|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$449.55 |
$449.55 |
$449.55 |
$439.56
|
|
Ivp w/wo kub w/wo tomography
|
$622.35 |
$622.35 |
$622.35 |
$692.18
|
|
Ixabepilone 15 mg intravenous solution
|
$11,501.78 |
$11,501.78 |
$11,501.78 |
$10,695.32
|
|
Kafo dbl solid stirrup band/
|
$2,185.15 |
$2,185.15 |
$2,185.15 |
$2,185.15
|
|
Kafo fem fx cast molded to p
|
$3,130.66 |
$3,130.66 |
$3,130.66 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,130.02 |
$2,130.02 |
$2,130.02 |
$2,130.02
|
|
Kafo femoral fx cast rigid
|
$2,445.29 |
$2,445.29 |
$2,445.29 |
$2,138.81
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$71.10 |
$71.10 |
$71.10 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$19.68 |
$19.68 |
$19.68 |
$23.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$742.20 |
$742.20 |
$742.20 |
$666.00
|
|
Kit case 4.2mm spinejack
|
$9,996.00 |
$9,996.00 |
$9,996.00 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,280.00 |
$11,280.00 |
$11,280.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$30,006.00
|
|
Kit ipg optimizer smart
|
$30,006.00 |
$30,006.00 |
$30,006.00 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$25,500.00 |
$25,500.00 |
$25,500.00 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,783.50 |
$1,783.50 |
$1,783.50 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$142.68 |
$142.68 |
$142.68 |
$740.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,908.80 |
$2,908.80 |
$2,908.80 |
$2,089.15
|
|
Kit trach suct cls 30.5cm
|
$39.81 |
$39.81 |
$39.81 |
$35.26
|
|
Knee control condylar pad
|
$12,003.00 |
$12,003.00 |
$12,003.00 |
$193.25
|
|
Knee disc/dial lock/adj flex
|
$288.41 |
$288.41 |
$288.41 |
$288.41
|
|
Knee joint drop lock ea jnt
|
$175.45 |
$175.45 |
$175.45 |
$175.45
|
|
Knee MRI (with and without contrast)
|
$3,700.05 |
$3,700.05 |
$3,700.05 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$3,482.70 |
$3,482.70 |
$3,482.70 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$2,169.60
|
|
Knee X-ray
|
$425.55 |
$425.55 |
$425.55 |
$425.55
|
|
Ko w adj flex/ext rotat mold
|
$4,285.97 |
$4,285.97 |
$4,285.97 |
$2,768.42
|
|
Kyleena, 19.5 mg
|
$2,345.64 |
$2,345.64 |
$2,345.64 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$28.37 |
$28.37 |
$28.37 |
$32.34
|
|
Lacer molded to patient mode
|
$775.69 |
$775.69 |
$775.69 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$52.20 |
$52.20 |
$52.20 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$201.00 |
$201.00 |
$201.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$30.00 |
$30.00 |
$30.00 |
$45.56
|
|
Lactic acid
|
$193.65 |
$193.65 |
$193.65 |
$107.00
|
|
Lead acuity x4 spiral l 86cm
|
$5,292.00 |
$5,292.00 |
$5,292.00 |
$5,488.00
|
|
Lead capillary
|
$17.40 |
$17.40 |
$17.40 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,476.00 |
$1,476.00 |
$1,476.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$10,944.00 |
$10,944.00 |
$10,944.00 |
$8,000.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,212.45 |
$1,212.45 |
$1,212.45 |
$1,088.26
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$479.70 |
$479.70 |
$479.70 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$725.70 |
$725.70 |
$725.70 |
$367.97
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$100.80 |
$100.80 |
$100.80 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$16,189.23 |
$16,189.23 |
$16,189.23 |
$7,052.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$10,189.22 |
$10,189.22 |
$10,189.22 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$52.51 |
$52.51 |
$52.51 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$105.30 |
$105.30 |
$105.30 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$132.90 |
$132.90 |
$132.90 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$46.98 |
$46.98 |
$46.98 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$627.16 |
$627.16 |
$627.16 |
$385.62
|
|
Liberta rc ipg
|
$31,524.00 |
$31,524.00 |
$31,524.00 |
$36,300.00
|
|
Lidocaine injection
|
$44.76 |
$44.76 |
$44.76 |
$44.76
|
|
Lidocaine therapeutic drug level
|
$172.20 |
$172.20 |
$172.20 |
$89.70
|
|
Lift heel adj small gl60404sm
|
$148.39 |
$148.39 |
$148.39 |
$148.39
|
|
Liletta, 52 mg
|
$1,100.85 |
$1,100.85 |
$1,100.85 |
$1,453.50
|
|
Limited ankle motion ea jnt
|
$123.05 |
$123.05 |
$123.05 |
$123.05
|
|
Limited motion knee joint
|
$278.92 |
$278.92 |
$278.92 |
$278.92
|
|
Lincomycin injection
|
$64.31 |
$64.31 |
$64.31 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$83.16 |
$83.16 |
$83.16 |
$125.66
|
|
Lipase
|
$160.50 |
$160.50 |
$160.50 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$221.10 |
$221.10 |
$221.10 |
$57.50
|
|
Lithium therapeutic drug level
|
$147.30 |
$147.30 |
$147.30 |
$69.42
|
|
Liver Function Test
|
$370.20 |
$370.20 |
$370.20 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$211.50 |
$211.50 |
$211.50 |
$45.90
|
|
Long tongue stirrup
|
$293.85 |
$293.85 |
$293.85 |
$227.99
|
|
Loop ostmy bridg ster
|
$27.60 |
$27.60 |
$27.60 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$39.61 |
$39.61 |
$39.61 |
$37.20
|
|
Lo sag rig pnl stays pre cst
|
$156.86 |
$156.86 |
$156.86 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$524.40 |
$524.40 |
$524.40 |
$352.32
|
|
Low frequency non-thermal Ultrasound
|
$226.20 |
$226.20 |
$226.20 |
$364.00
|
|
Lso flex no ri stays pre ots
|
$135.35 |
$135.35 |
$135.35 |
$195.00
|
|
Lso r post pnl sj-t9 pre cst
|
$326.82 |
$326.82 |
$326.82 |
$326.82
|
|
Lso sagit rigid panel prefab
|
$1,990.83 |
$1,990.83 |
$1,990.83 |
$1,990.83
|
|
Lso sc r pos/lat pnl pre cst
|
$577.00 |
$577.00 |
$577.00 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$598.52 |
$598.52 |
$598.52 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,320.59 |
$2,320.59 |
$2,320.59 |
$2,252.16
|
|
Lumizyme injection
|
$1,909.58 |
$1,909.58 |
$1,909.58 |
$1,738.40
|
|
Magnesium
|
$160.50 |
$160.50 |
$160.50 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$58.70 |
$58.70 |
$58.70 |
$58.70
|
|
Makena, 10 mg
|
$1,589.94 |
$1,589.94 |
$1,589.94 |
$1,405.80
|
|
Mammosite ced
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$5,152.06
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.00 |
$9.00 |
$9.00 |
$27.81
|
|
Marker biop eviva buckle ss
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$1,152.48
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,455.60 |
$2,455.60 |
$2,455.60 |
$1,941.63
|
|
Mastoids complete
|
$300.60 |
$300.60 |
$300.60 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$184.50 |
$184.50 |
$184.50 |
$5,065.63
|
|
Mayo aathr protein s free
|
$180.30 |
$180.30 |
$180.30 |
$130.08
|
|
Mayo alpha 1 antitrypsin
|
$150.00 |
$150.00 |
$150.00 |
$89.05
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,860.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$67.20 |
$67.20 |
$67.20 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$127.95 |
$127.95 |
$127.95 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$29.52 |
$29.52 |
$29.52 |
$67.60
|
|
Mayo bart bartonella henselae antibody igg
|
$27.31 |
$27.31 |
$27.31 |
$45.50
|
|
Mayo brcmg brucella antibody igm
|
$20.70 |
$20.70 |
$20.70 |
$44.14
|
