|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$4,318.13 |
$4,318.13 |
$4,318.13 |
$9,384.04
|
|
Kit hfx iq ipg bundle
|
$3,572.63 |
$3,572.63 |
$3,572.63 |
$28,974.93
|
|
Kit lead specify 5-6-5
|
$12,358.15 |
$12,358.15 |
$12,358.15 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,332.80 |
$1,332.80 |
$1,332.80 |
$1,357.69
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$2,446.33 |
$2,446.33 |
$2,446.33 |
$5,329.23
|
|
Kit sound processor cochlear osia 2
|
$5,788.48 |
$5,788.48 |
$5,788.48 |
$10,444.90
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,554.88 |
$1,554.88 |
$1,554.88 |
$2,087.65
|
|
Kras gene addl variants
|
$104.13 |
$104.13 |
$104.13 |
$346.45
|
|
Kras gene variants exon 2
|
$104.83 |
$104.83 |
$104.83 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$42.70 |
$42.70 |
$42.70 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$47.43 |
$47.43 |
$47.43 |
$58.40
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$4.08 |
$4.08 |
$4.08 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$28.88 |
$28.88 |
$28.88 |
$53.30
|
|
Lactated ringers intravenous solution
|
$0.35 |
$0.35 |
$0.35 |
$54.11
|
|
Lactic acid
|
$37.10 |
$37.10 |
$37.10 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$26.43 |
$26.43 |
$26.43 |
$88.40
|
|
Lap insert tunnel ip cath
|
$88.55 |
$88.55 |
$88.55 |
$6,311.00
|
|
Largsc w/removal lesion
|
$932.05 |
$932.05 |
$932.05 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$146.30 |
$146.30 |
$146.30 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$869.40 |
$869.40 |
$869.40 |
$2,480.71
|
|
Laryngoscopy with biopsy
|
$932.05 |
$932.05 |
$932.05 |
$2,954.40
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$586.78 |
$586.78 |
$586.78 |
$660.10
|
|
Laser surgery of prostate
|
$405.13 |
$405.13 |
$405.13 |
$5,741.00
|
|
Lateral canthopexy
|
$85.23 |
$85.23 |
$85.23 |
$3,837.72
|
|
Lead acuity x4 spiral l 86cm
|
$10,666.78 |
$10,666.78 |
$10,666.78 |
$5,831.00
|
|
Lead capillary
|
$30.45 |
$30.45 |
$30.45 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$13,636.18 |
$13,636.18 |
$13,636.18 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$24,930.50 |
$24,930.50 |
$24,930.50 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$385.53 |
$385.53 |
$385.53 |
$1,100.74
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,041.25 |
$1,041.25 |
$1,041.25 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$175.18 |
$175.18 |
$175.18 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1.94 |
$1.94 |
$1.94 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$237.14 |
$237.14 |
$237.14 |
$3,271.64
|
|
Levalbuterol non-comp unit
|
$0.22 |
$0.22 |
$0.22 |
$11.90
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$3.90 |
$3.90 |
$3.90 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$44.10 |
$44.10 |
$44.10 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.96 |
$0.96 |
$0.96 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$52.78 |
$52.78 |
$52.78 |
$319.12
|
|
Liberta rc ipg
|
$38,725.40 |
$38,725.40 |
$38,725.40 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.60 |
$0.60 |
$0.60 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$37.10 |
$37.10 |
$37.10 |
$83.85
|
|
Ligation/biopsy of temporal artery 37609
|
$849.80 |
$849.80 |
$849.80 |
$2,968.00
|
|
Ligation of inf vena cava
|
$851.20 |
$851.20 |
$851.20 |
$5,872.94
|
|
Ligation vericose vein cluster(s) 1 leg
|
$1,502.38 |
$1,502.38 |
$1,502.38 |
$3,486.86
|
|
Lig/band angioaccess av fistula
|
$928.20 |
$928.20 |
$928.20 |
$4,240.23
|
|
Lincomycin injection
|
$2.63 |
$2.63 |
$2.63 |
$13.25
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$2.41 |
$2.41 |
$2.41 |
$177.90
|
|
Lipase
|
$54.25 |
$54.25 |
$54.25 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$27.48 |
$27.48 |
$27.48 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$26.78 |
$26.78 |
$26.78 |
$60.00
|
|
Lithium therapeutic drug level
|
$34.13 |
$34.13 |
$34.13 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,612.40 |
$2,612.40 |
$2,612.40 |
$4,371.12
|
|
Liver abs/cyst dr opn 1-2 stge
|
$697.55 |
$697.55 |
$697.55 |
$1,882.80
|
|
Liver Function Test
|
$111.13 |
$111.13 |
$111.13 |
$110.50
|
|
Liver/spleen imag static only
|
$404.60 |
$404.60 |
$404.60 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$14.18 |
$14.18 |
$14.18 |
$45.56
|
|
Low cost skin substitute app
|
$140.88 |
$140.88 |
$140.88 |
$862.55
|
|
Low cost skin substitute app
|
$211.23 |
$211.23 |
$211.23 |
$2,164.64
|
|
Low cost skin substitute app
|
$140.88 |
$140.88 |
$140.88 |
$933.40
|
|
Low cost skin substitute app
|
$140.88 |
$140.88 |
$140.88 |
$868.70
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$813.23 |
$813.23 |
$813.23 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$691.78 |
$691.78 |
$691.78 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$527.98 |
$527.98 |
$527.98 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,250.03 |
$1,250.03 |
$1,250.03 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,051.40 |
$1,051.40 |
$1,051.40 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$827.75 |
$827.75 |
$827.75 |
$2,060.27
|
|
L/s ratio fetal lung
|
$81.03 |
$81.03 |
$81.03 |
$168.00
|
|
Lumbar diskogram s&i
|
$525.88 |
$525.88 |
$525.88 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$5.78 |
$5.78 |
$5.78 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$149.63 |
$149.63 |
$149.63 |
$298.50
|
|
Lung perfusion imaging
|
$312.73 |
$312.73 |
$312.73 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$606.73 |
$606.73 |
$606.73 |
$1,543.75
|
|
Lysis intranasal synechia 30560
|
$65.63 |
$65.63 |
$65.63 |
$714.40
|
|
Magnesium
|
$39.73 |
$39.73 |
$39.73 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$2.77 |
$2.77 |
$2.77 |
$65.49
|
|
Makena, 10 mg
|
$120.75 |
$120.75 |
$120.75 |
$22.86
|
|
Mammosite ced
|
$12.08 |
$12.08 |
$12.08 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$119.00 |
$119.00 |
$119.00 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$75.78 |
$75.78 |
$75.78 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.74 |
$0.74 |
$0.74 |
$40.12
|
|
Map tachycard site(s)
|
$847.35 |
$847.35 |
$847.35 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$1,433.25 |
$1,433.25 |
$1,433.25 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,063.30 |
$1,063.30 |
$1,063.30 |
$1,753.29
|
|
Mastoids complete
|
$34.13 |
$34.13 |
$34.13 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$4,447.10 |
$4,447.10 |
$4,447.10 |
$7,478.44
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$66.50 |
$66.50 |
$66.50 |
$66.50
|
|
Mayo aathr protein s free
|
$47.43 |
$47.43 |
$47.43 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$107.28 |
$107.28 |
$107.28 |
$98.70
|
|
Mayo alcohol definitive assay volatile screen
|
$60.20 |
$60.20 |
$60.20 |
$118.95
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$10.68 |
$10.68 |
$10.68 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$44.45 |
$44.45 |
$44.45 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$29.05 |
$29.05 |
$29.05 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$3.68 |
$3.68 |
$3.68 |
$73.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$135.10 |
$135.10 |
$135.10 |
$326.48
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$51.98 |
$51.98 |
$51.98 |
$72.46
|
|
Mayo aspergillus fumigatus antibody
|
$28.70 |
$28.70 |
$28.70 |
$67.60
|
|
Mayo bart bartonella henselae antibody igg
|
$26.25 |
$26.25 |
$26.25 |
$45.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$26.60 |
$26.60 |
$26.60 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$3.68 |
$3.68 |
$3.68 |
$66.00
|
|
Mayo brcmg brucella antibody igm
|
$23.63 |
$23.63 |
$23.63 |
$48.57
|