|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$99.05 |
$99.05 |
$99.05 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$770.70 |
$770.70 |
$770.70 |
$420.60
|
|
Liberta rc ipg
|
$81,320.62 |
$81,320.62 |
$81,320.62 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$141.40 |
$141.40 |
$141.40 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$134.75 |
$134.75 |
$134.75 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$209.30 |
$209.30 |
$209.30 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$148,451.10 |
$148,451.10 |
$148,451.10 |
$30,744.64
|
|
Ligate/strip long leg vein
|
$20,663.41 |
$20,663.41 |
$20,663.41 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$16,566.16 |
$16,566.16 |
$16,566.16 |
$3,724.63
|
|
Ligation/biopsy of temporal artery 37609
|
$10,659.66 |
$10,659.66 |
$10,659.66 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$20,580.87 |
$20,580.87 |
$20,580.87 |
$4,255.00
|
|
Ligation vericose vein cluster(s) 1 leg
|
$19,186.33 |
$19,186.33 |
$19,186.33 |
$3,724.63
|
|
Liletta, 52 mg
|
$2.80 |
$2.80 |
$2.80 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$125.12 |
$125.12 |
$125.12 |
$121.00
|
|
Lipase
|
$263.20 |
$263.20 |
$263.20 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$89.60 |
$89.60 |
$89.60 |
$86.42
|
|
Lipoprotein blood quant
|
$96.60 |
$96.60 |
$96.60 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$79.10 |
$79.10 |
$79.10 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$140.00 |
$140.00 |
$140.00 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$100.10 |
$100.10 |
$100.10 |
$47.18
|
|
Lithium therapeutic drug level
|
$106.40 |
$106.40 |
$106.40 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,105.50 |
$4,105.50 |
$4,105.50 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$396.20 |
$396.20 |
$396.20 |
$365.28
|
|
Liver elastography 91200
|
$242.20 |
$242.20 |
$242.20 |
$280.00
|
|
Liver Function Test
|
$186.20 |
$186.20 |
$186.20 |
$115.44
|
|
Liver/spleen imag static only
|
$2,182.60 |
$2,182.60 |
$2,182.60 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$106.05 |
$106.05 |
$106.05 |
$37.37
|
|
Low back disk surgery
|
$46,534.70 |
$46,534.70 |
$46,534.70 |
$8,412.89
|
|
Low cost skin substitute app
|
$1,207.50 |
$1,207.50 |
$1,207.50 |
$933.60
|
|
Low cost skin substitute app
|
$2,969.40 |
$2,969.40 |
$2,969.40 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,210.30 |
$1,210.30 |
$1,210.30 |
$428.35
|
|
Low cost skin substitute app
|
$3,444.00 |
$3,444.00 |
$3,444.00 |
$408.04
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,717.00 |
$3,717.00 |
$3,717.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,506.30 |
$3,506.30 |
$3,506.30 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,083.50 |
$3,083.50 |
$3,083.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,706.80 |
$4,706.80 |
$4,706.80 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,172.70 |
$4,172.70 |
$4,172.70 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,837.40 |
$3,837.40 |
$3,837.40 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$651.70 |
$651.70 |
$651.70 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$419.30 |
$419.30 |
$419.30 |
$364.00
|
|
Lsh w/t/o ut 250 g or less
|
$81,843.16 |
$81,843.16 |
$81,843.16 |
$7,961.97
|
|
Lso flex no ri stays pre ots
|
$1,246.00 |
$1,246.00 |
$1,246.00 |
$164.80
|
|
Lso full corset
|
$1,405.60 |
$1,405.60 |
$1,405.60 |
$322.50
|
|
Lso s/c shell/panel custom
|
$10,573.50 |
$10,573.50 |
$10,573.50 |
$2,252.16
|
|
L/s ratio fetal lung
|
$672.70 |
$672.70 |
$672.70 |
$178.36
|
|
Lumbar diskogram s&i
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$247.80 |
$247.80 |
$247.80 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$443.10 |
$443.10 |
$443.10 |
$295.35
|
|
Lung perfusion imaging
|
$1,829.10 |
$1,829.10 |
$1,829.10 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$28,675.50 |
$28,675.50 |
$28,675.50 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$42,932.75 |
$42,932.75 |
$42,932.75 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$923.30 |
$923.30 |
$923.30 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$526.40 |
$526.40 |
$526.40 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$1,883.00 |
$1,883.00 |
$1,883.00 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$704.90 |
$704.90 |
$704.90 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,635.90 |
$1,635.90 |
$1,635.90 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$898.10 |
$898.10 |
$898.10 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,283.40 |
$2,283.40 |
$2,283.40 |
$3,380.00
|
|
Lysis of labial adhesions
|
$8,914.94 |
$8,914.94 |
$8,914.94 |
$3,986.00
|
|
Macro exam dissect molec study ea
|
$19,996.37 |
$19,996.37 |
$19,996.37 |
$67.08
|
|
Macroscopic exam arthropod
|
$203.00 |
$203.00 |
$203.00 |
$38.58
|
|
Macroscopic exam parasite
|
$152.60 |
$152.60 |
$152.60 |
$36.55
|
|
Magnesium
|
$81.20 |
$81.20 |
$81.20 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$107.80 |
$107.80 |
$107.80 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$322.00 |
$322.00 |
$322.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$464.80 |
$464.80 |
$464.80 |
$160.80
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,719.90 |
$1,719.90 |
$1,719.90 |
$636.50
|
|
Mapping io sentinel lymph node
|
$51,811.85 |
$51,811.85 |
$51,811.85 |
$650.00
|
|
Map tachycard site(s)
|
$8,255.80 |
$8,255.80 |
$8,255.80 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,078.30 |
$2,078.30 |
$2,078.30 |
$1,451.30
|
|
Mastoidectomy complete 69502
|
$54,426.55 |
$54,426.55 |
$54,426.55 |
$6,969.40
|
|
Mastoids complete
|
$531.30 |
$531.30 |
$531.30 |
$299.50
|
|
M.avium-intra dna amp prob
|
$235.90 |
$235.90 |
$235.90 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$231.00 |
$231.00 |
$231.00 |
$65.00
|
|
Mayo aathr protein s free
|
$418.60 |
$418.60 |
$418.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$320.60 |
$320.60 |
$320.60 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$392.00 |
$392.00 |
$392.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$205.10 |
$205.10 |
$205.10 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$349.30 |
$349.30 |
$349.30 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$81.90 |
$81.90 |
$81.90 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$228.20 |
$228.20 |
$228.20 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$111.30 |
$111.30 |
$111.30 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$207.20 |
$207.20 |
$207.20 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$39.20 |
$39.20 |
$39.20 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$45.50 |
$45.50 |
$45.50 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$1,206.10 |
$1,206.10 |
$1,206.10 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$901.60 |
$901.60 |
$901.60 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$893.90 |
$893.90 |
$893.90 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,071.60 |
$3,071.60 |
$3,071.60 |
$1,860.00
|
|
Mayo androstenedione
|
$124.60 |
$124.60 |
$124.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$189.00 |
$189.00 |
$189.00 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$120.40 |
$120.40 |
$120.40 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$197.40 |
$197.40 |
$197.40 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$194.60 |
$194.60 |
$194.60 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$99.40 |
$99.40 |
$99.40 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$40.60 |
$40.60 |
$40.60 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$175.70 |
$175.70 |
$175.70 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$444.50 |
$444.50 |
$444.50 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$308.00 |
$308.00 |
$308.00 |
$312.98
|
