|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,118.26 |
$3,118.26 |
$3,118.26 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$3,320.00 |
$3,320.00 |
$3,320.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,250.00 |
$2,250.00 |
$2,250.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,120.00 |
$2,120.00 |
$2,120.00 |
$2,130.88
|
|
Knee X-ray
|
$575.00 |
$575.00 |
$575.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$330.00 |
$330.00 |
$330.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$410.00 |
$410.00 |
$410.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$287.50 |
$287.50 |
$287.50 |
$251.20
|
|
Kras gene addl variants
|
$460.00 |
$460.00 |
$460.00 |
$387.20
|
|
Kras gene variants exon 2
|
$455.00 |
$455.00 |
$455.00 |
$536.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$44.75 |
$44.75 |
$44.75 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.70 |
$0.70 |
$0.70 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$37.50 |
$37.50 |
$37.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$110.21 |
$110.21 |
$110.21 |
$43.74
|
|
Lactic acid
|
$70.00 |
$70.00 |
$70.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$97.50 |
$97.50 |
$97.50 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$162.67 |
$162.67 |
$162.67 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$505.00 |
$505.00 |
$505.00 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$485.00 |
$485.00 |
$485.00 |
$765.97
|
|
Laryngoscopy and dilation
|
$3,970.00 |
$3,970.00 |
$3,970.00 |
$4,745.55
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$705.00 |
$705.00 |
$705.00 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$4,812.75 |
$4,812.75 |
$4,812.75 |
$5,460.00
|
|
Lead capillary
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,066.39 |
$1,066.39 |
$1,066.39 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$5,347.50 |
$5,347.50 |
$5,347.50 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$990.00 |
$990.00 |
$990.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$845.00 |
$845.00 |
$845.00 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$252.50 |
$252.50 |
$252.50 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$615.23 |
$615.23 |
$615.23 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$346.75 |
$346.75 |
$346.75 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$23.28 |
$23.28 |
$23.28 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$527.09 |
$527.09 |
$527.09 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,269.84 |
$3,269.84 |
$3,269.84 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.87 |
$0.87 |
$0.87 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$6,104.00
|
|
Liberta rc ipg
|
$28,987.53 |
$28,987.53 |
$28,987.53 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$95.00 |
$95.00 |
$95.00 |
$87.45
|
|
Ligation/major artery/extremity 37618
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$1,567.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$31.80 |
$31.80 |
$31.80 |
$121.00
|
|
Lipase
|
$67.50 |
$67.50 |
$67.50 |
$93.58
|
|
Lipoprotein blood quant
|
$167.50 |
$167.50 |
$167.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$60.00 |
$60.00 |
$60.00 |
$61.60
|
|
Lisocabtagene mara car pos t
|
$1,507,500.00 |
$1,507,500.00 |
$1,507,500.00 |
$1,336,907.88
|
|
Lithium therapeutic drug level
|
$45.00 |
$45.00 |
$45.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$4,371.12
|
|
Liver elastography 91200
|
$427.50 |
$427.50 |
$427.50 |
$285.18
|
|
Liver Function Test
|
$80.00 |
$80.00 |
$80.00 |
$115.44
|
|
Liver imaging
|
$1,260.00 |
$1,260.00 |
$1,260.00 |
$1,109.00
|
|
Liver/spleen imag static only
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,138.55
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$59.40 |
$59.40 |
$59.40 |
$37.20
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$933.60
|
|
Low cost skin substitute app
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,016.16
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$515.00 |
$466.80
|
|
Low cost skin substitute app
|
$650.00 |
$650.00 |
$650.00 |
$756.00
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$515.00 |
$408.45
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$515.00 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$565.00 |
$565.00 |
$565.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,975.00 |
$1,975.00 |
$1,975.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,250.00 |
$1,250.00 |
$1,250.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,650.00 |
$2,650.00 |
$2,650.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,700.00 |
$1,700.00 |
$1,700.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$355.00 |
$355.00 |
$355.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$535.00 |
$535.00 |
$535.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$590.00 |
$590.00 |
$590.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$405.00 |
$405.00 |
$405.00 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$137.50 |
$137.50 |
$137.50 |
$364.77
|
|
Lumbar diskogram s&i
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$525.00 |
$525.00 |
$525.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$307.50 |
$307.50 |
$307.50 |
$296.91
|
|
Lung perfusion imaging
|
$855.00 |
$855.00 |
$855.00 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$488.74 |
$488.74 |
$488.74 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$98.80 |
$98.80 |
$98.80 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$347.50 |
$347.50 |
$347.50 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$267.50 |
$267.50 |
$267.50 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$1,491.70
|
|
Lymph vessel x-ray arm/leg
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$2,390.00 |
$2,390.00 |
$2,390.00 |
$2,164.52
|
|
Macro exam dissect molec study ea
|
$50.00 |
$50.00 |
$50.00 |
$67.08
|
|
Macroscopic exam arthropod
|
$77.50 |
$77.50 |
$77.50 |
$38.58
|
|
Macroscopic exam parasite
|
$67.50 |
$67.50 |
$67.50 |
$37.05
|
|
Magnesium
|
$50.00 |
$50.00 |
$50.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$31.23 |
$31.23 |
$31.23 |
$58.70
|
|
Mammosite ced
|
$105.00 |
$105.00 |
$105.00 |
$5,031.60
|
|
Manual diff wbc count b-coat
|
$20.00 |
$20.00 |
$20.00 |
$25.74
|
|
Mapping functional cort/subcort ea add'l hr
|
$915.00 |
$915.00 |
$915.00 |
$584.80
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$95.53 |
$95.53 |
$95.53 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,451.30 |
$1,451.30 |
$1,451.30 |
$1,451.30
|
|
Mastoids complete
|
$337.50 |
$337.50 |
$337.50 |
$299.50
|
|
M.avium-intra dna amp prob
|
$175.00 |
$175.00 |
$175.00 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$80.00 |
$80.00 |
$80.00 |
$65.28
|
|
Mayo aathr protein s free
|
$130.00 |
$130.00 |
$130.00 |
$130.00
|
