|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$724.00 |
$724.00 |
$724.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$399.20 |
$399.20 |
$399.20 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$7,663.60 |
$7,663.60 |
$7,663.60 |
$7,177.60
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,648.00 |
$8,648.00 |
$8,648.00 |
$9,423.50
|
|
Kit hfx iq ipg bundle
|
$50,565.04 |
$50,565.04 |
$50,565.04 |
$33,859.00
|
|
Kit lead specify 5-6-5
|
$10,120.00 |
$10,120.00 |
$10,120.00 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,764.00 |
$1,764.00 |
$1,764.00 |
$1,635.87
|
|
Kit sound processor cochlear osia 2
|
$5,089.44 |
$5,089.44 |
$5,089.44 |
$8,425.00
|
|
Knee MRI (with and without contrast)
|
$3,810.40 |
$3,810.40 |
$3,810.40 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,974.40 |
$2,974.40 |
$2,974.40 |
$2,130.88
|
|
Knee X-ray
|
$640.80 |
$640.80 |
$640.80 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$446.40 |
$446.40 |
$446.40 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$532.80 |
$532.80 |
$532.80 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$356.80 |
$356.80 |
$356.80 |
$251.20
|
|
Ko elastic w/joints pre ots
|
$1,119.98 |
$1,119.98 |
$1,119.98 |
$137.05
|
|
Ko single upright pre cst
|
$998.63 |
$998.63 |
$998.63 |
$988.40
|
|
Ko w adj flex/ext rotat mold
|
$901.41 |
$901.41 |
$901.41 |
$2,418.09
|
|
Kyleena, 19.5 mg
|
$956.97 |
$956.97 |
$956.97 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$127.20 |
$127.20 |
$127.20 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$55.32 |
$55.32 |
$55.32 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$65.46 |
$65.46 |
$65.46 |
$175.92
|
|
Lactated ringers intravenous solution
|
$17.00 |
$17.00 |
$17.00 |
$43.74
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$8,836.04 |
$8,836.04 |
$8,836.04 |
$19,124.00
|
|
Lap revise gastr adj device
|
$7,108.80 |
$7,108.80 |
$7,108.80 |
$3,131.20
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$856.00 |
$856.00 |
$856.00 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,524.80 |
$3,524.80 |
$3,524.80 |
$2,514.60
|
|
Laryngoscopy w/fb removal
|
$4,824.80 |
$4,824.80 |
$4,824.80 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$2,907.20 |
$2,907.20 |
$2,907.20 |
$981.40
|
|
Lead acuity x4 spiral l 86cm
|
$4,784.00 |
$4,784.00 |
$4,784.00 |
$5,460.00
|
|
Lead ingevity 45cm pfret MRI
|
$5,980.00 |
$5,980.00 |
$5,980.00 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$13,314.24 |
$13,314.24 |
$13,314.24 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,088.00 |
$1,088.00 |
$1,088.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,099.20 |
$2,099.20 |
$2,099.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,243.20 |
$1,243.20 |
$1,243.20 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,400.00 |
$2,400.00 |
$2,400.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$624.00 |
$624.00 |
$624.00 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$480.00 |
$480.00 |
$480.00 |
$377.71
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$888.20 |
$888.20 |
$888.20 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$8,348.12 |
$8,348.12 |
$8,348.12 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$713.56 |
$713.56 |
$713.56 |
$1,322.50
|
|
Levalbuterol non-comp unit
|
$15.27 |
$15.27 |
$15.27 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$49.50 |
$49.50 |
$49.50 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$56.16 |
$56.16 |
$56.16 |
$55.69
|
|
Liberta rc ipg
|
$55,413.44 |
$55,413.44 |
$55,413.44 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$51.00 |
$51.00 |
$51.00 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$47.25 |
$47.25 |
$47.25 |
$39.75
|
|
Lift heel adj small gl60404sm
|
$28.44 |
$28.44 |
$28.44 |
$133.50
|
|
Ligation/biopsy of temporal artery 37609
|
$4,458.40 |
$4,458.40 |
$4,458.40 |
$3,322.80
|
|
Lig/band angioaccess av fistula
|
$8,733.60 |
$8,733.60 |
$8,733.60 |
$4,676.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$54.20 |
$54.20 |
$54.20 |
$121.00
|
|
Lip exc/transverse wedge/w closure 40510
|
$4,888.00 |
$4,888.00 |
$4,888.00 |
$3,837.72
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,444.80 |
$4,444.80 |
$4,444.80 |
$4,371.12
|
|
Liver elastography 91200
|
$379.20 |
$379.20 |
$379.20 |
$285.18
|
|
Liver imaging
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$1,109.00
|
|
Liver/spleen imag static only
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$16.64 |
$16.64 |
$16.64 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$51.04 |
$51.04 |
$51.04 |
$37.20
|
|
Lo sag rig pnl stays pre cst
|
$114.31 |
$114.31 |
$114.31 |
$167.74
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$1,102.40 |
$1,102.40 |
$1,102.40 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,072.80 |
$3,072.80 |
$3,072.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,434.40 |
$2,434.40 |
$2,434.40 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,996.80 |
$1,996.80 |
$1,996.80 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,034.40 |
$4,034.40 |
$4,034.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,376.80 |
$3,376.80 |
$3,376.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$444.00 |
$444.00 |
$444.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$627.20 |
$627.20 |
$627.20 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$670.40 |
$670.40 |
$670.40 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$532.80 |
$532.80 |
$532.80 |
$338.40
|
|
Lso s/c shell/panel custom
|
$4,195.91 |
$4,195.91 |
$4,195.91 |
$2,252.16
|
|
Lumbar diskogram s&i
|
$3,970.40 |
$3,970.40 |
$3,970.40 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$646.40 |
$646.40 |
$646.40 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$312.00 |
$312.00 |
$312.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,313.60 |
$1,313.60 |
$1,313.60 |
$1,491.70
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$57.00 |
$57.00 |
$57.00 |
$58.70
|
|
Makena, 10 mg
|
$751.89 |
$751.89 |
$751.89 |
$1,405.80
|
|
Manipulate finger w/anesth
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
$1,749.06
|
|
Mannitol 12.5 gm/50 ml inj
|
$50.65 |
$50.65 |
$50.65 |
$26.29
|
|
Map tachycard site(s)
|
$5,756.00 |
$5,756.00 |
$5,756.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$1,428.00 |
$1,428.00 |
$1,428.00 |
$1,451.30
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$101.18 |
$101.18 |
$101.18 |
$4,472.40
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$293.60 |
$293.60 |
$293.60 |
$283.40
|
|
Mayo hla typing a/b/c single antigen
|
$140.00 |
$140.00 |
$140.00 |
$122.80
|
|
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria
|
$140.00 |
$140.00 |
$140.00 |
$140.00
|
|
Measurement post void urine by ultrasound
|
$178.40 |
$178.40 |
$178.40 |
$168.74
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$110.80 |
$110.80 |
$110.80 |
$190.81
|
|
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm
|
$954.00 |
$954.00 |
$954.00 |
$1,660.50
|
|
Membrane amnioband 2x2cm -cost per sq cm
|
$528.32 |
$528.32 |
$528.32 |
$504.03
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$53.40 |
$53.40 |
$53.40 |
$30.79
|
|
Mepolizumab 100 mg/ml subcutaneous auto-injector
|
$2,762.09 |
$2,762.09 |
$2,762.09 |
$8,907.71
|
|
Meropenem 1 gram intravenous solution
|
$50.99 |
$50.99 |
$50.99 |
$55.76
|
|
Mesna 100 mg/ml intravenous solution
|
$55.60 |
$55.60 |
$55.60 |
$107.41
|
|
Methotrexate sodium 2.5 mg tablet
|
$7.37 |
$7.37 |
$7.37 |
$8.85
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$130.15 |
$130.15 |
$130.15 |
$138.22
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$1,009.05 |
$1,009.05 |
$1,009.05 |
$1,069.32
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$66.49 |
$66.49 |
$66.49 |
$76.53
|
