|
Irrigation implantable venous access device for drug delivery systems
|
$113.00 |
$113.00 |
$113.00 |
$144.30
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$1,147.66 |
$1,147.66 |
$1,147.66 |
$8,273.35
|
|
Ivc venogram s&i
|
$5,952.50 |
$5,952.50 |
$5,952.50 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$110.50 |
$110.50 |
$110.50 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$116.50 |
$116.50 |
$116.50 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$67.00 |
$67.00 |
$67.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$338.00 |
$338.00 |
$338.00 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$475.00 |
$475.00 |
$475.00 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$405.00 |
$405.00 |
$405.00 |
$393.43
|
|
John cunningham antibody
|
$4,857.50 |
$4,857.50 |
$4,857.50 |
$66.31
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$43.50 |
$43.50 |
$43.50 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$1.58 |
$1.58 |
$1.58 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$1,189.50 |
$1,189.50 |
$1,189.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$504.00 |
$504.00 |
$504.00 |
$673.36
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$13,865.00 |
$13,865.00 |
$13,865.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$67,500.00 |
$67,500.00 |
$67,500.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$27,426.00 |
$27,426.00 |
$27,426.00 |
$16,965.41
|
|
Knee MRI (with and without contrast)
|
$3,098.50 |
$3,098.50 |
$3,098.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$6,160.50 |
$6,160.50 |
$6,160.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,869.00 |
$1,869.00 |
$1,869.00 |
$2,110.76
|
|
Knee X-ray
|
$361.00 |
$361.00 |
$361.00 |
$425.55
|
|
Kyleena, 19.5 mg
|
$1,503.83 |
$1,503.83 |
$1,503.83 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$12.96 |
$12.96 |
$12.96 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$171.12 |
$171.12 |
$171.12 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$34.00 |
$34.00 |
$34.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$44.91
|
|
Lactic acid
|
$171.50 |
$171.50 |
$171.50 |
$107.00
|
|
Lactoferrin fecal quant
|
$77.50 |
$77.50 |
$77.50 |
$106.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$7,953.98 |
$7,953.98 |
$7,953.98 |
$19,124.00
|
|
Laryngoscopy telescopic
|
$585.00 |
$585.00 |
$585.00 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$7,814.40 |
$7,814.40 |
$7,814.40 |
$5,602.50
|
|
Lead capillary
|
$51.50 |
$51.50 |
$51.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$8,260.00 |
$8,260.00 |
$8,260.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$928.50 |
$928.50 |
$928.50 |
$1,091.30
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,383.00 |
$3,383.00 |
$3,383.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$81.74 |
$81.74 |
$81.74 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$15,386.14 |
$15,386.14 |
$15,386.14 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$6,455.75 |
$6,455.75 |
$6,455.75 |
$9,023.58
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$7.23 |
$7.23 |
$7.23 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$81.50 |
$81.50 |
$81.50 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$3.90 |
$3.90 |
$3.90 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$118.62 |
$118.62 |
$118.62 |
$420.60
|
|
Liberta rc ipg
|
$50,000.00 |
$50,000.00 |
$50,000.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$18.06 |
$18.06 |
$18.06 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$12.00 |
$12.00 |
$12.00 |
$40.54
|
|
Lifileucel til/dose 7.5b-72b snij
|
$50,377.94 |
$50,377.94 |
$50,377.94 |
$30,744.64
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$15.00 |
$15.00 |
$15.00 |
$121.00
|
|
Lipase
|
$34.00 |
$34.00 |
$34.00 |
$91.65
|
|
Lipoprotein blood quant
|
$135.00 |
$135.00 |
$135.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$43.50 |
$43.50 |
$43.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$51.50 |
$51.50 |
$51.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$25.50 |
$25.50 |
$25.50 |
$69.42
|
|
Liver Function Test
|
$59.50 |
$59.50 |
$59.50 |
$115.44
|
|
Liver imaging
|
$865.00 |
$865.00 |
$865.00 |
$1,129.68
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.76 |
$44.76 |
$44.76 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$35,130.24 |
$35,130.24 |
$35,130.24 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$5.36 |
$5.36 |
$5.36 |
$37.25
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,956.00 |
$1,956.00 |
$1,956.00 |
$1,798.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$670.00 |
$670.00 |
$670.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,445.50 |
$2,445.50 |
$2,445.50 |
$3,054.10
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,369.00 |
$2,369.00 |
$2,369.00 |
$2,429.00
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,497.50 |
$1,497.50 |
$1,497.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$288.50 |
$288.50 |
$288.50 |
$355.85
|
|
Lung Function Test (Spirometry)
|
$204.00 |
$204.00 |
$204.00 |
$295.35
|
|
Lung perfusion imaging
|
$950.50 |
$950.50 |
$950.50 |
$1,057.60
|
|
Lurbinectedin 4 mg intravenous solution
|
$10,439.00 |
$10,439.00 |
$10,439.00 |
$19,139.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$15,449.12 |
$15,449.12 |
$15,449.12 |
$22,394.40
|
|
Lutetium lu 177 vipivotide
|
$57,872.88 |
$57,872.88 |
$57,872.88 |
$345.87
|
|
Macroscopic exam arthropod
|
$36.50 |
$36.50 |
$36.50 |
$38.58
|
|
Magnesium
|
$34.00 |
$34.00 |
$34.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$25.10 |
$25.10 |
$25.10 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$139.50 |
$139.50 |
$139.50 |
$131.04
|
|
Manipulation chest wall initial demonstration/evaluation
|
$139.50 |
$139.50 |
$139.50 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$3.50 |
$3.50 |
$3.50 |
$29.35
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$3,070.56 |
$3,070.56 |
$3,070.56 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,375.72 |
$2,375.72 |
$2,375.72 |
$1,941.63
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$59.50 |
$59.50 |
$59.50 |
$65.00
|
|
Mayo aathr protein s free
|
$80.50 |
$80.50 |
$80.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$80.50 |
$80.50 |
$80.50 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$199.50 |
$199.50 |
$199.50 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$59.50 |
$59.50 |
$59.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$59.50 |
$59.50 |
$59.50 |
$87.00
|
|
Mayo analysis gene calr common variants exon 9
|
$265.00 |
$265.00 |
$265.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$240.00 |
$240.00 |
$240.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$268.00 |
$268.00 |
$268.00 |
$368.25
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$59.50 |
$59.50 |
$59.50 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$61.00 |
$61.00 |
$61.00 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$76.50 |
$76.50 |
$76.50 |
$65.70
|
|
Mayo avwpr vw factor activity
|
$149.50 |
$149.50 |
$149.50 |
$170.40
|
|
Mayo bart bartonella henselae antibody igg
|
$56.50 |
$56.50 |
$56.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$290.00 |
$290.00 |
$290.00 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$66.00 |
$66.00 |
$66.00 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$66.00 |
$66.00 |
$66.00 |
$69.20
|
|
Mayo c1 esterase inhibitor
|
$63.00 |
$63.00 |
$63.00 |
$86.40
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$88.50 |
$88.50 |
$88.50 |
$80.16
|
