|
Kit trach suct cls 30.5cm
|
$3,140.14 |
$3,140.14 |
$3,140.14 |
$35.26
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$5,339.00
|
|
Knee arthroscopy/surgery
|
$20,048.57 |
$20,048.57 |
$20,048.57 |
$4,881.00
|
|
Knee arthroscopy/surgery
|
$43,121.81 |
$43,121.81 |
$43,121.81 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$43,121.81 |
$43,121.81 |
$43,121.81 |
$9,001.20
|
|
Knee MRI (with and without contrast)
|
$2,603.90 |
$2,603.90 |
$2,603.90 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,260.70 |
$2,260.70 |
$2,260.70 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,237.30 |
$2,237.30 |
$2,237.30 |
$2,130.88
|
|
Knee X-ray
|
$583.05 |
$583.05 |
$583.05 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$321.75 |
$321.75 |
$321.75 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$466.05 |
$466.05 |
$466.05 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$218.40 |
$218.40 |
$218.40 |
$251.20
|
|
Kyleena, 19.5 mg
|
$12,724.40 |
$12,724.40 |
$12,724.40 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$19.45 |
$19.45 |
$19.45 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$86.45 |
$86.45 |
$86.45 |
$55.50
|
|
Lactated ringers intravenous solution
|
$17,281.06 |
$17,281.06 |
$17,281.06 |
$43.74
|
|
Lactic acid
|
$551.20 |
$551.20 |
$551.20 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$67.60 |
$67.60 |
$67.60 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$29,832.00 |
$29,832.00 |
$29,832.00 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$15.86 |
$15.86 |
$15.86 |
$14.53
|
|
Laparo cholecystectomy/graph
|
$26,750.76 |
$26,750.76 |
$26,750.76 |
$8,346.00
|
|
Laparoscopy aspiration
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$6,904.15
|
|
Laparoscopy excise lesions
|
$30,505.35 |
$30,505.35 |
$30,505.35 |
$7,243.60
|
|
Laparoscopy remove adnexa
|
$27,984.00 |
$27,984.00 |
$27,984.00 |
$8,782.80
|
|
Laparo-vag hyst incl t/o
|
$32,900.39 |
$32,900.39 |
$32,900.39 |
$12,100.40
|
|
Lap colectomy/coloproctostomy 44207
|
$6,501.00 |
$6,501.00 |
$6,501.00 |
$4,491.20
|
|
Lap colectomy part w/ileum 44205
|
$4,787.00 |
$4,787.00 |
$4,787.00 |
$2,938.32
|
|
Lap mobil splenic fl add-on 44213
|
$895.00 |
$895.00 |
$895.00 |
$622.40
|
|
Lap part colectomy w/stoma 44206
|
$6,229.00 |
$6,229.00 |
$6,229.00 |
$4,307.20
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$488.43 |
$488.43 |
$488.43 |
$740.40
|
|
Laryngoscopy w/bx & op scope
|
$16,951.82 |
$16,951.82 |
$16,951.82 |
$4,627.00
|
|
Laryngoscopy with biopsy
|
$1,009.45 |
$1,009.45 |
$1,009.45 |
$3,297.83
|
|
Laser surgery of prostate
|
$21,572.00 |
$21,572.00 |
$21,572.00 |
$6,822.11
|
|
Lead acuity x4 spiral l 86cm
|
$2,873.32 |
$2,873.32 |
$2,873.32 |
$5,460.00
|
|
Lead capillary
|
$67.60 |
$67.60 |
$67.60 |
$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 Artery Ultrasound (complete, both legs)
|
$640.25 |
$640.25 |
$640.25 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,701.72 |
$2,701.72 |
$2,701.72 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,276.95 |
$2,276.95 |
$2,276.95 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$862.55 |
$862.55 |
$862.55 |
$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
|
$692.25 |
$692.25 |
$692.25 |
$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
|
$7.95 |
$7.95 |
$7.95 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$99.45 |
$99.45 |
$99.45 |
$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
|
|
Ligation/major artery/extremity 37618
|
$1,282.00 |
$1,282.00 |
$1,282.00 |
$1,567.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$210.00 |
$210.00 |
$210.00 |
$121.00
|
|
Lipase
|
$144.95 |
$144.95 |
$144.95 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$94.25 |
$94.25 |
$94.25 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$523.90 |
$523.90 |
$523.90 |
$61.60
|
|
Lithium therapeutic drug level
|
$73.45 |
$73.45 |
$73.45 |
$69.75
|
|
Liver Function Test
|
$255.45 |
$255.45 |
$255.45 |
$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
|
$45.43 |
$45.43 |
$45.43 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$914.87 |
$914.87 |
$914.87 |
$37.20
|
|
Low cost skin substitute app
|
$2,968.55 |
$2,968.55 |
$2,968.55 |
$933.60
|
|
Low cost skin substitute app
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$466.80
|
|
Low cost skin substitute app
|
$2,304.25 |
$2,304.25 |
$2,304.25 |
$408.45
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$345.15 |
$345.15 |
$345.15 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,071.55 |
$2,071.55 |
$2,071.55 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,057.25 |
$2,057.25 |
$2,057.25 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,882.80 |
$4,882.80 |
$4,882.80 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,447.90 |
$2,447.90 |
$2,447.90 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,598.70 |
$2,598.70 |
$2,598.70 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$418.60 |
$418.60 |
$418.60 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$585.00 |
$585.00 |
$585.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$237.25 |
$237.25 |
$237.25 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$335.40 |
$335.40 |
$335.40 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$21.00 |
$21.00 |
$21.00 |
$549.83
|
|
Lung perfusion imaging
|
$1,290.90 |
$1,290.90 |
$1,290.90 |
$1,069.25
|
|
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
|
|
Lymphatics/lymph node imaging
|
$1,698.45 |
$1,698.45 |
$1,698.45 |
$1,491.70
|
|
Macroscopic exam arthropod
|
$52.00 |
$52.00 |
$52.00 |
$38.58
|
|
Macroscopic exam parasite
|
$45.50 |
$45.50 |
$45.50 |
$37.05
|
|
Magnesium
|
$589.55 |
$589.55 |
$589.55 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$237.00 |
$237.00 |
$237.00 |
$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
|
$1,262.93 |
$1,262.93 |
$1,262.93 |
$1,941.63
|
|
Mask full face lg af531
|
$47.34 |
$47.34 |
$47.34 |
$66.00
|
|
Mastectomy partial
|
$22,031.75 |
$22,031.75 |
$22,031.75 |
$5,110.00
|
|
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
|
$104.65 |
$104.65 |
$104.65 |
$65.28
|
|
Mayo aathr protein s free
|
$169.65 |
$169.65 |
$169.65 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$128.05 |
$128.05 |
$128.05 |
$97.50
|