|
Kidney function study
|
$1,291.32 |
$1,291.32 |
$1,291.32 |
$549.70
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,837.64 |
$2,837.64 |
$2,837.64 |
$668.25
|
|
Kit cath f 8f w/glv + wipe ster
|
$11.53 |
$11.53 |
$11.53 |
$8.68
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$14,621.70 |
$14,621.70 |
$14,621.70 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$46,206.00 |
$46,206.00 |
$46,206.00 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$79,825.20 |
$79,825.20 |
$79,825.20 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$57,757.50 |
$57,757.50 |
$57,757.50 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,369.05 |
$2,369.05 |
$2,369.05 |
$1,391.79
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$8,207.02 |
$8,207.02 |
$8,207.02 |
$234.08
|
|
Kit sound processor cochlear osia 2
|
$17,525.72 |
$17,525.72 |
$17,525.72 |
$10,653.60
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,212.95 |
$3,212.95 |
$3,212.95 |
$2,306.56
|
|
Knee MRI (with and without contrast)
|
$6,702.42 |
$6,702.42 |
$6,702.42 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$6,093.48 |
$6,093.48 |
$6,093.48 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$5,896.62 |
$5,896.62 |
$5,896.62 |
$2,181.10
|
|
Knee X-ray
|
$1,159.74 |
$1,159.74 |
$1,159.74 |
$443.90
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$166.26 |
$166.26 |
$166.26 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$73.44 |
$73.44 |
$73.44 |
$58.40
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$132.74 |
$132.74 |
$132.74 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$202.98 |
$202.98 |
$202.98 |
$53.30
|
|
Lactated ringers intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$48.56
|
|
Lactic acid
|
$122.40 |
$122.40 |
$122.40 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$87.21 |
$87.21 |
$87.21 |
$88.40
|
|
Lactoferrin fecal quant
|
$133.11 |
$133.11 |
$133.11 |
$106.10
|
|
Laparo cholecystectomy/graph
|
$10,610.55 |
$10,610.55 |
$10,610.55 |
$7,220.90
|
|
Largsc w/removal lesion
|
$7,730.58 |
$7,730.58 |
$7,730.58 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$874.65 |
$874.65 |
$874.65 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$4,319.70 |
$4,319.70 |
$4,319.70 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$3,497.07 |
$3,497.07 |
$3,497.07 |
$3,390.75
|
|
Laryngoscopy with biopsy
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$2,954.40
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$874.65 |
$874.65 |
$874.65 |
$660.10
|
|
Lateral canthopexy
|
$5,792.07 |
$5,792.07 |
$5,792.07 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$5,259.12 |
$5,259.12 |
$5,259.12 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$5,362.34 |
$5,362.34 |
$5,362.34 |
$5,831.00
|
|
Lead capillary
|
$52.02 |
$52.02 |
$52.02 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$6,701.70 |
$6,701.70 |
$6,701.70 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$8,168.16 |
$8,168.16 |
$8,168.16 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,355.07 |
$1,355.07 |
$1,355.07 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,202.80 |
$3,202.80 |
$3,202.80 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,202.80 |
$3,202.80 |
$3,202.80 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$368.48 |
$368.48 |
$368.48 |
$216.48
|
|
Levalbuterol non-comp unit
|
$5.61 |
$5.61 |
$5.61 |
$8.13
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$147.08 |
$147.08 |
$147.08 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$33.28 |
$33.28 |
$33.28 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$64.88
|
|
Liberta rc ipg
|
$69,293.60 |
$69,293.60 |
$69,293.60 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$50.97 |
$50.97 |
$50.97 |
$83.85
|
|
Ligation/biopsy of temporal artery 37609
|
$3,036.03 |
$3,036.03 |
$3,036.03 |
$2,968.00
|
|
Ligation/major artery/extremity 37618
|
$5,563.59 |
$5,563.59 |
$5,563.59 |
$1,567.80
|
|
Ligation major artery neck
|
$6,031.26 |
$6,031.26 |
$6,031.26 |
$3,724.63
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$262.55 |
$262.55 |
$262.55 |
$172.25
|
|
Lipase
|
$232.56 |
$232.56 |
$232.56 |
$83.20
|
|
Lipoprotein blood quant
|
$32.02 |
$32.02 |
$32.02 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$143.31 |
$143.31 |
$143.31 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$168.30 |
$168.30 |
$168.30 |
$60.00
|
|
Lithium therapeutic drug level
|
$97.92 |
$97.92 |
$97.92 |
$67.60
|
|
Liver Function Test
|
$335.58 |
$335.58 |
$335.58 |
$110.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$43.95
|
|
Low cost skin substitute app
|
$1,176.57 |
$1,176.57 |
$1,176.57 |
$1,030.00
|
|
Low cost skin substitute app
|
$3,494.52 |
$3,494.52 |
$3,494.52 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,176.57 |
$1,176.57 |
$1,176.57 |
$1,132.56
|
|
Low cost skin substitute app
|
$1,176.57 |
$1,176.57 |
$1,176.57 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$261.63 |
$261.63 |
$261.63 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$6,076.14 |
$6,076.14 |
$6,076.14 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$5,523.81 |
$5,523.81 |
$5,523.81 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$7,675.50 |
$7,675.50 |
$7,675.50 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$6,185.79 |
$6,185.79 |
$6,185.79 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$5,534.52 |
$5,534.52 |
$5,534.52 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,443.30 |
$1,443.30 |
$1,443.30 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$402.39 |
$402.39 |
$402.39 |
$275.88
|
|
Lung Function Test (Spirometry)
|
$621.69 |
$621.69 |
$621.69 |
$298.50
|
|
Lung perfusion imaging
|
$3,520.02 |
$3,520.02 |
$3,520.02 |
$1,100.39
|
|
Lvad shower bag heartmate
|
$1,586.30 |
$1,586.30 |
$1,586.30 |
$972.60
|
|
Lymphatics/lymph node imaging
|
$2,774.91 |
$2,774.91 |
$2,774.91 |
$1,543.75
|
|
Magnesium
|
$154.02 |
$154.02 |
$154.02 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$69.30
|
|
Mammosite ced
|
$8,639.40 |
$8,639.40 |
$8,639.40 |
$5,100.00
|
|
Manipulate wrist w/anesthes
|
$2,904.45 |
$2,904.45 |
$2,904.45 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$439.62 |
$439.62 |
$439.62 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$534.48 |
$534.48 |
$534.48 |
$178.75
|
|
Marker biop eviva buckle ss
|
$8,285.84 |
$8,285.84 |
$8,285.84 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,986.07 |
$2,986.07 |
$2,986.07 |
$1,753.29
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$14,292.65 |
$14,292.65 |
$14,292.65 |
$6,321.00
|
|
M.avium-intra dna amp prob
|
$191.76 |
$191.76 |
$191.76 |
$113.31
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$61.58 |
$61.58 |
$61.58 |
$66.50
|
|
Mayo aathr protein s free
|
$97.46 |
$97.46 |
$97.46 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$53.30 |
$53.30 |
$53.30 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$30.60 |
$30.60 |
$30.60 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$623.22 |
$623.22 |
$623.22 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$18.48 |
$18.48 |
$18.48 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$39.78 |
$39.78 |
$39.78 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$124.44 |
$124.44 |
$124.44 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$55.85 |
$55.85 |
$55.85 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$5.56 |
$5.56 |
$5.56 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$175.95 |
$175.95 |
$175.95 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$249.90 |
$249.90 |
$249.90 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$1,909.44
|
|
Mayo androstenedione
|
$92.13 |
$92.13 |
$92.13 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$49.55 |
$49.55 |
$49.55 |
$72.46
|
