|
Kidney img w/bldflw sgl without rx
|
$2,014.20 |
$2,014.20 |
$2,014.20 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$319.20 |
$319.20 |
$319.20 |
$618.54
|
|
Kit gene analys d816 variant
|
$622.80 |
$622.80 |
$622.80 |
$276.38
|
|
Kit sound processor cochlear osia 2
|
$26,452.80 |
$26,452.80 |
$26,452.80 |
$22,008.58
|
|
Knee MRI (with and without contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$1,165.20 |
$1,165.20 |
$1,165.20 |
$2,120.00
|
|
Knee X-ray
|
$523.20 |
$523.20 |
$523.20 |
$387.20
|
|
Kras gene addl variants
|
$415.80 |
$415.80 |
$415.80 |
$366.56
|
|
Kras gene variants exon 2
|
$411.60 |
$411.60 |
$411.60 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$44.90 |
$50.65 |
$50.65 |
$13.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$130.51 |
$196.60 |
$196.60 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$101.40 |
$101.40 |
$101.40 |
$50.55
|
|
Lactated ringers intravenous solution
|
$78.68 |
$78.68 |
$78.68 |
$46.35
|
|
Lactic acid
|
$217.20 |
$217.20 |
$217.20 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$142.20 |
$142.20 |
$142.20 |
$88.40
|
|
Lactoferrin fecal quant
|
$228.00 |
$228.00 |
$228.00 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$14,343.00 |
$14,343.00 |
$14,343.00 |
$21,470.76
|
|
Laryngeal function studies
|
$342.60 |
$342.60 |
$342.60 |
$335.40
|
|
Laryngoscopy telescopic
|
$2,383.20 |
$2,383.20 |
$2,383.20 |
$685.43
|
|
Lead capillary
|
$198.60 |
$198.60 |
$198.60 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,751.40 |
$1,751.40 |
$1,751.40 |
$1,053.00
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$519.00 |
$519.00 |
$609.00 |
$609.00
|
|
Lens iol ant bicnvx 24.0 multi
|
$486.60 |
$486.60 |
$612.60 |
$1,136.25
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$164.09 |
$164.09 |
$164.09 |
$115.27
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$9,320.28 |
$9,320.28 |
$9,320.28 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$7,821.38 |
$7,821.38 |
$7,821.38 |
$4,308.91
|
|
Levalbuterol non-comp unit
|
$20.15 |
$20.15 |
$20.15 |
$20.15
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$124.96 |
$124.96 |
$124.96 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$346.80 |
$346.80 |
$346.80 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$64.88 |
$64.88 |
$64.88 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$420.60 |
$665.44 |
$665.44 |
$343.13
|
|
L hrt cath chd nm/abn nt cnj
|
$6,415.80 |
$6,415.80 |
$6,415.80 |
$6,242.85
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$64.09 |
$64.09 |
$64.09 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$204.00 |
$204.00 |
$204.00 |
$82.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$130.49 |
$206.92 |
$206.92 |
$84.28
|
|
Lipase
|
$174.60 |
$174.60 |
$174.60 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$60.60 |
$60.60 |
$119.40 |
$90.60
|
|
Lipoprotein blood quant
|
$303.60 |
$303.60 |
$303.60 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$195.00 |
$195.00 |
$195.00 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$170.40 |
$170.40 |
$170.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$189.60 |
$189.60 |
$189.60 |
$62.40
|
|
Lithotripsy transluminal coronary percutaneous
|
$11,460.60 |
$11,460.60 |
$11,460.60 |
$3,650.25
|
|
Liver Function Test
|
$241.20 |
$241.20 |
$241.20 |
$92.85
|
|
Liver imaging
|
$1,031.40 |
$1,031.40 |
$1,031.40 |
$827.28
|
|
Liver/spleen imag static only
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$1,135.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$2.57 |
$2.57 |
$2.57 |
$2.57
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$261.04 |
$261.04 |
$261.04 |
$37.37
|
|
Low cost skin substitute app
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$879.60
|
|
Low cost skin substitute app
|
$6,739.20 |
$6,739.20 |
$6,739.20 |
$2,147.57
|
|
Low cost skin substitute app
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$879.60
|
|
Low cost skin substitute app
|
$4,450.20 |
$4,450.20 |
$4,450.20 |
$1,214.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$240.00 |
$240.00 |
$240.00 |
$328.23
|
|
Low frequency non-thermal Ultrasound
|
$233.40 |
$233.40 |
$233.40 |
$275.88
|
|
L/s ratio fetal lung
|
$82.80 |
$82.80 |
$163.80 |
$173.55
|
|
Lumbar diskogram s&i
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$2,358.23
|
|
Lumizyme injection
|
$1,594.90 |
$1,594.90 |
$1,594.90 |
$1,048.95
|
|
Lung function test (mbc/mvv)
|
$229.20 |
$229.20 |
$360.00 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$556.80 |
$556.80 |
$556.80 |
$290.89
|
|
Lung perfusion imaging
|
$1,709.40 |
$1,709.40 |
$1,709.40 |
$919.75
|
|
Lurbinectedin 4 mg intravenous solution
|
$298.13 |
$298.13 |
$298.13 |
$298.13
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$237.20 |
$237.20 |
$237.20 |
$68.76
|
|
Lutetium lu 177 vipivotide
|
$365.28 |
$365.28 |
$365.28 |
$332.80
|
|
Lvad shower bag heartmate
|
$707.40 |
$707.40 |
$972.60 |
$1,059.75
|
|
Lymphatics/lymph node imaging
|
$2,593.80 |
$2,593.80 |
$2,593.80 |
$1,330.00
|
|
Lymphocytotoxicity assay
|
$408.00 |
$408.00 |
$408.00 |
$379.20
|
|
Lymph vessel x-ray trunk
|
$588.60 |
$588.60 |
$588.60 |
$2,494.49
|
|
Lymph vessel x-ray trunk
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$2,643.68
|
|
Macro exam dissect molec study ea
|
$175.20 |
$175.20 |
$175.20 |
$76.70
|
|
Macroscopic exam arthropod
|
$85.80 |
$85.80 |
$85.80 |
$38.50
|
|
Macroscopic exam parasite
|
$52.20 |
$52.20 |
$52.20 |
$35.98
|
|
Magnesium
|
$145.20 |
$145.20 |
$145.20 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$64.61 |
$118.81 |
$118.81 |
$39.81
|
|
Magnetic image bone marrow
|
$582.60 |
$582.60 |
$582.60 |
$880.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$129.00 |
$129.00 |
$129.00 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$142.20 |
$142.20 |
$142.20 |
$147.72
|
|
Mannitol 12.5 gm/50 ml inj
|
$40.12 |
$40.12 |
$40.12 |
$33.24
|
|
Manual diff wbc count b-coat
|
$75.60 |
$75.60 |
$75.60 |
$22.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$403.80 |
$403.80 |
$403.80 |
$705.82
|
|
Map tachycard site(s)
|
$6,303.60 |
$6,303.60 |
$6,303.60 |
$3,875.95
|
|
Marker biop eviva buckle ss
|
$2,700.60 |
$2,700.60 |
$2,700.60 |
$1,126.34
|
|
Mastoids complete
|
$390.00 |
$390.00 |
$390.00 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$3,901.80 |
$3,901.80 |
$3,901.80 |
$4,371.37
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$277.20 |
$277.20 |
$277.20 |
$76.70
|
|
Mayo aathr protein s free
|
$587.40 |
$587.40 |
$587.40 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$100.26
|
|
Mayo alkaline phosphatase isoenzyme
|
$55.80 |
$111.60 |
$111.60 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$283.20 |
$283.20 |
$283.20 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$231.00 |
$231.00 |
$231.00 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$219.00 |
$642.00 |
$642.00 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$633.60 |
$633.60 |
$633.60 |
$343.20
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$1,922.13
|
|
Mayo androstenedione
|
$204.60 |
$204.60 |
$204.60 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$331.20 |
$331.20 |
$331.20 |
$86.40
|
