|
Kit cast tcc 3in w/2reg boots total contact cast
|
$489.60 |
$489.60 |
$489.60 |
$174.00
|
|
Kit gene analys d816 variant
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$374.61
|
|
Kit lead specify 5-6-5
|
$13,784.80 |
$13,784.80 |
$13,784.80 |
$16,672.10
|
|
Knee MRI (with and without contrast)
|
$4,850.40 |
$4,850.40 |
$4,850.40 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,689.60 |
$3,689.60 |
$3,689.60 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,040.00 |
$3,040.00 |
$3,040.00 |
$2,130.88
|
|
Knee X-ray
|
$576.80 |
$576.80 |
$576.80 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$736.00 |
$736.00 |
$736.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$482.40 |
$482.40 |
$482.40 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$287.20 |
$287.20 |
$287.20 |
$251.20
|
|
Kyleena, 19.5 mg
|
$2,489.60 |
$2,489.60 |
$2,489.60 |
$2,125.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$327.00 |
$327.00 |
$327.00 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$52.00 |
$52.00 |
$52.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$32.40 |
$32.40 |
$32.40 |
$43.74
|
|
Lactic acid
|
$147.20 |
$147.20 |
$147.20 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$424.80 |
$424.80 |
$424.80 |
$82.16
|
|
Lactoferrin fecal quant
|
$212.00 |
$212.00 |
$212.00 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$33,573.60 |
$33,573.60 |
$33,573.60 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,473.60 |
$1,473.60 |
$1,473.60 |
$740.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$5,113.60 |
$5,113.60 |
$5,113.60 |
$2,514.60
|
|
Lead capillary
|
$404.80 |
$404.80 |
$404.80 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,635.20 |
$1,635.20 |
$1,635.20 |
$2,928.00
|
|
Left compres band >=3" <5"/yd
|
$3.00 |
$3.00 |
$3.00 |
$5.20
|
|
Leg Artery Ultrasound (complete, both legs)
|
$2,029.60 |
$2,029.60 |
$2,029.60 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$3,240.80 |
$3,240.80 |
$3,240.80 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,449.60 |
$1,449.60 |
$1,449.60 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$360.00 |
$360.00 |
$360.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$606.40 |
$606.40 |
$606.40 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$350.40 |
$350.40 |
$350.40 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$87.60 |
$87.60 |
$87.60 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$6,275.40 |
$6,275.40 |
$6,275.40 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,045.80 |
$1,045.80 |
$1,045.80 |
$8,348.12
|
|
Levalbuterol non-comp con
|
$12.60 |
$12.60 |
$12.60 |
$20.06
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$276.00 |
$276.00 |
$276.00 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$400.00 |
$400.00 |
$400.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$37.00 |
$37.00 |
$37.00 |
$55.69
|
|
Liberta rc ipg
|
$7,270.40 |
$7,270.40 |
$7,270.40 |
$39,189.70
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.16 |
$0.16 |
$0.16 |
$39.75
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$370.20 |
$370.20 |
$370.20 |
$121.00
|
|
Lipase
|
$168.80 |
$168.80 |
$168.80 |
$93.58
|
|
Lipoprotein blood quant
|
$476.80 |
$476.80 |
$476.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$76.60 |
$76.60 |
$76.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$199.20 |
$199.20 |
$199.20 |
$61.60
|
|
Lip surgery procedure
|
$121.80 |
$121.80 |
$121.80 |
$334.50
|
|
Lithium therapeutic drug level
|
$100.00 |
$100.00 |
$100.00 |
$69.75
|
|
Liver elastography 91200
|
$581.60 |
$581.60 |
$581.60 |
$285.18
|
|
Liver Function Test
|
$280.80 |
$280.80 |
$280.80 |
$115.44
|
|
Liver imag w/vasclr flow
|
$1,826.40 |
$1,826.40 |
$1,826.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,582.40 |
$1,582.40 |
$1,582.40 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$1,882.40 |
$1,882.40 |
$1,882.40 |
$1,069.20
|
|
Loop ostmy bridg ster
|
$78.60 |
$78.60 |
$78.60 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$31.20 |
$31.20 |
$31.20 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$306.40 |
$306.40 |
$306.40 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,323.20 |
$4,323.20 |
$4,323.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,090.40 |
$3,090.40 |
$3,090.40 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,480.80 |
$2,480.80 |
$2,480.80 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,850.40 |
$4,850.40 |
$4,850.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,689.60 |
$3,689.60 |
$3,689.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,040.00 |
$3,040.00 |
$3,040.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$504.00 |
$504.00 |
$504.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$859.20 |
$859.20 |
$859.20 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$1,000.80 |
$1,000.80 |
$1,000.80 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$782.40 |
$782.40 |
$782.40 |
$338.40
|
|
Lso flex no ri stays pre ots
|
$284.80 |
$284.80 |
$284.80 |
$164.80
|
|
L/s ratio fetal lung
|
$489.60 |
$489.60 |
$489.60 |
$176.15
|
|
Lumbar diskogram s&i
|
$2,380.80 |
$2,380.80 |
$2,380.80 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$636.80 |
$636.80 |
$636.80 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$109.60 |
$109.60 |
$109.60 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$276.00 |
$276.00 |
$276.00 |
$296.91
|
|
Lung perfusion imaging
|
$580.00 |
$580.00 |
$580.00 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$380.40 |
$380.40 |
$380.40 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$83.40 |
$83.40 |
$83.40 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$1,417.60 |
$1,417.60 |
$1,417.60 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$761.60 |
$761.60 |
$761.60 |
$271.88
|
|
Macroscopic exam arthropod
|
$90.40 |
$90.40 |
$90.40 |
$38.58
|
|
Macroscopic exam parasite
|
$62.20 |
$62.20 |
$62.20 |
$37.05
|
|
Magnesium
|
$151.20 |
$151.20 |
$151.20 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$74.40 |
$74.40 |
$74.40 |
$58.70
|
|
Mammosite ced
|
$13,311.20 |
$13,311.20 |
$13,311.20 |
$5,031.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$88.80 |
$88.80 |
$88.80 |
$26.29
|
|
Marker biop eviva buckle ss
|
$404.80 |
$404.80 |
$404.80 |
$1,451.30
|
|
Mastoids complete
|
$580.00 |
$580.00 |
$580.00 |
$299.50
|
|
M.avium-intra dna amp prob
|
$570.40 |
$570.40 |
$570.40 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$383.20 |
$383.20 |
$383.20 |
$65.28
|
|
Mayo aathr protein s free
|
$443.20 |
$443.20 |
$443.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$306.40 |
$306.40 |
$306.40 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$248.80 |
$248.80 |
$248.80 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$158.40 |
$158.40 |
$158.40 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$238.40 |
$238.40 |
$238.40 |
$89.05
|
|
Mayo analysis gene calr common variants exon 9
|
$864.00 |
$864.00 |
$864.00 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$2,514.40 |
$2,514.40 |
$2,514.40 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$11,640.60 |
$11,640.60 |
$11,640.60 |
$1,860.00
|
|
Mayo androstenedione
|
$186.40 |
$186.40 |
$186.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$168.00 |
$168.00 |
$168.00 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$704.80 |
$704.80 |
$704.80 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$280.80 |
$280.80 |
$280.80 |
$67.20
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$351.20 |
$351.20 |
$351.20 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$20.40 |
$20.40 |
$20.40 |
$45.50
|
