|
Liletta, 52 mg
|
$673.36 |
$673.36 |
$673.36 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$130.82 |
$130.82 |
$130.82 |
$121.00
|
|
Liver abs/cyst dr opn 1-2 stge
|
$2,975.20 |
$2,975.20 |
$2,975.20 |
$1,714.14
|
|
Liver/spleen imag static only
|
$1,328.80 |
$1,328.80 |
$1,328.80 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$20.00 |
$20.00 |
$20.00 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$61.89 |
$61.89 |
$61.89 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$2,896.36 |
$2,896.36 |
$2,896.36 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,712.00 |
$2,712.00 |
$2,712.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,185.60 |
$2,185.60 |
$2,185.60 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,854.40 |
$1,854.40 |
$1,854.40 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,224.80 |
$4,224.80 |
$4,224.80 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,168.80 |
$3,168.80 |
$3,168.80 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$288.80 |
$288.80 |
$288.80 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$392.00 |
$392.00 |
$392.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$468.80 |
$468.80 |
$468.80 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$349.60 |
$349.60 |
$349.60 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$347.20 |
$347.20 |
$347.20 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$95.20 |
$95.20 |
$95.20 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$188.80 |
$188.80 |
$188.80 |
$296.91
|
|
Lung perfusion imaging
|
$1,185.60 |
$1,185.60 |
$1,185.60 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$12,942.48 |
$12,942.48 |
$12,942.48 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$6,353.22 |
$6,353.22 |
$6,353.22 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$1,213.60 |
$1,213.60 |
$1,213.60 |
$1,491.70
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$130.26 |
$130.26 |
$130.26 |
$58.70
|
|
Marker biop eviva buckle ss
|
$198.40 |
$198.40 |
$198.40 |
$1,451.30
|
|
Mastoids complete
|
$369.60 |
$369.60 |
$369.60 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$29.60 |
$29.60 |
$29.60 |
$4,472.40
|
|
Mayo hla typing a/b/c single antigen
|
$193.60 |
$193.60 |
$193.60 |
$122.80
|
|
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria
|
$176.80 |
$176.80 |
$176.80 |
$140.00
|
|
Measurement post void urine by ultrasound
|
$192.80 |
$192.80 |
$192.80 |
$168.74
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$94.44 |
$94.44 |
$94.44 |
$190.81
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$64.36 |
$64.36 |
$64.36 |
$30.79
|
|
Mepolizumab 100 mg/ml subcutaneous auto-injector
|
$5,932.04 |
$5,932.04 |
$5,932.04 |
$8,907.71
|
|
Meropenem 1 gram intravenous solution
|
$63.36 |
$63.36 |
$63.36 |
$55.76
|
|
Mesna 100 mg/ml intravenous solution
|
$70.88 |
$70.88 |
$70.88 |
$107.41
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$63.46 |
$63.46 |
$63.46 |
$74.27
|
|
Methotrexate sodium 2.5 mg tablet
|
$6.78 |
$6.78 |
$6.78 |
$8.85
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$176.18 |
$176.18 |
$176.18 |
$138.22
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$1,618.79 |
$1,618.79 |
$1,618.79 |
$1,069.32
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$74.68 |
$74.68 |
$74.68 |
$76.53
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$99.65 |
$99.65 |
$99.65 |
$407.16
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$83.12 |
$83.12 |
$83.12 |
$62.85
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$104.73 |
$104.73 |
$104.73 |
$188.51
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$60.92 |
$60.92 |
$60.92 |
$15.75
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$60.28 |
$60.28 |
$60.28 |
$8.84
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$102.42 |
$102.42 |
$102.42 |
$23.55
|
|
Micafungin 100 mg intravenous solution
|
$337.54 |
$337.54 |
$337.54 |
$327.37
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$371.20 |
$371.20 |
$371.20 |
$288.00
|
|
Midazolam 1 mg/ml injection solution
|
$60.93 |
$60.93 |
$60.93 |
$63.30
|
|
Middle cerebral artery echo
|
$462.40 |
$462.40 |
$462.40 |
$331.68
|
|
Mitomycin 40 mg intravenous solution
|
$647.42 |
$647.42 |
$647.42 |
$1,683.75
|
|
Monovisc inj per dose
|
$1,135.52 |
$1,135.52 |
$1,135.52 |
$1,705.31
|
|
Morphine 4 mg/ml injection (wrapper)
|
$146.20 |
$146.20 |
$146.20 |
$72.00
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$61.64 |
$61.64 |
$61.64 |
$24.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$66.67 |
$66.67 |
$66.67 |
$148.69
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$312.80 |
$312.80 |
$312.80 |
$318.43
|
|
MRA abdomen post contrast
|
$2,661.60 |
$2,661.60 |
$2,661.60 |
$2,144.35
|
|
MRI chest without contrast
|
$2,652.80 |
$2,652.80 |
$2,652.80 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,630.40 |
$3,630.40 |
$3,630.40 |
$2,652.73
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,798.40 |
$2,798.40 |
$2,798.40 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,541.60 |
$3,541.60 |
$3,541.60 |
$2,753.50
|
|
MRI tmj
|
$2,796.00 |
$2,796.00 |
$2,796.00 |
$1,741.07
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,777.60 |
$2,777.60 |
$2,777.60 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$3,697.60 |
$3,697.60 |
$3,697.60 |
$2,655.25
|
|
Multiple sleep latency test
|
$3,138.40 |
$3,138.40 |
$3,138.40 |
$2,466.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$1.20 |
$1.20 |
$1.20 |
$10.79
|
|
Myelography l-s spine
|
$1,541.60 |
$1,541.60 |
$1,541.60 |
$1,334.09
|
|
Nafcillin 2 gram solution for injection
|
$66.01 |
$66.01 |
$66.01 |
$84.00
|
|
Nalbuphine 10 mg/ml injection solution
|
$62.54 |
$62.54 |
$62.54 |
$38.00
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$63.12 |
$63.12 |
$63.12 |
$70.87
|
|
Ndl insj without njx 1 or 2 musc
|
$39.20 |
$39.20 |
$39.20 |
$39.77
|
|
Ndl insj without njx 3+ musc
|
$65.60 |
$65.60 |
$65.60 |
$45.00
|
|
Nebulizer Breathing Treatment
|
$252.00 |
$252.00 |
$252.00 |
$203.49
|
|
Neck Airway (Soft Tissue) X-ray
|
$340.00 |
$340.00 |
$340.00 |
$237.43
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,362.40 |
$2,362.40 |
$2,362.40 |
$2,032.54
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,288.00 |
$2,288.00 |
$2,288.00 |
$1,717.80
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,072.40 |
$2,072.40 |
$2,072.40 |
$1,470.00
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,632.80 |
$4,632.80 |
$4,632.80 |
$2,869.75
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$3,990.40 |
$3,990.40 |
$3,990.40 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,444.00 |
$3,444.00 |
$3,444.00 |
$2,042.95
|
|
Neck (Cervical Spine) X-ray (2 to 3 views)
|
$283.20 |
$283.20 |
$283.20 |
$333.83
|
|
Neck (Cervical Spine) X-ray (4 to 5 views)
|
$437.60 |
$437.60 |
$437.60 |
$463.80
|
|
Neck (Cervical Spine) X-ray (6 or more views)
|
$573.60 |
$573.60 |
$573.60 |
$508.50
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$3,791.20 |
$3,791.20 |
$3,791.20 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$2,885.60 |
$2,885.60 |
$2,885.60 |
$2,109.10
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,520.00 |
$2,520.00 |
$2,520.00 |
$1,806.75
|
|
Neck Soft Tissue CT Scan (with and without contrast)
|
$2,675.20 |
$2,675.20 |
$2,675.20 |
$1,940.00
|
|
Neck Soft Tissue CT Scan (with contrast)
|
$2,282.40 |
$2,282.40 |
$2,282.40 |
$1,603.55
|
|
Neck Soft Tissue CT Scan (without contrast)
|
$2,047.20 |
$2,047.20 |
$2,047.20 |
$1,312.00
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$60.52 |
$60.52 |
$60.52 |
$60.16
|
|
Nerve conduction 7-8 studies
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$750.00
|
|
Nerve conduction studies 11-12
|
$1,861.60 |
$1,861.60 |
$1,861.60 |
$1,080.04
|
|
Nerve conduction studies 1-2
|
$370.40 |
$370.40 |
$370.40 |
$341.10
|
|
Nerve conduction studies 13+
|
$2,173.60 |
$2,173.60 |
$2,173.60 |
$1,327.39
|
|
Nerve conduction studies 3-4
|
$680.80 |
$680.80 |
$680.80 |
$469.98
|
|
Nerve conduction studies 5-6
|
$981.60 |
$981.60 |
$981.60 |
$617.24
|
|
Nerve conduction studies 9-10
|
$1,551.20 |
$1,551.20 |
$1,551.20 |
$1,100.00
|
|
New Patient Office Visit (level 2)
|
$337.60 |
$337.60 |
$337.60 |
$163.30
|
|
New Patient Office Visit (level 3)
|
$565.60 |
$565.60 |
$565.60 |
$211.00
|
|
New Patient Office Visit (level 4)
|
$792.80 |
$792.80 |
$792.80 |
$291.06
|