|
Kit case 4.2mm spinejack
|
$3.75 |
$3.75 |
$3.75 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$5.25 |
$5.25 |
$5.25 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$31.50 |
$31.50 |
$31.50 |
$34,160.00
|
|
Kit ipg optimizer smart
|
$0.75 |
$0.75 |
$0.75 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$457.50 |
$457.50 |
$457.50 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$684.12 |
$684.12 |
$684.12 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$10.50 |
$10.50 |
$10.50 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$364.50 |
$364.50 |
$364.50 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$0.75 |
$0.75 |
$0.75 |
$2,254.50
|
|
Kit trach suct cls 30.5cm
|
$35.42 |
$35.42 |
$35.42 |
$35.26
|
|
Knee arthroscopy dx
|
$2,148.75 |
$2,148.75 |
$2,148.75 |
$3,980.03
|
|
Knee arthroscopy/surgery
|
$5,766.75 |
$5,766.75 |
$5,766.75 |
$4,137.60
|
|
Knee MRI (with and without contrast)
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,107.50 |
$2,107.50 |
$2,107.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$2,110.76
|
|
Knee X-ray
|
$380.25 |
$380.25 |
$380.25 |
$425.55
|
|
Ko elastic w/joints pre ots
|
$98.84 |
$98.84 |
$98.84 |
$137.05
|
|
Kyleena, 19.5 mg
|
$2,845.99 |
$2,845.99 |
$2,845.99 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$31.55 |
$31.55 |
$31.55 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$235.61 |
$235.61 |
$235.61 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$52.50 |
$52.50 |
$52.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$31.80 |
$31.80 |
$31.80 |
$44.91
|
|
Lactic acid
|
$103.50 |
$103.50 |
$103.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$119.25 |
$119.25 |
$119.25 |
$81.00
|
|
Lactoferrin fecal quant
|
$119.25 |
$119.25 |
$119.25 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$21,482.79 |
$21,482.79 |
$21,482.79 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$8,733.75 |
$8,733.75 |
$8,733.75 |
$10,948.04
|
|
Laparo cholecystectomy/graph
|
$3,831.75 |
$3,831.75 |
$3,831.75 |
$8,346.00
|
|
Laparoscopy remove adnexa
|
$3,831.75 |
$3,831.75 |
$3,831.75 |
$8,607.55
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,026.75 |
$1,026.75 |
$1,026.75 |
$765.97
|
|
Laronidase injection
|
$2,609.06 |
$2,609.06 |
$2,609.06 |
$1,927.01
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$2,487.00 |
$2,487.00 |
$2,487.00 |
$4,362.99
|
|
Laryngoscopy w/fb removal
|
$4,758.00 |
$4,758.00 |
$4,758.00 |
$2,854.09
|
|
Lead acuity x4 spiral l 86cm
|
$637.50 |
$637.50 |
$637.50 |
$5,534.00
|
|
Lead capillary
|
$50.25 |
$50.25 |
$50.25 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$712.50 |
$712.50 |
$712.50 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$450.00 |
$450.00 |
$450.00 |
$8,204.74
|
|
Left compres band >=3" <5"/yd
|
$13.50 |
$13.50 |
$13.50 |
$5.20
|
|
Left compres band <3"/yd
|
$2.25 |
$2.25 |
$2.25 |
$3.64
|
|
Left compres band >=5"/yd
|
$5.25 |
$5.25 |
$5.25 |
$6.73
|
|
Legion pneumo dna dir prob
|
$122.25 |
$122.25 |
$122.25 |
$49.00
|
|
Legion pneumo dna quant
|
$255.00 |
$255.00 |
$255.00 |
$57.63
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$764.25 |
$764.25 |
$764.25 |
$1,092.58
|
|
Leishmania antibody
|
$74.25 |
$74.25 |
$74.25 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$216.00 |
$216.00 |
$216.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$712.50 |
$712.50 |
$712.50 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$472.50 |
$472.50 |
$472.50 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$280.46 |
$280.46 |
$280.46 |
$164.09
|
|
Leukacyte transfusion
|
$304.50 |
$304.50 |
$304.50 |
$202.78
|
|
Leukocyte phagocytosis
|
$51.00 |
$51.00 |
$51.00 |
$80.64
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$27,850.21 |
$27,850.21 |
$27,850.21 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$28,078.80 |
$28,078.80 |
$28,078.80 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$1,771.20 |
$1,771.20 |
$1,771.20 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$204.23 |
$204.23 |
$204.23 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$127.50 |
$127.50 |
$127.50 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$137.34 |
$137.34 |
$137.34 |
$55.60
|
|
L hrt cath chd nm/abn nt cnj
|
$5,550.00 |
$5,550.00 |
$5,550.00 |
$6,095.95
|
|
Liberta rc ipg
|
$667.50 |
$667.50 |
$667.50 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$61.64 |
$61.64 |
$61.64 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$54.30 |
$54.30 |
$54.30 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$92.25 |
$92.25 |
$92.25 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$41,175.86 |
$41,175.86 |
$41,175.86 |
$30,744.64
|
|
Ligation vericose vein cluster(s) 1 leg
|
$8,039.25 |
$8,039.25 |
$8,039.25 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$2,116.50 |
$2,116.50 |
$2,116.50 |
$4,676.50
|
|
Liletta, 52 mg
|
$2,184.00 |
$2,184.00 |
$2,184.00 |
$1,514.24
|
|
Limb exercise test
|
$417.00 |
$417.00 |
$417.00 |
$355.54
|
|
Limited autopsy
|
$366.75 |
$366.75 |
$366.75 |
$352.80
|
|
Limited autopsy
|
$325.50 |
$325.50 |
$325.50 |
$352.80
|
|
Limited visual field xm
|
$60.75 |
$60.75 |
$60.75 |
$79.20
|
|
Lincomycin injection
|
$106.73 |
$106.73 |
$106.73 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$159.90 |
$159.90 |
$159.90 |
$121.00
|
|
Lipase
|
$71.25 |
$71.25 |
$71.25 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$167.25 |
$167.25 |
$167.25 |
$86.42
|
|
Lipoprotein blood quant
|
$197.25 |
$197.25 |
$197.25 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$71.25 |
$71.25 |
$71.25 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$75.75 |
$75.75 |
$75.75 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$105.75 |
$105.75 |
$105.75 |
$47.18
|
|
Lisocabtagene mara car pos t
|
$1,104,681.24 |
$1,104,681.24 |
$1,104,681.24 |
$824,828.65
|
|
Listeria monocytogenes
|
$81.00 |
$81.00 |
$81.00 |
$106.15
|
|
Lithium therapeutic drug level
|
$41.25 |
$41.25 |
$41.25 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$322.50 |
$322.50 |
$322.50 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$3,889.50 |
$3,889.50 |
$3,889.50 |
$1,714.14
|
|
Liver Function Test
|
$72.75 |
$72.75 |
$72.75 |
$115.44
|
|
Liver imaging
|
$1,386.00 |
$1,386.00 |
$1,386.00 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$1,600.50 |
$1,600.50 |
$1,600.50 |
$1,227.60
|
|
Liver/spleen imag static only
|
$997.50 |
$997.50 |
$997.50 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$997.50 |
$997.50 |
$997.50 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$148.97 |
$148.97 |
$148.97 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$61,208.69 |
$61,208.69 |
$61,208.69 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$43.10 |
$43.10 |
$43.10 |
$37.37
|
|
Loudness balance test
|
$450.00 |
$450.00 |
$450.00 |
$344.68
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,182.50 |
$2,182.50 |
$2,182.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,890.00 |
$1,890.00 |
$1,890.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,597.50 |
$1,597.50 |
$1,597.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,610.00 |
$2,610.00 |
$2,610.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,965.00 |
$1,965.00 |
$1,965.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,747.50 |
$1,747.50 |
$1,747.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$325.50 |
$325.50 |
$325.50 |
$356.16
|
|
L/s ratio fetal lung
|
$134.25 |
$134.25 |
$134.25 |
$178.36
|
