|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$532.00 |
$532.00 |
$532.00 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$360.00 |
$360.00 |
$360.00 |
$362.05
|
|
Jkt lso inter
|
$63.49 |
$63.49 |
$63.49 |
$41.27
|
|
John cunningham antibody
|
$51.00 |
$51.00 |
$51.00 |
$78.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$112.00 |
$112.00 |
$112.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$17.20 |
$17.20 |
$17.20 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$929.00 |
$929.00 |
$929.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$683.00 |
$683.00 |
$683.00 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$9,134.46 |
$9,134.46 |
$9,134.46 |
$7,177.60
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$395.71 |
$395.71 |
$395.71 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$2.02 |
$2.02 |
$2.02 |
$9.49
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,893.50 |
$9,893.50 |
$9,893.50 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$840.00 |
$840.00 |
$840.00 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$40,833.13 |
$40,833.13 |
$40,833.13 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$44,694.00 |
$44,694.00 |
$44,694.00 |
$49,011.18
|
|
Kit irrigator stoma cone 7721
|
$3.16 |
$3.16 |
$3.16 |
$7.20
|
|
Kit lead specify 5-6-5
|
$20,699.16 |
$20,699.16 |
$20,699.16 |
$16,672.10
|
|
Kit monitr cath camino icp w/integratd licox bolt fitting
|
$2,021.18 |
$2,021.18 |
$2,021.18 |
$1,313.77
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,141.22 |
$2,141.22 |
$2,141.22 |
$1,635.87
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$360.12 |
$360.12 |
$360.12 |
$360.12
|
|
Kit sound processor cochlear osia 2
|
$9,394.28 |
$9,394.28 |
$9,394.28 |
$8,425.00
|
|
Kit trach suct cls 30.5cm
|
$4,830.98 |
$4,830.98 |
$4,830.98 |
$35.26
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$18,009.36 |
$18,009.36 |
$18,009.36 |
$5,339.00
|
|
Knee arthroscopy/surgery
|
$2,499.00 |
$2,499.00 |
$2,499.00 |
$4,881.00
|
|
Knee arthroscopy/surgery
|
$2,817.00 |
$2,817.00 |
$2,817.00 |
$9,001.20
|
|
Knee MRI (with and without contrast)
|
$7,598.00 |
$7,598.00 |
$7,598.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$7,893.00 |
$7,893.00 |
$7,893.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$6,005.00 |
$6,005.00 |
$6,005.00 |
$2,130.88
|
|
Knee X-ray
|
$744.00 |
$744.00 |
$744.00 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$410.00 |
$410.00 |
$410.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$491.00 |
$491.00 |
$491.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$519.00 |
$519.00 |
$519.00 |
$251.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$19.45 |
$19.45 |
$19.45 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$75.00 |
$75.00 |
$75.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$43.74
|
|
Lactic acid
|
$153.00 |
$153.00 |
$153.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$195.00 |
$195.00 |
$195.00 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$29,832.00 |
$29,832.00 |
$29,832.00 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$2,407.00 |
$2,407.00 |
$2,407.00 |
$740.40
|
|
Lead acuity x4 spiral l 86cm
|
$4,420.50 |
$4,420.50 |
$4,420.50 |
$5,460.00
|
|
Lead capillary
|
$139.00 |
$139.00 |
$139.00 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$6,399.62 |
$6,399.62 |
$6,399.62 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$12,619.48 |
$12,619.48 |
$12,619.48 |
$8,202.66
|
|
Leg CT Scan (with contrast, both legs)
|
$3,491.00 |
$3,491.00 |
$3,491.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$3,263.00 |
$3,263.00 |
$3,263.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,519.00 |
$1,519.00 |
$1,519.00 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$645.00 |
$645.00 |
$645.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$545.00 |
$545.00 |
$545.00 |
$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
|
$17.90 |
$17.90 |
$17.90 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$200.00 |
$200.00 |
$200.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$50.25 |
$50.25 |
$50.25 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$308.15 |
$308.15 |
$308.15 |
$420.60
|
|
Liberta rc ipg
|
$45,975.98 |
$45,975.98 |
$45,975.98 |
$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
|
$67.00 |
$67.00 |
$67.00 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$58.98 |
$58.98 |
$58.98 |
$133.50
|
|
Lift heel adjustable med
|
$4.66 |
$4.66 |
$4.66 |
$58.56
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$87.00 |
$87.00 |
$87.00 |
$121.00
|
|
Lipase
|
$128.00 |
$128.00 |
$128.00 |
$93.58
|
|
Lipoprotein blood quant
|
$140.00 |
$140.00 |
$140.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$96.00 |
$96.00 |
$96.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$585.00 |
$585.00 |
$585.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$94.00 |
$94.00 |
$94.00 |
$69.75
|
|
Liver Function Test
|
$170.00 |
$170.00 |
$170.00 |
$115.44
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$87,089.35 |
$87,089.35 |
$87,089.35 |
$62,704.30
|
|
Loop ostmy bridg ster
|
$69.90 |
$69.90 |
$69.90 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$60.90 |
$60.90 |
$60.90 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$2,157.00 |
$2,157.00 |
$2,157.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,807.00 |
$2,807.00 |
$2,807.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,334.00 |
$2,334.00 |
$2,334.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,851.00 |
$5,851.00 |
$5,851.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,998.00 |
$3,998.00 |
$3,998.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$440.00 |
$440.00 |
$440.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$568.00 |
$568.00 |
$568.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$861.00 |
$861.00 |
$861.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$455.00 |
$455.00 |
$455.00 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$697.00 |
$697.00 |
$697.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$341.00 |
$341.00 |
$341.00 |
$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
|
$1,365.66 |
$1,365.66 |
$1,365.66 |
$893.74
|
|
Magnesium
|
$107.00 |
$107.00 |
$107.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$237.00 |
$237.00 |
$237.00 |
$58.70
|
|
Mammosite ced
|
$2,211.47 |
$2,211.47 |
$2,211.47 |
$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
|
$5,096.73 |
$5,096.73 |
$5,096.73 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,974.59 |
$1,974.59 |
$1,974.59 |
$1,941.63
|
|
Mask full face lg af531
|
$72.83 |
$72.83 |
$72.83 |
$66.00
|
|
Matrix bone cryomatrix 2.0ml
|
$10,028.22 |
$10,028.22 |
$10,028.22 |
$6,518.34
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$112.19 |
$112.19 |
$112.19 |
$4,472.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$126.00 |
$126.00 |
$126.00 |
$65.28
|
|
Mayo aathr protein s free
|
$236.00 |
$236.00 |
$236.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$197.00 |
$197.00 |
$197.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$470.00 |
$470.00 |
$470.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$150.00 |
$150.00 |
$150.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$224.00 |
$224.00 |
$224.00 |
$126.36
|
