|
Ixabepilone 15 mg intravenous solution
|
$3,484.80 |
$3,484.80 |
$3,484.80 |
$10,695.32
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$188.40 |
$188.40 |
$188.40 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$262.80 |
$262.80 |
$262.80 |
$362.05
|
|
John cunningham antibody
|
$37.80 |
$37.80 |
$37.80 |
$78.60
|
|
J-tube placement
|
$556.80 |
$556.80 |
$556.80 |
$593.08
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$42.00 |
$42.00 |
$42.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$3.60 |
$3.60 |
$3.60 |
$23.50
|
|
Kidney function study
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$935.22
|
|
Kidney imaging morphology
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,574.40 |
$1,574.40 |
$1,574.40 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$394.20 |
$394.20 |
$394.20 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$394.20 |
$394.20 |
$394.20 |
$492.25
|
|
Kit gene analys d816 variant
|
$721.80 |
$721.80 |
$721.80 |
$374.40
|
|
Knee MRI (with and without contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$2,122.12
|
|
Knee orth pos locking joint
|
$1,288.20 |
$1,288.20 |
$1,288.20 |
$585.60
|
|
Knee X-ray
|
$262.80 |
$262.80 |
$262.80 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$188.40 |
$188.40 |
$188.40 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$188.40 |
$188.40 |
$188.40 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$188.40 |
$188.40 |
$188.40 |
$252.50
|
|
Kras gene variants exon 2
|
$697.80 |
$697.80 |
$697.80 |
$536.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$7.80 |
$7.80 |
$7.80 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$2.40 |
$2.40 |
$2.40 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$30.60 |
$30.60 |
$30.60 |
$55.50
|
|
Lactic acid
|
$58.80 |
$58.80 |
$58.80 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$99.60 |
$99.60 |
$99.60 |
$82.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$18,264.00 |
$18,264.00 |
$18,264.00 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$7.20 |
$7.20 |
$7.20 |
$14.53
|
|
Laparo partial nephrectomy
|
$4,511.40 |
$4,511.40 |
$4,511.40 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$4,308.00 |
$4,308.00 |
$4,308.00 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$2,357.40 |
$2,357.40 |
$2,357.40 |
$2,983.86
|
|
Laparo removal donor kidney
|
$5,977.20 |
$5,977.20 |
$5,977.20 |
$7,905.60
|
|
Laparo remove w/ureter
|
$2,363.40 |
$2,363.40 |
$2,363.40 |
$2,996.40
|
|
Laparoscopic nephrectomy
|
$2,110.80 |
$2,110.80 |
$2,110.80 |
$5,686.20
|
|
Laparoscopy adrenalectomy
|
$3,313.20 |
$3,313.20 |
$3,313.20 |
$5,389.80
|
|
Laparoscopy biopsy
|
$905.40 |
$905.40 |
$905.40 |
$6,463.42
|
|
Laparoscopy excise lesions
|
$1,830.00 |
$1,830.00 |
$1,830.00 |
$7,243.60
|
|
Laparoscopy splenectomy
|
$2,479.20 |
$2,479.20 |
$2,479.20 |
$9,114.50
|
|
Lap inc hernia repair 49654
|
$2,228.40 |
$2,228.40 |
$2,228.40 |
$6,538.43
|
|
Lap inc hern repair comp 49655
|
$909.60 |
$909.60 |
$909.60 |
$9,853.46
|
|
Lap ing hernia repair init
|
$1,126.20 |
$1,126.20 |
$1,126.20 |
$9,605.51
|
|
Lap insert tunnel ip cath
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$6,895.20
|
|
Lap revision perm ip cath
|
$979.20 |
$979.20 |
$979.20 |
$6,904.15
|
|
Lap vent/abd hernia repair 49652
|
$1,966.80 |
$1,966.80 |
$1,966.80 |
$7,349.98
|
|
Lap vent/abd hern proc comp 49653
|
$2,441.40 |
$2,441.40 |
$2,441.40 |
$7,777.76
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$453.60 |
$453.60 |
$453.60 |
$740.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,514.60 |
$2,514.60 |
$2,514.60 |
$2,514.60
|
|
Laryngoscopy w/fb removal
|
$3,505.20 |
$3,505.20 |
$3,505.20 |
$2,854.09
|
|
Lead acuity x4 spiral l 86cm
|
$9,999.00 |
$9,999.00 |
$9,999.00 |
$5,460.00
|
|
Lead capillary
|
$62.40 |
$62.40 |
$62.40 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$2,715.00 |
$2,715.00 |
$2,715.00 |
$2,887.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$819.60 |
$819.60 |
$819.60 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,612.00
|
|
Leg CT Scan (without contrast, both legs)
|
$876.00 |
$876.00 |
$876.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$819.60 |
$819.60 |
$819.60 |
$1,092.58
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$60.00 |
$60.00 |
$60.00 |
$162.76
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$7,358.40 |
$7,358.40 |
$7,358.40 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,087.60 |
$3,087.60 |
$3,087.60 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$427.20 |
$427.20 |
$427.20 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$7.80 |
$7.80 |
$7.80 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$33.60 |
$33.60 |
$33.60 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$1.20 |
$1.20 |
$1.20 |
$55.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$4.20 |
$4.20 |
$4.20 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$104.40 |
$104.40 |
$104.40 |
$88.40
|
|
Ligate oviduct(s) add-on 58611
|
$3,814.20 |
$3,814.20 |
$3,814.20 |
$584.00
|
|
Ligation/biopsy of temporal artery 37609
|
$4,489.80 |
$4,489.80 |
$4,489.80 |
$3,322.80
|
|
Ligation/major artery/extremity 37618
|
$1,497.00 |
$1,497.00 |
$1,497.00 |
$1,581.82
|
|
Lig/band angioaccess av fistula
|
$12,573.60 |
$12,573.60 |
$12,573.60 |
$4,676.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.60 |
$0.60 |
$0.60 |
$119.81
|
|
Lipase
|
$40.80 |
$40.80 |
$40.80 |
$92.88
|
|
Lipoprotein blood quant
|
$172.20 |
$172.20 |
$172.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$42.00 |
$42.00 |
$42.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$54.00 |
$54.00 |
$54.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,071.20 |
$5,071.20 |
$5,071.20 |
$4,371.12
|
|
Liver abs/cyst dr opn 1-2 stge
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$68.40 |
$68.40 |
$68.40 |
$365.28
|
|
Liver Function Test
|
$54.00 |
$54.00 |
$54.00 |
$115.44
|
|
Liver imaging
|
$4,242.60 |
$4,242.60 |
$4,242.60 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,069.20
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$15,780.00 |
$15,780.00 |
$15,780.00 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.80 |
$1.80 |
$1.80 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$190.20 |
$190.20 |
$190.20 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,424.40 |
$1,424.40 |
$1,424.40 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$876.00 |
$876.00 |
$876.00 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,713.80 |
$2,713.80 |
$2,713.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,656.00 |
$1,656.00 |
$1,656.00 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$272.40 |
$272.40 |
$272.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$262.80 |
$262.80 |
$262.80 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$262.80 |
$262.80 |
$262.80 |
$535.91
|
|
Lower Leg (Shin) X-ray (both sides)
|
$188.40 |
$188.40 |
$188.40 |
$338.40
|
|
Lso flex no ri stays pre ots
|
$294.60 |
$294.60 |
$294.60 |
$164.80
|
|
L/s ratio fetal lung
|
$79.80 |
$79.80 |
$79.80 |
$173.91
|
|
Lumbar diskogram s&i
|
$4,030.20 |
$4,030.20 |
$4,030.20 |
$2,358.23
|
