|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$80.56 |
$80.56 |
$80.56 |
$174.72
|
|
Irradiation of blood product each unit reference
|
$14.53 |
$14.53 |
$14.53 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$102.48 |
$102.48 |
$102.48 |
$154.50
|
|
Ivc venogram s&i
|
$1,749.49 |
$1,749.49 |
$1,749.49 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$121.39 |
$121.39 |
$121.39 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$86.04 |
$86.04 |
$86.04 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$137.55 |
$137.55 |
$137.55 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$319.76 |
$319.76 |
$319.76 |
$460.85
|
|
Ixabepilone 15 mg intravenous solution
|
$4,434.42 |
$4,434.42 |
$4,434.42 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$80.83 |
$80.83 |
$80.83 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$121.66 |
$121.66 |
$121.66 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$29.05 |
$29.05 |
$29.05 |
$29.52
|
|
Kidney imaging morphology
|
$1,385.07 |
$1,385.07 |
$1,385.07 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,830.87 |
$1,830.87 |
$1,830.87 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,591.94 |
$1,591.94 |
$1,591.94 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$513.48 |
$513.48 |
$513.48 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,172.05 |
$8,172.05 |
$8,172.05 |
$9,391.25
|
|
Kit hfx iq ipg bundle
|
$39,406.68 |
$39,406.68 |
$39,406.68 |
$29,925.00
|
|
Kit lead specify 5-6-5
|
$22,244.69 |
$22,244.69 |
$22,244.69 |
$16,433.66
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,000.10 |
$1,000.10 |
$1,000.10 |
$1,375.39
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$18,384.03 |
$18,384.03 |
$18,384.03 |
$4,063.54
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,300.13 |
$1,300.13 |
$1,300.13 |
$2,089.15
|
|
Kras gene variants exon 2
|
$130.43 |
$130.43 |
$130.43 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$34.25 |
$34.25 |
$34.25 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$394.56 |
$394.56 |
$394.56 |
$182.18
|
|
Lactate dehydrogenase (ldh)
|
$62.48 |
$62.48 |
$62.48 |
$53.30
|
|
Lactated ringers intravenous solution
|
$21.38 |
$21.38 |
$21.38 |
$48.00
|
|
Lactic acid
|
$125.22 |
$125.22 |
$125.22 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$6.85 |
$6.85 |
$6.85 |
$88.40
|
|
Lanthanum carbonate oral 5mg
|
$14.53 |
$14.53 |
$14.53 |
$14.41
|
|
Lead acuity x4 spiral l 86cm
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$5,617.19
|
|
Lead capillary
|
$2.95 |
$2.95 |
$2.95 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$4,132.20
|
|
Lead tachy durata sj4 58cm
|
$8,172.05 |
$8,172.05 |
$8,172.05 |
$6,656.44
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$789.40 |
$789.40 |
$789.40 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,690.58 |
$1,690.58 |
$1,690.58 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,690.58 |
$1,690.58 |
$1,690.58 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$453.47 |
$453.47 |
$453.47 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$92.07 |
$92.07 |
$92.07 |
$163.80
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$10,190.34 |
$10,190.34 |
$10,190.34 |
$3,454.94
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,542.55 |
$3,542.55 |
$3,542.55 |
$5,218.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$104.12 |
$104.12 |
$104.12 |
$82.84
|
|
Levetiracetam therapeutic drug level
|
$2.20 |
$2.20 |
$2.20 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.59 |
$66.59 |
$66.59 |
$64.88
|
|
Liberta rc ipg
|
$39,406.68 |
$39,406.68 |
$39,406.68 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$22.20 |
$22.20 |
$22.20 |
$38.00
|
|
Lidocaine therapeutic drug level
|
$113.71 |
$113.71 |
$113.71 |
$83.85
|
|
Liletta, 52 mg
|
$1,000.10 |
$1,000.10 |
$1,000.10 |
$1,790.04
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$28,375.44 |
$28,375.44 |
$28,375.44 |
$159.12
|
|
Lipase
|
$82.20 |
$82.20 |
$82.20 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$14.98 |
$14.98 |
$14.98 |
$89.52
|
|
Lipoprotein blood quant
|
$15.07 |
$15.07 |
$15.07 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$18.36 |
$18.36 |
$18.36 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$72.34 |
$72.34 |
$72.34 |
$60.00
|
|
Lithium therapeutic drug level
|
$77.27 |
$77.27 |
$77.27 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$7,027.83 |
$7,027.83 |
$7,027.83 |
$4,371.12
|
|
Liver Function Test
|
$86.31 |
$86.31 |
$86.31 |
$110.50
|
|
Liver/spleen imag static only
|
$1,390.83 |
$1,390.83 |
$1,390.83 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,390.83 |
$1,390.83 |
$1,390.83 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$105.49 |
$105.49 |
$105.49 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.70 |
$13.70 |
$13.70 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,032.54 |
$2,032.54 |
$2,032.54 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,682.74 |
$2,682.74 |
$2,682.74 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,354.93 |
$1,354.93 |
$1,354.93 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,182.41 |
$2,182.41 |
$2,182.41 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,182.41 |
$2,182.41 |
$2,182.41 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,426.45 |
$1,426.45 |
$1,426.45 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$321.95 |
$321.95 |
$321.95 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,642.09 |
$1,642.09 |
$1,642.09 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$161.39 |
$161.39 |
$161.39 |
$298.50
|
|
Lung perfusion imaging
|
$1,209.99 |
$1,209.99 |
$1,209.99 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$8,723.89 |
$8,723.89 |
$8,723.89 |
$21,347.15
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$13,577.53 |
$13,577.53 |
$13,577.53 |
$23,630.66
|
|
Lvad shower bag heartmate
|
$3,718.18 |
$3,718.18 |
$3,718.18 |
$1,027.89
|
|
Lymphatics/lymph node imaging
|
$1,591.94 |
$1,591.94 |
$1,591.94 |
$1,543.75
|
|
Macroscopic exam arthropod
|
$7.98 |
$7.98 |
$7.98 |
$38.58
|
|
Macroscopic exam parasite
|
$20.55 |
$20.55 |
$20.55 |
$38.50
|
|
Magnesium
|
$55.90 |
$55.90 |
$55.90 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$157.83 |
$157.83 |
$157.83 |
$64.61
|
|
Mammosite ced
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$103.58 |
$103.58 |
$103.58 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$151.25 |
$151.25 |
$151.25 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$16.44 |
$16.44 |
$16.44 |
$36.39
|
|
Manual diff wbc count b-coat
|
$17.27 |
$17.27 |
$17.27 |
$22.75
|
|
Map tachycard site(s)
|
$1,034.08 |
$1,034.08 |
$1,034.08 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$2,859.19 |
$2,859.19 |
$2,859.19 |
$1,213.20
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$10,624.35 |
$10,624.35 |
$10,624.35 |
$6,522.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$4.32 |
$4.32 |
$4.32 |
$66.50
|
|
Mayo aathr protein s free
|
$12.06 |
$12.06 |
$12.06 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$5.76 |
$5.76 |
$5.76 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$8.22 |
$8.22 |
$8.22 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$4.01 |
$4.01 |
$4.01 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$19.18 |
$19.18 |
$19.18 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$78.09 |
$78.09 |
$78.09 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$194.82 |
$194.82 |
$194.82 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$396.62 |
$396.62 |
$396.62 |
$1,909.44
|
|
Mayo androstenedione
|
$6.58 |
$6.58 |
$6.58 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$5.48 |
$5.48 |
$5.48 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$5.11 |
$5.11 |
$5.11 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$9.33 |
$9.33 |
$9.33 |
$67.60
|