|
Inject sacroiliac joint
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$963.00
|
|
Inj lwr xtr fscl pln blk uni w/wo image
|
$650.00 |
$650.00 |
$650.00 |
$783.50
|
|
Inj nephrosto/ureterogram w/img exstng access
|
$925.00 |
$925.00 |
$925.00 |
$1,414.40
|
|
Inj octafluoropropane mic,ml
|
$160.00 |
$160.00 |
$160.00 |
$211.40
|
|
Inj proc elbow arthro
|
$460.00 |
$460.00 |
$460.00 |
$428.40
|
|
Inj proc myelogram lumbar
|
$580.00 |
$580.00 |
$580.00 |
$859.98
|
|
Inj thrc fascial pln blk bi w/wo image
|
$775.00 |
$775.00 |
$775.00 |
$1,025.00
|
|
Inj thrc fascial pln blk uni w/wo image
|
$650.00 |
$650.00 |
$650.00 |
$818.00
|
|
Inj w/fluor eval cv device
|
$377.50 |
$377.50 |
$377.50 |
$467.40
|
|
Ins cerv dilator (sep proc)
|
$382.50 |
$382.50 |
$382.50 |
$488.35
|
|
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 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 |
$229.50
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$3,125.00 |
$3,125.00 |
$3,125.00 |
$4,731.80
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$2,510.50
|
|
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)
|
$2,665.00 |
$2,665.00 |
$2,665.00 |
$5,236.80
|
|
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 |
$243.50
|
|
In situ hybridization per specimen initial single probe stain
|
$322.50 |
$322.50 |
$322.50 |
$326.04
|
|
Ins pq tunnld ip cath w/img
|
$3,490.00 |
$3,490.00 |
$3,490.00 |
$5,377.00
|
|
Ins tun cv cath wo subq prt/pm
|
$1,555.00 |
$1,555.00 |
$1,555.00 |
$4,202.70
|
|
Insulin total
|
$65.00 |
$65.00 |
$65.00 |
$66.64
|
|
Interrogate subq defib
|
$255.00 |
$255.00 |
$255.00 |
$125.76
|
|
Interrog dev eval scrms ip
|
$77.50 |
$77.50 |
$77.50 |
$124.80
|
|
Interrog device eval heart
|
$310.00 |
$310.00 |
$310.00 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$310.00 |
$310.00 |
$310.00 |
$124.80
|
|
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 long gi tube
|
$457.50 |
$457.50 |
$457.50 |
$995.78
|
|
Intro long gi tube w/mult fluo
|
$317.50 |
$317.50 |
$317.50 |
$449.40
|
|
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
|
$0.33 |
$0.33 |
$0.33 |
$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)
|
$0.82 |
$0.82 |
$0.82 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$65.00 |
$65.00 |
$65.00 |
$119.75
|
|
Irrigation implantable venous access device for drug delivery systems
|
$112.50 |
$112.50 |
$112.50 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$122.50 |
$122.50 |
$122.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$122.50 |
$122.50 |
$122.50 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$122.50 |
$122.50 |
$122.50 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$295.00 |
$295.00 |
$295.00 |
$439.56
|
|
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)
|
$20.88 |
$20.88 |
$20.88 |
$23.50
|
|
Kidney function study
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$783.86
|
|
Kidney img w/bldflw sgl without rx
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$565.00 |
$565.00 |
$565.00 |
$664.20
|
|
Kit gene analys d816 variant
|
$382.50 |
$382.50 |
$382.50 |
$374.61
|
|
Kit lead specify 5-6-5
|
$4,775.63 |
$4,775.63 |
$4,775.63 |
$15,639.00
|
|
Knee MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$3,022.20
|
|
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
|
$900.00 |
$900.00 |
$900.00 |
$425.55
|
|
Ko single upright pre cst
|
$112.17 |
$112.17 |
$112.17 |
$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)
|
$16.13 |
$16.13 |
$16.13 |
$32.34
|
|
Lactate dehydrogenase (ldh)
|
$47.50 |
$47.50 |
$47.50 |
$55.44
|
|
Lactated ringers intravenous solution
|
$79.48 |
$79.48 |
$79.48 |
$45.56
|
|
Lactic acid
|
$65.00 |
$65.00 |
$65.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$75.00 |
$75.00 |
$75.00 |
$80.08
|
|
Lead capillary
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,088.26
|
|
Lens iol ant bicnvx 24.0 multi
|
$227.08 |
$227.08 |
$227.08 |
$1,065.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.21 |
$0.21 |
$0.21 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$100.00 |
$100.00 |
$100.00 |
$88.92
|
|
Ligation/biopsy of temporal artery 37609
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$4,255.00 |
$4,255.00 |
$4,255.00 |
$4,026.79
|
|
Lipase
|
$105.00 |
$105.00 |
$105.00 |
$93.58
|
|
Lipoprotein blood quant
|
$137.50 |
$137.50 |
$137.50 |
$102.05
|
|
Lipoprotein direct measurement ldl
|
$67.50 |
$67.50 |
$67.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$62.50 |
$62.50 |
$62.50 |
$69.42
|
|
Liver Function Test
|
$140.00 |
$140.00 |
$140.00 |
$115.44
|
|
Liver/spleen imag static only
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,123.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.69 |
$1.69 |
$1.69 |
$45.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$7.59 |
$7.59 |
$7.59 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$292.50 |
$292.50 |
$292.50 |
$352.32
|
|
Lung function test (mbc/mvv)
|
$115.00 |
$115.00 |
$115.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$265.00 |
$265.00 |
$265.00 |
$295.35
|
|
Lung perfusion imaging
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,385.00 |
$1,385.00 |
$1,385.00 |
$1,448.00
|
|
Lymph vessel x-ray arm/leg
|
$815.00 |
$815.00 |
$815.00 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$2,229.24
|