|
Lactate dehydrogenase (ldh)
|
$31.25 |
$31.25 |
$31.25 |
$53.30
|
|
Lactated ringers intravenous solution
|
$2.38 |
$2.38 |
$2.38 |
$54.11
|
|
Lactic acid
|
$56.25 |
$56.25 |
$56.25 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$25.00 |
$25.00 |
$25.00 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$20,471.45 |
$20,471.45 |
$20,471.45 |
$22,903.90
|
|
Laronidase injection
|
$131.01 |
$131.01 |
$131.01 |
$39.88
|
|
Lead acuity x4 spiral l 86cm
|
$2,668.29 |
$2,668.29 |
$2,668.29 |
$5,831.00
|
|
Lead capillary
|
$35.00 |
$35.00 |
$35.00 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$529.32 |
$529.32 |
$529.32 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$3,703.86 |
$3,703.86 |
$3,703.86 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$500.00 |
$500.00 |
$500.00 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$234.69 |
$234.69 |
$234.69 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$213.75 |
$213.75 |
$213.75 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$170.68 |
$170.68 |
$170.68 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$140.68 |
$140.68 |
$140.68 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,631.88 |
$1,631.88 |
$1,631.88 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,233.65 |
$4,233.65 |
$4,233.65 |
$6,208.50
|
|
Leuprolide depot cipla 7.5mg
|
$1,390.72 |
$1,390.72 |
$1,390.72 |
$257.70
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$5.45 |
$5.45 |
$5.45 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$35.00 |
$35.00 |
$35.00 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$11.76 |
$11.76 |
$11.76 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$160.00 |
$160.00 |
$160.00 |
$319.12
|
|
Lidocaine therapeutic drug level
|
$35.00 |
$35.00 |
$35.00 |
$83.85
|
|
Lincomycin injection
|
$34.57 |
$34.57 |
$34.57 |
$13.25
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$5.60 |
$5.60 |
$5.60 |
$177.90
|
|
Lipase
|
$40.00 |
$40.00 |
$40.00 |
$83.20
|
|
Lipoprotein blood quant
|
$43.75 |
$43.75 |
$43.75 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$18.75 |
$18.75 |
$18.75 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$31.25 |
$31.25 |
$31.25 |
$60.00
|
|
Lisocabtagene mara car pos t
|
$297,363.77 |
$297,363.77 |
$297,363.77 |
$516,726.08
|
|
Lithium therapeutic drug level
|
$31.25 |
$31.25 |
$31.25 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$4,371.12
|
|
Liver Function Test
|
$62.50 |
$62.50 |
$62.50 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$10.02 |
$10.02 |
$10.02 |
$16.54
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$22,340.45 |
$22,340.45 |
$22,340.45 |
$76,416.24
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$24.29 |
$24.29 |
$24.29 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$750.00 |
$750.00 |
$750.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$700.00 |
$700.00 |
$700.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$625.00 |
$625.00 |
$625.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$127.50 |
$127.50 |
$127.50 |
$344.00
|
|
Lumizyme injection
|
$740.59 |
$740.59 |
$740.59 |
$1,602.30
|
|
Lung function test (mbc/mvv)
|
$37.50 |
$37.50 |
$37.50 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$72.50 |
$72.50 |
$72.50 |
$298.50
|
|
Lung perfusion imaging
|
$433.75 |
$433.75 |
$433.75 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$6,431.90 |
$6,431.90 |
$6,431.90 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$8,985.14 |
$8,985.14 |
$8,985.14 |
$29,435.46
|
|
Lymphatics/lymph node imaging
|
$500.00 |
$500.00 |
$500.00 |
$1,543.75
|
|
Macroscopic exam parasite
|
$20.00 |
$20.00 |
$20.00 |
$38.50
|
|
Magnesium
|
$31.25 |
$31.25 |
$31.25 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$23.96 |
$23.96 |
$23.96 |
$65.49
|
|
Makena, 10 mg
|
$428.82 |
$428.82 |
$428.82 |
$22.86
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$37.50 |
$37.50 |
$37.50 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$56.25 |
$56.25 |
$56.25 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$3.95 |
$3.95 |
$3.95 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$381.98 |
$381.98 |
$381.98 |
$34,164.07
|
|
Marker biop eviva buckle ss
|
$406.72 |
$406.72 |
$406.72 |
$1,213.20
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$35.00 |
$35.00 |
$35.00 |
$66.50
|
|
Mayo aathr protein s free
|
$35.00 |
$35.00 |
$35.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$35.00 |
$35.00 |
$35.00 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$43.75 |
$43.75 |
$43.75 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$18.75 |
$18.75 |
$18.75 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$15.00 |
$15.00 |
$15.00 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$35.00 |
$35.00 |
$35.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$45.00 |
$45.00 |
$45.00 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$35.00 |
$35.00 |
$35.00 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$26.25 |
$26.25 |
$26.25 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$27.50 |
$27.50 |
$27.50 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$25.00 |
$25.00 |
$25.00 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$93.75 |
$93.75 |
$93.75 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$72.50 |
$72.50 |
$72.50 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$100.00 |
$100.00 |
$100.00 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$725.00 |
$725.00 |
$725.00 |
$1,909.44
|
|
Mayo androstenedione
|
$43.75 |
$43.75 |
$43.75 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$35.00 |
$35.00 |
$35.00 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$40.00 |
$40.00 |
$40.00 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$26.25 |
$26.25 |
$26.25 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$43.75 |
$43.75 |
$43.75 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$37.50 |
$37.50 |
$37.50 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$40.00 |
$40.00 |
$40.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$31.25 |
$31.25 |
$31.25 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$106.25 |
$106.25 |
$106.25 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$125.00 |
$125.00 |
$125.00 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$35.00 |
$35.00 |
$35.00 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$75.00 |
$75.00 |
$75.00 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$35.00 |
$35.00 |
$35.00 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$37.50 |
$37.50 |
$37.50 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$35.00 |
$35.00 |
$35.00 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$37.50 |
$37.50 |
$37.50 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$26.25 |
$26.25 |
$26.25 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$33.00 |
$33.00 |
$33.00 |
$110.00
|
|
Mayo ceruloplasmin
|
$31.25 |
$31.25 |
$31.25 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$35.00 |
$35.00 |
$35.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$50.00 |
$50.00 |
$50.00 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$35.00 |
$35.00 |
$35.00 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$35.00 |
$35.00 |
$35.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$93.75 |
$93.75 |
$93.75 |
$353.99
|
|
Mayo chromium
|
$25.00 |
$25.00 |
$25.00 |
$70.85
|
