|
Ixabepilone 15 mg intravenous solution
|
$17,684.26 |
$17,684.26 |
$17,684.26 |
$189.96
|
|
Jak2 targeted sequence analysis
|
$555.10 |
$555.10 |
$555.10 |
$465.74
|
|
John cunningham antibody
|
$889.20 |
$889.20 |
$889.20 |
$39.65
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$29.90 |
$29.90 |
$29.90 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$31.84 |
$31.84 |
$31.84 |
$17.11
|
|
Kidney function study
|
$1,751.75 |
$1,751.75 |
$1,751.75 |
$549.70
|
|
Kidney img w/bldflw sgl without rx
|
$1,352.00 |
$1,352.00 |
$1,352.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$481.65 |
$481.65 |
$481.65 |
$618.54
|
|
Kit case 4.2mm spinejack
|
$5,116.80 |
$5,116.80 |
$5,116.80 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,110.00 |
$6,110.00 |
$6,110.00 |
$10,575.00
|
|
Kit hfx iq ipg bundle
|
$22,254.70 |
$22,254.70 |
$22,254.70 |
$56,811.60
|
|
Kit lead specify 5-6-5
|
$20,800.00 |
$20,800.00 |
$20,800.00 |
$13,784.80
|
|
Knee Arthroscopy (Cartilage Repair)
|
$6,891.33 |
$6,891.33 |
$6,891.33 |
$3,594.44
|
|
Knee Arthroscopy (Meniscus Repair)
|
$7,526.10 |
$7,526.10 |
$7,526.10 |
$3,705.22
|
|
Knee arthroscopy/surgery
|
$8,284.33 |
$8,284.33 |
$8,284.33 |
$3,591.33
|
|
Knee arthroscopy/surgery
|
$7,248.14 |
$7,248.14 |
$7,248.14 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$7,550.68 |
$7,550.68 |
$7,550.68 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$7,030.42 |
$7,030.42 |
$7,030.42 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$9,766.89 |
$9,766.89 |
$9,766.89 |
$3,743.15
|
|
Knee arthroscopy/surgery
|
$21,941.09 |
$21,941.09 |
$21,941.09 |
$7,907.11
|
|
Knee MRI (with and without contrast)
|
$5,516.55 |
$5,516.55 |
$5,516.55 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$4,387.50 |
$4,387.50 |
$4,387.50 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$4,493.45 |
$4,493.45 |
$4,493.45 |
$2,120.00
|
|
Knee X-ray
|
$707.20 |
$707.20 |
$707.20 |
$387.20
|
|
Kras gene addl variants
|
$451.75 |
$451.75 |
$451.75 |
$366.56
|
|
Kras gene variants exon 2
|
$659.10 |
$659.10 |
$659.10 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$19.50 |
$19.50 |
$19.50 |
$13.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$79.85 |
$79.85 |
$79.85 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$21.45 |
$21.45 |
$21.45 |
$50.55
|
|
Lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Lactic acid
|
$118.30 |
$118.30 |
$118.30 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$48.10 |
$48.10 |
$48.10 |
$88.40
|
|
Lam facetc/frmt arthrd lum 1
|
$37,069.47 |
$37,069.47 |
$37,069.47 |
$628.80
|
|
Lam facetec & foramot lumbar
|
$11,958.11 |
$11,958.11 |
$11,958.11 |
$7,913.97
|
|
Lam factc/frmt arthrd lum ea
|
$53,254.47 |
$53,254.47 |
$53,254.47 |
$471.20
|
|
Laparo ablate renal cyst
|
$13,483.92 |
$13,483.92 |
$13,483.92 |
$9,367.23
|
|
Laparo cholecystectomy/graph
|
$10,791.29 |
$10,791.29 |
$10,791.29 |
$6,870.89
|
|
Laparo new ureter/bladder
|
$34,497.93 |
$34,497.93 |
$34,497.93 |
$8,772.71
|
|
Laparo partial nephrectomy
|
$15,455.99 |
$15,455.99 |
$15,455.99 |
$9,363.13
|
|
Laparo proc abdm/per/oment 49329
|
$17,950.95 |
$17,950.95 |
$17,950.95 |
$6,622.75
|
|
Laparoscopic myomectomy
|
$10,105.71 |
$10,105.71 |
$10,105.71 |
$6,457.82
|
|
Laparoscopy aspiration
|
$9,851.85 |
$9,851.85 |
$9,851.85 |
$5,922.01
|
|
Laparoscopy biopsy
|
$11,350.07 |
$11,350.07 |
$11,350.07 |
$5,954.23
|
|
Laparoscopy excise lesions
|
$11,499.73 |
$11,499.73 |
$11,499.73 |
$5,747.73
|
|
Laparoscopy lymphadenectomy
|
$35,813.43 |
$35,813.43 |
$35,813.43 |
$11,523.76
|
|
Laparoscopy lysis
|
$7,703.75 |
$7,703.75 |
$7,703.75 |
$5,057.88
|
|
Laparoscopy remove adnexa
|
$11,468.64 |
$11,468.64 |
$11,468.64 |
$6,672.53
|
|
Laparoscopy surg colpopexy
|
$20,430.45 |
$20,430.45 |
$20,430.45 |
$9,114.50
|
|
Laparoscopy ureterolithotomy
|
$22,421.15 |
$22,421.15 |
$22,421.15 |
$5,794.33
|
|
Lap enterolysis
|
$8,175.26 |
$8,175.26 |
$8,175.26 |
$5,868.27
|
|
Lap impl electrode antrum
|
$41,532.69 |
$41,532.69 |
$41,532.69 |
$13,628.55
|
|
Lap ing hernia repair init
|
$16,219.87 |
$16,219.87 |
$16,219.87 |
$6,457.82
|
|
Lap ing hernia repair recur
|
$16,384.54 |
$16,384.54 |
$16,384.54 |
$6,376.26
|
|
Lap paraesophag hern repair
|
$21,722.99 |
$21,722.99 |
$21,722.99 |
$8,854.66
|
|
Lap paraesoph her rpr w/mesh
|
$24,540.78 |
$24,540.78 |
$24,540.78 |
$7,826.00
|
|
Lap rmvl gastr adj all parts
|
$17,820.15 |
$17,820.15 |
$17,820.15 |
$4,097.60
|
|
Laps surg prst8ect rpbic rad
|
$35,813.43 |
$35,813.43 |
$35,813.43 |
$11,523.76
|
|
Lead acuity x4 spiral l 86cm
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$4,863.24
|
|
Lead capillary
|
$43.55 |
$43.55 |
$43.55 |
$66.32
|
|
Lead ingevity 45cm pfret MRI
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$4,132.20
|
|
Lead tachy durata sj4 58cm
|
$4,160.00 |
$4,160.00 |
$4,160.00 |
$13,488.75
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$996.45 |
$996.45 |
$996.45 |
$1,053.00
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$613.60 |
$613.60 |
$613.60 |
$609.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$576.47 |
$576.47 |
$576.47 |
$115.27
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$19,781.90 |
$19,781.90 |
$19,781.90 |
$5,001.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$18.97 |
$18.97 |
$18.97 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$78.65 |
$78.65 |
$78.65 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$65.08 |
$65.08 |
$65.08 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$514.70 |
$514.70 |
$514.70 |
$343.13
|
|
Liberta rc ipg
|
$27,300.00 |
$27,300.00 |
$27,300.00 |
$48,321.00
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$34.12 |
$34.12 |
$34.12 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$105.95 |
$105.95 |
$105.95 |
$82.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$222.30 |
$222.30 |
$222.30 |
$84.28
|
|
Lipase
|
$202.15 |
$202.15 |
$202.15 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$84.50 |
$84.50 |
$84.50 |
$90.60
|
|
Lipoprotein blood quant
|
$121.55 |
$121.55 |
$121.55 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$49.40 |
$49.40 |
$49.40 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$21.45 |
$21.45 |
$21.45 |
$61.60
|
|
Lithium therapeutic drug level
|
$224.90 |
$224.90 |
$224.90 |
$62.40
|
|
Lithotripsy transluminal coronary percutaneous
|
$11,511.50 |
$11,511.50 |
$11,511.50 |
$3,650.25
|
|
Liver Function Test
|
$22.10 |
$22.10 |
$22.10 |
$92.85
|
|
Liver/spleen imag static only
|
$1,236.30 |
$1,236.30 |
$1,236.30 |
$1,135.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$195.25 |
$195.25 |
$195.25 |
$2.57
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$97.76 |
$97.76 |
$97.76 |
$37.37
|
|
Low back disk surgery
|
$9,637.75 |
$9,637.75 |
$9,637.75 |
$7,907.11
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,031.25 |
$2,031.25 |
$2,031.25 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,907.10 |
$1,907.10 |
$1,907.10 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,557.40 |
$1,557.40 |
$1,557.40 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,022.55 |
$5,022.55 |
$5,022.55 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,129.75 |
$3,129.75 |
$3,129.75 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,766.40 |
$2,766.40 |
$2,766.40 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$512.20 |
$512.20 |
$512.20 |
$328.23
|
|
Lsh w/t/o ut 250 g or less
|
$24,630.68 |
$24,630.68 |
$24,630.68 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$25,975.53 |
$25,975.53 |
$25,975.53 |
$11,523.76
|
|
L/s ratio fetal lung
|
$190.45 |
$190.45 |
$190.45 |
$173.55
|
|
Lumbar diskogram s&i
|
$2,872.35 |
$2,872.35 |
$2,872.35 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$306.80 |
$306.80 |
$306.80 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$324.35 |
$324.35 |
$324.35 |
$290.89
|
|
Lung perfusion imaging
|
$839.15 |
$839.15 |
$839.15 |
$919.75
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$36,821.02 |
$36,821.02 |
$36,821.02 |
$68.76
|
