|
Ketamine and metabolite screen - quest
|
$5.24 |
$5.24 |
$5.24 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$41.76 |
$41.76 |
$41.76 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$29.52
|
|
Kidney function study
|
$864.00 |
$864.00 |
$864.00 |
$549.70
|
|
Kidney imaging morphology
|
$919.68 |
$919.68 |
$919.68 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,813.92 |
$1,813.92 |
$1,813.92 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,356.96 |
$1,356.96 |
$1,356.96 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,548.96 |
$1,548.96 |
$1,548.96 |
$668.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$8.03 |
$8.03 |
$8.03 |
$8.68
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$12,092.16 |
$12,092.16 |
$12,092.16 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$36,288.00 |
$36,288.00 |
$36,288.00 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$61,651.20 |
$61,651.20 |
$61,651.20 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$45,360.00 |
$45,360.00 |
$45,360.00 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,360.23 |
$2,360.23 |
$2,360.23 |
$1,391.79
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$7,134.90 |
$7,134.90 |
$7,134.90 |
$234.08
|
|
Kit sound processor cochlear osia 2
|
$14,243.04 |
$14,243.04 |
$14,243.04 |
$10,653.60
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,143.76 |
$3,143.76 |
$3,143.76 |
$2,306.56
|
|
Knee MRI (with and without contrast)
|
$9,370.56 |
$9,370.56 |
$9,370.56 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$5,782.56 |
$5,782.56 |
$5,782.56 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,974.72 |
$4,974.72 |
$4,974.72 |
$2,181.10
|
|
Knee X-ray
|
$524.64 |
$524.64 |
$524.64 |
$443.90
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$236.16 |
$236.16 |
$236.16 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$131.52 |
$131.52 |
$131.52 |
$58.40
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$44.76 |
$44.76 |
$44.76 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$92.65 |
$92.65 |
$92.65 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$73.92 |
$73.92 |
$73.92 |
$53.30
|
|
Lactated ringers intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$48.56
|
|
Lactic acid
|
$68.16 |
$68.16 |
$68.16 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$60.00 |
$60.00 |
$60.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$88.80 |
$88.80 |
$88.80 |
$106.10
|
|
Laparo cholecystectomy/graph
|
$3,858.24 |
$3,858.24 |
$3,858.24 |
$7,220.90
|
|
Largsc w/removal lesion
|
$2,146.08 |
$2,146.08 |
$2,146.08 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$242.88 |
$242.88 |
$242.88 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,112.64 |
$1,112.64 |
$1,112.64 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$1,768.80 |
$1,768.80 |
$1,768.80 |
$3,390.75
|
|
Laryngoscopy with biopsy
|
$2,060.64 |
$2,060.64 |
$2,060.64 |
$2,954.40
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$242.88 |
$242.88 |
$242.88 |
$660.10
|
|
Lateral canthopexy
|
$4,989.60 |
$4,989.60 |
$4,989.60 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$7,761.60 |
$7,761.60 |
$7,761.60 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$7,510.80 |
$7,510.80 |
$7,510.80 |
$5,831.00
|
|
Lead capillary
|
$48.96 |
$48.96 |
$48.96 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$6,032.80 |
$6,032.80 |
$6,032.80 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$8,035.20 |
$8,035.20 |
$8,035.20 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,545.44 |
$2,545.44 |
$2,545.44 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,133.06 |
$3,133.06 |
$3,133.06 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,133.06 |
$3,133.06 |
$3,133.06 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$295.80 |
$295.80 |
$295.80 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$166.49 |
$166.49 |
$166.49 |
$164.09
|
|
Levalbuterol non-comp unit
|
$5.28 |
$5.28 |
$5.28 |
$8.13
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$44.76 |
$44.76 |
$44.76 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$31.32 |
$31.32 |
$31.32 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$119.76 |
$119.76 |
$119.76 |
$64.88
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$258.92 |
$258.92 |
$258.92 |
$420.60
|
|
Liberta rc ipg
|
$54,419.90 |
$54,419.90 |
$54,419.90 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$61.49 |
$61.49 |
$61.49 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$47.98 |
$47.98 |
$47.98 |
$83.85
|
|
Ligation/biopsy of temporal artery 37609
|
$2,160.48 |
$2,160.48 |
$2,160.48 |
$2,968.00
|
|
Ligation/major artery/extremity 37618
|
$2,692.32 |
$2,692.32 |
$2,692.32 |
$1,567.80
|
|
Ligation major artery neck
|
$2,815.20 |
$2,815.20 |
$2,815.20 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$2,718.72 |
$2,718.72 |
$2,718.72 |
$4,240.23
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$177.90 |
$177.90 |
$177.90 |
$172.25
|
|
Lipase
|
$73.92 |
$73.92 |
$73.92 |
$83.20
|
|
Lipoprotein blood quant
|
$30.14 |
$30.14 |
$30.14 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$86.40 |
$86.40 |
$86.40 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$61.44 |
$61.44 |
$61.44 |
$60.00
|
|
Lithium therapeutic drug level
|
$77.28 |
$77.28 |
$77.28 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,333.60 |
$3,333.60 |
$3,333.60 |
$4,371.12
|
|
Liver elastography 91200
|
$379.20 |
$379.20 |
$379.20 |
$291.74
|
|
Liver Function Test
|
$58.08 |
$58.08 |
$58.08 |
$110.50
|
|
Liver imaging
|
$745.92 |
$745.92 |
$745.92 |
$1,241.25
|
|
Liver/spleen imag static only
|
$1,333.44 |
$1,333.44 |
$1,333.44 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,796.16 |
$1,796.16 |
$1,796.16 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$43.20 |
$43.20 |
$43.20 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$60.00 |
$60.00 |
$60.00 |
$43.95
|
|
Low cost skin substitute app
|
$899.52 |
$899.52 |
$899.52 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,495.68 |
$1,495.68 |
$1,495.68 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,155.36 |
$1,155.36 |
$1,155.36 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$9,328.80 |
$9,328.80 |
$9,328.80 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$6,739.68 |
$6,739.68 |
$6,739.68 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$5,753.76 |
$5,753.76 |
$5,753.76 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$510.24 |
$510.24 |
$510.24 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,692.00 |
$1,692.00 |
$1,692.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$86.88 |
$86.88 |
$86.88 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$266.88 |
$266.88 |
$266.88 |
$298.50
|
|
Lung perfusion imaging
|
$1,480.32 |
$1,480.32 |
$1,480.32 |
$1,100.39
|
|
Lvad shower bag heartmate
|
$1,623.63 |
$1,623.63 |
$1,623.63 |
$972.60
|
|
Lymphatics/lymph node imaging
|
$1,677.60 |
$1,677.60 |
$1,677.60 |
$1,543.75
|
|
Lymph vessel x-ray trunk
|
$4,046.88 |
$4,046.88 |
$4,046.88 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$4,046.88 |
$4,046.88 |
$4,046.88 |
$3,380.00
|
|
Macroscopic exam parasite
|
$37.44 |
$37.44 |
$37.44 |
$38.50
|
|
Magnesium
|
$73.92 |
$73.92 |
$73.92 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$119.42 |
$119.42 |
$119.42 |
$69.30
|
|
Mammosite ced
|
$7,510.80 |
$7,510.80 |
$7,510.80 |
$5,100.00
|
|
Manipulate wrist w/anesthes
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$141.12 |
$141.12 |
$141.12 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$177.60 |
$177.60 |
$177.60 |
$178.75
|
|
Map tachycard site(s)
|
$8,553.60 |
$8,553.60 |
$8,553.60 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$7,203.43 |
$7,203.43 |
$7,203.43 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,921.77 |
$2,921.77 |
$2,921.77 |
$1,753.29
|
