|
Liver/spleen imag static only
|
$964.00 |
$964.00 |
$964.00 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$20.00 |
$20.00 |
$20.00 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$26.45 |
$26.45 |
$26.45 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$814.40 |
$814.40 |
$814.40 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,059.20 |
$2,059.20 |
$2,059.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,589.60 |
$1,589.60 |
$1,589.60 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,284.00 |
$1,284.00 |
$1,284.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,861.60 |
$3,861.60 |
$3,861.60 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,555.20 |
$3,555.20 |
$3,555.20 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,249.60 |
$3,249.60 |
$3,249.60 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$193.60 |
$193.60 |
$193.60 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$237.60 |
$237.60 |
$237.60 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$306.40 |
$306.40 |
$306.40 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$160.80 |
$160.80 |
$160.80 |
$338.40
|
|
Lumbar diskogram s&i
|
$3,196.80 |
$3,196.80 |
$3,196.80 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$498.40 |
$498.40 |
$498.40 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$185.60 |
$185.60 |
$185.60 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$252.80 |
$252.80 |
$252.80 |
$296.91
|
|
Lung perfusion imaging
|
$1,259.20 |
$1,259.20 |
$1,259.20 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$7,113.00 |
$7,113.00 |
$7,113.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$11,323.53 |
$11,323.53 |
$11,323.53 |
$22,771.63
|
|
Lutetium lu 177 vipivotide
|
$256.00 |
$256.00 |
$256.00 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$1,753.60 |
$1,753.60 |
$1,753.60 |
$1,491.70
|
|
Lymphocytotoxicity assay
|
$240.00 |
$240.00 |
$240.00 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$1,369.60 |
$1,369.60 |
$1,369.60 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$3,048.00 |
$3,048.00 |
$3,048.00 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$3,109.60 |
$3,109.60 |
$3,109.60 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$4,261.60 |
$4,261.60 |
$4,261.60 |
$3,452.15
|
|
Lysis penil circumic lesion
|
$3,859.20 |
$3,859.20 |
$3,859.20 |
$3,503.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$113.36 |
$113.36 |
$113.36 |
$58.70
|
|
Magnetic image bone marrow
|
$2,431.20 |
$2,431.20 |
$2,431.20 |
$1,329.39
|
|
Makena, 10 mg
|
$758.23 |
$758.23 |
$758.23 |
$1,405.80
|
|
Mammosite ced
|
$4,501.20 |
$4,501.20 |
$4,501.20 |
$5,031.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$28.48 |
$28.48 |
$28.48 |
$26.29
|
|
Map tachycard site(s)
|
$5,660.00 |
$5,660.00 |
$5,660.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$1,267.38 |
$1,267.38 |
$1,267.38 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,487.08 |
$1,487.08 |
$1,487.08 |
$1,941.63
|
|
Mastoids complete
|
$244.00 |
$244.00 |
$244.00 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$63.14 |
$63.14 |
$63.14 |
$4,472.40
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$180.00 |
$180.00 |
$180.00 |
$283.40
|
|
Mayo hla typing a/b/c single antigen
|
$172.00 |
$172.00 |
$172.00 |
$122.80
|
|
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria
|
$140.00 |
$140.00 |
$140.00 |
$140.00
|
|
Measure kidney pressure
|
$2,671.20 |
$2,671.20 |
$2,671.20 |
$803.99
|
|
Measurement post void urine by ultrasound
|
$188.80 |
$188.80 |
$188.80 |
$168.74
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$162.12 |
$162.12 |
$162.12 |
$190.81
|
|
Melphalan oral 2 mg
|
$18.08 |
$18.08 |
$18.08 |
$22.22
|
|
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm
|
$792.00 |
$792.00 |
$792.00 |
$1,660.50
|
|
Membrane amnioband 2x2cm -cost per sq cm
|
$495.31 |
$495.31 |
$495.31 |
$504.03
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$29.57 |
$29.57 |
$29.57 |
$30.79
|
|
Mepolizumab 100 mg/ml subcutaneous auto-injector
|
$3,785.12 |
$3,785.12 |
$3,785.12 |
$8,907.71
|
|
Meropenem 1 gram intravenous solution
|
$32.04 |
$32.04 |
$32.04 |
$55.76
|
|
Mesna 100 mg/ml intravenous solution
|
$94.45 |
$94.45 |
$94.45 |
$107.41
|
|
Methacholine chloride 0.0625 mg/ml nebulization soln
|
$59.98 |
$59.98 |
$59.98 |
$264.60
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$32.32 |
$32.32 |
$32.32 |
$74.27
|
|
Methotrexate sodium 2.5 mg tablet
|
$5.28 |
$5.28 |
$5.28 |
$8.85
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$192.42 |
$192.42 |
$192.42 |
$138.22
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$1,137.53 |
$1,137.53 |
$1,137.53 |
$1,069.32
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$38.80 |
$38.80 |
$38.80 |
$76.53
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$67.20 |
$67.20 |
$67.20 |
$407.16
|
|
Methylprednisolone 4 mg tablet
|
$3.47 |
$3.47 |
$3.47 |
$4.62
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$32.01 |
$32.01 |
$32.01 |
$62.85
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$65.61 |
$65.61 |
$65.61 |
$188.51
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$24.92 |
$24.92 |
$24.92 |
$15.75
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$25.22 |
$25.22 |
$25.22 |
$8.84
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$50.00 |
$50.00 |
$50.00 |
$23.55
|
|
Micafungin 100 mg intravenous solution
|
$234.95 |
$234.95 |
$234.95 |
$327.37
|
|
Mid and Lower Back (Thoracolumbar Spine) X-ray
|
$172.00 |
$172.00 |
$172.00 |
$288.00
|
|
Midazolam 1 mg/ml injection solution
|
$26.61 |
$26.61 |
$26.61 |
$63.30
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$88.32 |
$88.32 |
$88.32 |
$108.00
|
|
Middle cerebral artery echo
|
$416.80 |
$416.80 |
$416.80 |
$331.68
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$89.36 |
$89.36 |
$89.36 |
$89.08
|
|
Mitomycin 40 mg intravenous solution
|
$2,128.95 |
$2,128.95 |
$2,128.95 |
$1,683.75
|
|
Mitomycin instillation
|
$11,848.32 |
$11,848.32 |
$11,848.32 |
$43,275.00
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$368.62 |
$368.62 |
$368.62 |
$554.83
|
|
Monitor reveal linq ii cardiac
|
$16,156.80 |
$16,156.80 |
$16,156.80 |
$9,446.50
|
|
Monovisc inj per dose
|
$2,193.20 |
$2,193.20 |
$2,193.20 |
$1,705.31
|
|
Morphine 4 mg/ml injection (wrapper)
|
$90.80 |
$90.80 |
$90.80 |
$72.00
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$29.24 |
$29.24 |
$29.24 |
$24.00
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$1,189.92 |
$1,189.92 |
$1,189.92 |
$148.69
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$241.60 |
$241.60 |
$241.60 |
$318.43
|
|
M/phmtrc alys ishquant/semiq
|
$801.60 |
$801.60 |
$801.60 |
$495.60
|
|
MRA abdomen post contrast
|
$3,463.20 |
$3,463.20 |
$3,463.20 |
$2,144.35
|
|
MRA aorta thoracic w/wo contrast
|
$3,483.20 |
$3,483.20 |
$3,483.20 |
$2,331.37
|
|
MRA ext low(run-off)pst cntrst
|
$3,305.60 |
$3,305.60 |
$3,305.60 |
$2,564.48
|
|
MRA pelvis
|
$3,588.80 |
$3,588.80 |
$3,588.80 |
$2,277.26
|
|
MRA upper extremity post contrast-bil
|
$3,427.20 |
$3,427.20 |
$3,427.20 |
$2,452.45
|
|
Mra, without dye, spinal canal
|
$2,112.80 |
$2,112.80 |
$2,112.80 |
$1,033.39
|
|
MRI breast c- unilateral
|
$3,061.60 |
$3,061.60 |
$3,061.60 |
$1,114.75
|
|
MRI breast c-+ w/cad uni
|
$4,152.00 |
$4,152.00 |
$4,152.00 |
$1,880.00
|
|
MRI breast without cont bi
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$1,825.38
|
|
MRI breast w IV cont bi
|
$4,428.80 |
$4,428.80 |
$4,428.80 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$3,152.80 |
$3,152.80 |
$3,152.80 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$4,109.60 |
$4,109.60 |
$4,109.60 |
$1,946.48
|
|
MRI chest without contrast
|
$2,322.40 |
$2,322.40 |
$2,322.40 |
$1,818.00
|
|
MRI chest without & w/contrast
|
$3,215.20 |
$3,215.20 |
$3,215.20 |
$2,652.73
|
|
MRI fetal sngl/1st gestation
|
$2,915.20 |
$2,915.20 |
$2,915.20 |
$1,136.26
|
|
MRI guid ndl plc s&i
|
$1,976.80 |
$1,976.80 |
$1,976.80 |
$1,326.91
|
|
MRI loex nonjt w IV cont
|
$2,596.00 |
$2,596.00 |
$2,596.00 |
$2,116.20
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,261.60 |
$2,261.60 |
$2,261.60 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$3,172.00 |
$3,172.00 |
$3,172.00 |
$2,753.50
|