|
Ketamine and metabolite screen - quest
|
$566.15 |
$566.15 |
$566.15 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$94.25 |
$94.25 |
$94.25 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.50 |
$23.50 |
$23.50 |
$30.08
|
|
Kidney imaging morphology
|
$734.50 |
$734.50 |
$734.50 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,025.70 |
$1,025.70 |
$1,025.70 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$801.45 |
$801.45 |
$801.45 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$438.75 |
$438.75 |
$438.75 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$8,315.86 |
$8,315.86 |
$8,315.86 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,384.04 |
$9,384.04 |
$9,384.04 |
$9,384.04
|
|
Kit gene analys d816 variant
|
$870.35 |
$870.35 |
$870.35 |
$355.00
|
|
Kit hfx iq ipg bundle
|
$15,888.15 |
$15,888.15 |
$15,888.15 |
$28,974.93
|
|
Kit ipg optimizer smart
|
$51,911.73 |
$51,911.73 |
$51,911.73 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$16,625.73 |
$16,625.73 |
$16,625.73 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,357.69 |
$1,357.69 |
$1,357.69 |
$1,357.69
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$150.60 |
$150.60 |
$150.60 |
$5,329.23
|
|
Knee MRI (with and without contrast)
|
$3,376.10 |
$3,376.10 |
$3,376.10 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$2,893.80 |
$2,893.80 |
$2,893.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,447.90 |
$2,447.90 |
$2,447.90 |
$2,181.10
|
|
Knee X-ray
|
$527.80 |
$527.80 |
$527.80 |
$443.90
|
|
Kras gene addl variants
|
$443.95 |
$443.95 |
$443.95 |
$346.45
|
|
Kras gene variants exon 2
|
$1,946.10 |
$1,946.10 |
$1,946.10 |
$495.00
|
|
Kyleena, 19.5 mg
|
$2,211.85 |
$2,211.85 |
$2,211.85 |
$2,618.91
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$42.38 |
$42.38 |
$42.38 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$333.03 |
$333.03 |
$333.03 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$16.25 |
$16.25 |
$16.25 |
$53.30
|
|
Lactated ringers intravenous solution
|
$44.91 |
$44.91 |
$44.91 |
$54.11
|
|
Lactic acid
|
$118.30 |
$118.30 |
$118.30 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$209.30 |
$209.30 |
$209.30 |
$88.40
|
|
Lactoferrin fecal quant
|
$425.10 |
$425.10 |
$425.10 |
$106.10
|
|
Laryngoscopy telescopic
|
$1,281.80 |
$1,281.80 |
$1,281.80 |
$762.30
|
|
Lead acuity x4 spiral l 86cm
|
$2,880.40 |
$2,880.40 |
$2,880.40 |
$5,831.00
|
|
Lead capillary
|
$8.45 |
$8.45 |
$8.45 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$604.55 |
$604.55 |
$604.55 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$4,772.98 |
$4,772.98 |
$4,772.98 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$931.45 |
$931.45 |
$931.45 |
$1,100.74
|
|
Leishmania antibody
|
$68.25 |
$68.25 |
$68.25 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$78.49 |
$78.49 |
$78.49 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,453.11 |
$1,453.11 |
$1,453.11 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,799.28 |
$4,799.28 |
$4,799.28 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$69.81 |
$69.81 |
$69.81 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$190.45 |
$190.45 |
$190.45 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.91 |
$43.91 |
$43.91 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$274.85 |
$274.85 |
$274.85 |
$319.12
|
|
Liberta rc ipg
|
$25,995.57 |
$25,995.57 |
$25,995.57 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$49.11 |
$49.11 |
$49.11 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$152.10 |
$152.10 |
$152.10 |
$83.85
|
|
Ligation/biopsy of temporal artery 37609
|
$5,660.20 |
$5,660.20 |
$5,660.20 |
$2,968.00
|
|
Liletta, 52 mg
|
$1,790.04 |
$1,790.04 |
$1,790.04 |
$2,360.29
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$58.63 |
$58.63 |
$58.63 |
$177.90
|
|
Lipase
|
$48.10 |
$48.10 |
$48.10 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$115.70 |
$115.70 |
$115.70 |
$89.52
|
|
Lipoprotein blood quant
|
$70.85 |
$70.85 |
$70.85 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$32.50 |
$32.50 |
$32.50 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$50.05 |
$50.05 |
$50.05 |
$60.00
|
|
Listeria monocytogenes
|
$152.75 |
$152.75 |
$152.75 |
$95.40
|
|
Lithium therapeutic drug level
|
$53.30 |
$53.30 |
$53.30 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$260.65 |
$260.65 |
$260.65 |
$365.28
|
|
Liver elastography 91200
|
$355.55 |
$355.55 |
$355.55 |
$291.74
|
|
Liver Function Test
|
$18.20 |
$18.20 |
$18.20 |
$110.50
|
|
Liver imaging
|
$1,576.25 |
$1,576.25 |
$1,576.25 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$1,837.55 |
$1,837.55 |
$1,837.55 |
$1,255.15
|
|
Liver/spleen imag static only
|
$1,088.75 |
$1,088.75 |
$1,088.75 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$15.35 |
$15.35 |
$15.35 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$62.37 |
$62.37 |
$62.37 |
$45.56
|
|
Low cost skin substitute app
|
$862.55 |
$862.55 |
$862.55 |
$862.55
|
|
Low cost skin substitute app
|
$1,137.50 |
$1,137.50 |
$1,137.50 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,240.85 |
$1,240.85 |
$1,240.85 |
$933.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,128.40 |
$1,128.40 |
$1,128.40 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$950.95 |
$950.95 |
$950.95 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$867.75 |
$867.75 |
$867.75 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,842.75 |
$1,842.75 |
$1,842.75 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,631.50 |
$1,631.50 |
$1,631.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,309.10 |
$1,309.10 |
$1,309.10 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$206.70 |
$206.70 |
$206.70 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$555.10 |
$555.10 |
$555.10 |
$275.88
|
|
L/s ratio fetal lung
|
$377.00 |
$377.00 |
$377.00 |
$168.00
|
|
Lumbar diskogram s&i
|
$1,907.10 |
$1,907.10 |
$1,907.10 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$439.40 |
$439.40 |
$439.40 |
$298.50
|
|
Lung perfusion imaging
|
$924.30 |
$924.30 |
$924.30 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$22,297.54 |
$22,297.54 |
$22,297.54 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$130.10 |
$130.10 |
$130.10 |
$29,435.46
|
|
Lvad shower bag heartmate
|
$567.03 |
$567.03 |
$567.03 |
$1,090.58
|
|
Lymphatics/lymph node imaging
|
$1,543.75 |
$1,543.75 |
$1,543.75 |
$1,543.75
|
|
Lymphocyte culture mixed
|
$263.25 |
$263.25 |
$263.25 |
$50.45
|
|
Lymphocyte transformation mitogen
|
$433.55 |
$433.55 |
$433.55 |
$266.20
|
|
Lymph vessel x-ray arm/leg
|
$815.10 |
$815.10 |
$815.10 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$1,963.00 |
$1,963.00 |
$1,963.00 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$2,280.85 |
$2,280.85 |
$2,280.85 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$3,332.55 |
$3,332.55 |
$3,332.55 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$118.95 |
$118.95 |
$118.95 |
$38.58
|
|
Macroscopic exam parasite
|
$105.30 |
$105.30 |
$105.30 |
$38.50
|
|
Magnesium
|
$48.75 |
$48.75 |
$48.75 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$46.12 |
$46.12 |
$46.12 |
$65.49
|
|
Magnetic image bone marrow
|
$1,537.90 |
$1,537.90 |
$1,537.90 |
$1,152.80
|
|
Malaria antibody
|
$23.40 |
$23.40 |
$23.40 |
$38.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$265.20 |
$265.20 |
$265.20 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$318.50 |
$318.50 |
$318.50 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$26.29 |
$26.29 |
$26.29 |
$40.12
|
|
Map tachycard site(s)
|
$8,645.00 |
$8,645.00 |
$8,645.00 |
$3,960.00
|
