|
IV Fluids (each additional hour)
|
$45.93 |
$62.94 |
$79.04 |
$133.90
|
|
IV Fluids (first hour)
|
$84.73 |
$146.77 |
$206.57 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$65.12 |
$84.48 |
$91.66 |
$162.68
|
|
IV inj ra drug dx study
|
$88.98 |
$185.92 |
$208.50 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$84.56 |
$115.88 |
$161.30 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$56.38 |
$77.26 |
$79.34 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$158.68 |
$217.45 |
$226.26 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$54.96 |
$70.03 |
$124.25 |
$167.50
|
|
IV Push Injection (first drug)
|
$99.48 |
$126.75 |
$141.90 |
$252.76
|
|
Ivp w/nephrotomography
|
$764.40 |
$764.40 |
$764.40 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$424.20 |
$436.32 |
$628.72 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$59.83 |
$61.26 |
$392.92 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$110.04 |
$113.18 |
$163.10 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$108.92 |
$112.03 |
$224.28 |
$362.05
|
|
John cunningham antibody
|
$8.57 |
$9.44 |
$13.31 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$12.18 |
$18.41 |
$21.75 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$5.12 |
$7.75 |
$70.15 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$13.34 |
$13.34 |
$13.34 |
$23.52
|
|
Kidney function study
|
$370.44 |
$370.44 |
$370.44 |
$935.22
|
|
Kidney imaging morphology
|
$471.80 |
$471.80 |
$471.80 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$364.75 |
$762.16 |
$854.71 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$308.60 |
$644.84 |
$723.14 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$95.06 |
$217.28 |
$400.14 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$61.32 |
$140.16 |
$236.14 |
$490.75
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$3,395.12 |
$3,395.12 |
$3,636.06 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$40.33 |
$131.24 |
$264.88 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$28,909.06 |
$28,909.06 |
$28,909.06 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$42,638.44 |
$42,638.44 |
$42,638.44 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$2,667.60 |
$7,390.02 |
$14,297.41 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$649.50 |
$711.48 |
$733.04 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$103.14 |
$103.14 |
$103.14 |
$360.12
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,471.31 |
$1,611.72 |
$1,660.56 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$631.71 |
$863.70 |
$1,848.06 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$526.40 |
$719.71 |
$1,400.25 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$421.08 |
$575.72 |
$1,030.74 |
$2,130.88
|
|
Knee X-ray
|
$125.44 |
$129.02 |
$358.65 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$95.20 |
$97.92 |
$258.12 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$112.00 |
$115.20 |
$402.86 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$110.88 |
$114.05 |
$258.12 |
$251.20
|
|
Kras gene addl variants
|
$38.86 |
$126.44 |
$255.20 |
$387.20
|
|
Kras gene variants exon 2
|
$62.44 |
$203.18 |
$410.08 |
$536.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$0.09 |
$3.00 |
$16.06 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$14.03 |
$21.21 |
$43.97 |
$55.50
|
|
Lactated ringers intravenous solution
|
$86.45 |
$86.45 |
$86.45 |
$43.74
|
|
Lactic acid
|
$16.38 |
$24.76 |
$30.14 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$8.23 |
$12.45 |
$58.79 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$264.04 |
$319.09 |
$330.28 |
$740.40
|
|
Laryngeal function studies
|
$89.60 |
$89.60 |
$89.60 |
$342.60
|
|
Laryngoscopy telescopic
|
$369.93 |
$369.93 |
$369.93 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$7,390.02 |
$8,095.30 |
$8,340.61 |
$5,460.00
|
|
Lead capillary
|
$6.64 |
$10.03 |
$162.28 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$7,390.02 |
$8,095.30 |
$8,340.61 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$4,751.07 |
$5,204.50 |
$5,362.21 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$371.07 |
$414.60 |
$544.15 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$320.28 |
$328.44 |
$657.27 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$256.22 |
$262.75 |
$623.19 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$372.32 |
$416.00 |
$567.86 |
$1,092.58
|
|
Leishmania antibody
|
$6.22 |
$6.84 |
$9.66 |
$58.50
|
|
Lens, intraocular (new tech)
|
$356.16 |
$374.20 |
$454.51 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$543.69 |
$571.24 |
$693.82 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$543.69 |
$571.24 |
$693.82 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$100.78 |
$100.78 |
$100.78 |
$163.62
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$23.72 |
$23.72 |
$23.72 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$5.29 |
$8.00 |
$37.05 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$86.45 |
$86.45 |
$86.45 |
$55.69
|
|
L hrt cath chd nm/abn nt cnj
|
$1,545.10 |
$1,545.10 |
$1,545.10 |
$6,104.00
|
|
Liberta rc ipg
|
$10,374.00 |
$21,112.56 |
$28,909.06 |
$39,189.70
|
|
Lidocaine injection
|
$86.45 |
$86.45 |
$86.45 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$22.48 |
$22.48 |
$22.48 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$86.45 |
$86.45 |
$86.45 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$3.78 |
$5.72 |
$6.75 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$947,620.58 |
$995,629.44 |
$1,209,282.06 |
$30,744.64
|
|
Ligation of femoral vein
|
$2,607.84 |
$2,607.84 |
$2,607.84 |
$3,724.63
|
|
Limited autopsy
|
$833.88 |
$833.88 |
$833.88 |
$352.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$88.18 |
$88.18 |
$88.18 |
$121.00
|
|
Lipase
|
$20.92 |
$28.16 |
$37.35 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$8.57 |
$12.95 |
$15.30 |
$87.00
|
|
Lipoprotein blood quant
|
$8.65 |
$13.08 |
$36.56 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$10.33 |
$15.62 |
$52.12 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$7.90 |
$11.94 |
$35.33 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$8.65 |
$13.08 |
$15.45 |
$47.18
|
|
Lithium therapeutic drug level
|
$4.37 |
$6.60 |
$27.92 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,505.91 |
$3,505.91 |
$3,557.98 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$115.32 |
$115.32 |
$115.32 |
$365.28
|
|
Liver Function Test
|
$24.11 |
$36.45 |
$92.63 |
$115.44
|
|
Liver imaging
|
$214.13 |
$447.44 |
$501.77 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$231.28 |
$483.28 |
$541.96 |
$1,227.60
|
|
Liver/spleen imag static only
|
$196.18 |
$409.92 |
$459.70 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$360.64 |
$360.64 |
$360.64 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.72 |
$0.72 |
$0.72 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.34 |
$13.34 |
$13.34 |
$37.20
|
|
Low cost skin substitute app
|
$253.44 |
$253.44 |
$253.44 |
$933.60
|
|
Low cost skin substitute app
|
$446.21 |
$446.21 |
$446.21 |
$2,164.64
|
|
Low cost skin substitute app
|
$239.62 |
$239.62 |
$239.62 |
$1,012.00
|
|
Low cost skin substitute app
|
$479.23 |
$479.23 |
$479.23 |
$1,016.16
|
|
Low cost skin substitute app
|
$31.49 |
$31.49 |
$31.49 |
$466.80
|
|
Low cost skin substitute app
|
$127.49 |
$127.49 |
$127.49 |
$756.00
|
|
Low cost skin substitute app
|
$34.94 |
$34.94 |
$34.94 |
$408.45
|
|
Low cost skin substitute app
|
$142.85 |
$142.85 |
$142.85 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$44.22 |
$44.22 |
$44.22 |
$331.50
|