|
Kidney img w/bldflw sgl without rx
|
$505.98 |
$505.98 |
$505.98 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$683.34 |
$735.34 |
$1,025.89 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$355.28 |
$375.15 |
$523.38 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$5,040.54 |
$5,040.54 |
$5,581.48 |
|
|
Kit hfx iq ipg bundle
|
$26,229.14 |
$26,229.14 |
$29,043.97 |
|
|
Kit ipg optimizer smart
|
$23,844.78 |
$23,844.78 |
$26,403.74 |
|
|
Kit lead specify 5-6-5
|
$8,519.80 |
$9,434.12 |
$17,631.80 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$890.52 |
$986.09 |
$1,549.62 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$3,877.17 |
$3,877.17 |
$4,293.26 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,158.25 |
$1,282.55 |
$3,510.37 |
|
|
Knee control condylar pad
|
$142.89 |
$158.22 |
$199.35 |
|
|
Knee disc/dial lock/adj flex
|
$163.80 |
$181.38 |
$228.52 |
|
|
Knee lift loop drop lock rin
|
$163.80 |
$181.38 |
$228.52 |
|
|
Knee MRI (with and without contrast)
|
$2,314.72 |
$2,583.95 |
$3,465.53 |
|
|
Knee MRI (with contrast)
|
$1,929.19 |
$2,278.18 |
$3,010.02 |
|
|
Knee MRI (without contrast)
|
$1,543.15 |
$2,071.12 |
$2,293.39 |
|
|
Knee X-ray
|
$280.33 |
$596.55 |
$832.26 |
|
|
Knee X-ray (1 to 2 views, both knees)
|
$136.68 |
$421.69 |
$588.31 |
|
|
Knee X-ray (3 views, both knees)
|
$166.16 |
$516.81 |
$721.01 |
|
|
Knee X-ray (standing, both knees)
|
$248.17 |
$248.17 |
$248.17 |
|
|
Ko w adj flex/ext rotat mold
|
$1,042.63 |
$1,154.53 |
$1,454.60 |
|
|
Kras gene addl variants
|
$118.90 |
$131.66 |
$281.88 |
|
|
Kras gene variants exon 2
|
$118.90 |
$131.66 |
$281.88 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$5.33 |
$5.91 |
$7.44 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$102.30 |
$102.30 |
$113.28 |
|
|
Lactate dehydrogenase (ldh)
|
$27.47 |
$96.15 |
$134.14 |
|
|
Lactated ringers intravenous solution
|
$11.07 |
$12.26 |
$15.45 |
|
|
Lactic acid
|
$62.18 |
$170.56 |
$237.96 |
|
|
Lactoferrin fecal qualitative
|
$18.25 |
$20.21 |
$47.24 |
|
|
Lactoferrin fecal quant
|
$98.33 |
$98.33 |
$98.33 |
|
|
Lanthanum carbonate oral 5mg
|
$9.64 |
$9.64 |
$10.67 |
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$278.80 |
$308.72 |
$388.96 |
|
|
Lead acuity x4 spiral l 86cm
|
$1,615.90 |
$3,877.17 |
$17,631.80 |
|
|
Lead capillary
|
$20.91 |
$23.16 |
$38.08 |
|
|
Lead ingevity 45cm pfret MRI
|
$857.43 |
$3,877.17 |
$17,631.80 |
|
|
Lead tachy durata sj4 58cm
|
$5,040.54 |
$5,581.48 |
$11,335.55 |
|
|
Leg Artery Ultrasound (complete, both legs)
|
$552.19 |
$697.62 |
$973.26 |
|
|
Leg CT Scan (with contrast, both legs)
|
$765.87 |
$2,616.83 |
$3,650.79 |
|
|
Leg CT Scan (without contrast, both legs)
|
$612.50 |
$2,110.27 |
$2,944.09 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$650.31 |
$820.21 |
$1,144.29 |
|
|
Lens, intraocular (new tech)
|
$566.61 |
$566.61 |
$566.61 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$471.91 |
$522.56 |
$1,545.05 |
|
|
Lens iol ant chamb 10.5
|
$213.82 |
$236.77 |
$864.96 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$44.28 |
$44.28 |
$49.04 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,456.31 |
$2,456.31 |
$2,719.92 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,546.11 |
$1,546.11 |
$1,712.04 |
|
|
Leuprolide acetate injeciton
|
$820.21 |
$820.21 |
$908.23 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$11.07 |
$24.75 |
$42.33 |
|
|
Levetiracetam therapeutic drug level
|
$30.37 |
$54.12 |
$75.51 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$16.88 |
$40.59 |
$44.95 |
|
|
Liberta rc ipg
|
$28,851.91 |
$28,851.91 |
$31,948.21 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$13.73 |
$13.94 |
$15.44 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$21.12 |
$23.39 |
$29.46 |
|
|
Lidocaine therapeutic drug level
|
$22.14 |
$24.52 |
$30.89 |
|
|
Lifileucel til/dose 7.5b-72b snij
|
$2,135,962.20 |
$2,135,962.20 |
$2,135,962.20 |
|
|
Lift heel adj small gl60404sm
|
$108.65 |
$120.31 |
$151.58 |
|
|
Limited ankle motion ea jnt
|
$93.28 |
$103.29 |
$130.13 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$53.30 |
$59.02 |
$74.36 |
|
|
Lipase
|
$41.45 |
$126.69 |
$176.75 |
|
|
Lipoprotein blood high res frac & quant
|
$49.16 |
$49.16 |
$49.16 |
|
|
Lipoprotein blood quant
|
$49.65 |
$49.65 |
$49.65 |
|
|
Lipoprotein direct measurement hdl
|
$30.85 |
$38.54 |
$53.77 |
|
|
Lipoprotein direct measurement ldl
|
$45.31 |
$74.62 |
$104.11 |
|
|
Lipoprtn dir meas sd ldl chl
|
$49.65 |
$49.65 |
$49.65 |
|
|
Lithium therapeutic drug level
|
$18.86 |
$20.89 |
$26.32 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,452.18 |
$5,452.18 |
$6,037.30 |
|
|
Liver ds alys 3 bmrk srm alg
|
$209.10 |
$231.54 |
$291.72 |
|
|
Liver Function Test
|
$52.06 |
$321.85 |
$449.02 |
|
|
Liver imaging
|
$414.18 |
$414.18 |
$414.18 |
|
|
Liver imag w/vasclr flow
|
$606.96 |
$606.96 |
$606.96 |
|
|
Liver/spleen imag static only
|
$467.20 |
$517.34 |
$565.38 |
|
|
Liver/spleen imag w/vasclr flow
|
$490.32 |
$490.32 |
$490.32 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.27 |
$75.65 |
$105.54 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$7.44 |
$560.88 |
$621.08 |
|
|
Low cost skin substitute app
|
$219.97 |
$219.97 |
$219.97 |
|
|
Low cost skin substitute app
|
$756.04 |
$756.04 |
$756.04 |
|
|
Low cost skin substitute app
|
$219.97 |
$219.97 |
$219.97 |
|
|
Low cost skin substitute app
|
$343.79 |
$343.79 |
$343.79 |
|
|
Low cost skin substitute app
|
$52.69 |
$52.69 |
$52.69 |
|
|
Low cost skin substitute app
|
$150.47 |
$150.47 |
$150.47 |
|
|
Low cost skin substitute app
|
$52.69 |
$52.69 |
$52.69 |
|
|
Low cost skin substitute app
|
$150.47 |
$150.47 |
$150.47 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$76.96 |
$79.95 |
$599.76 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,495.97 |
$3,111.70 |
$4,341.20 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,246.56 |
$2,779.80 |
$3,878.16 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$997.15 |
$1,382.93 |
$1,929.36 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,926.43 |
$3,313.01 |
$3,668.55 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,438.69 |
$2,920.84 |
$3,234.30 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,950.95 |
$1,960.42 |
$2,170.81 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$319.99 |
$370.44 |
$516.81 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$448.63 |
$518.65 |
$723.58 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$511.88 |
$659.28 |
$919.78 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$121.14 |
$575.03 |
$802.23 |
|
|
Low frequency non-thermal Ultrasound
|
$161.73 |
$161.73 |
$161.73 |
|
|
Lso flex no ri stays pre ots
|
$278.39 |
$308.27 |
$388.39 |
|
|
Lso full corset
|
$213.82 |
$236.77 |
$298.30 |
|
|
Lso sag-coronal panel custom
|
$1,158.25 |
$1,282.55 |
$1,615.90 |
|
|
Lso sagittal rigid panel cus
|
$1,042.63 |
$1,154.53 |
$1,454.60 |
|
|
Lso sc r pos/lat pnl pre cst
|
$471.91 |
$522.56 |
$658.38 |
|
|
Lso s/c shell/panel custom
|
$1,158.25 |
$1,282.55 |
$1,615.90 |
|