|
Ivc venogram s&i
|
$1,648.50 |
$1,648.50 |
$1,648.50 |
|
|
IV Fluids (each additional hour)
|
$68.40 |
$73.50 |
$103.17 |
|
|
IV Fluids (first hour)
|
$238.14 |
$254.40 |
$383.72 |
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$151.80 |
$170.78 |
$228.96 |
|
|
IV inj ra drug dx study
|
$234.36 |
$234.36 |
$234.36 |
|
|
IV Medicine Infusion (additional drug)
|
$79.80 |
$89.78 |
$146.58 |
|
|
IV Medicine Infusion (each additional hour)
|
$72.66 |
$73.20 |
$110.41 |
|
|
IV Medicine Infusion (first hour)
|
$199.08 |
$270.00 |
$407.25 |
|
|
IV Push Injection (each additional drug)
|
$75.18 |
$133.20 |
$149.41 |
|
|
IV Push Injection (first drug)
|
$138.18 |
$192.00 |
$215.36 |
|
|
Ivp w/nephrotomography
|
$542.64 |
$980.67 |
$1,054.50 |
|
|
Ivp w/wo kub w/wo tomography
|
$444.78 |
$1,085.57 |
$1,181.17 |
|
|
Jak2 targeted sequence analysis
|
$233.52 |
$335.27 |
$597.14 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$103.74 |
$274.56 |
$298.74 |
|
|
Jaw (Mandible) X-ray (complete)
|
$78.96 |
$349.89 |
$380.70 |
|
|
John cunningham antibody
|
$21.42 |
$35.50 |
$60.33 |
|
|
Ketamine and metabolite screen - quest
|
$60.90 |
$89.17 |
$96.43 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$25.20 |
$37.52 |
$40.57 |
|
|
Kidney imaging morphology
|
$485.78 |
$485.78 |
$559.22 |
|
|
Kidney imag w/bld flow multi
|
$868.14 |
$1,054.10 |
$1,213.46 |
|
|
Kidney img w/bldflw sgl without rx
|
$664.84 |
$758.03 |
$837.48 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$281.40 |
$859.60 |
$926.35 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$147.00 |
$282.07 |
$303.97 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,119.48 |
$10,119.48 |
$10,119.48 |
|
|
Kit gene analys d816 variant
|
$157.50 |
$157.50 |
$157.50 |
|
|
Kit lead specify 5-6-5
|
$14,718.48 |
$14,718.48 |
$14,718.48 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,131.90 |
$1,131.90 |
$2,681.52 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,564.10 |
$2,564.10 |
$6,074.48 |
|
|
Knee MRI (with and without contrast)
|
$1,200.78 |
$2,728.18 |
$3,079.51 |
|
|
Knee MRI (with contrast)
|
$1,000.86 |
$2,273.87 |
$2,566.69 |
|
|
Knee MRI (without contrast)
|
$800.52 |
$1,818.79 |
$2,053.01 |
|
|
Knee X-ray
|
$87.36 |
$411.84 |
$448.11 |
|
|
Knee X-ray (1 to 2 views, both knees)
|
$55.44 |
$221.76 |
$241.29 |
|
|
Knee X-ray (3 views, both knees)
|
$78.96 |
$270.34 |
$294.14 |
|
|
Knee X-ray (standing, both knees)
|
$87.78 |
$87.78 |
$398.18 |
|
|
Kras gene addl variants
|
$349.74 |
$417.02 |
$622.92 |
|
|
Kras gene variants exon 2
|
$243.60 |
$349.74 |
$622.92 |
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$51.94 |
$59.60 |
$66.99 |
|
|
Lactate dehydrogenase (ldh)
|
$23.94 |
$35.06 |
$37.91 |
|
|
Lactated ringers intravenous solution
|
$1.46 |
$1.46 |
$1.46 |
|
|
Lactic acid
|
$14.70 |
$79.33 |
$85.79 |
|
|
Lactoferrin fecal qualitative
|
$41.16 |
$60.27 |
$65.17 |
|
|
Lactoferrin fecal quant
|
$85.68 |
$125.46 |
$130.97 |
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$349.86 |
$826.20 |
$908.21 |
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$176.88 |
$176.88 |
$197.67 |
|
|
Laryngoscopy telescopic
|
$244.86 |
$244.86 |
$244.86 |
|
|
Laryngoscopy w/fb removal
|
$252.56 |
$252.56 |
$252.56 |
|
|
Lead acuity x4 spiral l 86cm
|
$12,878.88 |
$12,878.88 |
$12,878.88 |
|
|
Lead capillary
|
$33.18 |
$48.58 |
$52.54 |
|
|
Lead ingevity 45cm pfret MRI
|
$2,040.12 |
$2,040.12 |
$12,878.88 |
|
|
Lead tachy durata sj4 58cm
|
$8,279.88 |
$8,279.88 |
$8,279.88 |
|
|
Leg Artery Ultrasound (complete, both legs)
|
$485.94 |
$995.47 |
$1,078.80 |
|
|
Leg CT Scan (with contrast, both legs)
|
$811.86 |
$1,229.40 |
$1,407.66 |
|
|
Leg CT Scan (without contrast, both legs)
|
$649.32 |
$983.40 |
$1,125.99 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$820.26 |
$1,148.00 |
$1,244.10 |
|
|
Leishmania antibody
|
$15.54 |
$15.54 |
$27.97 |
|
|
Lens, intraocular (new tech)
|
$2,300.69 |
$2,300.69 |
$2,919.00 |
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,919.00 |
$2,919.00 |
$2,919.00 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,841.41 |
$1,841.41 |
$2,919.00 |
|
|
Lens iol ant chamb 10.5
|
$1,841.41 |
$1,841.41 |
$2,919.00 |
|
|
Levetiracetam therapeutic drug level
|
$26.46 |
$38.74 |
$41.90 |
|
|
Liberta rc ipg
|
$36,793.68 |
$36,793.68 |
$36,793.68 |
|
|
Lidocaine therapeutic drug level
|
$18.90 |
$18.90 |
$18.90 |
|
|
Lifileucel til/dose 7.5b-72b snij
|
$1,578,991.68 |
$2,698,045.64 |
$3,209,450.97 |
|
|
Lipase
|
$24.36 |
$35.67 |
$38.57 |
|
|
Lipoprotein blood high res frac & quant
|
$42.84 |
$62.73 |
$67.83 |
|
|
Lipoprotein blood quant
|
$43.26 |
$63.34 |
$68.50 |
|
|
Lipoprotein direct measurement hdl
|
$10.50 |
$39.36 |
$42.56 |
|
|
Lipoprotein direct measurement ldl
|
$13.44 |
$57.81 |
$62.51 |
|
|
Lipoprtn dir meas sd ldl chl
|
$43.26 |
$63.34 |
$68.50 |
|
|
Lithium therapeutic drug level
|
$21.84 |
$31.98 |
$34.58 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$6,428.10 |
$6,428.10 |
$6,428.10 |
|
|
Liver Function Test
|
$10.50 |
$66.42 |
$71.82 |
|
|
Liver/spleen imag static only
|
$557.76 |
$916.94 |
$1,055.56 |
|
|
Liver/spleen imag w/vasclr flow
|
$362.88 |
$434.98 |
$500.74 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.61 |
$1.81 |
$1.91 |
|
|
Low cost skin substitute app
|
$429.66 |
$429.66 |
$429.66 |
|
|
Low cost skin substitute app
|
$755.58 |
$755.58 |
$755.58 |
|
|
Low cost skin substitute app
|
$405.72 |
$405.72 |
$405.72 |
|
|
Low cost skin substitute app
|
$811.44 |
$811.44 |
$811.44 |
|
|
Low cost skin substitute app
|
$53.34 |
$53.34 |
$53.34 |
|
|
Low cost skin substitute app
|
$215.46 |
$215.46 |
$215.46 |
|
|
Low cost skin substitute app
|
$59.22 |
$59.22 |
$59.22 |
|
|
Low cost skin substitute app
|
$242.34 |
$242.34 |
$242.34 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$329.40 |
$361.79 |
$377.16 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$963.48 |
$2,813.40 |
$3,221.34 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$803.04 |
$2,344.80 |
$2,684.80 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$642.18 |
$1,875.60 |
$2,147.56 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,200.78 |
$1,736.87 |
$1,841.03 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,000.86 |
$1,447.39 |
$1,534.19 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$800.52 |
$1,157.91 |
$1,227.35 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$78.96 |
$264.00 |
$287.25 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$110.88 |
$590.66 |
$642.67 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$127.26 |
$599.81 |
$644.96 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$78.96 |
$187.26 |
$203.76 |
|
|
Low frequency non-thermal Ultrasound
|
$207.00 |
$210.90 |
$216.00 |
|
|
Lumbar diskogram s&i
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
|
|
Lung Function Test Before and After an Inhaler
|
$241.92 |
$286.46 |
$388.59 |
|
|
Lung function test (mbc/mvv)
|
$113.75 |
$113.75 |
$115.85 |
|
|
Lung Function Test (Spirometry)
|
$181.44 |
$224.97 |
$305.18 |
|