|
Knee MRI (without contrast)
|
$2,110.00 |
$2,420.88 |
$2,420.88 |
$2,110.76
|
|
Knee X-ray
|
$363.00 |
$363.00 |
$655.00 |
$425.55
|
|
Kras gene addl variants
|
$875.00 |
$875.00 |
$875.00 |
$386.75
|
|
Kras gene variants exon 2
|
$260.00 |
$931.26 |
$931.26 |
$509.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$70.00 |
$157.08 |
$157.08 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$41.58 |
$41.58 |
$70.00 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$9.20 |
$32.34 |
$32.34 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.54 |
$0.54 |
$0.54 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$47.50 |
$67.32 |
$67.32 |
$55.50
|
|
Lactated ringers intravenous solution
|
$69.96 |
$69.96 |
$95.09 |
$44.91
|
|
Lactation class
|
$195.36 |
$195.36 |
$195.36 |
$93.71
|
|
Lactic acid
|
$65.00 |
$72.60 |
$72.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$75.00 |
$75.00 |
$75.00 |
$81.00
|
|
Lactoferrin fecal quant
|
$114.18 |
$114.18 |
$114.18 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$146.88 |
$146.88 |
$198.79 |
$19,124.00
|
|
Lap sleeve gastrectomy
|
$5,250.30 |
$5,250.30 |
$5,250.30 |
$2,733.60
|
|
Largsc w/rmvl foreign bdy(s)
|
$766.92 |
$766.92 |
$766.92 |
$765.97
|
|
Laryngeal function studies
|
$267.30 |
$267.30 |
$267.30 |
$335.40
|
|
Laryngoscopy telescopic
|
$597.96 |
$597.96 |
$597.96 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$2,240.25 |
$2,240.25 |
$2,240.25 |
$5,534.00
|
|
Lead capillary
|
$57.50 |
$72.60 |
$72.60 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$812.67 |
$812.67 |
$812.67 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$3,553.50 |
$3,553.50 |
$3,553.50 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,015.00 |
$1,058.64 |
$1,058.64 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$200.00 |
$200.00 |
$200.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$306.15 |
$306.15 |
$306.15 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$15.34 |
$15.34 |
$34.41 |
$164.09
|
|
Leukacyte transfusion
|
$1,306.14 |
$1,306.14 |
$1,306.14 |
$202.78
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$393.15 |
$393.15 |
$4,164.70 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,944.13 |
$2,944.13 |
$2,944.13 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.28 |
$3.11 |
$4.62 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$77.22 |
$77.22 |
$100.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.63 |
$49.63 |
$49.63 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$34.70 |
$34.70 |
$34.71 |
$420.60
|
|
Liberta rc ipg
|
$42,685.24 |
$42,685.24 |
$42,685.24 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$1.62 |
$1.62 |
$1.62 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.03 |
$0.03 |
$4.10 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$122.50 |
$155.76 |
$155.76 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$4,255.00 |
$4,255.00 |
$4,255.00 |
$4,255.00
|
|
Ligation/major artery/extremity 37618
|
$7,141.86 |
$7,141.86 |
$7,141.86 |
$1,525.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$80.67 |
$80.67 |
$112.33 |
$121.00
|
|
Lipase
|
$105.00 |
$143.88 |
$143.88 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$147.84 |
$147.84 |
$147.84 |
$86.42
|
|
Lipoprotein blood quant
|
$137.50 |
$217.80 |
$217.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$54.12 |
$54.12 |
$60.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$62.70 |
$62.70 |
$67.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$39.60 |
$39.60 |
$62.50 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$9,848.52 |
$9,848.52 |
$9,848.52 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,448.04 |
$1,448.04 |
$1,448.04 |
$1,714.14
|
|
Liver elastography 91200
|
$280.00 |
$280.00 |
$280.00 |
$280.00
|
|
Liver Function Test
|
$68.64 |
$68.64 |
$140.00 |
$115.44
|
|
Liver imaging
|
$1,255.00 |
$1,255.00 |
$1,255.00 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$2,070.42 |
$2,070.42 |
$2,070.42 |
$1,227.60
|
|
Liver/spleen imag static only
|
$951.06 |
$951.06 |
$1,380.00 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,243.44 |
$1,243.44 |
$1,243.44 |
$1,069.20
|
|
Lmtd oph exam general anes
|
$3,275.00 |
$3,275.00 |
$3,275.00 |
$2,590.36
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$32.34 |
$55.35 |
$188.76 |
$37.37
|
|
Low cost skin substitute app
|
$776.16 |
$776.16 |
$776.16 |
$933.60
|
|
Low cost skin substitute app
|
$1,032.90 |
$1,032.90 |
$1,032.90 |
$2,147.57
|
|
Low cost skin substitute app
|
$780.78 |
$780.78 |
$780.78 |
$1,012.00
|
|
Low cost skin substitute app
|
$865.26 |
$865.26 |
$865.26 |
$1,009.49
|
|
Low cost skin substitute app
|
$341.22 |
$341.22 |
$341.22 |
$428.35
|
|
Low cost skin substitute app
|
$616.44 |
$616.44 |
$616.44 |
$727.77
|
|
Low cost skin substitute app
|
$306.24 |
$306.24 |
$306.24 |
$408.04
|
|
Low cost skin substitute app
|
$801.24 |
$801.24 |
$801.24 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,818.96 |
$1,818.96 |
$2,305.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,562.88 |
$1,562.88 |
$1,570.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,359.60 |
$1,359.60 |
$1,470.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,700.06 |
$2,700.06 |
$3,265.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,210.00 |
$2,571.36 |
$2,571.36 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,110.00 |
$2,337.72 |
$2,337.72 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$335.00 |
$363.66 |
$363.66 |
$356.16
|
|
Lumbar diskogram s&i
|
$1,940.00 |
$2,484.90 |
$2,484.90 |
$2,358.23
|
|
Lumizyme injection
|
$385.50 |
$385.50 |
$385.50 |
$1,738.40
|
|
Lung function test (mbc/mvv)
|
$115.00 |
$115.00 |
$115.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$265.00 |
$363.00 |
$363.00 |
$295.35
|
|
Lung perfusion imaging
|
$1,095.00 |
$1,226.28 |
$1,226.28 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$445.81 |
$445.81 |
$445.81 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$88.96 |
$88.96 |
$102.62 |
$22,210.87
|
|
Lutetium lu 177 vipivotide
|
$367.50 |
$367.50 |
$367.50 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$1,385.00 |
$1,463.22 |
$1,463.22 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$267.30 |
$267.30 |
$267.30 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$815.00 |
$815.00 |
$815.00 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,225.00 |
$2,072.40 |
$2,072.40 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$815.00 |
$815.00 |
$815.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$1,225.00 |
$3,635.28 |
$3,635.28 |
$3,380.00
|
|
Macro exam dissect molec study ea
|
$10.00 |
$10.00 |
$10.00 |
$67.08
|
|
Macroscopic exam arthropod
|
$20.00 |
$68.64 |
$68.64 |
$38.58
|
|
Macroscopic exam parasite
|
$20.00 |
$68.64 |
$68.64 |
$36.55
|
|
Magnesium
|
$48.84 |
$48.84 |
$75.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$29.43 |
$30.29 |
$32.74 |
$59.88
|
|
Magnetic image bone marrow
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
$1,302.80
|
|
Malaria antibody
|
$82.50 |
$82.50 |
$82.50 |
$94.80
|
|
Mammosite ced
|
$132.66 |
$132.66 |
$132.66 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$60.00 |
$129.36 |
$129.36 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$120.00 |
$137.94 |
$137.94 |
$160.80
|
|
Manual diff wbc count b-coat
|
$37.50 |
$37.50 |
$37.50 |
$25.74
|
|
Map tachycard site(s)
|
$2,641.98 |
$2,641.98 |
$2,641.98 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$722.20 |
$722.20 |
$722.20 |
$1,451.30
|
