|
Lanthanum carbonate oral 5mg
|
$14.53 |
$14.53 |
$14.53 |
$14.41
|
|
Lead acuity x4 spiral l 86cm
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$5,831.00
|
|
Lead capillary
|
$2.95 |
$2.95 |
$2.95 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$6,285.56 |
$6,285.56 |
$6,285.56 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$8,172.05 |
$8,172.05 |
$8,172.05 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$789.40 |
$789.40 |
$789.40 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,690.58 |
$1,690.58 |
$1,690.58 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,690.58 |
$1,690.58 |
$1,690.58 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$453.47 |
$453.47 |
$453.47 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$131.52 |
$131.52 |
$131.52 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$10,190.34 |
$10,190.34 |
$10,190.34 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,542.55 |
$3,542.55 |
$3,542.55 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$74.26 |
$74.26 |
$74.26 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$2.20 |
$2.20 |
$2.20 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$66.59 |
$66.59 |
$66.59 |
$64.88
|
|
Liberta rc ipg
|
$39,406.68 |
$39,406.68 |
$39,406.68 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$16.44 |
$16.44 |
$16.44 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$113.71 |
$113.71 |
$113.71 |
$83.85
|
|
Liletta, 52 mg
|
$1,000.10 |
$1,000.10 |
$1,000.10 |
$1,790.04
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$28,375.44 |
$28,375.44 |
$28,375.44 |
$172.25
|
|
Lipase
|
$82.20 |
$82.20 |
$82.20 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$14.98 |
$14.98 |
$14.98 |
$89.52
|
|
Lipoprotein blood quant
|
$15.07 |
$15.07 |
$15.07 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$18.36 |
$18.36 |
$18.36 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$72.34 |
$72.34 |
$72.34 |
$60.00
|
|
Lithium therapeutic drug level
|
$77.27 |
$77.27 |
$77.27 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$7,027.83 |
$7,027.83 |
$7,027.83 |
$4,371.12
|
|
Liver Function Test
|
$86.31 |
$86.31 |
$86.31 |
$110.50
|
|
Liver/spleen imag static only
|
$1,390.83 |
$1,390.83 |
$1,390.83 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,390.83 |
$1,390.83 |
$1,390.83 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$105.49 |
$105.49 |
$105.49 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.70 |
$13.70 |
$13.70 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,032.54 |
$2,032.54 |
$2,032.54 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,682.74 |
$2,682.74 |
$2,682.74 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,354.93 |
$1,354.93 |
$1,354.93 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,182.41 |
$2,182.41 |
$2,182.41 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,182.41 |
$2,182.41 |
$2,182.41 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,426.45 |
$1,426.45 |
$1,426.45 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$321.95 |
$321.95 |
$321.95 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,642.09 |
$1,642.09 |
$1,642.09 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$161.39 |
$161.39 |
$161.39 |
$298.50
|
|
Lung perfusion imaging
|
$1,209.99 |
$1,209.99 |
$1,209.99 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$8,723.89 |
$8,723.89 |
$8,723.89 |
$20,686.05
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$13,577.53 |
$13,577.53 |
$13,577.53 |
$25,341.71
|
|
Lvad shower bag heartmate
|
$3,718.18 |
$3,718.18 |
$3,718.18 |
$972.60
|
|
Lymphatics/lymph node imaging
|
$1,591.94 |
$1,591.94 |
$1,591.94 |
$1,543.75
|
|
Macroscopic exam arthropod
|
$7.98 |
$7.98 |
$7.98 |
$38.58
|
|
Macroscopic exam parasite
|
$20.55 |
$20.55 |
$20.55 |
$38.50
|
|
Magnesium
|
$55.90 |
$55.90 |
$55.90 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$205.23 |
$205.23 |
$205.23 |
$69.30
|
|
Mammosite ced
|
$4,834.73 |
$4,834.73 |
$4,834.73 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$103.58 |
$103.58 |
$103.58 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$151.25 |
$151.25 |
$151.25 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$16.44 |
$16.44 |
$16.44 |
$28.48
|
|
Manual diff wbc count b-coat
|
$17.27 |
$17.27 |
$17.27 |
$22.75
|
|
Map tachycard site(s)
|
$1,034.08 |
$1,034.08 |
$1,034.08 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$2,859.19 |
$2,859.19 |
$2,859.19 |
$1,213.20
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$10,624.35 |
$10,624.35 |
$10,624.35 |
$6,321.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$4.32 |
$4.32 |
$4.32 |
$66.50
|
|
Mayo aathr protein s free
|
$12.06 |
$12.06 |
$12.06 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$5.76 |
$5.76 |
$5.76 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$8.22 |
$8.22 |
$8.22 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$4.01 |
$4.01 |
$4.01 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$19.18 |
$19.18 |
$19.18 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$78.09 |
$78.09 |
$78.09 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$194.82 |
$194.82 |
$194.82 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$396.62 |
$396.62 |
$396.62 |
$1,909.44
|
|
Mayo androstenedione
|
$6.58 |
$6.58 |
$6.58 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$5.48 |
$5.48 |
$5.48 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$5.11 |
$5.11 |
$5.11 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$9.33 |
$9.33 |
$9.33 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$11.79 |
$11.79 |
$11.79 |
$157.95
|
|
Mayo bart bartonella henselae antibody igg
|
$3.04 |
$3.04 |
$3.04 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$19.82 |
$19.82 |
$19.82 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$3.31 |
$3.31 |
$3.31 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$3.94 |
$3.94 |
$3.94 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$3.40 |
$3.40 |
$3.40 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$7.29 |
$7.29 |
$7.29 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$4.12 |
$4.12 |
$4.12 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$7.99 |
$7.99 |
$7.99 |
$110.00
|
|
Mayo ceruloplasmin
|
$1.92 |
$1.92 |
$1.92 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$44.77 |
$44.77 |
$44.77 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$26.09 |
$26.09 |
$26.09 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$4.12 |
$4.12 |
$4.12 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$11.37 |
$11.37 |
$11.37 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$55.08 |
$55.08 |
$55.08 |
$353.99
|
|
Mayo chromium
|
$3.84 |
$3.84 |
$3.84 |
$70.85
|
|
Mayo coccidioides antibody
|
$23.84 |
$23.84 |
$23.84 |
$58.37
|
|
Mayo cocou cortisone urine
|
$41.38 |
$41.38 |
$41.38 |
$207.26
|
|
Mayo cortisol free
|
$4.46 |
$4.46 |
$4.46 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$39.46 |
$39.46 |
$39.46 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$7.96 |
$7.96 |
$7.96 |
$61.02
|
|
Mayo cyanide
|
$23.29 |
$23.29 |
$23.29 |
$87.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$122.48 |
$122.48 |
$122.48 |
$611.60
|
|
Mayo deoxyribonuclease antibody titer
|
$2.51 |
$2.51 |
$2.51 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$3.02 |
$3.02 |
$3.02 |
$88.45
|
|
Mayo efpo chloride stool
|
$2.11 |
$2.11 |
$2.11 |
$44.20
|
|
Mayo estriol
|
$3.23 |
$3.23 |
$3.23 |
$98.70
|
|
Mayo estrone
|
$6.85 |
$6.85 |
$6.85 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$4.11 |
$4.11 |
$4.11 |
$70.40
|
