|
Kit case 4.2mm spinejack
|
$8,582.40 |
$8,582.40 |
$8,582.40 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$10,908.00 |
$10,908.00 |
$10,908.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$896.40 |
$896.40 |
$896.40 |
$366.03
|
|
Kit lead specify 5-6-5
|
$15,120.00 |
$15,120.00 |
$15,120.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$432.00 |
$432.00 |
$432.00 |
$1,667.50
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$6,822.00 |
$6,822.00 |
$6,822.00 |
$2,254.50
|
|
Knee jnt ratchet lock ea jnt
|
$289.44 |
$289.44 |
$289.44 |
$309.90
|
|
Knee joint drop lock ea jnt
|
$175.68 |
$175.68 |
$175.68 |
$175.45
|
|
Knee MRI (with and without contrast)
|
$4,364.64 |
$4,364.64 |
$4,364.64 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,906.00 |
$3,906.00 |
$3,906.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,547.44 |
$3,547.44 |
$3,547.44 |
$2,110.76
|
|
Knee orth pos locking joint
|
$1,081.44 |
$1,081.44 |
$1,081.44 |
$585.60
|
|
Knee X-ray
|
$794.16 |
$794.16 |
$794.16 |
$425.55
|
|
Kras gene addl variants
|
$590.40 |
$590.40 |
$590.40 |
$386.75
|
|
Kras gene variants exon 2
|
$868.32 |
$868.32 |
$868.32 |
$509.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$413.28 |
$413.28 |
$413.28 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$43.20 |
$43.20 |
$43.20 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$2.14 |
$2.14 |
$2.14 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$51.84 |
$51.84 |
$51.84 |
$55.50
|
|
Lactated ringers intravenous solution
|
$21.60 |
$21.60 |
$21.60 |
$44.91
|
|
Lactation class
|
$357.84 |
$357.84 |
$357.84 |
$93.71
|
|
Lactic acid
|
$132.48 |
$132.48 |
$132.48 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$138.96 |
$138.96 |
$138.96 |
$81.00
|
|
Lactoferrin fecal quant
|
$249.84 |
$249.84 |
$249.84 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$206.54 |
$206.54 |
$206.54 |
$19,124.00
|
|
Lap revise gastr adj device
|
$6,469.20 |
$6,469.20 |
$6,469.20 |
$3,131.20
|
|
Largsc w/laser dstrj les
|
$7,963.92 |
$7,963.92 |
$7,963.92 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$3,724.56 |
$3,724.56 |
$3,724.56 |
$3,297.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$4,160.16 |
$4,160.16 |
$4,160.16 |
$765.97
|
|
Largsc w/ther injection
|
$3,724.56 |
$3,724.56 |
$3,724.56 |
$2,286.46
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,724.56 |
$3,724.56 |
$3,724.56 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$1,509.12 |
$1,509.12 |
$1,509.12 |
$852.80
|
|
Laryngoscopy with biopsy
|
$4,485.60 |
$4,485.60 |
$4,485.60 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$4,667.04 |
$4,667.04 |
$4,667.04 |
$800.25
|
|
Lead acuity x4 spiral l 86cm
|
$11,556.00 |
$11,556.00 |
$11,556.00 |
$5,534.00
|
|
Lead capillary
|
$56.88 |
$56.88 |
$56.88 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$9,288.00 |
$9,288.00 |
$9,288.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$10,908.00 |
$10,908.00 |
$10,908.00 |
$8,204.74
|
|
Left compres band <3"/yd
|
$15.84 |
$15.84 |
$15.84 |
$3.64
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,608.48 |
$1,608.48 |
$1,608.48 |
$1,092.58
|
|
Leishmania antibody
|
$81.36 |
$81.36 |
$81.36 |
$58.50
|
|
Lens, intraocular (new tech)
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$47.52 |
$47.52 |
$47.52 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$5,563.30 |
$5,563.30 |
$5,563.30 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,668.48 |
$4,668.48 |
$4,668.48 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$1,924.56 |
$1,924.56 |
$1,924.56 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.91 |
$0.91 |
$0.91 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$6,868.08 |
$6,868.08 |
$6,868.08 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.20 |
$43.20 |
$43.20 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$45.61 |
$45.61 |
$45.61 |
$420.60
|
|
Liberta rc ipg
|
$34,020.00 |
$34,020.00 |
$34,020.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$7.20 |
$7.20 |
$7.20 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.02 |
$0.02 |
$0.02 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$0.01 |
$0.01 |
$0.01 |
$87.45
|
|
Ligate leg veins open
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,724.63
|
|
Ligate/strip long leg vein
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$1,944.72 |
$1,944.72 |
$1,944.72 |
$1,525.00
|
|
Ligation vericose vein cluster(s) 1 leg
|
$9,705.60 |
$9,705.60 |
$9,705.60 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$7,229.52 |
$7,229.52 |
$7,229.52 |
$4,676.50
|
|
Limb exercise test
|
$671.04 |
$671.04 |
$671.04 |
$355.54
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$102.96 |
$102.96 |
$102.96 |
$121.00
|
|
Lipase
|
$92.88 |
$92.88 |
$92.88 |
$91.65
|
|
Lipoprotein blood quant
|
$110.16 |
$110.16 |
$110.16 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$93.60 |
$93.60 |
$93.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$53.28 |
$53.28 |
$53.28 |
$61.60
|
|
Lithium therapeutic drug level
|
$82.80 |
$82.80 |
$82.80 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$11,818.08 |
$11,818.08 |
$11,818.08 |
$4,113.20
|
|
Liver Function Test
|
$149.76 |
$149.76 |
$149.76 |
$115.44
|
|
Liver/spleen imag static only
|
$1,895.76 |
$1,895.76 |
$1,895.76 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$168.30 |
$168.30 |
$168.30 |
$37.37
|
|
Lo sag rig pnl stays pre cst
|
$184.32 |
$184.32 |
$184.32 |
$167.74
|
|
Low cost skin substitute app
|
$2,502.72 |
$2,502.72 |
$2,502.72 |
$933.60
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,207.60 |
$3,207.60 |
$3,207.60 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,967.84 |
$2,967.84 |
$2,967.84 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,428.56 |
$2,428.56 |
$2,428.56 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,527.44 |
$5,527.44 |
$5,527.44 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$5,068.80 |
$5,068.80 |
$5,068.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,510.08 |
$4,510.08 |
$4,510.08 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$666.00 |
$666.00 |
$666.00 |
$356.16
|
|
Lumbar diskogram s&i
|
$4,217.76 |
$4,217.76 |
$4,217.76 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$219.60 |
$219.60 |
$219.60 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$378.72 |
$378.72 |
$378.72 |
$295.35
|
|
Lung perfusion imaging
|
$1,799.28 |
$1,799.28 |
$1,799.28 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$534.60 |
$534.60 |
$534.60 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$106.61 |
$106.61 |
$106.61 |
$22,210.87
|
|
Lymphatics/lymph node imaging
|
$2,434.32 |
$2,434.32 |
$2,434.32 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$337.68 |
$337.68 |
$337.68 |
$271.88
|
|
Lymphocytotoxicity assay
|
$239.04 |
$239.04 |
$239.04 |
$379.20
|
|
Macroscopic exam arthropod
|
$120.96 |
$120.96 |
$120.96 |
$38.58
|
|
Macroscopic exam parasite
|
$105.84 |
$105.84 |
$105.84 |
$36.55
|
|
Magnesium
|
$108.00 |
$108.00 |
$108.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$21.98 |
$21.98 |
$21.98 |
$59.88
|
|
Malaria antibody
|
$104.40 |
$104.40 |
$104.40 |
$94.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$278.64 |
$278.64 |
$278.64 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$278.64 |
$278.64 |
$278.64 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$43.20 |
$43.20 |
$43.20 |
$30.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$680.40 |
$680.40 |
$680.40 |
$636.50
|
