|
IV Medicine Infusion (first hour)
|
$199.82 |
$209.77 |
$510.36 |
$439.56
|
|
IV njx tst vasc flo flap/grf
|
$178.19 |
$178.19 |
$178.19 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$69.75 |
$82.86 |
$156.62 |
$167.50
|
|
IV Push Injection (first drug)
|
$123.21 |
$126.25 |
$168.85 |
$252.76
|
|
Ivp w/nephrotomography
|
$712.53 |
$712.53 |
$769.86 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$395.42 |
$395.42 |
$427.23 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$4,893.42 |
$4,893.42 |
$4,893.42 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$56.80 |
$166.99 |
$557.72 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$102.57 |
$110.83 |
$160.06 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$101.53 |
$109.70 |
$207.94 |
$362.05
|
|
John cunningham antibody
|
$9.69 |
$9.69 |
$12.49 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$22.91 |
$22.91 |
$23.20 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$9.64 |
$9.76 |
$65.04 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$9.94 |
$9.94 |
$12.37 |
$23.52
|
|
Kidney function study
|
$279.15 |
$279.15 |
$525.23 |
$935.22
|
|
Kidney imaging morphology
|
$355.53 |
$355.53 |
$668.94 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$574.34 |
$1,080.63 |
$2,444.04 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$485.93 |
$914.29 |
$1,574.61 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$236.97 |
$270.24 |
$418.68 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$152.86 |
$174.32 |
$359.85 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$3,923.92 |
$3,923.92 |
$3,923.92 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$3,964.62 |
$4,709.36 |
$5,039.73 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$112.57 |
$167.96 |
$844.61 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$26,221.63 |
$30,004.10 |
$31,318.14 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$23,837.95 |
$23,837.95 |
$50,599.98 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$2,473.20 |
$11,275.26 |
$19,700.89 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$738.43 |
$770.77 |
$997.02 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$3,876.54 |
$3,876.54 |
$3,876.54 |
$360.12
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,296.51 |
$1,672.77 |
$1,746.03 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$674.54 |
$685.25 |
$3,934.22 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$562.09 |
$571.01 |
$1,576.52 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$449.63 |
$456.77 |
$2,892.89 |
$2,130.88
|
|
Knee X-ray
|
$116.93 |
$126.34 |
$421.35 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$88.74 |
$95.88 |
$311.33 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$104.40 |
$112.80 |
$373.50 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$103.36 |
$111.67 |
$340.75 |
$251.20
|
|
Kras gene addl variants
|
$108.46 |
$161.82 |
$496.60 |
$387.20
|
|
Kras gene variants exon 2
|
$174.28 |
$260.03 |
$496.60 |
$536.20
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$18.26 |
$18.26 |
$19.74 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$14.89 |
$14.89 |
$47.75 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$169.99 |
$169.99 |
$169.99 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$26.39 |
$26.72 |
$95.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$22.54 |
$22.54 |
$80.15 |
$43.74
|
|
Lactic acid
|
$24.17 |
$27.94 |
$98.94 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$15.48 |
$15.68 |
$54.51 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$16,777.44 |
$16,777.44 |
$16,777.44 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$334.01 |
$361.07 |
$504.63 |
$740.40
|
|
Laryngeal function studies
|
$189.09 |
$189.09 |
$189.09 |
$342.60
|
|
Laryngoscopic sensory vid
|
$195.32 |
$195.32 |
$213.59 |
$323.79
|
|
Laryngoscopy telescopic
|
$374.11 |
$404.42 |
$631.45 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$8,401.94 |
$8,769.90 |
$14,738.33 |
$5,460.00
|
|
Lead capillary
|
$12.48 |
$12.64 |
$150.46 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$5,730.00 |
$8,401.94 |
$8,769.90 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$5,401.64 |
$5,638.20 |
$6,551.30 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$468.50 |
$504.49 |
$1,042.10 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$338.64 |
$405.96 |
$2,260.68 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$270.91 |
$324.77 |
$1,808.39 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$470.08 |
$526.48 |
$1,079.92 |
$1,092.58
|
|
Leishmania antibody
|
$7.03 |
$9.06 |
$27.13 |
$58.50
|
|
Lens, intraocular (new tech)
|
$422.84 |
$422.84 |
$464.92 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$645.48 |
$709.72 |
$1,877.15 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$515.70 |
$645.48 |
$709.72 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$93.44 |
$93.44 |
$144.40 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$53.75 |
$53.75 |
$14,206.97 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,938.88 |
$4,938.88 |
$4,938.88 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$3.30 |
$3.30 |
$3.30 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$17.19 |
$17.19 |
$21.99 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$9.95 |
$10.08 |
$45.46 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$20.63 |
$20.63 |
$80.15 |
$55.69
|
|
L hrt cath chd nm/abn nt cnj
|
$1,445.66 |
$1,445.66 |
$2,026.99 |
$6,104.00
|
|
Liberta rc ipg
|
$9,618.00 |
$30,004.10 |
$37,581.54 |
$39,189.70
|
|
Lidocaine injection
|
$80.15 |
$80.15 |
$80.15 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$16.43 |
$16.43 |
$20.84 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$20.63 |
$20.63 |
$80.15 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$7.11 |
$7.20 |
$37.82 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$1,125,031.57 |
$1,125,031.57 |
$1,236,989.60 |
$30,744.64
|
|
Lift heel adj small gl60404sm
|
$45.84 |
$45.84 |
$45.84 |
$133.50
|
|
Liletta, 52 mg
|
$1,100.93 |
$1,100.93 |
$1,100.93 |
$1,514.24
|
|
Limb exercise test
|
$175.66 |
$175.66 |
$193.14 |
$355.54
|
|
Limited autopsy
|
$773.11 |
$773.11 |
$1,276.27 |
$352.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$56.16 |
$56.16 |
$81.76 |
$121.00
|
|
Lipase
|
$26.11 |
$39.34 |
$123.39 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$16.12 |
$16.12 |
$16.32 |
$87.00
|
|
Lipoprotein blood quant
|
$16.27 |
$16.48 |
$235.70 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$19.43 |
$19.68 |
$53.87 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$14.85 |
$15.04 |
$79.46 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$16.27 |
$16.27 |
$16.48 |
$47.18
|
|
Lithium therapeutic drug level
|
$8.22 |
$8.32 |
$105.05 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,280.28 |
$4,448.01 |
$4,599.34 |
$4,371.12
|
|
Liver elastography 91200
|
$224.24 |
$224.24 |
$224.24 |
$285.18
|
|
Liver Function Test
|
$45.35 |
$45.92 |
$111.93 |
$115.44
|
|
Liver imaging
|
$337.18 |
$337.18 |
$634.41 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$364.19 |
$685.22 |
$1,071.13 |
$1,227.60
|
|
Liver/spleen imag static only
|
$308.90 |
$560.78 |
$581.21 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$271.77 |
$511.34 |
$1,128.81 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.67 |
$0.74 |
$2.30 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$43,089.60 |
$43,089.60 |
$43,089.60 |
$62,704.30
|
|
Long tongue stirrup
|
$304.84 |
$304.84 |
$304.84 |
$249.12
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$9.94 |
$9.94 |
$12.37 |
$37.20
|
|
Low cost skin substitute app
|
$341.88 |
$341.88 |
$341.88 |
$933.60
|
