|
Kidney img w/bldflw sgl without rx
|
$892.80 |
$892.80 |
$892.80 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$379.44 |
$379.44 |
$379.44 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$359.52 |
$359.52 |
$359.52 |
$490.75
|
|
Kit case 4.2mm spinejack
|
$6,050.88 |
$6,050.88 |
$6,050.88 |
$7,177.60
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$195.55 |
$195.55 |
$195.55 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,965.94 |
$7,965.94 |
$7,965.94 |
$9,423.50
|
|
Kit lead specify 5-6-5
|
$14,290.37 |
$14,290.37 |
$14,290.37 |
$16,672.10
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$4,981.68 |
$4,981.68 |
$4,981.68 |
$360.12
|
|
Knee control condylar pad
|
$151.34 |
$151.34 |
$151.34 |
$175.04
|
|
Knee control full kneecap
|
$151.97 |
$151.97 |
$151.97 |
$192.00
|
|
Knee disart expand wall sock
|
$1,220.88 |
$1,220.88 |
$1,220.88 |
$733.60
|
|
Knee disarticulat leather so
|
$1,322.69 |
$1,322.69 |
$1,322.69 |
$873.60
|
|
Knee disc/dial lock/adj flex
|
$265.63 |
$265.63 |
$265.63 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$265.63 |
$265.63 |
$265.63 |
$289.44
|
|
Knee joint cam lock each joi
|
$225.12 |
$225.12 |
$225.12 |
$260.22
|
|
Knee joint drop lock ea jnt
|
$161.57 |
$161.57 |
$161.57 |
$175.45
|
|
Knee lift loop drop lock rin
|
$217.34 |
$217.34 |
$217.34 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$1,276.99 |
$1,276.99 |
$1,276.99 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,641.79 |
$1,641.79 |
$1,641.79 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$820.99 |
$820.99 |
$820.99 |
$2,130.88
|
|
Knee orth pos locking joint
|
$530.26 |
$530.26 |
$530.26 |
$585.60
|
|
Knee-shin exo fluid swing ph
|
$3,118.61 |
$3,118.61 |
$3,118.61 |
$2,170.00
|
|
Knee-shin exo frct swg & sta
|
$1,663.82 |
$1,663.82 |
$1,663.82 |
$1,366.40
|
|
Knee-shin exo frict swg & st
|
$773.38 |
$773.38 |
$773.38 |
$646.80
|
|
Knee-shin exo mech stance ph
|
$1,555.97 |
$1,555.97 |
$1,555.97 |
$1,094.80
|
|
Knee-shin exo mnl lock ultra
|
$1,083.36 |
$1,083.36 |
$1,083.36 |
$784.00
|
|
Knee-shin exo variable frict
|
$786.86 |
$786.86 |
$786.86 |
$562.80
|
|
Knee-shin ext jnts fld swg e
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$2,217.60
|
|
Knee-shin fluid swg & stance
|
$4,351.06 |
$4,351.06 |
$4,351.06 |
$3,567.20
|
|
Knee-shin pneum/hydra pneum
|
$2,395.58 |
$2,395.58 |
$2,395.58 |
$1,716.40
|
|
Knee-shin pneum swg frct exo
|
$2,023.34 |
$2,023.34 |
$2,023.34 |
$1,220.80
|
|
Knee-shin sys hydraul stance
|
$1,941.22 |
$1,941.22 |
$1,941.22 |
$1,187.20
|
|
Knee-shin sys stance flexion
|
$3,235.58 |
$3,235.58 |
$3,235.58 |
$1,979.60
|
|
Knee X-ray
|
$138.43 |
$138.43 |
$138.43 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$207.79 |
$207.79 |
$207.79 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$207.79 |
$207.79 |
$207.79 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$138.43 |
$138.43 |
$138.43 |
$251.20
|
|
Kne-shin exo sng axi mnl loc
|
$645.50 |
$645.50 |
$645.50 |
$540.40
|
|
Kne sing axis fric shin sach
|
$6,186.91 |
$6,186.91 |
$6,186.91 |
$4,513.60
|
|
Ko dbl upright w/air pre cst
|
$1,036.27 |
$1,036.27 |
$1,036.27 |
$1,208.98
|
|
Ko derot ant cruciate custom
|
$1,694.30 |
$1,694.30 |
$1,694.30 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$61.20 |
$61.20 |
$61.20 |
$137.05
|
|
Ko rigid without joints pre ots
|
$184.56 |
$184.56 |
$184.56 |
$215.32
|
|
Ko single upright pre cst
|
$1,616.59 |
$1,616.59 |
$1,616.59 |
$988.40
|
|
Ko supracondylar socket mold
|
$2,246.64 |
$2,246.64 |
$2,246.64 |
$2,621.08
|
|
Ko swedish type pre ots
|
$414.62 |
$414.62 |
$414.62 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$1,307.71 |
$1,307.71 |
$1,307.71 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$2,108.02 |
$2,108.02 |
$2,108.02 |
$2,418.09
|
|
Ko w/adj jt rot cntrl molded
|
$2,743.63 |
$2,743.63 |
$2,743.63 |
$2,237.20
|
|
Kras gene addl variants
|
$564.58 |
$564.58 |
$564.58 |
$387.20
|
|
Kras gene variants exon 2
|
$640.22 |
$640.22 |
$640.22 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,983.72 |
$1,983.72 |
$1,983.72 |
$2,125.00
|
|
Kyphosis pad
|
$199.68 |
$199.68 |
$199.68 |
$232.96
|
|
Kyphosis pad floating
|
$288.10 |
$288.10 |
$288.10 |
$336.11
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.14 |
$33.14 |
$33.14 |
$33.60
|
|
Lacer molded to patient mode
|
$661.49 |
$661.49 |
$661.49 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$93.30 |
$93.30 |
$93.30 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$25.68 |
$25.68 |
$25.68 |
$55.50
|
|
Lactated ringers intravenous solution
|
$28.49 |
$28.49 |
$28.49 |
$43.74
|
|
Lactic acid
|
$88.51 |
$88.51 |
$88.51 |
$107.10
|
|
Lamination collar with couplin
|
$360.10 |
$360.10 |
$360.10 |
$198.80
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$13,331.90 |
$13,331.90 |
$13,331.90 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$21.07 |
$21.07 |
$21.07 |
$14.53
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,313.42 |
$1,313.42 |
$1,313.42 |
$740.40
|
|
Largsc w/njx augmentation
|
$891.79 |
$891.79 |
$891.79 |
$3,288.75
|
|
Laryngeal function studies
|
$228.58 |
$228.58 |
$228.58 |
$342.60
|
|
Laryngoscope w/vc inj
|
$689.66 |
$689.66 |
$689.66 |
$4,108.00
|
|
Laryngoscopic sensory vid
|
$307.87 |
$307.87 |
$307.87 |
$323.79
|
|
Laryngoscopy telescopic
|
$376.08 |
$376.08 |
$376.08 |
$852.80
|
|
Lateral thoracic extension
|
$453.41 |
$453.41 |
$453.41 |
$453.47
|
|
Lateral trochanteric pad
|
$144.00 |
$144.00 |
$144.00 |
$144.00
|
|
Latex suspension sleeve each
|
$119.90 |
$119.90 |
$119.90 |
$75.60
|
|
Lead acuity x4 spiral l 86cm
|
$6,050.88 |
$6,050.88 |
$6,050.88 |
$5,460.00
|
|
Lead capillary
|
$38.30 |
$38.30 |
$38.30 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$4,098.58 |
$4,098.58 |
$4,098.58 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$9,381.46 |
$9,381.46 |
$9,381.46 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$665.86 |
$665.86 |
$665.86 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$935.71 |
$935.71 |
$935.71 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$719.86 |
$719.86 |
$719.86 |
$1,372.50
|
|
Legg perthes orth newington
|
$3,569.42 |
$3,569.42 |
$3,569.42 |
$2,517.20
|
|
Legg perthes orthosis trilat
|
$2,657.76 |
$2,657.76 |
$2,657.76 |
$2,657.76
|
|
Legg perthes orth scottish r
|
$2,243.76 |
$2,243.76 |
$2,243.76 |
$2,243.76
|
|
Legg perthes patten bottom t
|
$3,225.94 |
$3,225.94 |
$3,225.94 |
$3,225.94
|
|
Leg perthes orth toronto typ
|
$2,803.10 |
$2,803.10 |
$2,803.10 |
$2,803.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$887.81 |
$887.81 |
$887.81 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$292.94 |
$292.94 |
$292.94 |
$1,065.00
|
|
Lepirudin
|
$7,035.43 |
$7,035.43 |
$7,035.43 |
$1,259.22
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$137.04 |
$137.04 |
$137.04 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,698.63 |
$1,698.63 |
$1,698.63 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$7,027.27 |
$7,027.27 |
$7,027.27 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$306.37 |
$306.37 |
$306.37 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$58.19 |
$58.19 |
$58.19 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$63.70 |
$63.70 |
$63.70 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$84.33 |
$84.33 |
$84.33 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$171.72 |
$171.72 |
$171.72 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$5,487.60 |
$5,487.60 |
$5,487.60 |
$6,104.00
|
|
Liberta rc ipg
|
$45,726.72 |
$45,726.72 |
$45,726.72 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$71.22 |
$71.22 |
$71.22 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$53.13 |
$53.13 |
$53.13 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$43.78 |
$43.78 |
$43.78 |
$87.45
|
