|
Kidney img w/bldflw sgl without rx
|
$1,378.00 |
$1,378.00 |
$1,378.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$329.00 |
$329.00 |
$329.00 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$3,214.00 |
$3,214.00 |
$3,214.00 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$5,499.00 |
$5,499.00 |
$5,499.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$50,930.00 |
$50,930.00 |
$50,930.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$16,971.50 |
$16,971.50 |
$16,971.50 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,690.50 |
$1,690.50 |
$1,690.50 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$312.00 |
$312.00 |
$312.00 |
$923.90
|
|
Kit sound processor cochlear osia 2
|
$5,938.50 |
$5,938.50 |
$5,938.50 |
$8,425.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,333.50 |
$2,333.50 |
$2,333.50 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$2,429.00 |
$2,429.00 |
$2,429.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,096.00 |
$2,096.00 |
$2,096.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,951.50 |
$1,951.50 |
$1,951.50 |
$2,110.76
|
|
Knee X-ray
|
$374.00 |
$374.00 |
$374.00 |
$425.55
|
|
Ko derot ant cruciate custom
|
$38.00 |
$38.00 |
$38.00 |
$1,694.30
|
|
Lacer molded to patient mode
|
$461.50 |
$461.50 |
$461.50 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$64.50 |
$64.50 |
$64.50 |
$55.50
|
|
Lactic acid
|
$131.50 |
$131.50 |
$131.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$86.00 |
$86.00 |
$86.00 |
$81.00
|
|
Largsc w/rmvl foreign bdy(s)
|
$705.50 |
$705.50 |
$705.50 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,189.00 |
$3,189.00 |
$3,189.00 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$357.50 |
$357.50 |
$357.50 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$5,534.00 |
$5,534.00 |
$5,534.00 |
$5,534.00
|
|
Lead capillary
|
$80.00 |
$80.00 |
$80.00 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$2,853.00 |
$2,853.00 |
$2,853.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$12,158.00 |
$12,158.00 |
$12,158.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,051.50 |
$1,051.50 |
$1,051.50 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$429.00 |
$429.00 |
$429.00 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,238.00 |
$1,238.00 |
$1,238.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$5,506.00 |
$5,506.00 |
$5,506.00 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$3,106.00 |
$3,106.00 |
$3,106.00 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$159.50 |
$159.50 |
$159.50 |
$88.92
|
|
Liberta rc ipg
|
$84,546.50 |
$84,546.50 |
$84,546.50 |
$39,406.68
|
|
Lift heel adj small gl60404sm
|
$133.50 |
$133.50 |
$133.50 |
$133.50
|
|
Limited ankle motion ea jnt
|
$82.50 |
$82.50 |
$82.50 |
$109.20
|
|
Lipase
|
$121.00 |
$121.00 |
$121.00 |
$91.65
|
|
Lipoprotein blood quant
|
$171.00 |
$171.00 |
$171.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$69.50 |
$69.50 |
$69.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$51.00 |
$51.00 |
$51.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$105.50 |
$105.50 |
$105.50 |
$69.42
|
|
Liver Function Test
|
$155.50 |
$155.50 |
$155.50 |
$115.44
|
|
Liver/spleen imag static only
|
$1,104.00 |
$1,104.00 |
$1,104.00 |
$1,123.50
|
|
Lo sag rig pnl stays pre cst
|
$9,022.50 |
$9,022.50 |
$9,022.50 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,871.00 |
$1,871.00 |
$1,871.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,637.00 |
$1,637.00 |
$1,637.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,554.50 |
$1,554.50 |
$1,554.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,561.50 |
$2,561.50 |
$2,561.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,112.50 |
$2,112.50 |
$2,112.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,983.50 |
$1,983.50 |
$1,983.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$355.00 |
$355.00 |
$355.00 |
$356.16
|
|
Lso corset front
|
$166.50 |
$166.50 |
$166.50 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$137.00 |
$137.00 |
$137.00 |
$164.80
|
|
Lso s/c shell/panel custom
|
$1,270.00 |
$1,270.00 |
$1,270.00 |
$2,252.16
|
|
Lung function test (mbc/mvv)
|
$174.00 |
$174.00 |
$174.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$334.50 |
$334.50 |
$334.50 |
$295.35
|
|
Lung perfusion imaging
|
$817.50 |
$817.50 |
$817.50 |
$1,059.97
|
|
Lvad shower bag heartmate
|
$571.00 |
$571.00 |
$571.00 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$312.50 |
$312.50 |
$312.50 |
$271.88
|
|
Magnesium
|
$392.00 |
$392.00 |
$392.00 |
$72.50
|
|
Mammosite ced
|
$2,968.50 |
$2,968.50 |
$2,968.50 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$104.00 |
$104.00 |
$104.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$131.00 |
$131.00 |
$131.00 |
$160.80
|
|
Marker biop eviva buckle ss
|
$2,545.50 |
$2,545.50 |
$2,545.50 |
$1,451.30
|
|
Mastoids complete
|
$107.50 |
$107.50 |
$107.50 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$87.00 |
$87.00 |
$87.00 |
$65.00
|
|
Mayo aathr protein s free
|
$203.00 |
$203.00 |
$203.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$250.50 |
$250.50 |
$250.50 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$449.50 |
$449.50 |
$449.50 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$159.50 |
$159.50 |
$159.50 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$251.50 |
$251.50 |
$251.50 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$86.00 |
$86.00 |
$86.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$278.50 |
$278.50 |
$278.50 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$143.50 |
$143.50 |
$143.50 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$109.50 |
$109.50 |
$109.50 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$434.50 |
$434.50 |
$434.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$497.00 |
$497.00 |
$497.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$803.50 |
$803.50 |
$803.50 |
$368.25
|
|
Mayo androstenedione
|
$166.00 |
$166.00 |
$166.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$147.00 |
$147.00 |
$147.00 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$60.50 |
$60.50 |
$60.50 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$100.50 |
$100.50 |
$100.50 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$134.50 |
$134.50 |
$134.50 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$215.00 |
$215.00 |
$215.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$91.50 |
$91.50 |
$91.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$418.00 |
$418.00 |
$418.00 |
$328.20
|
|
Mayo bordetella pertussis antibody igg
|
$179.50 |
$179.50 |
$179.50 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$112.00 |
$112.00 |
$112.00 |
$44.10
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$218.50 |
$218.50 |
$218.50 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$253.50 |
$253.50 |
$253.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$131.00 |
$131.00 |
$131.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$317.00 |
$317.00 |
$317.00 |
$281.50
|
|
Mayo ceruloplasmin
|
$90.00 |
$90.00 |
$90.00 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$166.50 |
$166.50 |
$166.50 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$157.50 |
$157.50 |
$157.50 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$43.00 |
$43.00 |
$43.00 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$19.00 |
$19.00 |
$19.00 |
$49.29
|
|
Mayo chromium
|
$102.00 |
$102.00 |
$102.00 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$215.00 |
$215.00 |
$215.00 |
$100.00
|
|
Mayo coccidioides antibody
|
$44.50 |
$44.50 |
$44.50 |
$53.90
|
