|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,654.19 |
$1,654.19 |
$1,654.19 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,654.19 |
$1,654.19 |
$1,654.19 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$175.00 |
$175.00 |
$175.00 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$110.25 |
$110.25 |
$110.25 |
$164.09
|
|
Leukocyte phagocytosis
|
$224.91 |
$224.91 |
$224.91 |
$49.28
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,069.15 |
$2,069.15 |
$2,069.15 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,620.05 |
$4,620.05 |
$4,620.05 |
$6,694.24
|
|
Levalbuterol non-comp unit
|
$0.67 |
$0.67 |
$0.67 |
$8.13
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$245.14 |
$245.14 |
$245.14 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$86.54 |
$86.54 |
$86.54 |
$64.88
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$302.07 |
$302.07 |
$302.07 |
$420.60
|
|
Liberta rc ipg
|
$32,673.99 |
$32,673.99 |
$32,673.99 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$68.93 |
$68.93 |
$68.93 |
$39.75
|
|
Ligation/biopsy of temporal artery 37609
|
$1,724.10 |
$1,724.10 |
$1,724.10 |
$2,968.00
|
|
Ligation/major artery/extremity 37618
|
$2,257.85 |
$2,257.85 |
$2,257.85 |
$1,567.80
|
|
Ligation major artery neck
|
$1,868.30 |
$1,868.30 |
$1,868.30 |
$3,724.63
|
|
Ligation of inf vena cava
|
$2,871.05 |
$2,871.05 |
$2,871.05 |
$5,872.94
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$215.59 |
$215.59 |
$215.59 |
$172.25
|
|
Lipase
|
$169.05 |
$169.05 |
$169.05 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$57.40 |
$57.40 |
$57.40 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$59.50 |
$59.50 |
$59.50 |
$60.00
|
|
Lithium therapeutic drug level
|
$187.60 |
$187.60 |
$187.60 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,753.85 |
$1,753.85 |
$1,753.85 |
$4,371.12
|
|
Liver Function Test
|
$116.20 |
$116.20 |
$116.20 |
$110.50
|
|
Liver imaging
|
$1,038.80 |
$1,038.80 |
$1,038.80 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$1,238.65 |
$1,238.65 |
$1,238.65 |
$1,255.15
|
|
Liver/spleen imag static only
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$198.79 |
$198.79 |
$198.79 |
$43.95
|
|
Low cost skin substitute app
|
$432.60 |
$432.60 |
$432.60 |
$1,030.00
|
|
Low cost skin substitute app
|
$2,292.50 |
$2,292.50 |
$2,292.50 |
$2,164.64
|
|
Low cost skin substitute app
|
$432.60 |
$432.60 |
$432.60 |
$1,132.56
|
|
Low cost skin substitute app
|
$432.60 |
$432.60 |
$432.60 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,605.75 |
$2,605.75 |
$2,605.75 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,493.75 |
$2,493.75 |
$2,493.75 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,411.15 |
$2,411.15 |
$2,411.15 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,895.55 |
$2,895.55 |
$2,895.55 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,561.30 |
$2,561.30 |
$2,561.30 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,227.75 |
$2,227.75 |
$2,227.75 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$441.35 |
$441.35 |
$441.35 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,548.75 |
$1,548.75 |
$1,548.75 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$204.05 |
$204.05 |
$204.05 |
$298.50
|
|
Lung perfusion imaging
|
$1,327.55 |
$1,327.55 |
$1,327.55 |
$1,100.39
|
|
Lvad shower bag heartmate
|
$833.49 |
$833.49 |
$833.49 |
$972.60
|
|
Lymphatics/lymph node imaging
|
$1,484.35 |
$1,484.35 |
$1,484.35 |
$1,543.75
|
|
Lymph vessel x-ray arms/legs
|
$1,751.05 |
$1,751.05 |
$1,751.05 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$2,178.75 |
$2,178.75 |
$2,178.75 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,178.75 |
$2,178.75 |
$2,178.75 |
$3,380.00
|
|
Macroscopic exam parasite
|
$71.40 |
$71.40 |
$71.40 |
$38.50
|
|
Magnesium
|
$123.55 |
$123.55 |
$123.55 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$87.08 |
$87.08 |
$87.08 |
$69.30
|
|
Makena, 10 mg
|
$411.36 |
$411.36 |
$411.36 |
$120.48
|
|
Mammosite ced
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$5,100.00
|
|
Manipulate wrist w/anesthes
|
$1,706.60 |
$1,706.60 |
$1,706.60 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$356.65 |
$356.65 |
$356.65 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$367.50 |
$367.50 |
$367.50 |
$178.75
|
|
Map tachycard site(s)
|
$3,527.65 |
$3,527.65 |
$3,527.65 |
$3,960.00
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$9,626.34 |
$9,626.34 |
$9,626.34 |
$8,622.65
|
|
Marker biop eviva buckle ss
|
$3,969.37 |
$3,969.37 |
$3,969.37 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,542.63 |
$1,542.63 |
$1,542.63 |
$1,753.29
|
|
Mastoids complete
|
$477.75 |
$477.75 |
$477.75 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6,785.68 |
$6,785.68 |
$6,785.68 |
$6,321.00
|
|
Mayo aathr protein s free
|
$155.05 |
$155.05 |
$155.05 |
$130.00
|
|
Mayo alpha 1 antitrypsin
|
$148.75 |
$148.75 |
$148.75 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$37.41 |
$37.41 |
$37.41 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$64.75 |
$64.75 |
$64.75 |
$326.48
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$52.50 |
$52.50 |
$52.50 |
$353.60
|
|
Mayo coccidioides antibody
|
$46.20 |
$46.20 |
$46.20 |
$58.37
|
|
Mayo cocou cortisone urine
|
$17.50 |
$17.50 |
$17.50 |
$207.26
|
|
Mayo covid-19 antibody nucleocapsid total
|
$124.25 |
$124.25 |
$124.25 |
$72.60
|
|
Mayo factor ii
|
$155.75 |
$155.75 |
$155.75 |
$93.00
|
|
Mayo factor v
|
$155.75 |
$155.75 |
$155.75 |
$125.48
|
|
Mayo factor vii
|
$155.75 |
$155.75 |
$155.75 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$105.70 |
$105.70 |
$105.70 |
$110.50
|
|
Mayo factor x
|
$137.55 |
$137.55 |
$137.55 |
$139.50
|
|
Mayo factor xi
|
$137.55 |
$137.55 |
$137.55 |
$117.50
|
|
Mayo fbl culture fungi blood
|
$234.15 |
$234.15 |
$234.15 |
$102.20
|
|
Mayo gamma-globin full gene sequencing
|
$135.80 |
$135.80 |
$135.80 |
$1,446.90
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$198.80 |
$198.80 |
$198.80 |
$112.50
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$55.30 |
$55.30 |
$55.30 |
$81.04
|
|
Mayo iodine
|
$15.05 |
$15.05 |
$15.05 |
$114.05
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$51.65 |
$51.65 |
$51.65 |
$167.70
|
|
Mayo psaft prostate specific antigen free
|
$164.50 |
$164.50 |
$164.50 |
$92.50
|
|
Mayo repu protein electrophoresis urine
|
$145.95 |
$145.95 |
$145.95 |
$92.70
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$156.10 |
$156.10 |
$156.10 |
$48.00
|
|
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification
|
$175.00 |
$175.00 |
$175.00 |
$501.75
|
|
Mayo tgrp testosterone total
|
$94.85 |
$94.85 |
$94.85 |
$139.34
|
|
Measurement post void urine by ultrasound
|
$332.15 |
$332.15 |
$332.15 |
$176.40
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$197.49 |
$197.49 |
$197.49 |
$227.25
|
|
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm
|
$1,871.63 |
$1,871.63 |
$1,871.63 |
$1,154.53
|
|
Membrane amnioband 2x2cm -cost per sq cm
|
$10,493.92 |
$10,493.92 |
$10,493.92 |
$402.60
|
|
Membrane amnio clarix 4x3cm 1k -cost per sq cm
|
$2,076.90 |
$2,076.90 |
$2,076.90 |
$2,873.32
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$43.75 |
$43.75 |
$43.75 |
$41.34
|
|
Meropenem 1 gram intravenous solution
|
$39.40 |
$39.40 |
$39.40 |
$70.93
|
|
Mesna 100 mg/ml intravenous solution
|
$242.63 |
$242.63 |
$242.63 |
$107.41
|
|
Metabolic Blood Panel (Basic)
|
$154.00 |
$154.00 |
$154.00 |
$107.25
|
|
Metabolic Blood Panel (Comprehensive)
|
$193.90 |
$193.90 |
$193.90 |
$142.40
|
|
Metabolic panel ionized ca
|
$154.00 |
$154.00 |
$154.00 |
$121.50
|
|
Methadone injection
|
$101.52 |
$101.52 |
$101.52 |
$160.89
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$34.86 |
$34.86 |
$34.86 |
$84.13
|
|
Methotrexate sodium 2.5 mg tablet
|
$1.16 |
$1.16 |
$1.16 |
$9.93
|