|
Ivc venogram s&i
|
$2,370.60 |
$2,370.60 |
$2,370.60 |
$3,332.55
|
|
IV Fluids (each additional hour)
|
$220.80 |
$220.80 |
$220.80 |
$133.90
|
|
IV Fluids (first hour)
|
$369.60 |
$369.60 |
$369.60 |
$390.00
|
|
Ivig non-lyophilized, nos
|
$402.40 |
$402.40 |
$402.40 |
$402.40
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$369.60 |
$369.60 |
$369.60 |
$162.68
|
|
IV inj ra drug dx study
|
$513.60 |
$513.60 |
$513.60 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$220.80 |
$220.80 |
$220.80 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$220.80 |
$220.80 |
$220.80 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$369.60 |
$369.60 |
$369.60 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$108.60 |
$108.60 |
$108.60 |
$167.50
|
|
IV Push Injection (first drug)
|
$166.80 |
$166.80 |
$166.80 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$1,311.60 |
$1,311.60 |
$1,311.60 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$225.00 |
$225.00 |
$225.00 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$271.80 |
$271.80 |
$271.80 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$217.20 |
$217.20 |
$217.20 |
$362.05
|
|
John cunningham antibody
|
$64.80 |
$64.80 |
$64.80 |
$78.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$28.80 |
$28.80 |
$28.80 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$19.20 |
$19.20 |
$19.20 |
$23.52
|
|
Kidney imaging morphology
|
$980.40 |
$980.40 |
$980.40 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$927.60 |
$927.60 |
$927.60 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$899.40 |
$899.40 |
$899.40 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$726.60 |
$726.60 |
$726.60 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$572.40 |
$572.40 |
$572.40 |
$490.75
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,327.00 |
$9,327.00 |
$9,327.00 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$1,195.20 |
$1,195.20 |
$1,195.20 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$55,218.60 |
$55,218.60 |
$55,218.60 |
$33,859.00
|
|
Kit ipg optimizer smart
|
$46,800.00 |
$46,800.00 |
$46,800.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$25,039.80 |
$25,039.80 |
$25,039.80 |
$16,672.10
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$3,489.00 |
$3,489.00 |
$3,489.00 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,119.20 |
$2,119.20 |
$2,119.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$2,130.88
|
|
Knee X-ray
|
$186.60 |
$186.60 |
$186.60 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$163.80 |
$163.80 |
$163.80 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$163.20 |
$163.20 |
$163.20 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$143.40 |
$143.40 |
$143.40 |
$251.20
|
|
Kras gene variants exon 2
|
$325.80 |
$325.80 |
$325.80 |
$536.20
|
|
Kyleena, 19.5 mg
|
$2,489.60 |
$2,489.60 |
$2,489.60 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$183.00 |
$183.00 |
$183.00 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$89.40 |
$89.40 |
$89.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$49.80 |
$49.80 |
$49.80 |
$43.74
|
|
Lactic acid
|
$85.20 |
$85.20 |
$85.20 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$204.00 |
$204.00 |
$204.00 |
$82.16
|
|
Lactoferrin fecal quant
|
$175.20 |
$175.20 |
$175.20 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$264.80 |
$264.80 |
$264.80 |
$19,124.00
|
|
Laparoscopy remove adnexa
|
$7,589.40 |
$7,589.40 |
$7,589.40 |
$8,782.80
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$505.20 |
$505.20 |
$505.20 |
$740.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,505.20 |
$3,505.20 |
$3,505.20 |
$2,514.60
|
|
Laryngoscopy w/fb removal
|
$4,494.00 |
$4,494.00 |
$4,494.00 |
$2,854.09
|
|
Lead acuity x4 spiral l 86cm
|
$11,226.60 |
$11,226.60 |
$11,226.60 |
$5,460.00
|
|
Lead capillary
|
$100.80 |
$100.80 |
$100.80 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,825.80 |
$1,825.80 |
$1,825.80 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$13,722.00 |
$13,722.00 |
$13,722.00 |
$8,202.66
|
|
Left compres band >=3" <5"/yd
|
$3.00 |
$3.00 |
$3.00 |
$5.20
|
|
Leg Artery Ultrasound (complete, both legs)
|
$887.40 |
$887.40 |
$887.40 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,209.00 |
$1,209.00 |
$1,209.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,042.20 |
$1,042.20 |
$1,042.20 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$1,092.58
|
|
Leishmania antibody
|
$172.80 |
$172.80 |
$172.80 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$270.00 |
$270.00 |
$270.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$612.00 |
$612.00 |
$612.00 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$186.00 |
$186.00 |
$186.00 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$19.20 |
$19.20 |
$19.20 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,096.60 |
$3,096.60 |
$3,096.60 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,737.80 |
$2,737.80 |
$2,737.80 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$196.20 |
$196.20 |
$196.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$87.00 |
$87.00 |
$87.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$229.80 |
$229.80 |
$229.80 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$22.80 |
$22.80 |
$22.80 |
$420.60
|
|
Liberta rc ipg
|
$45,741.60 |
$45,741.60 |
$45,741.60 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.09 |
$0.09 |
$0.09 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.17 |
$0.17 |
$0.17 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$164.40 |
$164.40 |
$164.40 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$9.60 |
$9.60 |
$9.60 |
$30,744.64
|
|
Ligation/major artery/extremity 37618
|
$3,937.80 |
$3,937.80 |
$3,937.80 |
$1,567.80
|
|
Lig/band angioaccess av fistula
|
$10,110.00 |
$10,110.00 |
$10,110.00 |
$4,676.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$364.80 |
$364.80 |
$364.80 |
$121.00
|
|
Lipase
|
$93.00 |
$93.00 |
$93.00 |
$93.58
|
|
Lipoprotein blood quant
|
$394.20 |
$394.20 |
$394.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$86.40 |
$86.40 |
$86.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$106.20 |
$106.20 |
$106.20 |
$61.60
|
|
Lip surgery procedure
|
$121.80 |
$121.80 |
$121.80 |
$334.50
|
|
Lithium therapeutic drug level
|
$85.20 |
$85.20 |
$85.20 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$10,182.60 |
$10,182.60 |
$10,182.60 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$944.40 |
$944.40 |
$944.40 |
$365.28
|
|
Liver Function Test
|
$156.00 |
$156.00 |
$156.00 |
$115.44
|
|
Liver/spleen imag static only
|
$639.00 |
$639.00 |
$639.00 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$3.00 |
$3.00 |
$3.00 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$394.80 |
$394.80 |
$394.80 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$31.80 |
$31.80 |
$31.80 |
$37.20
|
|
Low cost skin substitute app
|
$1,635.60 |
$1,635.60 |
$1,635.60 |
$933.60
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$819.60 |
$819.60 |
$819.60 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,405.80 |
$1,405.80 |
$1,405.80 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,405.80 |
$1,405.80 |
$1,405.80 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,604.00 |
$2,604.00 |
$2,604.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,810.80 |
$1,810.80 |
$1,810.80 |
$2,441.25
|
