|
Lens iol ant chamb 10.5
|
$0.01 |
$0.01 |
$0.01 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$85.80 |
$85.80 |
$85.80 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$5,664.10 |
$5,664.10 |
$5,664.10 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$9,107.80 |
$9,107.80 |
$9,107.80 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$243.10 |
$243.10 |
$243.10 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$37.70 |
$37.70 |
$37.70 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$152.10 |
$152.10 |
$152.10 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$806.65 |
$806.65 |
$806.65 |
$420.60
|
|
Liberta rc ipg
|
$96,361.20 |
$96,361.20 |
$96,361.20 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$108.55 |
$108.55 |
$108.55 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$67.60 |
$67.60 |
$67.60 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$9.10 |
$9.10 |
$9.10 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$61,628.45 |
$61,628.45 |
$61,628.45 |
$30,744.64
|
|
Ligation/biopsy of temporal artery 37609
|
$11,778.65 |
$11,778.65 |
$11,778.65 |
$3,322.80
|
|
Ligation common iliac vein
|
$17,239.95 |
$17,239.95 |
$17,239.95 |
$3,349.39
|
|
Ligation/divis of long saph vein 37700
|
$17,237.35 |
$17,237.35 |
$17,237.35 |
$4,255.00
|
|
Ligation of femoral vein
|
$17,239.95 |
$17,239.95 |
$17,239.95 |
$3,724.63
|
|
Ligation of inf vena cava
|
$7,322.90 |
$7,322.90 |
$7,322.90 |
$5,983.35
|
|
Lig/band angioaccess av fistula
|
$8,879.00 |
$8,879.00 |
$8,879.00 |
$4,676.50
|
|
Liletta, 52 mg
|
$2,581.80 |
$2,581.80 |
$2,581.80 |
$1,514.24
|
|
Limb exercise test
|
$371.15 |
$371.15 |
$371.15 |
$355.54
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$199.55 |
$199.55 |
$199.55 |
$121.00
|
|
Lipase
|
$91.65 |
$91.65 |
$91.65 |
$93.58
|
|
Lipoprotein blood quant
|
$55.25 |
$55.25 |
$55.25 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$54.60 |
$54.60 |
$54.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$195.65 |
$195.65 |
$195.65 |
$61.60
|
|
Lithium therapeutic drug level
|
$176.80 |
$176.80 |
$176.80 |
$69.75
|
|
Liver ds alys 3 bmrk srm alg
|
$305.50 |
$305.50 |
$305.50 |
$365.28
|
|
Liver Function Test
|
$383.50 |
$383.50 |
$383.50 |
$115.44
|
|
Liver imaging
|
$2,002.65 |
$2,002.65 |
$2,002.65 |
$1,109.00
|
|
Liver/spleen imag static only
|
$2,200.90 |
$2,200.90 |
$2,200.90 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$5.20 |
$5.20 |
$5.20 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$846.95 |
$846.95 |
$846.95 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$36.40 |
$36.40 |
$36.40 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$427.70 |
$427.70 |
$427.70 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,265.30 |
$4,265.30 |
$4,265.30 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,625.70 |
$3,625.70 |
$3,625.70 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,282.50 |
$3,282.50 |
$3,282.50 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,846.40 |
$4,846.40 |
$4,846.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,028.70 |
$4,028.70 |
$4,028.70 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,775.20 |
$3,775.20 |
$3,775.20 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$691.60 |
$691.60 |
$691.60 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$1,119.95 |
$1,119.95 |
$1,119.95 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$1,235.65 |
$1,235.65 |
$1,235.65 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$583.05 |
$583.05 |
$583.05 |
$338.40
|
|
Lumbar diskogram s&i
|
$3,412.50 |
$3,412.50 |
$3,412.50 |
$2,358.23
|
|
Lumizyme injection
|
$1,582.75 |
$1,582.75 |
$1,582.75 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$898.95 |
$898.95 |
$898.95 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$376.35 |
$376.35 |
$376.35 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$170.95 |
$170.95 |
$170.95 |
$296.91
|
|
Lung perfusion imaging
|
$2,084.55 |
$2,084.55 |
$2,084.55 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$853.45 |
$853.45 |
$853.45 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$156.65 |
$156.65 |
$156.65 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$1,790.75 |
$1,790.75 |
$1,790.75 |
$1,491.70
|
|
Lymphocytotoxicity assay
|
$574.60 |
$574.60 |
$574.60 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$2,634.45 |
$2,634.45 |
$2,634.45 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$3,212.95 |
$3,212.95 |
$3,212.95 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$2,634.45 |
$2,634.45 |
$2,634.45 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$5,671.25 |
$5,671.25 |
$5,671.25 |
$3,452.15
|
|
Macroscopic exam arthropod
|
$217.75 |
$217.75 |
$217.75 |
$38.58
|
|
Magnesium
|
$176.80 |
$176.80 |
$176.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$427.70 |
$427.70 |
$427.70 |
$58.70
|
|
Magnetic image bone marrow
|
$893.10 |
$893.10 |
$893.10 |
$1,329.39
|
|
Mammosite ced
|
$13,164.45 |
$13,164.45 |
$13,164.45 |
$5,031.60
|
|
Mannitol for inhaler
|
$4.55 |
$4.55 |
$4.55 |
$4.55
|
|
Mapping functional cort/subcort ea add'l hr
|
$789.10 |
$789.10 |
$789.10 |
$584.80
|
|
Map tachycard site(s)
|
$4,373.20 |
$4,373.20 |
$4,373.20 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$198.25 |
$198.25 |
$198.25 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$3,445.00 |
$3,445.00 |
$3,445.00 |
$1,451.30
|
|
Matrix bone cryomatrix 2.0ml
|
$11,532.30 |
$11,532.30 |
$11,532.30 |
$6,518.34
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$21,072.35 |
$21,072.35 |
$21,072.35 |
$4,472.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$37.05 |
$37.05 |
$37.05 |
$65.28
|
|
Mayo aathr protein s free
|
$427.05 |
$427.05 |
$427.05 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$129.35 |
$129.35 |
$129.35 |
$97.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$47.45 |
$47.45 |
$47.45 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$137.80 |
$137.80 |
$137.80 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$124.80 |
$124.80 |
$124.80 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$196.95 |
$196.95 |
$196.95 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$7.15 |
$7.15 |
$7.15 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$7.15 |
$7.15 |
$7.15 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$793.00 |
$793.00 |
$793.00 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$343.20 |
$343.20 |
$343.20 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,545.40 |
$2,545.40 |
$2,545.40 |
$1,860.00
|
|
Mayo androstenedione
|
$33.15 |
$33.15 |
$33.15 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$62.40 |
$62.40 |
$62.40 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$42.90 |
$42.90 |
$42.90 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$24.70 |
$24.70 |
$24.70 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$278.85 |
$278.85 |
$278.85 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$7.15 |
$7.15 |
$7.15 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$22.10 |
$22.10 |
$22.10 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$169.65 |
$169.65 |
$169.65 |
$333.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$15.60 |
$15.60 |
$15.60 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$7.15 |
$7.15 |
$7.15 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$24.70 |
$24.70 |
$24.70 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$46.80 |
$46.80 |
$46.80 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$156.00 |
$156.00 |
$156.00 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$96.85 |
$96.85 |
$96.85 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$17.55 |
$17.55 |
$17.55 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$218.40 |
$218.40 |
$218.40 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$285.35 |
$285.35 |
$285.35 |
$283.40
|
