|
Ivc venogram s&i
|
$1,526.13 |
$1,526.13 |
$2,539.57 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$65.20 |
$65.20 |
$246.03 |
$133.90
|
|
IV Fluids (first hour)
|
$208.38 |
$208.38 |
$322.14 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$92.46 |
$92.46 |
$168.04 |
$162.68
|
|
IV inj ra drug dx study
|
$212.48 |
$212.48 |
$568.16 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$120.06 |
$120.06 |
$167.24 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$80.04 |
$80.04 |
$263.98 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$225.28 |
$225.28 |
$322.14 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$90.40 |
$90.40 |
$276.58 |
$167.50
|
|
IV Push Injection (first drug)
|
$163.62 |
$163.62 |
$332.06 |
$252.76
|
|
Ivp w/nephrotomography
|
$846.30 |
$846.30 |
$846.30 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$469.65 |
$469.65 |
$469.65 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$198.54 |
$198.54 |
$272.36 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$121.83 |
$121.83 |
$163.22 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$120.59 |
$120.59 |
$271.49 |
$362.05
|
|
John cunningham antibody
|
$17.70 |
$17.70 |
$421.17 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$28.42 |
$28.42 |
$28.42 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$11.96 |
$11.96 |
$32.16 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$25.46 |
$25.46 |
$25.46 |
$23.52
|
|
Kidney function study
|
$423.36 |
$423.36 |
$423.36 |
$935.22
|
|
Kidney imaging morphology
|
$539.20 |
$539.20 |
$539.20 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$871.04 |
$871.04 |
$1,594.60 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$677.24 |
$677.24 |
$736.96 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$266.17 |
$266.17 |
$371.18 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$171.70 |
$171.70 |
$244.96 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$3,295.60 |
$3,295.60 |
$3,295.60 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$4,687.46 |
$4,687.46 |
$12,249.75 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$133.87 |
$133.87 |
$183.61 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$8,677.91 |
$8,677.91 |
$63,741.12 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$8,677.91 |
$8,677.91 |
$15,925.64 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$762.68 |
$762.68 |
$1,498.39 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$12,249.75 |
$12,249.75 |
$12,249.75 |
$360.12
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,727.71 |
$1,727.71 |
$1,949.17 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$778.04 |
$778.04 |
$778.04 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$648.33 |
$648.33 |
$648.33 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$518.62 |
$518.62 |
$518.62 |
$2,130.88
|
|
Knee X-ray
|
$138.88 |
$138.88 |
$138.88 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$105.40 |
$105.40 |
$105.40 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$124.00 |
$124.00 |
$124.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$122.76 |
$122.76 |
$340.36 |
$251.20
|
|
Kras gene addl variants
|
$176.90 |
$176.90 |
$207.17 |
$387.20
|
|
Kras gene variants exon 2
|
$207.17 |
$207.17 |
$284.26 |
$536.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$93.80 |
$93.80 |
$93.80 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$253.00 |
$253.00 |
$253.00 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$32.73 |
$32.73 |
$82.28 |
$55.50
|
|
Lactated ringers intravenous solution
|
$93.80 |
$93.80 |
$93.80 |
$43.74
|
|
Lactic acid
|
$29.99 |
$29.99 |
$87.91 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$19.21 |
$19.21 |
$21.12 |
$82.16
|
|
Lactoferrin fecal quant
|
$39.98 |
$39.98 |
$39.98 |
$108.93
|
|
Lanthanum carbonate oral 5mg
|
$23.86 |
$23.86 |
$23.86 |
$14.53
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$420.78 |
$420.78 |
$473.29 |
$740.40
|
|
Lead acuity x4 spiral l 86cm
|
$8,677.91 |
$8,677.91 |
$9,059.74 |
$5,460.00
|
|
Lead capillary
|
$12.99 |
$12.99 |
$15.48 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$8,677.91 |
$8,677.91 |
$9,422.08 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$5,579.06 |
$5,579.06 |
$15,313.26 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$543.13 |
$543.13 |
$768.36 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$540.60 |
$540.60 |
$540.60 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$432.48 |
$432.48 |
$432.48 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$544.96 |
$544.96 |
$771.31 |
$1,092.58
|
|
Leishmania antibody
|
$12.84 |
$12.84 |
$13.14 |
$58.50
|
|
Lens, intraocular (new tech)
|
$427.43 |
$427.43 |
$427.43 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$400.66 |
$400.66 |
$400.66 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$652.49 |
$652.49 |
$2,533.68 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$235.84 |
$235.84 |
$652.49 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$191.36 |
$191.36 |
$191.36 |
$163.62
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$25.73 |
$25.73 |
$25.73 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$12.35 |
$12.35 |
$14.21 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$93.80 |
$93.80 |
$93.80 |
$55.69
|
|
L hrt cath chd nm/abn nt cnj
|
$1,529.80 |
$1,529.80 |
$1,529.80 |
$6,104.00
|
|
Liberta rc ipg
|
$24,791.93 |
$24,791.93 |
$77,125.85 |
$39,189.70
|
|
Lidocaine injection
|
$12.87 |
$12.87 |
$12.87 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$24.39 |
$24.39 |
$24.39 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$93.80 |
$93.80 |
$93.80 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$8.82 |
$8.82 |
$106.13 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$1,137,249.96 |
$1,137,249.96 |
$1,137,249.96 |
$30,744.64
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$95.68 |
$95.68 |
$95.68 |
$121.00
|
|
Lipase
|
$48.80 |
$48.80 |
$195.64 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$19.99 |
$19.99 |
$19.99 |
$87.00
|
|
Lipoprotein blood quant
|
$20.19 |
$20.19 |
$36.66 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$24.11 |
$24.11 |
$44.22 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$11.26 |
$11.26 |
$18.42 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$20.19 |
$20.19 |
$20.19 |
$47.18
|
|
Lithium therapeutic drug level
|
$10.19 |
$10.19 |
$162.68 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,082.27 |
$3,082.27 |
$3,471.20 |
$4,371.12
|
|
Liver Function Test
|
$56.25 |
$56.25 |
$120.07 |
$115.44
|
|
Liver imaging
|
$511.36 |
$511.36 |
$1,397.62 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$754.69 |
$754.69 |
$754.69 |
$1,227.60
|
|
Liver/spleen imag static only
|
$468.48 |
$468.48 |
$489.10 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.68 |
$0.68 |
$0.68 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$14.48 |
$14.48 |
$14.48 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$123.76 |
$123.76 |
$148.48 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,030.85 |
$1,030.85 |
$1,937.91 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$859.13 |
$859.13 |
$1,525.46 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$687.14 |
$687.14 |
$1,250.22 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$518.52 |
$518.52 |
$2,389.49 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$432.15 |
$432.15 |
$1,266.30 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$345.63 |
$345.63 |
$907.99 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$136.71 |
$136.71 |
$250.58 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$155.93 |
$155.93 |
$350.82 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$184.76 |
$184.76 |
$445.96 |
$540.60
|
