|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$477.10 |
$477.10 |
$477.10 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$477.10 |
$477.10 |
$477.10 |
$492.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$202.70 |
$202.70 |
$202.70 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,637.50 |
$7,637.50 |
$7,637.50 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$560.30 |
$560.30 |
$560.30 |
$374.40
|
|
Kit ipg optimizer smart
|
$41,112.50 |
$41,112.50 |
$41,112.50 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$3,259.75 |
$3,259.75 |
$3,259.75 |
$16,672.10
|
|
Knee cap medial or lateral p
|
$65.65 |
$65.65 |
$65.65 |
$104.54
|
|
Knee MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$3,543.15 |
$3,543.15 |
$3,543.15 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,122.12
|
|
Knee X-ray
|
$477.10 |
$477.10 |
$477.10 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$395.20 |
$395.20 |
$395.20 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$395.20 |
$395.20 |
$395.20 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$395.20 |
$395.20 |
$395.20 |
$252.50
|
|
Ko elastic w/joints pre ots
|
$22.44 |
$22.44 |
$22.44 |
$137.05
|
|
Ko single upright pre cst
|
$580.45 |
$580.45 |
$580.45 |
$988.40
|
|
Ko w adj flex/ext rotat mold
|
$829.40 |
$829.40 |
$829.40 |
$2,418.09
|
|
Ko w/adj jt rot cntrl molded
|
$617.50 |
$617.50 |
$617.50 |
$2,237.20
|
|
Kras gene addl variants
|
$866.45 |
$866.45 |
$866.45 |
$387.20
|
|
Kras gene variants exon 2
|
$866.45 |
$866.45 |
$866.45 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,894.83 |
$1,894.83 |
$1,894.83 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$9.36 |
$9.36 |
$9.36 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$11.60 |
$11.60 |
$11.60 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$27.30 |
$27.30 |
$27.30 |
$55.50
|
|
Lactated ringers intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$43.74
|
|
Lactation class
|
$66.30 |
$66.30 |
$66.30 |
$104.96
|
|
Lactic acid
|
$52.00 |
$52.00 |
$52.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$88.40 |
$88.40 |
$88.40 |
$82.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$74,084.40 |
$74,084.40 |
$74,084.40 |
$19,124.00
|
|
Laparo cholecystectomy/graph
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$8,346.00
|
|
Laparoscopy aspiration
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$6,904.15
|
|
Lap jejunostomy 44186
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$6,370.92
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$882.70 |
$882.70 |
$882.70 |
$740.40
|
|
Largsc w/njx augmentation
|
$5,156.45 |
$5,156.45 |
$5,156.45 |
$3,288.75
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,160.90 |
$1,160.90 |
$1,160.90 |
$765.97
|
|
Laronidase injection
|
$541.91 |
$541.91 |
$541.91 |
$1,927.01
|
|
Laryngeal function studies
|
$335.40 |
$335.40 |
$335.40 |
$335.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$5,156.45 |
$5,156.45 |
$5,156.45 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$1,160.90 |
$1,160.90 |
$1,160.90 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$6,620.25 |
$6,620.25 |
$6,620.25 |
$5,460.00
|
|
Lead capillary
|
$54.60 |
$54.60 |
$54.60 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,105.65 |
$1,105.65 |
$1,105.65 |
$2,887.50
|
|
Lead tachy durata sj4 58cm
|
$6,630.00 |
$6,630.00 |
$6,630.00 |
$8,202.66
|
|
Left compres band >=3" <5"/yd
|
$5.20 |
$5.20 |
$5.20 |
$5.20
|
|
Left compres band <3"/yd
|
$4.06 |
$4.06 |
$4.06 |
$3.64
|
|
Leg Artery Ultrasound (complete, both legs)
|
$903.50 |
$903.50 |
$903.50 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$798.20 |
$798.20 |
$798.20 |
$1,612.00
|
|
Leg CT Scan (without contrast, both legs)
|
$477.10 |
$477.10 |
$477.10 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$903.50 |
$903.50 |
$903.50 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$360.75 |
$360.75 |
$360.75 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$243.75 |
$243.75 |
$243.75 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$200.85 |
$200.85 |
$200.85 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$201.69 |
$201.69 |
$201.69 |
$162.76
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$30,134.50 |
$30,134.50 |
$30,134.50 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$30,414.64 |
$30,414.64 |
$30,414.64 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$1,737.45 |
$1,737.45 |
$1,737.45 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$61.10 |
$61.10 |
$61.10 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$59.15 |
$59.15 |
$59.15 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.27 |
$0.27 |
$0.27 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,235.31 |
$1,235.31 |
$1,235.31 |
$420.60
|
|
Lidocaine injection
|
$0.08 |
$0.08 |
$0.08 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$7.02 |
$7.02 |
$7.02 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.08 |
$0.08 |
$0.08 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$65.65 |
$65.65 |
$65.65 |
$88.40
|
|
Lifileucel til/dose 7.5b-72b snij
|
$16,991.93 |
$16,991.93 |
$16,991.93 |
$30,744.64
|
|
Lift heel adjustable med
|
$11.70 |
$11.70 |
$11.70 |
$58.56
|
|
Ligate oviduct(s) add-on 58611
|
$1,264.25 |
$1,264.25 |
$1,264.25 |
$584.00
|
|
Ligation/biopsy of temporal artery 37609
|
$6,055.40 |
$6,055.40 |
$6,055.40 |
$3,322.80
|
|
Lig/band angioaccess av fistula
|
$11,763.70 |
$11,763.70 |
$11,763.70 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,453.50 |
$1,453.50 |
$1,453.50 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.25 |
$0.25 |
$0.25 |
$119.81
|
|
Lipase
|
$31.20 |
$31.20 |
$31.20 |
$92.88
|
|
Lipoprotein blood high res frac & quant
|
$152.10 |
$152.10 |
$152.10 |
$87.00
|
|
Lipoprotein blood quant
|
$153.40 |
$153.40 |
$153.40 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$37.05 |
$37.05 |
$37.05 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$46.80 |
$46.80 |
$46.80 |
$61.60
|
|
Lip surgery procedure
|
$484.90 |
$484.90 |
$484.90 |
$334.50
|
|
Lisocabtagene mara car pos t
|
$1,740,703.90 |
$1,740,703.90 |
$1,740,703.90 |
$1,336,907.88
|
|
Listeria monocytogenes
|
$59.15 |
$59.15 |
$59.15 |
$96.88
|
|
Lithium therapeutic drug level
|
$29.90 |
$29.90 |
$29.90 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,290.30 |
$3,290.30 |
$3,290.30 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$790.40 |
$790.40 |
$790.40 |
$365.28
|
|
Liver Function Test
|
$36.40 |
$36.40 |
$36.40 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$11.27 |
$11.27 |
$11.27 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$67,929.65 |
$67,929.65 |
$67,929.65 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.44 |
$37.44 |
$37.44 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$477.10 |
$477.10 |
$477.10 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$798.20 |
$798.20 |
$798.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$477.10 |
$477.10 |
$477.10 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$477.10 |
$477.10 |
$477.10 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$477.10 |
$477.10 |
$477.10 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$477.10 |
$477.10 |
$477.10 |
$535.91
|
|
Lower Leg (Shin) X-ray (both sides)
|
$395.20 |
$395.20 |
$395.20 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$594.10 |
$594.10 |
$594.10 |
$364.77
|
|
Lumbar diskogram s&i
|
$8,758.10 |
$8,758.10 |
$8,758.10 |
$2,358.23
|
