|
Ixabepilone 15 mg intravenous solution
|
$18,131.05 |
$18,131.05 |
$18,131.05 |
$10,695.32
|
|
Jaw (Mandible) X-ray (complete)
|
$583.00 |
$583.00 |
$583.00 |
$362.05
|
|
Jkt lso inter
|
$63.49 |
$63.49 |
$63.49 |
$41.27
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$162.00 |
$162.00 |
$162.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$30.05 |
$30.05 |
$30.05 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,539.00 |
$1,539.00 |
$1,539.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$600.00 |
$600.00 |
$600.00 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$9,130.54 |
$9,130.54 |
$9,130.54 |
$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 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
|
$9,517.95 |
$9,517.95 |
$9,517.95 |
$8,425.00
|
|
Kit trach suct cls 30.5cm
|
$4,830.98 |
$4,830.98 |
$4,830.98 |
$35.26
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$18,070.14 |
$18,070.14 |
$18,070.14 |
$5,339.00
|
|
Knee arthroscopy/surgery
|
$36,887.37 |
$36,887.37 |
$36,887.37 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$20,337.35 |
$20,337.35 |
$20,337.35 |
$4,881.00
|
|
Knee arthroscopy/surgery
|
$33,184.87 |
$33,184.87 |
$33,184.87 |
$9,001.20
|
|
Knee MRI (with and without contrast)
|
$6,996.00 |
$6,996.00 |
$6,996.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$7,995.00 |
$7,995.00 |
$7,995.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$7,689.00 |
$7,689.00 |
$7,689.00 |
$2,130.88
|
|
Knee X-ray (1 to 2 views, both knees)
|
$822.00 |
$822.00 |
$822.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$1,027.00 |
$1,027.00 |
$1,027.00 |
$363.60
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$13.80 |
$13.80 |
$13.80 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$53.80 |
$53.80 |
$53.80 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$214.00 |
$214.00 |
$214.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$43.74
|
|
Lactic acid
|
$142.00 |
$142.00 |
$142.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$160.00 |
$160.00 |
$160.00 |
$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
|
$5.15 |
$5.15 |
$5.15 |
$14.53
|
|
Laparo-asst vag hysterectomy
|
$35,872.63 |
$35,872.63 |
$35,872.63 |
$6,839.00
|
|
Laparo cholecystectomy/graph
|
$29,361.77 |
$29,361.77 |
$29,361.77 |
$8,346.00
|
|
Laparo partial nephrectomy
|
$41,708.29 |
$41,708.29 |
$41,708.29 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$37,244.40 |
$37,244.40 |
$37,244.40 |
$6,622.75
|
|
Laparoscopy aspiration
|
$31,180.07 |
$31,180.07 |
$31,180.07 |
$6,904.15
|
|
Laparoscopy biopsy
|
$30,852.75 |
$30,852.75 |
$30,852.75 |
$6,463.42
|
|
Laparoscopye procstom 43659
|
$43,284.27 |
$43,284.27 |
$43,284.27 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$37,983.73 |
$37,983.73 |
$37,983.73 |
$7,243.60
|
|
Laparoscopy gastrostomy
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$6,457.82
|
|
Laparoscopy lymphadenectomy
|
$45,439.49 |
$45,439.49 |
$45,439.49 |
$12,320.22
|
|
Laparoscopy remove adnexa
|
$31,180.07 |
$31,180.07 |
$31,180.07 |
$8,782.80
|
|
Laparoscopy surg colpopexy
|
$62,828.90 |
$62,828.90 |
$62,828.90 |
$10,897.60
|
|
Laparo urethral suspension
|
$50,747.88 |
$50,747.88 |
$50,747.88 |
$5,353.60
|
|
Lap enterectomy 44202
|
$4,954.00 |
$4,954.00 |
$4,954.00 |
$2,142.00
|
|
Lap enterolysis
|
$23,988.95 |
$23,988.95 |
$23,988.95 |
$6,463.42
|
|
Lap gastric bypass/roux-en-y
|
$41,926.77 |
$41,926.77 |
$41,926.77 |
$4,255.20
|
|
Lap ing hernia repair init
|
$34,029.37 |
$34,029.37 |
$34,029.37 |
$9,605.51
|
|
Lap ing hernia repair recur
|
$38,505.92 |
$38,505.92 |
$38,505.92 |
$6,870.89
|
|
Lap paraesophag hern repair
|
$43,284.27 |
$43,284.27 |
$43,284.27 |
$12,260.88
|
|
Lap rmvl gastr adj all parts
|
$25,905.64 |
$25,905.64 |
$25,905.64 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$34,626.30 |
$34,626.30 |
$34,626.30 |
$2,733.60
|
|
Laps surg prst8ect rpbic rad
|
$45,439.49 |
$45,439.49 |
$45,439.49 |
$12,320.22
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,949.00 |
$1,949.00 |
$1,949.00 |
$740.40
|
|
Laser surgery of prostate
|
$20,546.40 |
$20,546.40 |
$20,546.40 |
$6,822.11
|
|
Lead acuity x4 spiral l 86cm
|
$4,420.50 |
$4,420.50 |
$4,420.50 |
$5,460.00
|
|
Lead capillary
|
$120.00 |
$120.00 |
$120.00 |
$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 Artery Ultrasound (complete, both legs)
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$5,144.00 |
$5,144.00 |
$5,144.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$4,853.00 |
$4,853.00 |
$4,853.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,230.00 |
$2,230.00 |
$2,230.00 |
$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
|
$245.00 |
$245.00 |
$245.00 |
$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
|
$434.65 |
$434.65 |
$434.65 |
$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
|
$399.00 |
$399.00 |
$399.00 |
$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
|
$36.00 |
$36.00 |
$36.00 |
$121.00
|
|
Lipase
|
$2,269.00 |
$2,269.00 |
$2,269.00 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$106.00 |
$106.00 |
$106.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$88.00 |
$88.00 |
$88.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$228.00 |
$228.00 |
$228.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$4,371.12
|
|
Liver elastography 91200
|
$510.00 |
$510.00 |
$510.00 |
$285.18
|
|
Liver Function Test
|
$464.00 |
$464.00 |
$464.00 |
$115.44
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$104,104.65 |
$104,104.65 |
$104,104.65 |
$3,878.80
|
|
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
|
$3,482.00 |
$3,482.00 |
$3,482.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,165.00 |
$4,165.00 |
$4,165.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$4,083.00 |
$4,083.00 |
$4,083.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$7,543.00 |
$7,543.00 |
$7,543.00 |
$3,097.92
|
