|
Knee MRI (with contrast)
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,628.75 |
$2,628.75 |
$2,628.75 |
$2,209.22
|
|
Knee X-ray
|
$508.50 |
$508.50 |
$508.50 |
$405.00
|
|
Kyleena, 19.5 mg
|
$4,491.10 |
$4,491.10 |
$4,491.10 |
$4,491.10
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$22.19 |
$22.19 |
$22.19 |
$22.19
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$237.75 |
$237.75 |
$237.75 |
$237.75
|
|
Lactate dehydrogenase (ldh)
|
$65.25 |
$65.25 |
$65.25 |
$50.55
|
|
Lactated ringers intravenous solution
|
$22.19 |
$22.19 |
$22.19 |
$32.40
|
|
Lactic acid
|
$209.25 |
$209.25 |
$209.25 |
$84.00
|
|
Lactoferrin fecal qualitative
|
$72.75 |
$72.75 |
$72.75 |
$90.49
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$35,355.50 |
$35,355.50 |
$35,355.50 |
$35,355.50
|
|
Lanthanum carbonate oral 5mg
|
$2,066.54 |
$2,066.54 |
$2,066.54 |
$2,066.54
|
|
Laparoscopye procstom 43659
|
$6,827.25 |
$6,827.25 |
$6,827.25 |
$6,870.89
|
|
Largsc w/laser dstrj les
|
$6,297.75 |
$6,297.75 |
$6,297.75 |
$5,126.62
|
|
Largsc w/njx augmentation
|
$3,180.00 |
$3,180.00 |
$3,180.00 |
$3,482.74
|
|
Largsc w/removal lesion
|
$8,732.25 |
$8,732.25 |
$8,732.25 |
$3,686.95
|
|
Largsc w/ther injection
|
$3,151.50 |
$3,151.50 |
$3,151.50 |
$1,962.76
|
|
Laronidase injection
|
$4,116.73 |
$4,116.73 |
$4,116.73 |
$4,116.73
|
|
Laryngeal function studies
|
$360.00 |
$360.00 |
$360.00 |
$335.40
|
|
Laryngoscope w/vc inj
|
$4,485.00 |
$4,485.00 |
$4,485.00 |
$3,442.73
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,968.00 |
$1,968.00 |
$1,968.00 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$1,185.75 |
$1,185.75 |
$1,185.75 |
$685.43
|
|
Laryngoscopy w/exc of tumor
|
$7,290.00 |
$7,290.00 |
$7,290.00 |
$3,176.60
|
|
Laryngoscopy w/fb removal
|
$2,017.50 |
$2,017.50 |
$2,017.50 |
$3,814.47
|
|
Laryngoscopy with biopsy
|
$8,027.25 |
$8,027.25 |
$8,027.25 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$473.25 |
$473.25 |
$473.25 |
$642.50
|
|
Lavage cannulation maxillary sinus
|
$1,871.25 |
$1,871.25 |
$1,871.25 |
$833.97
|
|
Lead acuity x4 spiral l 86cm
|
$4,863.24 |
$4,863.24 |
$4,863.24 |
$4,863.24
|
|
Lead capillary
|
$101.25 |
$101.25 |
$101.25 |
$74.10
|
|
Lead ingevity 45cm pfret MRI
|
$7,616.25 |
$7,616.25 |
$7,616.25 |
$7,616.25
|
|
Lead tachy durata sj4 58cm
|
$13,488.75 |
$13,488.75 |
$13,488.75 |
$13,488.75
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$1,090.23
|
|
Leishmania antibody
|
$182.25 |
$182.25 |
$182.25 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,238.75 |
$2,238.75 |
$2,238.75 |
$2,238.75
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,136.25 |
$1,136.25 |
$1,136.25 |
$1,136.25
|
|
Lens iol ant chamb 10.5
|
$191.25 |
$191.25 |
$191.25 |
$191.25
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$83.13 |
$83.13 |
$83.13 |
$83.13
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$30,791.46 |
$30,791.46 |
$30,791.46 |
$7,358.40
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$42,325.47 |
$42,325.47 |
$42,325.47 |
$6,521.40
|
|
Levalbuterol non-comp unit
|
$5.40 |
$5.40 |
$5.40 |
$5.40
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$97.62 |
$97.62 |
$97.62 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$215.25 |
$215.25 |
$215.25 |
$92.50
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$47.70 |
$47.70 |
$47.70 |
$47.70
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$652.50 |
$652.50 |
$652.50 |
$652.50
|
|
Liberta rc ipg
|
$63,376.43 |
$63,376.43 |
$63,376.43 |
$63,376.43
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$25.89 |
$25.89 |
$25.89 |
$0.20
|
|
Lidocaine therapeutic drug level
|
$78.00 |
$78.00 |
$78.00 |
$82.50
|
|
Lig/band angioaccess av fistula
|
$3,213.75 |
$3,213.75 |
$3,213.75 |
$4,240.23
|
|
Liletta, 52 mg
|
$3,445.08 |
$3,445.08 |
$3,445.08 |
$3,445.08
|
|
Limited visual field xm
|
$96.75 |
$96.75 |
$96.75 |
$79.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$119.81 |
$119.81 |
$119.81 |
$119.81
|
|
Lipase
|
$177.75 |
$177.75 |
$177.75 |
$79.20
|
|
Lipoprotein blood quant
|
$254.25 |
$254.25 |
$254.25 |
$126.15
|
|
Lipoprotein direct measurement hdl
|
$93.75 |
$93.75 |
$93.75 |
$56.00
|
|
Lipoprotein direct measurement ldl
|
$104.25 |
$104.25 |
$104.25 |
$65.60
|
|
Lithium therapeutic drug level
|
$94.50 |
$94.50 |
$94.50 |
$66.43
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,650.25 |
$3,650.25 |
$3,650.25 |
$3,650.25
|
|
Liver ds alys 3 bmrk srm alg
|
$812.25 |
$812.25 |
$812.25 |
$660.00
|
|
Liver elastography 91200
|
$552.75 |
$552.75 |
$552.75 |
$312.00
|
|
Liver Function Test
|
$141.75 |
$141.75 |
$141.75 |
$93.60
|
|
Liver imaging
|
$1,241.25 |
$1,241.25 |
$1,241.25 |
$1,241.25
|
|
Liver/spleen imag static only
|
$1,856.25 |
$1,856.25 |
$1,856.25 |
$1,140.78
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$104,719.60 |
$104,719.60 |
$104,719.60 |
$104,719.60
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$49.14 |
$49.14 |
$49.14 |
$49.14
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,817.25 |
$1,817.25 |
$1,817.25 |
$1,817.25
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,829.25 |
$1,829.25 |
$1,829.25 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,734.75 |
$1,734.75 |
$1,734.75 |
$1,517.10
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,590.50 |
$2,590.50 |
$2,590.50 |
$2,713.80
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,441.25 |
$2,441.25 |
$2,441.25 |
$2,415.68
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,265.75 |
$2,265.75 |
$2,265.75 |
$2,013.08
|
|
Lower Back (Lumbar Spine) X-ray
|
$439.50 |
$439.50 |
$439.50 |
$341.64
|
|
Lumbar diskogram s&i
|
$2,909.25 |
$2,909.25 |
$2,909.25 |
$2,358.23
|
|
Lumizyme injection
|
$3,672.96 |
$3,672.96 |
$3,672.96 |
$3,672.96
|
|
Lung function test (mbc/mvv)
|
$220.50 |
$220.50 |
$220.50 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$478.50 |
$478.50 |
$478.50 |
$296.91
|
|
Lung perfusion imaging
|
$1,789.50 |
$1,789.50 |
$1,789.50 |
$1,015.84
|
|
Lurbinectedin 4 mg intravenous solution
|
$30,504.38 |
$30,504.38 |
$30,504.38 |
$30,504.38
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$45,624.83 |
$45,624.83 |
$45,624.83 |
$310.80
|
|
Lvad shower bag heartmate
|
$1,059.75 |
$1,059.75 |
$1,059.75 |
$1,059.75
|
|
Lymphatics/lymph node imaging
|
$2,091.75 |
$2,091.75 |
$2,091.75 |
$1,330.00
|
|
Lymphocyte transformation mitogen
|
$858.75 |
$858.75 |
$858.75 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$919.20
|
|
Lymph vessel x-ray arms/legs
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$2,340.00
|
|
Lymph vessel x-ray trunk
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,489.25 |
$2,489.25 |
$2,489.25 |
$2,643.68
|
|
Lysis intranasal synechia 30560
|
$3,098.25 |
$3,098.25 |
$3,098.25 |
$714.40
|
|
Magnesium
|
$96.00 |
$96.00 |
$96.00 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$23.30 |
$23.30 |
$23.30 |
$23.30
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$216.75 |
$216.75 |
$216.75 |
$147.72
|
|
Manipulation chest wall initial demonstration/evaluation
|
$219.00 |
$219.00 |
$219.00 |
$187.20
|
|
Manipulat palm cord post inj
|
$532.50 |
$532.50 |
$532.50 |
$521.60
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,137.75 |
$1,137.75 |
$1,137.75 |
$741.11
|
|
Map tachycard site(s)
|
$10,926.00 |
$10,926.00 |
$10,926.00 |
$3,875.95
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$9,885.94 |
$9,885.94 |
$9,885.94 |
$9,885.94
|
|
Marker biop eviva buckle ss
|
$819.00 |
$819.00 |
$819.00 |
$1,213.20
|
|
Mastoids complete
|
$524.25 |
$524.25 |
$524.25 |
$271.95
|
|
M.avium-intra dna amp prob
|
$489.75 |
$489.75 |
$489.75 |
$175.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$117.00 |
$117.00 |
$117.00 |
$80.00
|
|
Mayo aathr protein s free
|
$226.50 |
$226.50 |
$226.50 |
$142.20
|
|
Mayo activated protein c resistance assay
|
$170.25 |
$170.25 |
$170.25 |
$128.05
|
healthcosts.net