|
Jak2 targeted sequence analysis
|
$463.50 |
$564.95 |
$1,276.00 |
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$266.08 |
$266.08 |
$1,200.00 |
|
|
Jaw (Mandible) X-ray (complete)
|
$352.83 |
$352.83 |
$772.00 |
|
|
Jejunstmy tube plcmt
|
$2,199.50 |
$2,199.50 |
$2,199.50 |
|
|
John cunningham antibody
|
$172.50 |
$915.05 |
$915.05 |
|
|
J-tube placement
|
$1,990.00 |
$1,990.00 |
$1,990.00 |
|
|
Kafo dbl solid stirrup band/
|
$944.96 |
$944.96 |
$944.96 |
|
|
Kafo femoral fx cast rigid
|
$980.66 |
$980.66 |
$980.66 |
|
|
Ketamine and metabolite screen - quest
|
$66.00 |
$66.00 |
$66.00 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$80.50 |
$95.38 |
$118.55 |
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$14.33 |
$14.33 |
$67.25 |
|
|
Kidney function study
|
$545.55 |
$545.55 |
$545.55 |
|
|
Kidney imaging morphology
|
$914.00 |
$914.00 |
$914.00 |
|
|
Kidney imag w/bld flow multi
|
$1,969.50 |
$2,010.33 |
$2,634.00 |
|
|
Kidney img w/bldflw sgl without rx
|
$1,383.00 |
$1,794.98 |
$1,794.98 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$552.83 |
$552.83 |
$1,104.00 |
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$462.83 |
$462.83 |
$1,005.00 |
|
|
Kit case 4.2mm spinejack
|
$694.17 |
$694.17 |
$694.17 |
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$95.74 |
$95.74 |
$598.67 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,080.62 |
$6,080.62 |
$6,080.62 |
|
|
Kit gene analys d816 variant
|
$259.53 |
$259.53 |
$367.00 |
|
|
Kit hfx iq ipg bundle
|
$10,750.00 |
$10,750.00 |
$10,750.00 |
|
|
Kit lead specify 5-6-5
|
$3,277.84 |
$5,775.00 |
$5,775.00 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$367.50 |
$367.50 |
$420.73 |
|
|
Kit sound processor cochlear osia 2
|
$148.75 |
$148.75 |
$148.75 |
|
|
Knee cap medial or lateral p
|
$104.54 |
$104.54 |
$104.54 |
|
|
Knee MRI (with and without contrast)
|
$2,015.00 |
$2,495.38 |
$7,320.00 |
|
|
Knee MRI (with contrast)
|
$1,960.00 |
$2,315.95 |
$5,821.00 |
|
|
Knee MRI (without contrast)
|
$1,501.50 |
$1,922.30 |
$4,104.00 |
|
|
Knee orth pos locking joint
|
$180.61 |
$180.61 |
$180.61 |
|
|
Knee X-ray
|
$334.25 |
$334.25 |
$623.00 |
|
|
Knee X-ray (1 to 2 views, both knees)
|
$209.50 |
$216.65 |
$316.00 |
|
|
Knee X-ray (3 views, both knees)
|
$227.45 |
$227.45 |
$439.00 |
|
|
Knee X-ray (standing, both knees)
|
$184.00 |
$433.25 |
$837.00 |
|
|
Ko elastic w/joints pre ots
|
$56.41 |
$105.72 |
$105.72 |
|
|
Ko single upright prefab ots
|
$105.72 |
$105.72 |
$105.72 |
|
|
Kras gene addl variants
|
$299.00 |
$299.00 |
$299.00 |
|
|
Kras gene variants exon 2
|
$842.00 |
$1,082.98 |
$1,082.98 |
|
|
Kyleena, 19.5 mg
|
$2,429.28 |
$2,429.28 |
$2,429.28 |
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$72.50 |
$354.80 |
$354.80 |
|
|
Lab draw <3 yrs scalp vein 36405
|
$83.08 |
$83.08 |
$395.00 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$76.95 |
$127.23 |
$143.34 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$66.97 |
$172.80 |
$172.80 |
|
|
Lactate dehydrogenase (ldh)
|
$50.55 |
$50.55 |
$157.00 |
|
|
Lactated ringers intravenous solution
|
$82.70 |
$82.70 |
$82.70 |
|
|
Lactation class
|
$25.00 |
$25.00 |
$25.00 |
|
|
Lactic acid
|
$96.53 |
$96.53 |
$183.00 |
|
|
Lactoferrin fecal qualitative
|
$159.68 |
$159.68 |
$192.00 |
|
|
Lactoferrin fecal quant
|
$120.25 |
$120.25 |
$149.50 |
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$16,098.30 |
$19,124.00 |
$26,459.86 |
|
|
Lanthanum carbonate oral 5mg
|
$1,998.00 |
$1,998.00 |
$1,998.00 |
|
|
Laparo drng lymphocele 49323
|
$2,805.00 |
$2,805.00 |
$2,805.00 |
|
|
Laparo proc abdm/per/oment 49329
|
$3,803.00 |
$3,803.00 |
$3,803.00 |
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$481.50 |
$619.80 |
$1,559.00 |
|
|
Largsc w/rmvl foreign bdy(s)
|
$587.00 |
$675.13 |
$675.13 |
|
|
Laronidase injection
|
$2,239.28 |
$2,239.28 |
$2,239.28 |
|
|
Laryngeal function studies
|
$152.50 |
$196.80 |
$196.80 |
|
|
Laryngoplasty medialization
|
$9,653.68 |
$9,653.68 |
$9,653.68 |
|
|
Laryngoscopic sensory vid
|
$308.50 |
$308.50 |
$308.50 |
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,139.50 |
$1,203.53 |
$1,203.53 |
|
|
Laryngoscopy telescopic
|
$222.00 |
$474.80 |
$691.00 |
|
|
Laryngoscopy w/fb removal
|
$5,337.65 |
$5,337.65 |
$5,337.65 |
|
|
Laryngoscopy with biopsy
|
$2,081.00 |
$3,297.83 |
$3,297.83 |
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$2,514.73 |
$2,514.73 |
$2,514.73 |
|
|
Lead acuity x4 spiral l 86cm
|
$1,450.00 |
$1,450.00 |
$4,239.88 |
|
|
Lead capillary
|
$40.50 |
$79.93 |
$83.00 |
|
|
Lead ingevity 45cm pfret MRI
|
$1,150.00 |
$1,150.00 |
$2,012.56 |
|
|
Lead tachy durata sj4 58cm
|
$1,500.00 |
$1,500.00 |
$15,709.23 |
|
|
Left compres band >=3" <5"/yd
|
$10.87 |
$10.87 |
$10.87 |
|
|
Left compres band <3"/yd
|
$5.70 |
$5.70 |
$5.70 |
|
|
Left compres band >=5"/yd
|
$6.73 |
$6.73 |
$6.73 |
|
|
Leg Artery Ultrasound (complete, both legs)
|
$732.03 |
$732.03 |
$2,544.00 |
|
|
Leg CT Scan (with contrast, both legs)
|
$1,585.18 |
$1,585.18 |
$4,562.00 |
|
|
Leg CT Scan (without contrast, both legs)
|
$1,256.25 |
$1,256.25 |
$2,753.00 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,016.50 |
$1,155.88 |
$3,117.00 |
|
|
Leishmania antibody
|
$52.00 |
$52.00 |
$52.00 |
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$547.50 |
$547.50 |
$547.50 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$515.00 |
$515.00 |
$515.00 |
|
|
Lens iol ant chamb 10.5
|
$47.50 |
$47.50 |
$47.50 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$227.98 |
$227.98 |
$933.52 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$24,983.30 |
$24,983.30 |
$24,983.30 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$50,431.10 |
$50,431.10 |
$50,431.10 |
|
|
Leuprolide acetate injeciton
|
$1,161.20 |
$1,161.20 |
$1,161.20 |
|
|
Lev 1 hosp type b ed visit
|
$186.98 |
$186.98 |
$186.98 |
|
|
Lev 2 hosp type b ed visit
|
$359.65 |
$359.65 |
$359.65 |
|
|
Lev 3 hosp type b ed visit
|
$598.15 |
$598.15 |
$598.15 |
|
|
Lev 4 hosp type b ed visit
|
$915.40 |
$915.40 |
$915.40 |
|
|
Lev 5 hosp type b ed visit
|
$1,542.68 |
$1,542.68 |
$1,542.68 |
|
|
Levalbuterol non-comp con
|
$25.79 |
$25.79 |
$25.79 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$122.17 |
$170.20 |
$170.20 |
|
|
Levetiracetam therapeutic drug level
|
$74.00 |
$151.20 |
$151.20 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$55.60 |
$55.60 |
$76.23 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$757.63 |
$757.63 |
$757.63 |
|
|
L hrt cath chd nm/abn nt cnj
|
$13,661.83 |
$13,661.83 |
$13,661.83 |
|
|
Liberta rc ipg
|
$8,500.00 |
$8,500.00 |
$8,500.00 |
|
|
Lidocaine injection
|
$33.74 |
$33.74 |
$35.12 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$53.72 |
$59.23 |
$94.83 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$38.00 |
$38.00 |
$38.00 |
|
|
Lidocaine therapeutic drug level
|
$31.50 |
$126.13 |
$126.13 |
|
|
Lifileucel til/dose 7.5b-72b snij
|
$22.50 |
$22.50 |
$22.50 |
|
