|
Levetiracetam 500 mg/5 ml intravenous solution
|
$9.26 |
$12.01 |
$169.26 |
|
|
Levetiracetam therapeutic drug level
|
$53.30 |
$63.05 |
$113.75 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$19.04 |
$19.45 |
$41.22 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$319.12 |
$319.12 |
$325.98 |
|
|
L hrt cath chd nm/abn nt cnj
|
$5,293.60 |
$5,293.60 |
$5,293.60 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$21.16 |
$21.61 |
$21.61 |
|
|
Lidocaine therapeutic drug level
|
$73.45 |
$78.65 |
$88.40 |
|
|
Ligation/biopsy of temporal artery 37609
|
$553.80 |
$553.80 |
$5,756.88 |
|
|
Lig/band angioaccess av fistula
|
$5,026.35 |
$5,026.35 |
$5,026.35 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$43.54 |
$140.79 |
$192.66 |
|
|
Lipase
|
$59.80 |
$68.90 |
$106.60 |
|
|
Lipoprotein blood high res frac & quant
|
$90.35 |
$90.35 |
$105.95 |
|
|
Lipoprotein blood quant
|
$102.05 |
$102.05 |
$113.10 |
|
|
Lipoprotein direct measurement hdl
|
$41.60 |
$42.90 |
$66.30 |
|
|
Lipoprotein direct measurement ldl
|
$41.60 |
$42.90 |
$66.30 |
|
|
Lithium therapeutic drug level
|
$52.65 |
$62.40 |
$92.30 |
|
|
Liver Function Test
|
$22.10 |
$89.05 |
$160.55 |
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$2,028.65 |
$2,028.65 |
$2,028.65 |
|
|
Liver imaging
|
$826.15 |
$826.15 |
$826.15 |
|
|
Liver imag w/vasclr flow
|
$913.25 |
$913.25 |
$913.25 |
|
|
Liver/spleen imag static only
|
$841.10 |
$841.10 |
$855.40 |
|
|
Liver/spleen imag w/vasclr flow
|
$818.35 |
$818.35 |
$818.35 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$123.66 |
$123.66 |
$123.66 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.00 |
$47.84 |
$86.74 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,737.45 |
$1,754.35 |
$2,057.25 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,657.50 |
$1,673.75 |
$1,788.15 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,450.15 |
$1,450.15 |
$1,530.75 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,301.65 |
$2,301.65 |
$2,952.30 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,145.65 |
$2,145.65 |
$2,356.25 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,842.75 |
$1,842.75 |
$1,965.60 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$232.70 |
$234.00 |
$267.15 |
|
|
Lsh w/t/o ut 250 g or less
|
$28,124.25 |
$28,124.25 |
$28,124.25 |
|
|
L/s ratio fetal lung
|
$128.70 |
$173.55 |
$198.90 |
|
|
Lumbar diskogram s&i
|
$1,230.45 |
$1,230.45 |
$1,230.45 |
|
|
Lung Function Test (Spirometry)
|
$233.35 |
$233.35 |
$275.60 |
|
|
Lung perfusion imaging
|
$1,098.50 |
$1,098.50 |
$1,498.90 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$19,139.25 |
$19,139.25 |
$19,139.25 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$28,640.01 |
$28,640.01 |
$28,640.01 |
|
|
Lutetium lu 177 dotatat ther
|
$622.05 |
$622.05 |
$622.05 |
|
|
Lutetium lu 177 vipivotide
|
$382.20 |
$382.20 |
$382.20 |
|
|
Lymphatics/lymph node imaging
|
$10,154.79 |
$10,154.79 |
$10,154.79 |
|
|
Lymph vessel x-ray trunk
|
$1,145.95 |
$1,145.95 |
$1,145.95 |
|
|
Lymph vessel x-ray trunk
|
$1,797.25 |
$1,797.25 |
$1,797.25 |
|
|
Lysis of labial adhesions
|
$5,091.39 |
$5,091.39 |
$5,091.39 |
|
|
Macro exam dissect molec study ea
|
$76.70 |
$76.70 |
$78.65 |
|
|
Macroscopic exam arthropod
|
$14.95 |
$14.95 |
$53.30 |
|
|
Macroscopic exam parasite
|
$34.45 |
$35.10 |
$48.10 |
|
|
Magnesium
|
$70.85 |
$96.20 |
$113.75 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$28.72 |
$38.90 |
$123.17 |
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$70.85 |
$70.85 |
$83.20 |
|
|
Manipulation chest wall initial demonstration/evaluation
|
$83.85 |
$83.85 |
$99.45 |
|
|
Mapping io sentinel lymph node
|
$10,447.49 |
$10,447.49 |
$10,447.49 |
|
|
Map tachycard site(s)
|
$3,700.45 |
$3,700.45 |
$3,700.45 |
|
|
Marker biop eviva buckle ss
|
$85.80 |
$91.00 |
$618.80 |
|
|
Mastectomy partial
|
$1,245.40 |
$1,245.40 |
$1,245.40 |
|
|
Mast mod rad
|
$2,522.00 |
$2,522.00 |
$2,522.00 |
|
|
Mastoids complete
|
$218.40 |
$218.40 |
$234.65 |
|
|
M.avium-intra dna dir prob
|
$70.85 |
$70.85 |
$75.40 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$97.50 |
$100.10 |
$100.10 |
|
|
Mayo aathr protein s free
|
$172.25 |
$174.20 |
$205.40 |
|
|
Mayo activated protein c resistance assay
|
$100.10 |
$100.10 |
$118.30 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$209.30 |
$209.30 |
$276.90 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$125.45 |
$125.45 |
$125.45 |
|
|
Mayo alcohol definitive assay volatile screen
|
$92.30 |
$93.60 |
$96.85 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$101.40 |
$118.30 |
$118.30 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$63.05 |
$89.05 |
$95.55 |
|
|
Mayo alpha 1 antitrypsin
|
$102.70 |
$102.70 |
$124.15 |
|
|
Mayo amikacin trough therapeutic drug level
|
$58.50 |
$58.50 |
$100.75 |
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$92.30 |
$110.50 |
$110.50 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$78.00 |
$108.55 |
$108.55 |
|
|
Mayo analysis gene calr common variants exon 9
|
$635.05 |
$657.80 |
$657.80 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$195.00 |
$284.05 |
$305.50 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$472.55 |
$472.55 |
$653.90 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,377.35 |
$1,524.25 |
$1,524.25 |
|
|
Mayo androstenedione
|
$113.10 |
$115.05 |
$123.50 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$90.35 |
$119.60 |
$119.60 |
|
|
Mayo antithrombin iii antigen
|
$98.80 |
$102.05 |
$102.05 |
|
|
Mayo aspergillus fumigatus antibody
|
$83.20 |
$83.20 |
$98.80 |
|
|
Mayo avwpr vw factor activity
|
$135.85 |
$157.95 |
$175.50 |
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$133.90 |
$276.90 |
$297.70 |
|
|
Mayo barbiturates definitive assay confirmation urine
|
$80.60 |
$81.90 |
$81.90 |
|
|
Mayo bart bartonella henselae antibody igg
|
$37.05 |
$37.05 |
$53.95 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$417.30 |
$460.85 |
$514.80 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$373.75 |
$373.75 |
$872.95 |
|
|
Mayo blastomyces antibody immunodiffusion
|
$74.10 |
$81.90 |
$88.40 |
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$24.05 |
$24.05 |
$25.35 |
|
|
Mayo bordetella pertussis antibody igg
|
$73.45 |
$87.10 |
$103.35 |
|
|
Mayo brcmg brucella antibody igm
|
$67.60 |
$85.80 |
$101.40 |
|
|
Mayo c1 esterase inhibitor
|
$141.70 |
$172.25 |
$178.10 |
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$67.60 |
$99.45 |
$99.45 |
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$104.65 |
$107.90 |
$114.40 |
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$81.90 |
$84.50 |
$84.50 |
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$250.25 |
$250.25 |
$295.10 |
|
|
Mayo ceruloplasmin
|
$24.05 |
$75.40 |
$96.20 |
|
|
Mayo chemiluminescent parathyroid related peptide
|
$150.80 |
$150.80 |
$178.10 |
|
|
Mayo chikv chikungunya antibodies igg
|
$98.80 |
$98.80 |
$100.75 |
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$57.85 |
$67.60 |
$88.40 |
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$52.00 |
$52.00 |
$60.45 |
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$274.30 |
$326.30 |
$326.30 |
|
|
Mayo chromium
|
$70.85 |
$70.85 |
$85.80 |
|
