|
Kit ipg optimizer smart
|
$29,051.10 |
$29,051.10 |
$29,051.10 |
$49,011.18
|
|
Kit irrigator stoma cone 7721
|
$2.05 |
$2.05 |
$2.05 |
$7.20
|
|
Kit lead specify 5-6-5
|
$13,454.45 |
$13,454.45 |
$13,454.45 |
$16,672.10
|
|
Kit monitr cath camino icp w/integratd licox bolt fitting
|
$1,313.77 |
$1,313.77 |
$1,313.77 |
$1,313.77
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,391.79 |
$1,391.79 |
$1,391.79 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$234.08 |
$234.08 |
$234.08 |
$360.12
|
|
Kit sound processor cochlear osia 2
|
$6,106.28 |
$6,106.28 |
$6,106.28 |
$8,425.00
|
|
Kit trach suct cls 30.5cm
|
$3,140.14 |
$3,140.14 |
$3,140.14 |
$35.26
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$2,143.00 |
$2,143.00 |
$2,143.00 |
$4,712.46
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$28,365.57 |
$28,365.57 |
$28,365.57 |
$5,339.00
|
|
Knee arthroscopy/surgery
|
$28,596.58 |
$28,596.58 |
$28,596.58 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$29,883.62 |
$29,883.62 |
$29,883.62 |
$4,161.00
|
|
Knee arthroscopy/surgery
|
$26,502.57 |
$26,502.57 |
$26,502.57 |
$4,881.00
|
|
Knee arthroscopy/surgery
|
$47,430.23 |
$47,430.23 |
$47,430.23 |
$9,001.20
|
|
Knee MRI (with and without contrast)
|
$9,209.20 |
$9,209.20 |
$9,209.20 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$8,893.95 |
$8,893.95 |
$8,893.95 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,687.80 |
$4,687.80 |
$4,687.80 |
$2,130.88
|
|
Knee X-ray
|
$839.80 |
$839.80 |
$839.80 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$455.65 |
$455.65 |
$455.65 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$455.65 |
$455.65 |
$455.65 |
$363.60
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$9.80 |
$9.80 |
$9.80 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$53.80 |
$53.80 |
$53.80 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$31.85 |
$31.85 |
$31.85 |
$55.50
|
|
Lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$43.74
|
|
Lactic acid
|
$4,981.00 |
$4,981.00 |
$4,981.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$163.15 |
$163.15 |
$163.15 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$29,832.00 |
$29,832.00 |
$29,832.00 |
$19,124.00
|
|
Lap sleeve gastrectomy
|
$37,542.85 |
$37,542.85 |
$37,542.85 |
$2,733.60
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$17,610.20 |
$17,610.20 |
$17,610.20 |
$740.40
|
|
Laser treatment of retina
|
$23,600.79 |
$23,600.79 |
$23,600.79 |
$5,954.00
|
|
Laser treatment of retina
|
$28,883.59 |
$28,883.59 |
$28,883.59 |
$6,370.00
|
|
Lead acuity x4 spiral l 86cm
|
$2,873.32 |
$2,873.32 |
$2,873.32 |
$5,460.00
|
|
Lead capillary
|
$111.15 |
$111.15 |
$111.15 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$4,159.75 |
$4,159.75 |
$4,159.75 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$8,202.66 |
$8,202.66 |
$8,202.66 |
$8,202.66
|
|
Leg CT Scan (with contrast, both legs)
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$917.80 |
$917.80 |
$917.80 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$419.25 |
$419.25 |
$419.25 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$12,495.35 |
$12,495.35 |
$12,495.35 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$354.25 |
$354.25 |
$354.25 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$396.40 |
$396.40 |
$396.40 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$37,312.35 |
$37,312.35 |
$37,312.35 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$5,218.50 |
$5,218.50 |
$5,218.50 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$48.30 |
$48.30 |
$48.30 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$186.55 |
$186.55 |
$186.55 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$61.50 |
$61.50 |
$61.50 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$308.15 |
$308.15 |
$308.15 |
$420.60
|
|
Liberta rc ipg
|
$29,884.39 |
$29,884.39 |
$29,884.39 |
$39,189.70
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$37.50 |
$37.50 |
$37.50 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$98.15 |
$98.15 |
$98.15 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$38.34 |
$38.34 |
$38.34 |
$133.50
|
|
Lift heel adjustable med
|
$3.03 |
$3.03 |
$3.03 |
$58.56
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$36.00 |
$36.00 |
$36.00 |
$121.00
|
|
Lipase
|
$65.00 |
$65.00 |
$65.00 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$68.90 |
$68.90 |
$68.90 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$79.30 |
$79.30 |
$79.30 |
$61.60
|
|
Lithium therapeutic drug level
|
$40.30 |
$40.30 |
$40.30 |
$69.75
|
|
Liver elastography 91200
|
$319.15 |
$319.15 |
$319.15 |
$285.18
|
|
Liver Function Test
|
$71.50 |
$71.50 |
$71.50 |
$115.44
|
|
Liver/spleen imag static only
|
$749.45 |
$749.45 |
$749.45 |
$1,138.55
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$87,089.35 |
$87,089.35 |
$87,089.35 |
$62,704.30
|
|
Loop ostmy bridg ster
|
$45.43 |
$45.43 |
$45.43 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$60.90 |
$60.90 |
$60.90 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$1,279.85 |
$1,279.85 |
$1,279.85 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,976.65 |
$1,976.65 |
$1,976.65 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,923.35 |
$1,923.35 |
$1,923.35 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,609.40 |
$1,609.40 |
$1,609.40 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,307.20 |
$3,307.20 |
$3,307.20 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,151.85 |
$3,151.85 |
$3,151.85 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,125.20 |
$3,125.20 |
$3,125.20 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$559.65 |
$559.65 |
$559.65 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$559.65 |
$559.65 |
$559.65 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$455.65 |
$455.65 |
$455.65 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$491.40 |
$491.40 |
$491.40 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$269.10 |
$269.10 |
$269.10 |
$296.91
|
|
Lurbinectedin 4 mg intravenous solution
|
$25,230.00 |
$25,230.00 |
$25,230.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$37,758.50 |
$37,758.50 |
$37,758.50 |
$22,771.63
|
|
Lvad shower bag heartmate
|
$887.68 |
$887.68 |
$887.68 |
$893.74
|
|
Macroscopic exam parasite
|
$49.40 |
$49.40 |
$49.40 |
$37.05
|
|
Magnesium
|
$36.40 |
$36.40 |
$36.40 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$522.50 |
$522.50 |
$522.50 |
$58.70
|
|
Mammosite ced
|
$1,437.46 |
$1,437.46 |
$1,437.46 |
$5,031.60
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$8,622.65 |
$8,622.65 |
$8,622.65 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$3,312.87 |
$3,312.87 |
$3,312.87 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,283.48 |
$1,283.48 |
$1,283.48 |
$1,941.63
|
|
Mask full face lg af531
|
$47.34 |
$47.34 |
$47.34 |
$66.00
|
|
Matrix bone cryomatrix 2.0ml
|
$6,518.34 |
$6,518.34 |
$6,518.34 |
$6,518.34
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$72.92 |
$72.92 |
$72.92 |
$4,472.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$65.00 |
$65.00 |
$65.00 |
$65.28
|
|
Mayo aathr protein s free
|
$150.80 |
$150.80 |
$150.80 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$141.05 |
$141.05 |
$141.05 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$311.35 |
$311.35 |
$311.35 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$97.50 |
$97.50 |
$97.50 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$145.60 |
$145.60 |
$145.60 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$132.60 |
$132.60 |
$132.60 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$120.90 |
$120.90 |
$120.90 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$139.10 |
$139.10 |
$139.10 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$222.95 |
$222.95 |
$222.95 |
$72.14
|