|
Lactated ringers intravenous solution
|
$19.82 |
$19.82 |
$20.04 |
$48.56
|
|
Lactic acid
|
$374.34 |
$374.34 |
$378.42 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$27.16 |
$27.16 |
$27.46 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$16,760.53 |
$16,760.53 |
$16,760.53 |
$21,487.67
|
|
Lead acuity x4 spiral l 86cm
|
$7,448.27 |
$7,448.27 |
$7,529.45 |
$5,831.00
|
|
Lead capillary
|
$6.81 |
$6.81 |
$6.89 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,558.20 |
$1,558.20 |
$3,387.41 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$9,683.30 |
$9,683.30 |
$9,788.84 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$842.27 |
$842.27 |
$851.45 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$244.06 |
$244.06 |
$246.72 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$910.16 |
$910.16 |
$920.08 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$244.06 |
$244.06 |
$246.72 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$122.95 |
$122.95 |
$124.29 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$5,687.43 |
$5,687.43 |
$7,501.12 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,721.09 |
$4,721.09 |
$4,721.09 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$98.73 |
$98.73 |
$99.80 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$5.30 |
$5.30 |
$5.36 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$88.82 |
$88.82 |
$89.79 |
$64.88
|
|
Liberta rc ipg
|
$55,420.67 |
$55,420.67 |
$56,024.71 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$19.82 |
$19.82 |
$20.04 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$131.76 |
$131.76 |
$133.19 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$37,816.79 |
$37,816.79 |
$38,228.96 |
$172.25
|
|
Lipase
|
$213.23 |
$213.23 |
$215.56 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$41.84 |
$41.84 |
$42.30 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$27.16 |
$27.16 |
$27.46 |
$60.00
|
|
Lithium therapeutic drug level
|
$56.89 |
$56.89 |
$57.51 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,633.01 |
$4,633.01 |
$4,633.01 |
$4,371.12
|
|
Liver Function Test
|
$299.48 |
$299.48 |
$302.74 |
$110.50
|
|
Liver imaging
|
$1,234.59 |
$1,234.59 |
$1,248.05 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$1,404.51 |
$1,404.51 |
$1,419.82 |
$1,255.15
|
|
Liver/spleen imag static only
|
$799.70 |
$799.70 |
$808.41 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,685.64 |
$1,685.64 |
$1,704.01 |
$949.00
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$53.22 |
$53.22 |
$53.80 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,942.69 |
$3,942.69 |
$3,985.66 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,498.62 |
$3,498.62 |
$3,536.75 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,775.92 |
$1,775.92 |
$1,795.27 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,813.06 |
$2,813.06 |
$2,843.72 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,442.39 |
$2,442.39 |
$2,469.01 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,684.17 |
$1,684.17 |
$1,702.52 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$352.32 |
$352.32 |
$356.16 |
$344.00
|
|
Lumbar diskogram s&i
|
$2,615.61 |
$2,615.61 |
$2,644.12 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$129.19 |
$129.19 |
$130.60 |
$298.50
|
|
Lung perfusion imaging
|
$394.53 |
$394.53 |
$398.83 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$11,626.56 |
$11,626.56 |
$11,626.56 |
$20,686.05
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$18,095.31 |
$18,095.31 |
$18,095.31 |
$25,341.71
|
|
Lymphatics/lymph node imaging
|
$803.73 |
$803.73 |
$812.49 |
$1,543.75
|
|
Lymph vessel x-ray arms/legs
|
$1,438.28 |
$1,438.28 |
$1,453.95 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$2,700.02 |
$2,700.02 |
$2,729.45 |
$3,380.00
|
|
Macroscopic exam parasite
|
$6.48 |
$6.48 |
$6.55 |
$38.50
|
|
Magnesium
|
$100.20 |
$100.20 |
$101.29 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$273.79 |
$273.79 |
$276.77 |
$69.30
|
|
Mammosite ced
|
$5,728.87 |
$5,728.87 |
$5,791.31 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$133.59 |
$133.59 |
$135.05 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$303.51 |
$303.51 |
$306.82 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$19.82 |
$19.82 |
$19.82 |
$28.48
|
|
Manual diff wbc count b-coat
|
$64.60 |
$64.60 |
$65.30 |
$22.75
|
|
Map tachycard site(s)
|
$2,751.77 |
$2,751.77 |
$2,751.77 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$12,588.10 |
$12,588.10 |
$12,725.30 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$12,588.10 |
$12,588.10 |
$12,725.30 |
$1,753.29
|
|
Mastoids complete
|
$243.69 |
$243.69 |
$246.35 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$7,448.27 |
$7,448.27 |
$12,725.30 |
$6,321.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$6.74 |
$6.74 |
$6.82 |
$66.50
|
|
Mayo aathr protein s free
|
$193.41 |
$193.41 |
$195.52 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$7.71 |
$7.71 |
$7.80 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$11.01 |
$11.01 |
$11.13 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$22.39 |
$22.39 |
$22.64 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$25.69 |
$25.69 |
$25.97 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$104.60 |
$104.60 |
$105.74 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$71.57 |
$71.57 |
$72.35 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$73.40 |
$73.40 |
$74.20 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$467.49 |
$467.49 |
$472.58 |
$1,909.44
|
|
Mayo androstenedione
|
$8.81 |
$8.81 |
$8.91 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$7.34 |
$7.34 |
$7.42 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$6.85 |
$6.85 |
$6.92 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$44.41 |
$44.41 |
$44.90 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$55.87 |
$55.87 |
$56.48 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$25.69 |
$25.69 |
$25.97 |
$105.00
|
|
Mayo bart bartonella henselae antibody igg
|
$4.04 |
$4.04 |
$4.09 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$62.39 |
$62.39 |
$63.07 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$100.93 |
$100.93 |
$102.03 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$4.43 |
$4.43 |
$4.48 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$9.18 |
$9.18 |
$9.28 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$8.26 |
$8.26 |
$8.35 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$26.78 |
$26.78 |
$27.08 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$20.53 |
$20.53 |
$20.75 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$51.27 |
$51.27 |
$51.83 |
$110.00
|
|
Mayo ceruloplasmin
|
$2.57 |
$2.57 |
$5.20 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$82.21 |
$82.21 |
$83.11 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$41.59 |
$41.59 |
$42.04 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$4.04 |
$4.04 |
$4.09 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$4.04 |
$4.04 |
$4.09 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$80.38 |
$80.38 |
$81.25 |
$353.99
|
|
Mayo chromium
|
$13.83 |
$13.83 |
$13.98 |
$70.85
|
|
Mayo coccidioides antibody
|
$56.89 |
$56.89 |
$57.51 |
$58.37
|
|
Mayo cocou cortisone urine
|
$159.84 |
$159.84 |
$161.58 |
$207.26
|
|
Mayo cortisol free
|
$5.97 |
$5.97 |
$6.04 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$54.69 |
$54.69 |
$55.28 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$23.26 |
$23.26 |
$23.51 |
$61.02
|
|
Mayo cyanide
|
$31.20 |
$31.20 |
$31.54 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$3.67 |
$3.67 |
$3.71 |
$56.80
|