|
Lacosamide 200 mg/20 ml intravenous solution
|
$89.16 |
$89.16 |
$89.16 |
$175.92
|
|
Lactated ringers intravenous solution
|
$133.60 |
$133.60 |
$133.60 |
$43.74
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$22,427.72 |
$22,427.72 |
$22,427.72 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$6.38 |
$6.38 |
$6.38 |
$14.53
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$900.00 |
$900.00 |
$900.00 |
$740.40
|
|
Largsc w/njx augmentation
|
$2,915.20 |
$2,915.20 |
$2,915.20 |
$3,288.75
|
|
Largsc w/removal lesion
|
$4,129.60 |
$4,129.60 |
$4,129.60 |
$4,362.99
|
|
Largsc w/rmvl foreign bdy(s)
|
$945.60 |
$945.60 |
$945.60 |
$765.97
|
|
Laryngeal function studies
|
$387.20 |
$387.20 |
$387.20 |
$342.60
|
|
Laryngoscopy telescopic
|
$1,293.60 |
$1,293.60 |
$1,293.60 |
$852.80
|
|
Laryngoscopy w/fb removal
|
$4,668.00 |
$4,668.00 |
$4,668.00 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$2,564.00 |
$2,564.00 |
$2,564.00 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$3,262.40 |
$3,262.40 |
$3,262.40 |
$981.40
|
|
Lead acuity x4 spiral l 86cm
|
$13,669.60 |
$13,669.60 |
$13,669.60 |
$5,460.00
|
|
Lead ingevity 45cm pfret MRI
|
$3,693.60 |
$3,693.60 |
$3,693.60 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$14,472.00 |
$14,472.00 |
$14,472.00 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,427.20 |
$1,427.20 |
$1,427.20 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,743.20 |
$2,743.20 |
$2,743.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,452.00 |
$2,452.00 |
$2,452.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,436.80 |
$1,436.80 |
$1,436.80 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,680.00 |
$1,680.00 |
$1,680.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$4,776.00 |
$4,776.00 |
$4,776.00 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$1,020.00 |
$1,020.00 |
$1,020.00 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$353.72 |
$353.72 |
$353.72 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,348.11 |
$2,348.11 |
$2,348.11 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$28,001.09 |
$28,001.09 |
$28,001.09 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$818.04 |
$818.04 |
$818.04 |
$1,322.50
|
|
Levalbuterol non-comp unit
|
$143.48 |
$143.48 |
$143.48 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$330.40 |
$330.40 |
$330.40 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$321.04 |
$321.04 |
$321.04 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$699.17 |
$699.17 |
$699.17 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$8,334.40 |
$8,334.40 |
$8,334.40 |
$6,104.00
|
|
Liberta rc ipg
|
$55,413.60 |
$55,413.60 |
$55,413.60 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$316.76 |
$316.76 |
$316.76 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$316.20 |
$316.20 |
$316.20 |
$39.75
|
|
Lift heel adj small gl60404sm
|
$11.20 |
$11.20 |
$11.20 |
$133.50
|
|
Ligate leg veins radical 37760
|
$4,502.40 |
$4,502.40 |
$4,502.40 |
$3,439.84
|
|
Ligation/divis of long saph vein 37700
|
$5,842.40 |
$5,842.40 |
$5,842.40 |
$4,255.00
|
|
Ligation/major artery/extremity 37618
|
$4,899.20 |
$4,899.20 |
$4,899.20 |
$1,567.80
|
|
Ligation of femoral vein
|
$5,084.00 |
$5,084.00 |
$5,084.00 |
$3,724.63
|
|
Ligation vericose vein cluster(s) 1 leg
|
$5,324.00 |
$5,324.00 |
$5,324.00 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$8,584.80 |
$8,584.80 |
$8,584.80 |
$4,676.50
|
|
Liletta, 52 mg
|
$696.08 |
$696.08 |
$696.08 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$102.40 |
$102.40 |
$102.40 |
$108.64
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$364.19 |
$364.19 |
$364.19 |
$121.00
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,904.00 |
$4,904.00 |
$4,904.00 |
$4,371.12
|
|
Liver imaging
|
$1,817.60 |
$1,817.60 |
$1,817.60 |
$1,109.00
|
|
Liver/spleen imag static only
|
$1,614.40 |
$1,614.40 |
$1,614.40 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$767.20 |
$767.20 |
$767.20 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$4,931.20 |
$4,931.20 |
$4,931.20 |
$3,878.80
|
|
Locm 100-199mg/ml iodine,1ml
|
$18.00 |
$18.00 |
$18.00 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$323.56 |
$323.56 |
$323.56 |
$37.20
|
|
Lo sag rig pnl stays pre cst
|
$76.00 |
$76.00 |
$76.00 |
$167.74
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$3,050.40 |
$3,050.40 |
$3,050.40 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,156.00 |
$3,156.00 |
$3,156.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,603.20 |
$2,603.20 |
$2,603.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,652.00 |
$2,652.00 |
$2,652.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,865.60 |
$4,865.60 |
$4,865.60 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,289.60 |
$3,289.60 |
$3,289.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,555.20 |
$3,555.20 |
$3,555.20 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$585.60 |
$585.60 |
$585.60 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$776.00 |
$776.00 |
$776.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$738.40 |
$738.40 |
$738.40 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$445.60 |
$445.60 |
$445.60 |
$338.40
|
|
Lumbar diskogram s&i
|
$4,131.20 |
$4,131.20 |
$4,131.20 |
$2,358.23
|
|
Lumizyme injection
|
$2,473.80 |
$2,473.80 |
$2,473.80 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$696.00 |
$696.00 |
$696.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$469.60 |
$469.60 |
$469.60 |
$296.91
|
|
Lung perfusion imaging
|
$808.00 |
$808.00 |
$808.00 |
$1,069.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$11,573.46 |
$11,573.46 |
$11,573.46 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$507.20 |
$507.20 |
$507.20 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$256.00 |
$256.00 |
$256.00 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$2,459.20 |
$2,459.20 |
$2,459.20 |
$1,491.70
|
|
Lysis of labial adhesions
|
$3,547.20 |
$3,547.20 |
$3,547.20 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$5,322.40 |
$5,322.40 |
$5,322.40 |
$3,503.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$333.44 |
$333.44 |
$333.44 |
$58.70
|
|
Magnetic image bone marrow
|
$2,945.60 |
$2,945.60 |
$2,945.60 |
$1,329.39
|
|
Mammosite ced
|
$7,144.00 |
$7,144.00 |
$7,144.00 |
$5,031.60
|
|
Manipulat palm cord post inj
|
$381.60 |
$381.60 |
$381.60 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$323.60 |
$323.60 |
$323.60 |
$26.29
|
|
Map tachycard site(s)
|
$5,136.80 |
$5,136.80 |
$5,136.80 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$4,378.40 |
$4,378.40 |
$4,378.40 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$5,136.80 |
$5,136.80 |
$5,136.80 |
$1,941.63
|
|
Mastoids complete
|
$538.40 |
$538.40 |
$538.40 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$229.60 |
$229.60 |
$229.60 |
$4,472.40
|
|
Mayo hla typing a/b/c single antigen
|
$161.60 |
$161.60 |
$161.60 |
$122.80
|
|
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria
|
$149.60 |
$149.60 |
$149.60 |
$140.00
|
|
Measure kidney pressure
|
$940.80 |
$940.80 |
$940.80 |
$803.99
|
|
Measurement post void urine by ultrasound
|
$200.00 |
$200.00 |
$200.00 |
$168.74
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$346.32 |
$346.32 |
$346.32 |
$190.81
|
|
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,660.50
|
|
Membrane amnioband 2x2cm -cost per sq cm
|
$1,056.80 |
$1,056.80 |
$1,056.80 |
$504.03
|
|
Membrane collgn porcine maci w/autologous cult chondrocytes
|
$63,970.40 |
$63,970.40 |
$63,970.40 |
$77,166.00
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$315.51 |
$315.51 |
$315.51 |
$30.79
|
|
Mepolizumab 100 mg/ml subcutaneous auto-injector
|
$7,411.12 |
$7,411.12 |
$7,411.12 |
$8,907.71
|
|
Meropenem 1 gram intravenous solution
|
$316.89 |
$316.89 |
$316.89 |
$55.76
|
|
Mesna 100 mg/ml intravenous solution
|
$221.34 |
$221.34 |
$221.34 |
$107.41
|
|
Methacholine chloride 0.0625 mg/ml nebulization soln
|
$50.91 |
$50.91 |
$50.91 |
$264.60
|
|
Methadone injection
|
$659.62 |
$659.62 |
$659.62 |
$598.31
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$345.02 |
$345.02 |
$345.02 |
$74.27
|