|
Lactoferrin fecal qualitative
|
$91.00 |
$91.00 |
$91.00 |
$82.16
|
|
Lactoferrin fecal quant
|
$91.00 |
$91.00 |
$91.00 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$22,948.80 |
$22,948.80 |
$22,948.80 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$50.43 |
$50.43 |
$50.43 |
$14.53
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$740.40
|
|
Laryngoscopy telescopic
|
$1,203.00 |
$1,203.00 |
$1,203.00 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$3,068.83 |
$3,068.83 |
$3,068.83 |
$5,460.00
|
|
Lead capillary
|
$60.00 |
$60.00 |
$60.00 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$2,878.34 |
$2,878.34 |
$2,878.34 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$4,441.36 |
$4,441.36 |
$4,441.36 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$1,092.58
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$420.00 |
$420.00 |
$420.00 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$45,477.69 |
$45,477.69 |
$45,477.69 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$19,081.62 |
$19,081.62 |
$19,081.62 |
$8,348.12
|
|
Levalbuterol non-comp con
|
$29.89 |
$29.89 |
$29.89 |
$20.06
|
|
Levalbuterol non-comp unit
|
$286.60 |
$286.60 |
$286.60 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$168.00 |
$168.00 |
$168.00 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$53.00 |
$53.00 |
$53.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$46.20 |
$46.20 |
$46.20 |
$55.69
|
|
Liberta rc ipg
|
$25,724.25 |
$25,724.25 |
$25,724.25 |
$39,189.70
|
|
Lidocaine injection
|
$118.96 |
$118.96 |
$118.96 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$60.90 |
$60.90 |
$60.90 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$36.75 |
$36.75 |
$36.75 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$68.00 |
$68.00 |
$68.00 |
$87.45
|
|
Ligation major artery neck
|
$10,857.00 |
$10,857.00 |
$10,857.00 |
$3,703.00
|
|
Liletta, 52 mg
|
$2,236.16 |
$2,236.16 |
$2,236.16 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$273.00 |
$273.00 |
$273.00 |
$121.00
|
|
Lipase
|
$32.00 |
$32.00 |
$32.00 |
$93.58
|
|
Lipoprotein blood quant
|
$158.00 |
$158.00 |
$158.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$38.00 |
$38.00 |
$38.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$48.00 |
$48.00 |
$48.00 |
$61.60
|
|
Listeria monocytogenes
|
$61.00 |
$61.00 |
$61.00 |
$100.40
|
|
Lithium therapeutic drug level
|
$33.00 |
$33.00 |
$33.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,499.00 |
$5,499.00 |
$5,499.00 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$811.00 |
$811.00 |
$811.00 |
$365.28
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Liver/spleen imag static only
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$840.88 |
$840.88 |
$840.88 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$67,972.16 |
$67,972.16 |
$67,972.16 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$15.07 |
$15.07 |
$15.07 |
$37.20
|
|
Low cost skin substitute app
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$933.60
|
|
Low cost skin substitute app
|
$4,837.00 |
$4,837.00 |
$4,837.00 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,482.00 |
$1,482.00 |
$1,482.00 |
$1,016.16
|
|
Low cost skin substitute app
|
$741.00 |
$741.00 |
$741.00 |
$466.80
|
|
Low cost skin substitute app
|
$2,419.00 |
$2,419.00 |
$2,419.00 |
$756.00
|
|
Low cost skin substitute app
|
$741.00 |
$741.00 |
$741.00 |
$408.45
|
|
Low cost skin substitute app
|
$741.00 |
$741.00 |
$741.00 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$600.00 |
$600.00 |
$600.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,272.00 |
$2,272.00 |
$2,272.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,122.00 |
$2,122.00 |
$2,122.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,500.00 |
$1,500.00 |
$1,500.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$566.00 |
$566.00 |
$566.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$566.00 |
$566.00 |
$566.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$566.00 |
$566.00 |
$566.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$440.00 |
$440.00 |
$440.00 |
$338.40
|
|
L/s ratio fetal lung
|
$101.00 |
$101.00 |
$101.00 |
$176.15
|
|
Lumbar diskogram s&i
|
$9,120.00 |
$9,120.00 |
$9,120.00 |
$2,358.23
|
|
Lumizyme injection
|
$2,384.06 |
$2,384.06 |
$2,384.06 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$1,272.00 |
$1,272.00 |
$1,272.00 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$236.00 |
$236.00 |
$236.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$596.00 |
$596.00 |
$596.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$29,478.60 |
$29,478.60 |
$29,478.60 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$43,115.39 |
$43,115.39 |
$43,115.39 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$1,491.70
|
|
Macroscopic exam arthropod
|
$20.00 |
$20.00 |
$20.00 |
$38.58
|
|
Macroscopic exam parasite
|
$20.00 |
$20.00 |
$20.00 |
$37.05
|
|
Magnesium
|
$31.00 |
$31.00 |
$31.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$113.53 |
$113.53 |
$113.53 |
$58.70
|
|
Mannitol 12.5 gm/50 ml inj
|
$25.55 |
$25.55 |
$25.55 |
$26.29
|
|
Map tachycard site(s)
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$6,416.84 |
$6,416.84 |
$6,416.84 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$1,451.30
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$2,496.56 |
$2,496.56 |
$2,496.56 |
$4,472.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$67.00 |
$67.00 |
$67.00 |
$65.28
|
|
Mayo aathr protein s free
|
$70.00 |
$70.00 |
$70.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$70.00 |
$70.00 |
$70.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$154.00 |
$154.00 |
$154.00 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$68.00 |
$68.00 |
$68.00 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$62.00 |
$62.00 |
$62.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$69.00 |
$69.00 |
$69.00 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$560.00 |
$560.00 |
$560.00 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$422.00 |
$422.00 |
$422.00 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$630.00 |
$630.00 |
$630.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$5,336.00 |
$5,336.00 |
$5,336.00 |
$1,860.00
|
|
Mayo androstenedione
|
$135.00 |
$135.00 |
$135.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$67.00 |
$67.00 |
$67.00 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$50.00 |
$50.00 |
$50.00 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$69.00 |
$69.00 |
$69.00 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$142.00 |
$142.00 |
$142.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$161.00 |
$161.00 |
$161.00 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$47.00 |
$47.00 |
$47.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$666.00 |
$666.00 |
$666.00 |
$333.60
|
