
|
Intrinsic factor antibody
|
$25.76 |
$25.76 |
$25.76 |
$66.60
|
|
Intubation endotracheal emergency procedure
|
$230.46 |
$230.46 |
$230.46 |
$589.60
|
|
Iodine i-123 sod iodide mil
|
$48.99 |
$48.99 |
$48.99 |
$350.74
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$53.18 |
$53.18 |
$53.18 |
$279.10
|
|
Ip/obs cnsltj new/est low 45
|
$70.84 |
$70.84 |
$70.84 |
$174.20
|
|
Ipratropium bromide non-comp
|
$1.67 |
$1.67 |
$1.67 |
$3.75
|
|
Iron
|
$11.04 |
$11.04 |
$11.04 |
$74.40
|
|
Iron binding capacity
|
$15.18 |
$15.18 |
$15.18 |
$63.79
|
|
Irradiation of blood product each unit reference
|
$119.83 |
$119.83 |
$119.83 |
$119.75
|
|
Irrigation implantable venous access device for drug delivery systems
|
$28.98 |
$28.98 |
$28.98 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$43.24 |
$43.24 |
$43.24 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$25.07 |
$25.07 |
$25.07 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$35.42 |
$35.42 |
$35.42 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$90.85 |
$90.85 |
$90.85 |
$439.56
|
|
Jak2 targeted sequence analysis
|
$118.68 |
$118.68 |
$118.68 |
$379.87
|
|
Ketamine and metabolite screen - quest
|
$20.01 |
$20.01 |
$20.01 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$14.26 |
$14.26 |
$14.26 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.77 |
$23.77 |
$23.77 |
$23.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$99.82 |
$99.82 |
$99.82 |
$664.20
|
|
Kit gene analys d816 variant
|
$106.26 |
$106.26 |
$106.26 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$656.19 |
$656.19 |
$656.19 |
$3,022.20
|
|
Knee MRI (without contrast)
|
$603.52 |
$603.52 |
$603.52 |
$2,169.60
|
|
Knee X-ray
|
$78.66 |
$78.66 |
$78.66 |
$425.55
|
|
Lactate dehydrogenase (ldh)
|
$10.35 |
$10.35 |
$10.35 |
$55.44
|
|
Lactic acid
|
$18.40 |
$18.40 |
$18.40 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$33.81 |
$33.81 |
$33.81 |
$80.08
|
|
Lactoferrin fecal quant
|
$20.70 |
$20.70 |
$20.70 |
$106.10
|
|
Laryngoscopy w/fb removal
|
$588.11 |
$588.11 |
$588.11 |
$3,055.20
|
|
Lead capillary
|
$20.70 |
$20.70 |
$20.70 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$337.87 |
$337.87 |
$337.87 |
$1,088.26
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$69.00 |
$69.00 |
$69.00 |
$163.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$225.52 |
$225.52 |
$225.52 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$23.00 |
$23.00 |
$23.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$12.74 |
$12.74 |
$12.74 |
$55.60
|
|
Ligation/major artery/extremity 37618
|
$632.50 |
$632.50 |
$632.50 |
$1,525.00
|
|
Ligation vericose vein cluster(s) 1 leg
|
$310.04 |
$310.04 |
$310.04 |
$3,724.63
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$44.31 |
$44.31 |
$44.31 |
$125.66
|
|
Lipase
|
$11.73 |
$11.73 |
$11.73 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$42.55 |
$42.55 |
$42.55 |
$90.35
|
|
Lipoprotein blood quant
|
$54.28 |
$54.28 |
$54.28 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$14.26 |
$14.26 |
$14.26 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$16.33 |
$16.33 |
$16.33 |
$61.60
|
|
Listeria monocytogenes
|
$14.72 |
$14.72 |
$14.72 |
$117.52
|
|
Lithium therapeutic drug level
|
$11.27 |
$11.27 |
$11.27 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,242.50 |
$2,242.50 |
$2,242.50 |
$3,900.00
|
|
Liver ds alys 3 bmrk srm alg
|
$78.20 |
$78.20 |
$78.20 |
$340.00
|
|
Liver Function Test
|
$13.57 |
$13.57 |
$13.57 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$12.19 |
$12.19 |
$12.19 |
$37.20
|