|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,234.80 |
$1,234.80 |
$1,234.80 |
$1,391.79
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$3,931.62 |
$3,931.62 |
$3,931.62 |
$234.08
|
|
Kit sound processor cochlear osia 2
|
$8,308.44 |
$8,308.44 |
$8,308.44 |
$10,653.60
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,659.84 |
$1,659.84 |
$1,659.84 |
$2,306.56
|
|
Knee MRI (with and without contrast)
|
$2,429.00 |
$2,429.00 |
$2,429.00 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,870.75 |
$1,870.75 |
$1,870.75 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,519.70 |
$1,519.70 |
$1,519.70 |
$2,181.10
|
|
Knee X-ray
|
$478.80 |
$478.80 |
$478.80 |
$443.90
|
|
Kras gene variants exon 2
|
$136.50 |
$136.50 |
$136.50 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$77.35 |
$77.35 |
$77.35 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$77.35 |
$77.35 |
$77.35 |
$58.40
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.75 |
$33.75 |
$33.75 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$106.61 |
$106.61 |
$106.61 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$72.10 |
$72.10 |
$72.10 |
$53.30
|
|
Lactated ringers intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$48.56
|
|
Lactic acid
|
$98.70 |
$98.70 |
$98.70 |
$102.90
|
|
Laparo cholecystectomy/graph
|
$3,720.15 |
$3,720.15 |
$3,720.15 |
$7,220.90
|
|
Largsc w/removal lesion
|
$1,637.30 |
$1,637.30 |
$1,637.30 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$451.50 |
$451.50 |
$451.50 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,691.55 |
$1,691.55 |
$1,691.55 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$1,691.55 |
$1,691.55 |
$1,691.55 |
$3,390.75
|
|
Laryngoscopy with biopsy
|
$1,301.30 |
$1,301.30 |
$1,301.30 |
$2,954.40
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$347.20 |
$347.20 |
$347.20 |
$660.10
|
|
Lateral canthopexy
|
$2,381.75 |
$2,381.75 |
$2,381.75 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$3,290.70 |
$3,290.70 |
$3,290.70 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$2,548.32 |
$2,548.32 |
$2,548.32 |
$5,831.00
|
|
Lead ingevity 45cm pfret MRI
|
$3,263.95 |
$3,263.95 |
$3,263.95 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$3,913.00 |
$3,913.00 |
$3,913.00 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,111.95 |
$1,111.95 |
$1,111.95 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,654.19 |
$1,654.19 |
$1,654.19 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,654.19 |
$1,654.19 |
$1,654.19 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$148.75 |
$148.75 |
$148.75 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$110.25 |
$110.25 |
$110.25 |
$164.09
|
|
Leukocyte phagocytosis
|
$224.91 |
$224.91 |
$224.91 |
$49.28
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$13,788.43 |
$13,788.43 |
$13,788.43 |
$6,694.24
|
|
Levalbuterol non-comp unit
|
$7.77 |
$7.77 |
$7.77 |
$8.13
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$33.61 |
$33.61 |
$33.61 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$86.49 |
$86.49 |
$86.49 |
$64.88
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$586.16 |
$586.16 |
$586.16 |
$420.60
|
|
Liberta rc ipg
|
$32,673.99 |
$32,673.99 |
$32,673.99 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$39.75
|
|
Ligation/biopsy of temporal artery 37609
|
$1,205.75 |
$1,205.75 |
$1,205.75 |
$2,968.00
|
|
Ligation/major artery/extremity 37618
|
$2,822.40 |
$2,822.40 |
$2,822.40 |
$1,567.80
|
|
Ligation major artery neck
|
$2,394.00 |
$2,394.00 |
$2,394.00 |
$3,724.63
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$259.43 |
$259.43 |
$259.43 |
$172.25
|
|
Lipase
|
$124.60 |
$124.60 |
$124.60 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$117.60 |
$117.60 |
$117.60 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$42.00 |
$42.00 |
$42.00 |
$60.00
|
|
Lithium therapeutic drug level
|
$199.50 |
$199.50 |
$199.50 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,141.30 |
$2,141.30 |
$2,141.30 |
$4,371.12
|
|
Liver Function Test
|
$571.20 |
$571.20 |
$571.20 |
$110.50
|
|
Liver imaging
|
$655.20 |
$655.20 |
$655.20 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$729.40 |
$729.40 |
$729.40 |
$1,255.15
|
|
Liver/spleen imag static only
|
$678.30 |
$678.30 |
$678.30 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$43.75 |
$43.75 |
$43.75 |
$43.95
|
|
Low cost skin substitute app
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,030.00
|
|
Low cost skin substitute app
|
$1,710.10 |
$1,710.10 |
$1,710.10 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,132.56
|
|
Low cost skin substitute app
|
$1,222.20 |
$1,222.20 |
$1,222.20 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,440.25 |
$1,440.25 |
$1,440.25 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,298.85 |
$1,298.85 |
$1,298.85 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,054.10 |
$3,054.10 |
$3,054.10 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,429.00 |
$2,429.00 |
$2,429.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,238.25 |
$2,238.25 |
$2,238.25 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$328.30 |
$328.30 |
$328.30 |
$344.00
|
|
Lumbar diskogram s&i
|
$929.25 |
$929.25 |
$929.25 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$60.55 |
$60.55 |
$60.55 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$155.75 |
$155.75 |
$155.75 |
$298.50
|
|
Lung perfusion imaging
|
$668.50 |
$668.50 |
$668.50 |
$1,100.39
|
|
Lvad shower bag heartmate
|
$833.49 |
$833.49 |
$833.49 |
$972.60
|
|
Lymphatics/lymph node imaging
|
$841.40 |
$841.40 |
$841.40 |
$1,543.75
|
|
Macroscopic exam parasite
|
$138.25 |
$138.25 |
$138.25 |
$38.50
|
|
Magnesium
|
$103.25 |
$103.25 |
$103.25 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$85.93 |
$85.93 |
$85.93 |
$69.30
|
|
Magnetic image bone marrow
|
$1,519.70 |
$1,519.70 |
$1,519.70 |
$1,152.80
|
|
Mammosite ced
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$5,100.00
|
|
Manipulate wrist w/anesthes
|
$1,193.50 |
$1,193.50 |
$1,193.50 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$208.60 |
$208.60 |
$208.60 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$208.60 |
$208.60 |
$208.60 |
$178.75
|
|
Map tachycard site(s)
|
$336.70 |
$336.70 |
$336.70 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$3,969.37 |
$3,969.37 |
$3,969.37 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,542.63 |
$1,542.63 |
$1,542.63 |
$1,753.29
|
|
Mastoids complete
|
$370.65 |
$370.65 |
$370.65 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6,785.68 |
$6,785.68 |
$6,785.68 |
$6,321.00
|
|
Mayo alcohol definitive assay volatile screen
|
$162.05 |
$162.05 |
$162.05 |
$118.95
|
|
Mayo amikacin trough therapeutic drug level
|
$309.75 |
$309.75 |
$309.75 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$64.75 |
$64.75 |
$64.75 |
$326.48
|
|
Mayo barbiturates definitive assay confirmation urine
|
$39.01 |
$39.01 |
$39.01 |
$91.65
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$52.50 |
$52.50 |
$52.50 |
$353.60
|
|
Mayo c1 esterase inhibitor
|
$46.81 |
$46.81 |
$46.81 |
$88.35
|
|
Mayo cocou cortisone urine
|
$17.50 |
$17.50 |
$17.50 |
$207.26
|
|
Mayo covid-19 antibody nucleocapsid total
|
$47.95 |
$47.95 |
$47.95 |
$72.60
|
|
Mayo fbl culture fungi blood
|
$355.95 |
$355.95 |
$355.95 |
$102.20
|
|
Mayo fdp/fsp paracoagulation
|
$179.20 |
$179.20 |
$179.20 |
$111.03
|
|
Mayo gamma-globin full gene sequencing
|
$135.80 |
$135.80 |
$135.80 |
$1,446.90
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$136.14 |
$136.14 |
$136.14 |
$165.00
|
|
Mayo hvdip HIV 1 antibody
|
$29.85 |
$29.85 |
$29.85 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$5.15 |
$5.15 |
$5.15 |
$67.60
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$46.81 |
$46.81 |
$46.81 |
$202.63
|