|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$27.84 |
$27.84 |
$27.84 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$21.17 |
$21.17 |
$21.17 |
$29.52
|
|
Kidney imag w/bld flow multi
|
$2,323.39 |
$2,323.39 |
$2,323.39 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,912.18 |
$1,912.18 |
$1,912.18 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$611.92 |
$611.92 |
$611.92 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,308.83 |
$9,308.83 |
$9,308.83 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$109.76 |
$109.76 |
$109.76 |
$355.00
|
|
Kit ipg optimizer smart
|
$40,028.69 |
$40,028.69 |
$40,028.69 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$12,101.04 |
$12,101.04 |
$12,101.04 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,139.55 |
$1,139.55 |
$1,139.55 |
$1,391.79
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,481.76 |
$1,481.76 |
$1,481.76 |
$2,306.56
|
|
Kras gene addl variants
|
$143.08 |
$143.08 |
$143.08 |
$346.45
|
|
Kras gene variants exon 2
|
$143.08 |
$143.08 |
$143.08 |
$495.00
|
|
Kyleena, 19.5 mg
|
$4,037.60 |
$4,037.60 |
$4,037.60 |
$2,211.85
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$21.17 |
$21.17 |
$21.17 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$435.52 |
$435.52 |
$435.52 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$150.92 |
$150.92 |
$150.92 |
$53.30
|
|
Lactated ringers intravenous solution
|
$44.69 |
$44.69 |
$44.69 |
$48.56
|
|
Lactic acid
|
$121.92 |
$121.92 |
$121.92 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$38.42 |
$38.42 |
$38.42 |
$88.40
|
|
Lactoferrin fecal quant
|
$68.37 |
$68.37 |
$68.37 |
$106.10
|
|
Lanthanum carbonate oral 5mg
|
$40.77 |
$40.77 |
$40.77 |
$14.41
|
|
Lead acuity x4 spiral l 86cm
|
$7,160.28 |
$7,160.28 |
$7,160.28 |
$5,831.00
|
|
Lead capillary
|
$4.63 |
$4.63 |
$4.63 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$7,160.28 |
$7,160.28 |
$7,160.28 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$9,308.83 |
$9,308.83 |
$9,308.83 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,060.36 |
$1,060.36 |
$1,060.36 |
$1,100.74
|
|
Leishmania antibody
|
$15.11 |
$15.11 |
$15.11 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$874.95 |
$874.95 |
$874.95 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,256.35 |
$3,256.35 |
$3,256.35 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$234.81 |
$234.81 |
$234.81 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$81.93 |
$81.93 |
$81.93 |
$164.09
|
|
Leukocyte phagocytosis
|
$129.66 |
$129.66 |
$129.66 |
$49.28
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$14,700.00 |
$14,700.00 |
$14,700.00 |
$5,001.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$214.82 |
$214.82 |
$214.82 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$3.14 |
$3.14 |
$3.14 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$50.96 |
$50.96 |
$50.96 |
$64.88
|
|
Liberta rc ipg
|
$40,028.69 |
$40,028.69 |
$40,028.69 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$89.38 |
$89.38 |
$89.38 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$38.81 |
$38.81 |
$38.81 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$9.02 |
$9.02 |
$9.02 |
$155.52
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$226.19 |
$226.19 |
$226.19 |
$172.25
|
|
Lipase
|
$214.82 |
$214.82 |
$214.82 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$12.14 |
$12.14 |
$12.14 |
$89.52
|
|
Lipoprotein blood quant
|
$27.44 |
$27.44 |
$27.44 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$199.92 |
$199.92 |
$199.92 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$30.58 |
$30.58 |
$30.58 |
$60.00
|
|
Lithium therapeutic drug level
|
$112.12 |
$112.12 |
$112.12 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$7,174.39 |
$7,174.39 |
$7,174.39 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$70.56 |
$70.56 |
$70.56 |
$365.28
|
|
Liver Function Test
|
$280.28 |
$280.28 |
$280.28 |
$110.50
|
|
Liver/spleen imag static only
|
$1,226.18 |
$1,226.18 |
$1,226.18 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,226.18 |
$1,226.18 |
$1,226.18 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$92.91 |
$92.91 |
$92.91 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$470.40 |
$470.40 |
$470.40 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,025.85 |
$3,025.85 |
$3,025.85 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,726.36 |
$2,726.36 |
$2,726.36 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,636.20 |
$2,636.20 |
$2,636.20 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,044.28 |
$3,044.28 |
$3,044.28 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,556.24 |
$2,556.24 |
$2,556.24 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,936.48 |
$1,936.48 |
$1,936.48 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$284.20 |
$284.20 |
$284.20 |
$344.00
|
|
Lumbar diskogram s&i
|
$2,817.70 |
$2,817.70 |
$2,817.70 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$327.32 |
$327.32 |
$327.32 |
$298.50
|
|
Lung perfusion imaging
|
$1,173.65 |
$1,173.65 |
$1,173.65 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$1,275.18 |
$1,275.18 |
$1,275.18 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$223.44 |
$223.44 |
$223.44 |
$266.20
|
|
Lymph vessel x-ray arms/legs
|
$2,715.00 |
$2,715.00 |
$2,715.00 |
$2,229.24
|
|
Macroscopic exam arthropod
|
$30.19 |
$30.19 |
$30.19 |
$38.58
|
|
Macroscopic exam parasite
|
$18.04 |
$18.04 |
$18.04 |
$38.50
|
|
Magnesium
|
$138.77 |
$138.77 |
$138.77 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$47.04 |
$47.04 |
$47.04 |
$69.30
|
|
Magnetic image bone marrow
|
$730.30 |
$730.30 |
$730.30 |
$1,152.80
|
|
Malaria antibody
|
$22.35 |
$22.35 |
$22.35 |
$38.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$38.42 |
$38.42 |
$38.42 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$64.29 |
$64.29 |
$64.29 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$21.17 |
$21.17 |
$21.17 |
$28.48
|
|
Map tachycard site(s)
|
$668.36 |
$668.36 |
$668.36 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$1,926.29 |
$1,926.29 |
$1,926.29 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,481.76 |
$1,481.76 |
$1,481.76 |
$1,753.29
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$7,160.28 |
$7,160.28 |
$7,160.28 |
$6,321.00
|
|
M.avium-intra dna dir prob
|
$39.20 |
$39.20 |
$39.20 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$9.93 |
$9.93 |
$9.93 |
$66.50
|
|
Mayo aathr protein s free
|
$71.25 |
$71.25 |
$71.25 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$71.25 |
$71.25 |
$71.25 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$57.82 |
$57.82 |
$57.82 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$11.76 |
$11.76 |
$11.76 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$34.19 |
$34.19 |
$34.19 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$27.44 |
$27.44 |
$27.44 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$313.60 |
$313.60 |
$313.60 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$255.98 |
$255.98 |
$255.98 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$152.88 |
$152.88 |
$152.88 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$670.81 |
$670.81 |
$670.81 |
$1,909.44
|
|
Mayo androstenedione
|
$26.96 |
$26.96 |
$26.96 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$7.84 |
$7.84 |
$7.84 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$7.31 |
$7.31 |
$7.31 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$36.17 |
$36.17 |
$36.17 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$66.25 |
$66.25 |
$66.25 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$27.44 |
$27.44 |
$27.44 |
$105.00
|
|
Mayo bart bartonella henselae antibody igg
|
$3.92 |
$3.92 |
$3.92 |
$45.75
|
