|
Ko w/0 joint rigid molded to
|
$2,853.65 |
$2,853.65 |
$2,853.65 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$4,175.39 |
$4,175.39 |
$4,175.39 |
$2,768.42
|
|
Kras gene addl variants
|
$640.20 |
$640.20 |
$640.20 |
$374.40
|
|
Kras gene variants exon 2
|
$640.20 |
$640.20 |
$640.20 |
$495.00
|
|
Kyphosis pad
|
$384.55 |
$384.55 |
$384.55 |
$254.97
|
|
Kyphosis pad floating
|
$554.82 |
$554.82 |
$554.82 |
$367.87
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$6.37 |
$6.37 |
$6.37 |
$32.85
|
|
Lacer molded to patient mode
|
$1,310.23 |
$1,310.23 |
$1,310.23 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$23.40 |
$23.40 |
$23.40 |
$55.65
|
|
Lactated ringers intravenous solution
|
$36.00 |
$36.00 |
$36.00 |
$46.35
|
|
Lactic acid
|
$78.60 |
$78.60 |
$78.60 |
$108.88
|
|
Lactoferrin fecal quant
|
$111.60 |
$111.60 |
$111.60 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$15,490.44 |
$15,490.44 |
$15,490.44 |
$19,124.00
|
|
Lateral thoracic extension
|
$873.11 |
$873.11 |
$873.11 |
$578.90
|
|
Lateral trochanteric pad
|
$277.29 |
$277.29 |
$277.29 |
$183.85
|
|
Lead acuity x4 spiral l 86cm
|
$79,158.00 |
$79,158.00 |
$79,158.00 |
$5,617.19
|
|
Lead capillary
|
$45.60 |
$45.60 |
$45.60 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$87,639.78 |
$87,639.78 |
$87,639.78 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$21,768.45 |
$21,768.45 |
$21,768.45 |
$8,172.05
|
|
Legg perthes orthosis trilat
|
$5,264.29 |
$5,264.29 |
$5,264.29 |
$3,490.40
|
|
Legg perthes orth scottish r
|
$4,444.25 |
$4,444.25 |
$4,444.25 |
$2,946.68
|
|
Legg perthes patten bottom t
|
$6,389.56 |
$6,389.56 |
$6,389.56 |
$4,236.49
|
|
Leg perthes orth toronto typ
|
$5,552.10 |
$5,552.10 |
$5,552.10 |
$3,681.23
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$495.00 |
$495.00 |
$495.00 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$336.42 |
$336.42 |
$336.42 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,957.90 |
$3,957.90 |
$3,957.90 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$4,729.69 |
$4,729.69 |
$4,729.69 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$1,187.37 |
$1,187.37 |
$1,187.37 |
$368.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$142.56 |
$142.56 |
$142.56 |
$163.80
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,463.15 |
$2,463.15 |
$2,463.15 |
$6,404.22
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$9,726.07 |
$9,726.07 |
$9,726.07 |
$9,611.85
|
|
Levalbuterol non-comp unit
|
$5.14 |
$5.14 |
$5.14 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$10.20 |
$10.20 |
$10.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$58.80 |
$58.80 |
$58.80 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$25.70 |
$25.70 |
$25.70 |
$55.60
|
|
Liberta rc ipg
|
$122,437.64 |
$122,437.64 |
$122,437.64 |
$37,575.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$59.16 |
$59.16 |
$59.16 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$24.48 |
$24.48 |
$24.48 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$93.50
|
|
Lift heel adj small gl60404sm
|
$263.20 |
$263.20 |
$263.20 |
$148.39
|
|
Lift heel adjustable med
|
$136.07 |
$136.07 |
$136.07 |
$57.90
|
|
Lifts elevation metal extens
|
$2,019.60 |
$2,019.60 |
$2,019.60 |
$959.80
|
|
Ligation internal/common carotid artery 37605
|
$2,145.00 |
$2,145.00 |
$2,145.00 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$4,555.80 |
$4,555.80 |
$4,555.80 |
$1,525.00
|
|
Limited ankle motion ea jnt
|
$147.87 |
$147.87 |
$147.87 |
$123.05
|
|
Limited motion knee joint
|
$413.36 |
$413.36 |
$413.36 |
$278.92
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$34.27 |
$34.27 |
$34.27 |
$130.49
|
|
Lipase
|
$28.20 |
$28.20 |
$28.20 |
$93.58
|
|
Lipoprotein blood quant
|
$116.40 |
$116.40 |
$116.40 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$30.60 |
$30.60 |
$30.60 |
$60.00
|
|
Lipoprotein direct measurement ldl
|
$31.80 |
$31.80 |
$31.80 |
$61.60
|
|
Lip surgery procedure
|
$150.00 |
$150.00 |
$150.00 |
$334.50
|
|
Listeria monocytogenes
|
$136.80 |
$136.80 |
$136.80 |
$117.52
|
|
Lithium therapeutic drug level
|
$26.40 |
$26.40 |
$26.40 |
$70.58
|
|
Liver ds alys 3 bmrk srm alg
|
$528.60 |
$528.60 |
$528.60 |
$340.00
|
|
Liver Function Test
|
$32.40 |
$32.40 |
$32.40 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$5.35 |
$5.35 |
$5.35 |
$37.20
|
|
Lo rig pos pnl l1-l5 pre ots
|
$615.61 |
$615.61 |
$615.61 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$252.99 |
$252.99 |
$252.99 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$939.00 |
$939.00 |
$939.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$862.20 |
$862.20 |
$862.20 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$721.20 |
$721.20 |
$721.20 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,855.40 |
$2,855.40 |
$2,855.40 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,353.00 |
$1,353.00 |
$1,353.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$232.80 |
$232.80 |
$232.80 |
$363.66
|
|
Lso corset front
|
$375.61 |
$375.61 |
$375.61 |
$172.04
|
|
Lso flex no ri stays pre ots
|
$405.85 |
$405.85 |
$405.85 |
$195.00
|
|
Lso full corset
|
$533.56 |
$533.56 |
$533.56 |
$320.92
|
|
Lso r post pnl sj-t9 pre cst
|
$605.56 |
$605.56 |
$605.56 |
$326.82
|
|
Lso sag-coronal panel custom
|
$5,988.30 |
$5,988.30 |
$5,988.30 |
$2,653.10
|
|
Lso sag-co shell pnl pre ots
|
$4,623.14 |
$4,623.14 |
$4,623.14 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$578.01 |
$578.01 |
$578.01 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$3,565.83 |
$3,565.83 |
$3,565.83 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$4,838.26 |
$4,838.26 |
$4,838.26 |
$3,092.00
|
|
Lso sc r pos/lat pnl pre cst
|
$930.86 |
$930.86 |
$930.86 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$1,023.32 |
$1,023.32 |
$1,023.32 |
$678.49
|
|
Lso s/c shell/panel custom
|
$3,396.75 |
$3,396.75 |
$3,396.75 |
$2,269.51
|
|
Lumbar bolster pad
|
$279.43 |
$279.43 |
$279.43 |
$185.27
|
|
Lumbar derotation pad
|
$324.55 |
$324.55 |
$324.55 |
$215.18
|
|
Lumbar or lumbar rib pad
|
$316.39 |
$316.39 |
$316.39 |
$209.78
|
|
Lumbar sling
|
$359.10 |
$359.10 |
$359.10 |
$238.10
|
|
Lung Function Test (Spirometry)
|
$185.40 |
$185.40 |
$185.40 |
$298.50
|
|
Lung perfusion imaging
|
$399.00 |
$399.00 |
$399.00 |
$1,087.20
|
|
Lurbinectedin 4 mg intravenous solution
|
$14,850.00 |
$14,850.00 |
$14,850.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$22,210.87 |
$22,210.87 |
$22,210.87 |
$21,867.91
|
|
Lutetium lu 177 dotatat ther
|
$146,411.74 |
$146,411.74 |
$146,411.74 |
$312.69
|
|
Lvad shower bag heartmate
|
$1,187.37 |
$1,187.37 |
$1,187.37 |
$887.68
|
|
Macroscopic exam arthropod
|
$16.80 |
$16.80 |
$16.80 |
$38.58
|
|
Macroscopic exam parasite
|
$16.80 |
$16.80 |
$16.80 |
$37.44
|
|
Magnesium
|
$36.60 |
$36.60 |
$36.60 |
$73.15
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$52.43 |
$52.43 |
$52.43 |
$58.77
|
|
Mammosite ced
|
$11,972.65 |
$11,972.65 |
$11,972.65 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$85.80 |
$85.80 |
$85.80 |
$129.36
|
|
Manipulation chest wall initial demonstration/evaluation
|
$122.40 |
$122.40 |
$122.40 |
$158.60
|
|
Man's shoe oxford brace
|
$263.40 |
$263.40 |
$263.40 |
$175.11
|
|
Marker biop eviva buckle ss
|
$22,362.14 |
$22,362.14 |
$22,362.14 |
$1,213.20
|
|
Matrion 1 sq cm
|
$30,614.36 |
$30,614.36 |
$30,614.36 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$128,592.17 |
$128,592.17 |
$128,592.17 |
$5,852.34
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$54.60 |
$54.60 |
$54.60 |
$66.36
|
|
Mayo aathr protein s free
|
$60.00 |
$60.00 |
$60.00 |
$134.50
|
