|
Interdental wirg oth/thn fx
|
$1,825.00 |
$1,825.00 |
$1,825.00 |
$1,944.80
|
|
Interdiscal perq aspir dx
|
$1,540.00 |
$1,540.00 |
$1,540.00 |
$1,222.26
|
|
Interrogate subq defib
|
$69.50 |
$69.50 |
$69.50 |
$119.60
|
|
Interrog dev eval icpms ip
|
$71.50 |
$71.50 |
$71.50 |
$103.50
|
|
Interrog dev eval scrms ip
|
$239.00 |
$239.00 |
$239.00 |
$124.80
|
|
Interrog device eval heart
|
$180.50 |
$180.50 |
$180.50 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$92.00 |
$92.00 |
$92.00 |
$124.80
|
|
Intra-atrial pacing
|
$4,719.50 |
$4,719.50 |
$4,719.50 |
$4,780.80
|
|
Intra-atrial recording
|
$4,719.50 |
$4,719.50 |
$4,719.50 |
$5,252.30
|
|
Intracard echo interv w/s&i
|
$4,864.50 |
$4,864.50 |
$4,864.50 |
$3,461.04
|
|
Intracran angioplsty w/stent
|
$9,909.50 |
$9,909.50 |
$9,909.50 |
$8,145.50
|
|
Intracranial angioplasty
|
$10,657.50 |
$10,657.50 |
$10,657.50 |
$4,962.40
|
|
Intracranial complete study
|
$881.50 |
$881.50 |
$881.50 |
$874.99
|
|
Intracranial limited study
|
$467.50 |
$467.50 |
$467.50 |
$465.01
|
|
Intranasal biopsy 30100
|
$3,190.50 |
$3,190.50 |
$3,190.50 |
$2,133.48
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,622.00 |
$2,622.00 |
$2,622.00 |
$1,331.45
|
|
Intrapul surf admin endo tube
|
$375.50 |
$375.50 |
$375.50 |
$220.80
|
|
Intrauterine transfusion ftl
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$1,063.50
|
|
Intrinsic factor antibody
|
$112.50 |
$112.50 |
$112.50 |
$63.15
|
|
Intro cath dialysis circuit
|
$989.50 |
$989.50 |
$989.50 |
$2,036.94
|
|
Intro cath dialysis circuit w/pta
|
$9,297.00 |
$9,297.00 |
$9,297.00 |
$8,690.50
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$20,804.00 |
$20,804.00 |
$20,804.00 |
$16,262.40
|
|
Intro catheter aorta
|
$3,179.50 |
$3,179.50 |
$3,179.50 |
$1,654.05
|
|
Intro cath svc/ivc
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$1,323.27
|
|
Intro long gi tube
|
$1,946.00 |
$1,946.00 |
$1,946.00 |
$957.18
|
|
Intro long gi tube w/mult fluo
|
$383.50 |
$383.50 |
$383.50 |
$466.00
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$5,326.50 |
$5,326.50 |
$5,326.50 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$5,326.50 |
$5,326.50 |
$5,326.50 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$780.00 |
$780.00 |
$780.00 |
$598.80
|
|
Ionm in operatng room 15 min
|
$77.00 |
$77.00 |
$77.00 |
$200.16
|
|
Ionm remote/>1 pt or per hr
|
$296.00 |
$296.00 |
$296.00 |
$622.70
|
|
Iron
|
$239.50 |
$239.50 |
$239.50 |
$72.29
|
|
Iron binding capacity
|
$37.50 |
$37.50 |
$37.50 |
$63.60
|
|
Irradiation of blood product each unit reference
|
$103.00 |
$103.00 |
$103.00 |
$114.40
|
|
Irrigation implantable venous access device for drug delivery systems
|
$125.00 |
$125.00 |
$125.00 |
$144.62
|
|
Ivc venogram s&i
|
$4,703.00 |
$4,703.00 |
$4,703.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$263.00 |
$263.00 |
$263.00 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$263.00 |
$263.00 |
$263.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$109.00 |
$109.00 |
$109.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$333.00 |
$333.00 |
$333.00 |
$437.45
|
|
IV inj ra drug dx study
|
$227.00 |
$227.00 |
$227.00 |
$552.60
|
|
IV njx tst vasc flo flap/grf
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$476.00
|
|
Ivp w/nephrotomography
|
$1,380.50 |
$1,380.50 |
$1,380.50 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,225.50 |
$1,225.50 |
$1,225.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$556.00 |
$556.00 |
$556.00 |
$393.43
|
|
Jejunstmy tube plcmt
|
$2,299.50 |
$2,299.50 |
$2,299.50 |
$2,174.40
|
|
John cunningham antibody
|
$172.50 |
$172.50 |
$172.50 |
$66.31
|
|
J-tube placement
|
$2,552.50 |
$2,552.50 |
$2,552.50 |
$593.08
|
|
Kafo dbl solid stirrup band/
|
$944.96 |
$944.96 |
$944.96 |
$2,185.15
|
|
Kafo femoral fx cast rigid
|
$980.66 |
$980.66 |
$980.66 |
$2,162.01
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$47.00 |
$47.00 |
$47.00 |
$58.50
|
|
Kidney imaging morphology
|
$913.50 |
$913.50 |
$913.50 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,598.00 |
$1,598.00 |
$1,598.00 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,207.50 |
$1,207.50 |
$1,207.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$584.00 |
$584.00 |
$584.00 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$95.74 |
$95.74 |
$95.74 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,080.62 |
$6,080.62 |
$6,080.62 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$440.50 |
$440.50 |
$440.50 |
$366.03
|
|
Kit lead specify 5-6-5
|
$3,277.84 |
$3,277.84 |
$3,277.84 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$420.73 |
$420.73 |
$420.73 |
$1,667.50
|
|
Knee cap medial or lateral p
|
$104.54 |
$104.54 |
$104.54 |
$104.54
|
|
Knee MRI (with and without contrast)
|
$3,195.50 |
$3,195.50 |
$3,195.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,416.50 |
$2,416.50 |
$2,416.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,230.50 |
$2,230.50 |
$2,230.50 |
$2,110.76
|
|
Knee orth pos locking joint
|
$180.61 |
$180.61 |
$180.61 |
$585.60
|
|
Knee X-ray
|
$242.50 |
$242.50 |
$242.50 |
$425.55
|
|
Ko elastic w/joints pre ots
|
$56.41 |
$56.41 |
$56.41 |
$137.05
|
|
Kras gene addl variants
|
$312.00 |
$312.00 |
$312.00 |
$386.75
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$132.00 |
$132.00 |
$132.00 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$682.50 |
$682.50 |
$682.50 |
$72.80
|
|
Lactate dehydrogenase (ldh)
|
$33.00 |
$33.00 |
$33.00 |
$55.50
|
|
Lactation class
|
$25.00 |
$25.00 |
$25.00 |
$93.71
|
|
Lactic acid
|
$183.00 |
$183.00 |
$183.00 |
$107.00
|
|
Lactoferrin fecal quant
|
$164.00 |
$164.00 |
$164.00 |
$108.93
|
|
Laparo drng lymphocele 49323
|
$4,847.00 |
$4,847.00 |
$4,847.00 |
$5,741.00
|
|
Laparo proc abdm/per/oment 49329
|
$4,373.50 |
$4,373.50 |
$4,373.50 |
$6,622.75
|
|
Largsc w/rmvl foreign bdy(s)
|
$349.00 |
$349.00 |
$349.00 |
$765.97
|
|
Laryngeal function studies
|
$182.50 |
$182.50 |
$182.50 |
$335.40
|
|
Laryngoscopic sensory vid
|
$372.50 |
$372.50 |
$372.50 |
$336.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,251.00 |
$1,251.00 |
$1,251.00 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$578.00 |
$578.00 |
$578.00 |
$852.80
|
|
Laryngoscopy with biopsy
|
$2,176.00 |
$2,176.00 |
$2,176.00 |
$3,297.83
|
|
Lead acuity x4 spiral l 86cm
|
$4,239.88 |
$4,239.88 |
$4,239.88 |
$5,534.00
|
|
Lead capillary
|
$31.50 |
$31.50 |
$31.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$2,113.47 |
$2,113.47 |
$2,113.47 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$15,709.23 |
$15,709.23 |
$15,709.23 |
$8,204.74
|
|
Left compres band >=3" <5"/yd
|
$10.87 |
$10.87 |
$10.87 |
$5.20
|
|
Left compres band <3"/yd
|
$5.70 |
$5.70 |
$5.70 |
$3.64
|
|
Left compres band >=5"/yd
|
$6.73 |
$6.73 |
$6.73 |
$6.73
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$832.50 |
$832.50 |
$832.50 |
$1,092.58
|
|
Leishmania antibody
|
$52.00 |
$52.00 |
$52.00 |
$58.50
|
|
Levetiracetam therapeutic drug level
|
$86.50 |
$86.50 |
$86.50 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$33.00 |
$33.00 |
$33.00 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$12.94 |
$12.94 |
$12.94 |
$133.50
|
|
Ligate leg veins radical 37760
|
$6,615.50 |
$6,615.50 |
$6,615.50 |
$3,439.84
|
|
Ligation internal jugular vein 37565
|
$2,031.50 |
$2,031.50 |
$2,031.50 |
$3,564.80
|
|
Ligation/major artery/extremity 37618
|
$2,215.50 |
$2,215.50 |
$2,215.50 |
$1,525.00
|
|
Ligation major artery neck
|
$4,916.00 |
$4,916.00 |
$4,916.00 |
$3,608.40
|
|
Ligation of shunt
|
$2,951.00 |
$2,951.00 |
$2,951.00 |
$1,786.20
|
|
Ligation vericose vein cluster(s) 1 leg
|
$7,815.50 |
$7,815.50 |
$7,815.50 |
$3,724.63
|
