|
Kit sound processor cochlear osia 2
|
$4,205.52 |
$4,205.52 |
$4,205.52 |
$8,425.00
|
|
Knee MRI (with and without contrast)
|
$3,372.44 |
$3,372.44 |
$3,372.44 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,168.89 |
$3,168.89 |
$3,168.89 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,575.94 |
$2,575.94 |
$2,575.94 |
$2,110.76
|
|
Knee X-ray
|
$416.54 |
$416.54 |
$416.54 |
$425.55
|
|
Kras gene variants exon 2
|
$460.20 |
$460.20 |
$460.20 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$3.84 |
$3.84 |
$3.84 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$2.68 |
$2.68 |
$2.68 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$44.25 |
$44.25 |
$44.25 |
$55.50
|
|
Lactated ringers intravenous solution
|
$0.01 |
$0.01 |
$0.01 |
$44.91
|
|
Lactic acid
|
$105.61 |
$105.61 |
$105.61 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$17.11 |
$17.11 |
$17.11 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$10,797.00 |
$10,797.00 |
$10,797.00 |
$19,124.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,377.65 |
$1,377.65 |
$1,377.65 |
$2,480.71
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$2,036.68 |
$2,036.68 |
$2,036.68 |
$800.25
|
|
Lead acuity x4 spiral l 86cm
|
$3,982.50 |
$3,982.50 |
$3,982.50 |
$5,534.00
|
|
Lead capillary
|
$61.95 |
$61.95 |
$61.95 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$3,455.04 |
$3,455.04 |
$3,455.04 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$7,989.78 |
$7,989.78 |
$7,989.78 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,236.05 |
$1,236.05 |
$1,236.05 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$699.15 |
$699.15 |
$699.15 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$292.05 |
$292.05 |
$292.05 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,467.63 |
$1,467.63 |
$1,467.63 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$515.27 |
$515.27 |
$515.27 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$46.51 |
$46.51 |
$46.51 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$573.31 |
$573.31 |
$573.31 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,915.74 |
$2,915.74 |
$2,915.74 |
$9,107.80
|
|
Leuprolide depot cipla 7.5mg
|
$736.09 |
$736.09 |
$736.09 |
$623.81
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$6.20 |
$6.20 |
$6.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$146.32 |
$146.32 |
$146.32 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.07 |
$0.07 |
$0.07 |
$55.60
|
|
Liberta rc ipg
|
$40,402.38 |
$40,402.38 |
$40,402.38 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.79 |
$0.79 |
$0.79 |
$46.02
|
|
Lifileucel til/dose 7.5b-72b snij
|
$2,506.05 |
$2,506.05 |
$2,506.05 |
$30,744.64
|
|
Liletta, 52 mg
|
$351.83 |
$351.83 |
$351.83 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$94.05 |
$94.05 |
$94.05 |
$109.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.06 |
$0.06 |
$0.06 |
$121.00
|
|
Lipase
|
$83.19 |
$83.19 |
$83.19 |
$91.65
|
|
Lipoprotein direct measurement hdl
|
$67.26 |
$67.26 |
$67.26 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$67.26 |
$67.26 |
$67.26 |
$61.60
|
|
Lithium therapeutic drug level
|
$90.86 |
$90.86 |
$90.86 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,363.05 |
$4,363.05 |
$4,363.05 |
$4,113.20
|
|
Liver elastography 91200
|
$266.68 |
$266.68 |
$266.68 |
$280.00
|
|
Liver Function Test
|
$105.61 |
$105.61 |
$105.61 |
$115.44
|
|
Liver imaging
|
$610.65 |
$610.65 |
$610.65 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$849.01 |
$849.01 |
$849.01 |
$1,227.60
|
|
Liver/spleen imag static only
|
$690.30 |
$690.30 |
$690.30 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.49 |
$1.49 |
$1.49 |
$37.37
|
|
Low cost skin substitute app
|
$623.04 |
$623.04 |
$623.04 |
$933.60
|
|
Low cost skin substitute app
|
$623.04 |
$623.04 |
$623.04 |
$1,012.00
|
|
Low cost skin substitute app
|
$167.56 |
$167.56 |
$167.56 |
$428.35
|
|
Low cost skin substitute app
|
$176.41 |
$176.41 |
$176.41 |
$408.04
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,011.90 |
$2,011.90 |
$2,011.90 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,910.42 |
$1,910.42 |
$1,910.42 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,639.61 |
$1,639.61 |
$1,639.61 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,330.55 |
$3,330.55 |
$3,330.55 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,871.53 |
$2,871.53 |
$2,871.53 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,413.10 |
$2,413.10 |
$2,413.10 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$450.76 |
$450.76 |
$450.76 |
$356.16
|
|
Lso flex no ri stays pre ots
|
$365.49 |
$365.49 |
$365.49 |
$164.80
|
|
Lumbar diskogram s&i
|
$2,091.55 |
$2,091.55 |
$2,091.55 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$212.99 |
$212.99 |
$212.99 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$259.60 |
$259.60 |
$259.60 |
$295.35
|
|
Lung perfusion imaging
|
$1,211.86 |
$1,211.86 |
$1,211.86 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$4,070.01 |
$4,070.01 |
$4,070.01 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$6,997.53 |
$6,997.53 |
$6,997.53 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$28,025.00 |
$28,025.00 |
$28,025.00 |
$333.50
|
|
Lymphatics/lymph node imaging
|
$1,459.66 |
$1,459.66 |
$1,459.66 |
$1,463.22
|
|
Macroscopic exam parasite
|
$45.43 |
$45.43 |
$45.43 |
$36.55
|
|
Magnesium
|
$64.90 |
$64.90 |
$64.90 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$1.91 |
$1.91 |
$1.91 |
$59.88
|
|
Mammosite ced
|
$5,938.35 |
$5,938.35 |
$5,938.35 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$95.58 |
$95.58 |
$95.58 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$210.04 |
$210.04 |
$210.04 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.07 |
$0.07 |
$0.07 |
$30.75
|
|
Marker biop eviva buckle ss
|
$3,717.00 |
$3,717.00 |
$3,717.00 |
$1,451.30
|
|
Mastoids complete
|
$237.18 |
$237.18 |
$237.18 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$5,660.46 |
$5,660.46 |
$5,660.46 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$156.94 |
$156.94 |
$156.94 |
$65.00
|
|
Mayo aathr protein s free
|
$149.27 |
$149.27 |
$149.27 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$50.15 |
$50.15 |
$50.15 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$120.95 |
$120.95 |
$120.95 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$75.52 |
$75.52 |
$75.52 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$105.61 |
$105.61 |
$105.61 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$110.92 |
$110.92 |
$110.92 |
$87.10
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$84.37 |
$84.37 |
$84.37 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$142.78 |
$142.78 |
$142.78 |
$75.90
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$459.61 |
$459.61 |
$459.61 |
$369.00
|
|
Mayo androstenedione
|
$60.18 |
$60.18 |
$60.18 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$80.24 |
$80.24 |
$80.24 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$79.06 |
$79.06 |
$79.06 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$80.24 |
$80.24 |
$80.24 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$225.38 |
$225.38 |
$225.38 |
$171.50
|
|
Mayo bart bartonella henselae antibody igg
|
$56.64 |
$56.64 |
$56.64 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$33.63 |
$33.63 |
$33.63 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$33.04 |
$33.04 |
$33.04 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$51.92 |
$51.92 |
$51.92 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$252.52 |
$252.52 |
$252.52 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$46.61 |
$46.61 |
$46.61 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$95.58 |
$95.58 |
$95.58 |
$80.16
|