|
Knee lift loop drop lock rin
|
$420.22 |
$420.22 |
$420.22 |
$228.52
|
|
Knee orth pos locking joint
|
$1,054.46 |
$1,054.46 |
$1,054.46 |
$585.60
|
|
Knee X-ray
|
$464.40 |
$464.40 |
$464.40 |
$433.50
|
|
Ko dbl upright w/air pre cst
|
$1,360.92 |
$1,360.92 |
$1,360.92 |
$1,208.98
|
|
Ko dbl upright w/air pre ots
|
$1,360.92 |
$1,360.92 |
$1,360.92 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$2,225.10 |
$2,225.10 |
$2,225.10 |
$1,976.69
|
|
Ko elastic w/joints pre ots
|
$288.92 |
$288.92 |
$288.92 |
$147.59
|
|
Ko rigid without joints pre ots
|
$478.00 |
$478.00 |
$478.00 |
$211.12
|
|
Ko single upright prefab ots
|
$2,123.02 |
$2,123.02 |
$2,123.02 |
$928.28
|
|
Ko supracondylar socket mold
|
$2,950.46 |
$2,950.46 |
$2,950.46 |
$2,621.08
|
|
Ko swedish type pre ots
|
$1,020.72 |
$1,020.72 |
$1,020.72 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$1,892.06 |
$1,892.06 |
$1,892.06 |
$1,307.71
|
|
Ko w adj flex/ext rotat mold
|
$2,768.42 |
$2,768.42 |
$2,768.42 |
$2,459.35
|
|
Kras gene addl variants
|
$397.20 |
$397.20 |
$397.20 |
$386.75
|
|
Kras gene variants exon 2
|
$397.20 |
$397.20 |
$397.20 |
$500.13
|
|
Kyphosis pad
|
$386.08 |
$386.08 |
$386.08 |
$232.96
|
|
Kyphosis pad floating
|
$557.03 |
$557.03 |
$557.03 |
$336.11
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$11.64 |
$11.64 |
$11.64 |
$33.14
|
|
Lacer molded to patient mode
|
$1,315.45 |
$1,315.45 |
$1,315.45 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$126.36 |
$126.36 |
$126.36 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$77.40 |
$77.40 |
$77.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$9,455.82 |
$9,455.82 |
$9,455.82 |
$45.56
|
|
Lactic acid
|
$294.60 |
$294.60 |
$294.60 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$42.60 |
$42.60 |
$42.60 |
$81.25
|
|
Lanthanum carbonate oral 5mg
|
$40.02 |
$40.02 |
$40.02 |
$14.53
|
|
Laparo cholecystectomy/explr
|
$16,817.27 |
$16,817.27 |
$16,817.27 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$15,691.67 |
$15,691.67 |
$15,691.67 |
$8,346.00
|
|
Laparo proc abdm/per/oment 49329
|
$27,556.98 |
$27,556.98 |
$27,556.98 |
$6,622.75
|
|
Laparoscopy biopsy
|
$17,668.53 |
$17,668.53 |
$17,668.53 |
$5,954.23
|
|
Laparoscopye procstom 43659
|
$24,493.24 |
$24,493.24 |
$24,493.24 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$44,376.88 |
$44,376.88 |
$44,376.88 |
$6,904.15
|
|
Laparoscopy gastrostomy
|
$15,338.22 |
$15,338.22 |
$15,338.22 |
$6,376.26
|
|
Laparoscopy remove adnexa
|
$24,880.18 |
$24,880.18 |
$24,880.18 |
$8,312.83
|
|
Laparoscopy vagus nerve
|
$33,970.22 |
$33,970.22 |
$33,970.22 |
$6,870.89
|
|
Lap enterolysis
|
$14,568.60 |
$14,568.60 |
$14,568.60 |
$6,161.68
|
|
Lap ing hernia repair init
|
$22,769.32 |
$22,769.32 |
$22,769.32 |
$6,904.15
|
|
Lap ing hernia repair recur
|
$20,713.89 |
$20,713.89 |
$20,713.89 |
$6,376.26
|
|
Lap paraesophag hern repair
|
$28,111.66 |
$28,111.66 |
$28,111.66 |
$11,533.76
|
|
Lap paraesoph her rpr w/mesh
|
$30,596.60 |
$30,596.60 |
$30,596.60 |
$10,029.60
|
|
Lap rmvl gastr adj all parts
|
$16,984.74 |
$16,984.74 |
$16,984.74 |
$4,502.13
|
|
Laryngoscopy w/biopsy
|
$9,873.31 |
$9,873.31 |
$9,873.31 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$9,759.60 |
$9,759.60 |
$9,759.60 |
$4,362.99
|
|
Larynscop w/tumr exc + scope
|
$12,730.72 |
$12,730.72 |
$12,730.72 |
$4,363.27
|
|
Laser treatment of retina
|
$8,283.85 |
$8,283.85 |
$8,283.85 |
$5,954.00
|
|
Laser treatment of retina
|
$9,876.25 |
$9,876.25 |
$9,876.25 |
$6,311.00
|
|
Lateral canthopexy
|
$58,681.14 |
$58,681.14 |
$58,681.14 |
$3,837.72
|
|
Lateral thoracic extension
|
$876.59 |
$876.59 |
$876.59 |
$528.98
|
|
Lateral trochanteric pad
|
$278.39 |
$278.39 |
$278.39 |
$168.00
|
|
Lb with mastopexy 15839
|
$22,474.87 |
$22,474.87 |
$22,474.87 |
$3,435.60
|
|
Lead acuity x4 spiral l 86cm
|
$79,473.60 |
$79,473.60 |
$79,473.60 |
$5,617.19
|
|
Lead capillary
|
$19.20 |
$19.20 |
$19.20 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$87,989.20 |
$87,989.20 |
$87,989.20 |
$3,263.95
|
|
Lead tachy durata sj4 58cm
|
$24,835.50 |
$24,835.50 |
$24,835.50 |
$8,202.66
|
|
Legg perthes orthosis trilat
|
$3,490.40 |
$3,490.40 |
$3,490.40 |
$3,100.72
|
|
Legg perthes orth scottish r
|
$2,946.68 |
$2,946.68 |
$2,946.68 |
$2,617.72
|
|
Legg perthes patten bottom t
|
$4,236.49 |
$4,236.49 |
$4,236.49 |
$3,763.59
|
|
Leg perthes orth toronto typ
|
$3,681.23 |
$3,681.23 |
$3,681.23 |
$3,270.29
|
|
Leishmania antibody
|
$54.00 |
$54.00 |
$54.00 |
$58.50
|
|
Lengthening of hand tendon
|
$23,281.77 |
$23,281.77 |
$23,281.77 |
$2,777.50
|
|
Lens, intraocular (new tech)
|
$337.76 |
$337.76 |
$337.76 |
$580.65
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,624.22 |
$2,624.22 |
$2,624.22 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$4,748.55 |
$4,748.55 |
$4,748.55 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$1,192.10 |
$1,192.10 |
$1,192.10 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$556.98 |
$556.98 |
$556.98 |
$163.80
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$13,577.76 |
$13,577.76 |
$13,577.76 |
$6,163.15
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$9,023.58 |
$9,023.58 |
$9,023.58 |
$9,107.80
|
|
Levalbuterol non-comp con
|
$17.88 |
$17.88 |
$17.88 |
$21.60
|
|
Levalbuterol non-comp unit
|
$5.34 |
$5.34 |
$5.34 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$348.00 |
$348.00 |
$348.00 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$60.00 |
$60.00 |
$60.00 |
$84.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$32.16 |
$32.16 |
$32.16 |
$55.60
|
|
Liberta rc ipg
|
$122,925.79 |
$122,925.79 |
$122,925.79 |
$38,207.25
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$39,680.10 |
$39,680.10 |
$39,680.10 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$45.90 |
$45.90 |
$45.90 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$101.40 |
$101.40 |
$101.40 |
$90.47
|
|
Lift heel adj small gl60404sm
|
$264.25 |
$264.25 |
$264.25 |
$146.52
|
|
Lift heel adjustable med
|
$136.61 |
$136.61 |
$136.61 |
$64.68
|
|
Lifts elevation metal extens
|
$1,339.06 |
$1,339.06 |
$1,339.06 |
$959.80
|
|
Limited ankle motion ea jnt
|
$532.48 |
$532.48 |
$532.48 |
$111.30
|
|
Limited motion knee joint
|
$415.01 |
$415.01 |
$415.01 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$168.30 |
$168.30 |
$168.30 |
$125.66
|
|
Lipase
|
$74.40 |
$74.40 |
$74.40 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$71.40 |
$71.40 |
$71.40 |
$87.00
|
|
Lipoprotein blood quant
|
$88.80 |
$88.80 |
$88.80 |
$101.14
|
|
Lipoprotein direct measurement hdl
|
$82.20 |
$82.20 |
$82.20 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$78.00 |
$78.00 |
$78.00 |
$61.60
|
|
Listeria monocytogenes
|
$126.60 |
$126.60 |
$126.60 |
$117.52
|
|
Lithium therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$277.20 |
$277.20 |
$277.20 |
$361.10
|
|
Liver Function Test
|
$126.60 |
$126.60 |
$126.60 |
$115.44
|
|
Liver/spleen imag static only
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$1,140.78
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$84,965.22 |
$84,965.22 |
$84,965.22 |
$58,923.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$7.50 |
$7.50 |
$7.50 |
$37.44
|
|
Lo rig pos pnl l1-l5 pre ots
|
$618.07 |
$618.07 |
$618.07 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$254.00 |
$254.00 |
$254.00 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,937.91
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,828.00
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$822.60 |
$822.60 |
$822.60 |
$1,495.45
|
|
Lower Back (Lumbar Spine) X-ray
|
$223.20 |
$223.20 |
$223.20 |
$355.85
|
|
Lso corset front
|
$377.10 |
$377.10 |
$377.10 |
$180.29
|
