|
Irrigation implantable venous access device for drug delivery systems
|
$64.89 |
$64.89 |
$64.89 |
$154.50
|
|
Ivc venogram s&i
|
$3,491.33 |
$3,491.33 |
$3,491.33 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$341.98 |
$341.98 |
$341.98 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$216.09 |
$216.09 |
$216.09 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$197.75 |
$197.75 |
$197.75 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$520.80 |
$520.80 |
$520.80 |
$460.85
|
|
Ivp w/nephrotomography
|
$5,001.34 |
$5,001.34 |
$5,001.34 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$850.85 |
$850.85 |
$4,821.58 |
$713.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.75 |
$36.75 |
$446.09 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$9.93 |
$9.93 |
$9.93 |
$30.08
|
|
Kidney imaging morphology
|
$2,900.10 |
$2,900.10 |
$2,900.10 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$9,179.10 |
$9,179.10 |
$9,179.10 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,595.65 |
$1,595.65 |
$4,061.01 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,183.35 |
$1,183.35 |
$3,862.38 |
$668.25
|
|
Kit case 4.2mm spinejack
|
$10,051.86 |
$10,051.86 |
$10,051.86 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$17,272.50 |
$17,272.50 |
$17,272.50 |
$9,384.04
|
|
Kit lead specify 5-6-5
|
$7,868.91 |
$7,868.91 |
$7,868.91 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$938.60 |
$938.60 |
$938.60 |
$1,357.69
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,865.75 |
$1,865.75 |
$1,865.75 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,946.07 |
$1,946.07 |
$1,946.07 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,393.25 |
$1,393.25 |
$1,393.25 |
$3,839.54
|
|
Knee MRI (with and without contrast)
|
$5,673.15 |
$5,673.15 |
$5,673.15 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$5,275.90 |
$5,275.90 |
$5,275.90 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,251.10 |
$4,251.10 |
$4,251.10 |
$2,181.10
|
|
Knee X-ray
|
$684.95 |
$684.95 |
$684.95 |
$443.90
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$73.71 |
$73.71 |
$73.71 |
$100.75
|
|
Lab draw <3 yrs scalp vein 36405
|
$81.90 |
$81.90 |
$81.90 |
$58.40
|
|
Lactate dehydrogenase (ldh)
|
$58.80 |
$58.80 |
$58.80 |
$53.30
|
|
Lactated ringers intravenous solution
|
$10.66 |
$10.66 |
$10.66 |
$54.11
|
|
Lactic acid
|
$97.65 |
$97.65 |
$1,147.53 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$37.05 |
$37.05 |
$443.01 |
$88.40
|
|
Lap sleeve gastrectomy
|
$1,800.01 |
$1,800.01 |
$1,800.01 |
$2,733.60
|
|
Largsc w/rmvl foreign bdy(s)
|
$229.95 |
$229.95 |
$229.95 |
$765.97
|
|
Laser surgery of prostate
|
$2,637.50 |
$2,637.50 |
$2,637.50 |
$5,741.00
|
|
Lead acuity x4 spiral l 86cm
|
$5,987.68 |
$5,987.68 |
$5,987.68 |
$5,831.00
|
|
Lead capillary
|
$41.58 |
$41.58 |
$1,065.99 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$2,579.12 |
$2,579.12 |
$2,579.12 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$9,703.47 |
$9,703.47 |
$9,703.47 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,796.90 |
$1,796.90 |
$1,796.90 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,325.00 |
$3,325.00 |
$3,325.00 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,474.15 |
$3,474.15 |
$3,474.15 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$163.45 |
$163.45 |
$163.45 |
$234.81
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$16,352.47 |
$16,352.47 |
$16,352.47 |
$6,208.50
|
|
Levalbuterol non-comp unit
|
$14.17 |
$14.17 |
$14.17 |
$11.90
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$34.55 |
$34.55 |
$34.55 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$17.31 |
$17.31 |
$17.31 |
$319.12
|
|
Liberta rc ipg
|
$41,205.21 |
$41,205.21 |
$41,205.21 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$39.53 |
$39.53 |
$39.53 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$58.59 |
$58.59 |
$1,487.47 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$249.54 |
$249.54 |
$249.54 |
$177.90
|
|
Lipase
|
$159.87 |
$159.87 |
$1,396.72 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$54.81 |
$54.81 |
$54.81 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$32.45 |
$32.45 |
$32.45 |
$60.00
|
|
Lithium therapeutic drug level
|
$40.60 |
$40.60 |
$1,161.38 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,095.75 |
$3,095.75 |
$3,095.75 |
$4,371.12
|
|
Liver Function Test
|
$326.55 |
$326.55 |
$2,330.43 |
$110.50
|
|
Liver imaging
|
$2,900.10 |
$2,900.10 |
$2,900.10 |
$1,241.25
|
|
Liver/spleen imag static only
|
$445.22 |
$445.22 |
$7,875.42 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$957.60 |
$957.60 |
$957.60 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$21.69 |
$21.69 |
$21.69 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.84 |
$1.84 |
$1.84 |
$45.56
|
|
Low cost skin substitute app
|
$288.05 |
$288.05 |
$288.05 |
$862.55
|
|
Low cost skin substitute app
|
$288.05 |
$288.05 |
$288.05 |
$933.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,881.05 |
$5,881.05 |
$18,266.68 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$5,002.90 |
$5,002.90 |
$16,455.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,818.85 |
$3,818.85 |
$16,205.23 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,822.30 |
$4,822.30 |
$29,180.61 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,100.25 |
$4,100.25 |
$25,802.29 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,887.45 |
$2,887.45 |
$17,958.70 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$714.00 |
$714.00 |
$1,885.13 |
$344.00
|
|
Lung Function Test (Spirometry)
|
$224.28 |
$224.28 |
$1,899.19 |
$298.50
|
|
Lung perfusion imaging
|
$720.67 |
$720.67 |
$7,437.02 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$1,315.65 |
$1,315.65 |
$9,965.05 |
$1,543.75
|
|
Lymph vessel x-ray arms/legs
|
$8,294.28 |
$8,294.28 |
$8,294.28 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$1,120.80 |
$1,120.80 |
$1,120.80 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$1,509.01 |
$1,509.01 |
$1,509.01 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$13.23 |
$13.23 |
$13.23 |
$38.58
|
|
Macroscopic exam parasite
|
$19.85 |
$19.85 |
$19.85 |
$38.50
|
|
Magnesium
|
$159.25 |
$159.25 |
$159.25 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$24.63 |
$24.63 |
$24.63 |
$65.49
|
|
Magnetic image bone marrow
|
$995.40 |
$995.40 |
$10,939.87 |
$1,152.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$128.10 |
$128.10 |
$392.77 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$128.10 |
$128.10 |
$406.75 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$4.05 |
$4.05 |
$104.77 |
$40.12
|
|
Manual diff wbc count b-coat
|
$34.02 |
$34.02 |
$34.02 |
$22.75
|
|
Map tachycard site(s)
|
$17,149.21 |
$17,149.21 |
$17,149.21 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$183.75 |
$183.75 |
$183.75 |
$1,213.20
|
|
Mastectomy partial
|
$1,707.62 |
$1,707.62 |
$1,707.62 |
$4,509.59
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$1,607.85 |
$1,607.85 |
$1,607.85 |
$7,478.44
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$2,734.98 |
$2,734.98 |
$2,734.98 |
$66.50
|
|
Mayo aathr protein s free
|
$144.20 |
$144.20 |
$144.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$132.62 |
$132.62 |
$870.63 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$75.60 |
$75.60 |
$195.03 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$214.08 |
$214.08 |
$214.08 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$86.10 |
$86.10 |
$1,239.83 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$37.80 |
$37.80 |
$455.32 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$2,007.40 |
$2,007.40 |
$2,007.40 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$4,929.66 |
$4,929.66 |
$4,929.66 |
$1,909.44
|
|
Mayo androstenedione
|
$93.24 |
$93.24 |
$93.24 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$43.47 |
$43.47 |
$1,778.20 |
$72.46
|