|
Ko single upright prefab ots
|
$105.72 |
$105.72 |
$105.72 |
$928.28
|
|
Kras gene variants exon 2
|
$1,082.98 |
$1,082.98 |
$1,082.98 |
$536.20
|
|
Kyleena, 19.5 mg
|
$2,429.28 |
$2,429.28 |
$2,429.28 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$354.80 |
$354.80 |
$354.80 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$83.08 |
$83.08 |
$83.08 |
$70.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$127.23 |
$127.23 |
$127.23 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$172.80 |
$172.80 |
$172.80 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$50.55 |
$50.55 |
$50.55 |
$55.50
|
|
Lactic acid
|
$96.53 |
$96.53 |
$96.53 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$159.68 |
$159.68 |
$159.68 |
$82.16
|
|
Lactoferrin fecal quant
|
$120.25 |
$120.25 |
$120.25 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,124.00 |
$19,124.00 |
$19,124.00 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
$14.53
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$619.80 |
$619.80 |
$619.80 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$675.13 |
$675.13 |
$675.13 |
$765.97
|
|
Laronidase injection
|
$2,239.28 |
$2,239.28 |
$2,239.28 |
$1,927.01
|
|
Laryngeal function studies
|
$196.80 |
$196.80 |
$196.80 |
$342.60
|
|
Laryngoplasty medialization
|
$9,653.68 |
$9,653.68 |
$9,653.68 |
$6,465.11
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,203.53 |
$1,203.53 |
$1,203.53 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$474.80 |
$474.80 |
$474.80 |
$852.80
|
|
Laryngoscopy w/fb removal
|
$5,337.65 |
$5,337.65 |
$5,337.65 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$3,297.83 |
$3,297.83 |
$3,297.83 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$2,514.73 |
$2,514.73 |
$2,514.73 |
$981.40
|
|
Lead acuity x4 spiral l 86cm
|
$1,450.00 |
$1,450.00 |
$1,450.00 |
$5,460.00
|
|
Lead capillary
|
$79.93 |
$79.93 |
$79.93 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,150.00 |
$1,150.00 |
$1,150.00 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$732.03 |
$732.03 |
$732.03 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,585.18 |
$1,585.18 |
$1,585.18 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,256.25 |
$1,256.25 |
$1,256.25 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,155.88 |
$1,155.88 |
$1,155.88 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$547.50 |
$547.50 |
$547.50 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$515.00 |
$515.00 |
$515.00 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$47.50 |
$47.50 |
$47.50 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$227.98 |
$227.98 |
$227.98 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$24,983.30 |
$24,983.30 |
$24,983.30 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$50,431.10 |
$50,431.10 |
$50,431.10 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$1,161.20 |
$1,161.20 |
$1,161.20 |
$1,322.50
|
|
Lev 1 hosp type b ed visit
|
$186.98 |
$186.98 |
$186.98 |
$186.98
|
|
Lev 2 hosp type b ed visit
|
$359.65 |
$359.65 |
$359.65 |
$359.65
|
|
Lev 3 hosp type b ed visit
|
$598.15 |
$598.15 |
$598.15 |
$598.15
|
|
Lev 4 hosp type b ed visit
|
$915.40 |
$915.40 |
$915.40 |
$915.40
|
|
Lev 5 hosp type b ed visit
|
$1,542.68 |
$1,542.68 |
$1,542.68 |
$1,542.68
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$170.20 |
$170.20 |
$170.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$151.20 |
$151.20 |
$151.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$55.60 |
$55.60 |
$55.60 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$757.63 |
$757.63 |
$757.63 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$13,661.83 |
$13,661.83 |
$13,661.83 |
$6,104.00
|
|
Liberta rc ipg
|
$8,500.00 |
$8,500.00 |
$8,500.00 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$59.23 |
$59.23 |
$59.23 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$38.00 |
$38.00 |
$38.00 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$126.13 |
$126.13 |
$126.13 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$22.50 |
$22.50 |
$22.50 |
$30,744.64
|
|
Lig/band angioaccess av fistula
|
$4,240.23 |
$4,240.23 |
$4,240.23 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,863.48 |
$1,863.48 |
$1,863.48 |
$1,514.24
|
|
Lincomycin injection
|
$79.48 |
$79.48 |
$79.48 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$172.25 |
$172.25 |
$172.25 |
$121.00
|
|
Lipase
|
$140.63 |
$140.63 |
$140.63 |
$93.58
|
|
Lipoprotein blood quant
|
$97.53 |
$97.53 |
$97.53 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$102.50 |
$102.50 |
$102.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$145.75 |
$145.75 |
$145.75 |
$61.60
|
|
Lisocabtagene mara car pos t
|
$1,594,051.20 |
$1,594,051.20 |
$1,594,051.20 |
$1,336,907.88
|
|
Listeria monocytogenes
|
$352.08 |
$352.08 |
$352.08 |
$100.40
|
|
Lithium therapeutic drug level
|
$70.58 |
$70.58 |
$70.58 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$6,771.85 |
$6,771.85 |
$6,771.85 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$365.28 |
$365.28 |
$365.28 |
$365.28
|
|
Liver elastography 91200
|
$547.73 |
$547.73 |
$547.73 |
$285.18
|
|
Liver Function Test
|
$198.50 |
$198.50 |
$198.50 |
$115.44
|
|
Liver/spleen imag static only
|
$1,140.78 |
$1,140.78 |
$1,140.78 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$49.70 |
$49.70 |
$49.70 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$55,557.80 |
$55,557.80 |
$55,557.80 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$61.45 |
$61.45 |
$61.45 |
$37.20
|
|
Low cost skin substitute app
|
$549.08 |
$549.08 |
$549.08 |
$933.60
|
|
Low cost skin substitute app
|
$549.08 |
$549.08 |
$549.08 |
$1,012.00
|
|
Low cost skin substitute app
|
$741.18 |
$741.18 |
$741.18 |
$1,016.16
|
|
Low cost skin substitute app
|
$549.08 |
$549.08 |
$549.08 |
$466.80
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$567.08 |
$567.08 |
$567.08 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,152.98 |
$2,152.98 |
$2,152.98 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,850.88 |
$1,850.88 |
$1,850.88 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,504.05 |
$1,504.05 |
$1,504.05 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,656.05 |
$2,656.05 |
$2,656.05 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,415.68 |
$2,415.68 |
$2,415.68 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,013.08 |
$2,013.08 |
$2,013.08 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$278.40 |
$278.40 |
$278.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$430.23 |
$430.23 |
$430.23 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$638.25 |
$638.25 |
$638.25 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$211.48 |
$211.48 |
$211.48 |
$338.40
|
|
Lumbar diskogram s&i
|
$1,476.23 |
$1,476.23 |
$1,476.23 |
$2,358.23
|
|
Lumizyme injection
|
$1,999.23 |
$1,999.23 |
$1,999.23 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$549.83 |
$549.83 |
$549.83 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$209.40 |
$209.40 |
$209.40 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$235.25 |
$235.25 |
$235.25 |
$296.91
|
|
Lung perfusion imaging
|
$669.08 |
$669.08 |
$669.08 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$16,245.00 |
$16,245.00 |
$16,245.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$21,183.00 |
$21,183.00 |
$21,183.00 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$179,424.00 |
$179,424.00 |
$179,424.00 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$146,112.00 |
$146,112.00 |
$146,112.00 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$1,281.18 |
$1,281.18 |
$1,281.18 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$271.88 |
$271.88 |
$271.88 |
$271.88
|
|
Lymph vessel x-ray arms/legs
|
$3,474.65 |
$3,474.65 |
$3,474.65 |
$2,164.52
|