|
Ins cath ren art 2nd+ uni
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$5,419.00
|
|
Ins cerv dilator (sep proc)
|
$382.50 |
$382.50 |
$382.50 |
$488.35
|
|
Insert cath pleura with image
|
$1,240.00 |
$1,240.00 |
$1,240.00 |
$2,194.40
|
|
Insert cath pleura without image
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$2,019.00
|
|
Insert drug delivery implant
|
$305.00 |
$305.00 |
$305.00 |
$280.00
|
|
Insert hepatic shunt (tips)
|
$11,055.00 |
$11,055.00 |
$11,055.00 |
$8,367.70
|
|
Insert intrauterine device iud
|
$570.00 |
$570.00 |
$570.00 |
$366.65
|
|
Insertion catheter bladder non indwelling
|
$117.50 |
$117.50 |
$117.50 |
$205.20
|
|
Insertion catheter bladder temporary simple
|
$195.00 |
$195.00 |
$195.00 |
$229.32
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$4,731.80
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$6,370.00 |
$6,370.00 |
$6,370.00 |
$7,034.50
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,511.00
|
|
Insertion of catheter vein
|
$880.00 |
$880.00 |
$880.00 |
$1,657.32
|
|
Insertion of catheter vein
|
$760.00 |
$760.00 |
$760.00 |
$836.25
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$2,015.00 |
$2,015.00 |
$2,015.00 |
$2,414.10
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$2,165.00 |
$2,165.00 |
$2,165.00 |
$5,236.80
|
|
Insert swan-ganz cath
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$2,210.50
|
|
Insitu hybridization auto
|
$295.00 |
$295.00 |
$295.00 |
$371.00
|
|
Insitu hybridization (fish)
|
$322.50 |
$322.50 |
$322.50 |
$481.60
|
|
Insitu hybridization manual
|
$357.50 |
$357.50 |
$357.50 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$257.50 |
$257.50 |
$257.50 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$322.50 |
$322.50 |
$322.50 |
$326.04
|
|
Ins mark abd/pel for right perq
|
$3,390.00 |
$3,390.00 |
$3,390.00 |
$2,376.00
|
|
Ins mark thor for right perq
|
$2,355.00 |
$2,355.00 |
$2,355.00 |
$2,477.45
|
|
Ins picad w subq port 5yr>
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$3,912.93
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,855.00 |
$1,855.00 |
$1,855.00 |
$1,609.25
|
|
Ins pq tunnld ip cath w/img
|
$3,490.00 |
$3,490.00 |
$3,490.00 |
$5,377.00
|
|
Inst fibrinolysis agent ini day
|
$905.00 |
$905.00 |
$905.00 |
$1,090.80
|
|
Ins tun cvad 2 cath w/subq port(s)
|
$2,995.00 |
$2,995.00 |
$2,995.00 |
$7,651.38
|
|
Ins tun cv cath wo subq prt/pm
|
$2,800.00 |
$2,800.00 |
$2,800.00 |
$5,324.80
|
|
Ins tun cv cath wo subq prt/pm
|
$2,800.00 |
$2,800.00 |
$2,800.00 |
$4,202.70
|
|
Ins tun intraperit dia cath
|
$3,130.00 |
$3,130.00 |
$3,130.00 |
$4,657.46
|
|
Insulin total
|
$65.00 |
$65.00 |
$65.00 |
$66.64
|
|
Interdiscal perq aspir dx
|
$710.00 |
$710.00 |
$710.00 |
$1,180.84
|
|
Intracranial complete study
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$900.50
|
|
Intracranial limited study
|
$685.00 |
$685.00 |
$685.00 |
$444.66
|
|
Intrapul surf admin endo tube
|
$205.00 |
$205.00 |
$205.00 |
$220.80
|
|
Intrinsic factor antibody
|
$95.00 |
$95.00 |
$95.00 |
$66.60
|
|
Intro cath dialysis circuit
|
$1,145.00 |
$1,145.00 |
$1,145.00 |
$2,035.00
|
|
Intro cath dialysis circuit w/pta
|
$7,585.00 |
$7,585.00 |
$7,585.00 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$16,275.00 |
$16,275.00 |
$16,275.00 |
$15,805.00
|
|
Intro catheter aorta
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$1,654.05
|
|
Intro cath svc/ivc
|
$880.00 |
$880.00 |
$880.00 |
$1,329.90
|
|
Intro long gi tube
|
$457.50 |
$457.50 |
$457.50 |
$990.00
|
|
Intro long gi tube w/mult fluo
|
$317.50 |
$317.50 |
$317.50 |
$449.40
|
|
Intro windpipe wire/tube
|
$1,505.00 |
$1,505.00 |
$1,505.00 |
$2,369.76
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,215.00 |
$2,215.00 |
$2,215.00 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$302.50 |
$302.50 |
$302.50 |
$589.60
|
|
Iodine i-123 sod iodide mil
|
$307.50 |
$307.50 |
$307.50 |
$350.74
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.21 |
$2.21 |
$2.21 |
$279.10
|
|
Iron
|
$82.50 |
$82.50 |
$82.50 |
$74.40
|
|
Iron binding capacity
|
$72.50 |
$72.50 |
$72.50 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.11 |
$1.11 |
$1.11 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$65.00 |
$65.00 |
$65.00 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$112.50 |
$112.50 |
$112.50 |
$142.20
|
|
Ivc venogram s&i
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$147.50 |
$147.50 |
$147.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$147.50 |
$147.50 |
$147.50 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$147.50 |
$147.50 |
$147.50 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$345.00 |
$345.00 |
$345.00 |
$439.56
|
|
Ivp w/wo kub w/wo tomography
|
$670.00 |
$670.00 |
$670.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$475.00 |
$475.00 |
$475.00 |
$379.87
|
|
John cunningham antibody
|
$65.00 |
$65.00 |
$65.00 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$225.00 |
$225.00 |
$225.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$47.50 |
$47.50 |
$47.50 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$21.93 |
$21.93 |
$21.93 |
$23.50
|
|
Kidney endoscopy
|
$1,665.00 |
$1,665.00 |
$1,665.00 |
$5,728.00
|
|
Kidney function study
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$783.86
|
|
Kidney imag w/bld flow multi
|
$2,525.00 |
$2,525.00 |
$2,525.00 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$515.00 |
$515.00 |
$515.00 |
$666.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,154.50 |
$8,154.50 |
$8,154.50 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$382.50 |
$382.50 |
$382.50 |
$374.61
|
|
Kit lead specify 5-6-5
|
$13,533.00 |
$13,533.00 |
$13,533.00 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,276.00 |
$1,276.00 |
$1,276.00 |
$1,543.50
|
|
Knee MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,169.60
|
|
Knee X-ray
|
$610.00 |
$610.00 |
$610.00 |
$425.55
|
|
Ko single upright pre cst
|
$136.26 |
$136.26 |
$136.26 |
$988.40
|
|
Kras gene addl variants
|
$875.00 |
$875.00 |
$875.00 |
$384.80
|
|
Kras gene variants exon 2
|
$260.00 |
$260.00 |
$260.00 |
$486.45
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$70.00 |
$70.00 |
$70.00 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$70.00 |
$70.00 |
$70.00 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$17.67 |
$17.67 |
$17.67 |
$32.34
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.70 |
$0.70 |
$0.70 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$47.50 |
$47.50 |
$47.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$119.17 |
$119.17 |
$119.17 |
$45.56
|
|
Lactic acid
|
$65.00 |
$65.00 |
$65.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$75.00 |
$75.00 |
$75.00 |
$80.40
|
|
Laryngoscopic sensory vid
|
$405.00 |
$405.00 |
$405.00 |
$336.00
|
|
Laryngoscopy telescopic
|
$790.00 |
$790.00 |
$790.00 |
$832.00
|
|
Lead acuity x4 spiral l 86cm
|
$2,552.00 |
$2,552.00 |
$2,552.00 |
$5,488.00
|
|
Lead capillary
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$603.33 |
$603.33 |
$603.33 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$4,048.00 |
$4,048.00 |
$4,048.00 |
$8,000.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,088.26
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$200.00 |
$200.00 |
$200.00 |
$1,050.40
|
