|
Knee X-ray
|
$591.84 |
$591.84 |
$591.84 |
$434.50
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$276.48 |
$276.48 |
$276.48 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$276.48 |
$276.48 |
$276.48 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$3.24 |
$3.24 |
$3.24 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$129.60 |
$129.60 |
$129.60 |
$55.50
|
|
Lactated ringers intravenous solution
|
$32.40 |
$32.40 |
$32.40 |
$46.30
|
|
Lactic acid
|
$164.16 |
$164.16 |
$164.16 |
$107.40
|
|
Lactoferrin fecal qualitative
|
$115.92 |
$115.92 |
$115.92 |
$82.16
|
|
Lactoferrin fecal quant
|
$180.72 |
$180.72 |
$180.72 |
$108.93
|
|
Largsc w/rmvl foreign bdy(s)
|
$940.32 |
$940.32 |
$940.32 |
$765.97
|
|
Lead acuity x4 spiral l 86cm
|
$3,672.00 |
$3,672.00 |
$3,672.00 |
$5,617.19
|
|
Lead capillary
|
$94.32 |
$94.32 |
$94.32 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$1,944.00 |
$1,944.00 |
$1,944.00 |
$3,324.10
|
|
Left compres band <3"/yd
|
$82.08 |
$82.08 |
$82.08 |
$3.64
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,296.72 |
$1,296.72 |
$1,296.72 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$582.16
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$730.80 |
$730.80 |
$730.80 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$324.00 |
$324.00 |
$324.00 |
$1,044.75
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$2.22 |
$2.22 |
$2.22 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$120.24 |
$120.24 |
$120.24 |
$85.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$35.28 |
$35.28 |
$35.28 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$111.75 |
$111.75 |
$111.75 |
$420.60
|
|
Liberta rc ipg
|
$26,820.00 |
$26,820.00 |
$26,820.00 |
$37,575.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$2.59 |
$2.59 |
$2.59 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$40.54
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$229.32 |
$229.32 |
$229.32 |
$125.66
|
|
Lipase
|
$94.32 |
$94.32 |
$94.32 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$126.00 |
$126.00 |
$126.00 |
$89.52
|
|
Lipoprotein blood quant
|
$61.20 |
$61.20 |
$61.20 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$131.76 |
$131.76 |
$131.76 |
$58.10
|
|
Lipoprotein direct measurement ldl
|
$110.16 |
$110.16 |
$110.16 |
$61.60
|
|
Lithium therapeutic drug level
|
$87.12 |
$87.12 |
$87.12 |
$69.42
|
|
Liver Function Test
|
$167.76 |
$167.76 |
$167.76 |
$115.44
|
|
Liver/spleen imag static only
|
$901.44 |
$901.44 |
$901.44 |
$1,138.55
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$20.12 |
$20.12 |
$20.12 |
$37.20
|
|
Low cost skin substitute app
|
$1,595.52 |
$1,595.52 |
$1,595.52 |
$880.50
|
|
Low cost skin substitute app
|
$5,344.56 |
$5,344.56 |
$5,344.56 |
$2,154.21
|
|
Low cost skin substitute app
|
$1,595.52 |
$1,595.52 |
$1,595.52 |
$933.60
|
|
Low cost skin substitute app
|
$1,595.52 |
$1,595.52 |
$1,595.52 |
$923.50
|
|
Low cost skin substitute app
|
$544.32 |
$544.32 |
$544.32 |
$383.48
|
|
Low cost skin substitute app
|
$3,416.40 |
$3,416.40 |
$3,416.40 |
$699.72
|
|
Low cost skin substitute app
|
$544.32 |
$544.32 |
$544.32 |
$349.44
|
|
Low cost skin substitute app
|
$1,019.52 |
$1,019.52 |
$1,019.52 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,466.88 |
$4,466.88 |
$4,466.88 |
$1,955.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,897.36 |
$3,897.36 |
$3,897.36 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,952.00 |
$2,952.00 |
$2,952.00 |
$1,495.45
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,198.40 |
$5,198.40 |
$5,198.40 |
$3,075.80
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,050.00 |
$4,050.00 |
$4,050.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,633.12 |
$3,633.12 |
$3,633.12 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$635.76 |
$635.76 |
$635.76 |
$355.32
|
|
Lumbar diskogram s&i
|
$2,998.08 |
$2,998.08 |
$2,998.08 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$166.32 |
$166.32 |
$166.32 |
$296.91
|
|
Lung perfusion imaging
|
$886.32 |
$886.32 |
$886.32 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$1,761.12 |
$1,761.12 |
$1,761.12 |
$1,487.90
|
|
Lymphocyte transformation mitogen
|
$372.96 |
$372.96 |
$372.96 |
$267.30
|
|
Macro exam dissect molec study ea
|
$169.20 |
$169.20 |
$169.20 |
$75.00
|
|
Macroscopic exam arthropod
|
$55.44 |
$55.44 |
$55.44 |
$38.58
|
|
Macroscopic exam parasite
|
$19.44 |
$19.44 |
$19.44 |
$38.50
|
|
Magnesium
|
$72.00 |
$72.00 |
$72.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$43.67 |
$43.67 |
$43.67 |
$60.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$131.04 |
$131.04 |
$131.04 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$150.48 |
$150.48 |
$150.48 |
$157.44
|
|
Marker biop eviva buckle ss
|
$71.28 |
$71.28 |
$71.28 |
$1,282.55
|
|
Mastectomy form
|
$221.04 |
$221.04 |
$221.04 |
$235.20
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$97.92 |
$97.92 |
$97.92 |
$65.30
|
|
Mayo aathr protein s free
|
$79.20 |
$79.20 |
$79.20 |
$133.20
|
|
Mayo activated protein c resistance assay
|
$69.12 |
$69.12 |
$69.12 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$279.36 |
$279.36 |
$279.36 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$126.00 |
$126.00 |
$126.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$127.44 |
$127.44 |
$127.44 |
$116.35
|
|
Mayo alkaline phosphatase isoenzyme
|
$101.52 |
$101.52 |
$101.52 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$64.08 |
$64.08 |
$64.08 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$160.56 |
$160.56 |
$160.56 |
$91.44
|
|
Mayo amikacin trough therapeutic drug level
|
$102.96 |
$102.96 |
$102.96 |
$83.04
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$349.20 |
$349.20 |
$349.20 |
$80.08
|
|
Mayo analysis gene calr common variants exon 9
|
$574.56 |
$574.56 |
$574.56 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$932.40 |
$932.40 |
$932.40 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$892.08 |
$892.08 |
$892.08 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,481.92 |
$3,481.92 |
$3,481.92 |
$1,860.00
|
|
Mayo androstenedione
|
$200.16 |
$200.16 |
$200.16 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$146.88 |
$146.88 |
$146.88 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$48.96 |
$48.96 |
$48.96 |
$71.50
|
|
Mayo aspergillus fumigatus antibody
|
$101.52 |
$101.52 |
$101.52 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$310.32 |
$310.32 |
$310.32 |
$170.25
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$215.28 |
$215.28 |
$215.28 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$174.24 |
$174.24 |
$174.24 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$68.40 |
$68.40 |
$68.40 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$433.44 |
$433.44 |
$433.44 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$531.36 |
$531.36 |
$531.36 |
$326.80
|
|
Mayo blastomyces antibody immunodiffusion
|
$70.56 |
$70.56 |
$70.56 |
$57.77
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$51.84 |
$51.84 |
$51.84 |
$60.15
|
|
Mayo bordetella pertussis antibody igg
|
$113.76 |
$113.76 |
$113.76 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$74.88 |
$74.88 |
$74.88 |
$44.86
|
|
Mayo c1 esterase inhibitor
|
$155.52 |
$155.52 |
$155.52 |
$85.02
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$35.28 |
$35.28 |
$35.28 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$331.92 |
$331.92 |
$331.92 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$253.44 |
$253.44 |
$253.44 |
$115.00
|
|
Mayo ceruloplasmin
|
$133.20 |
$133.20 |
$133.20 |
$70.20
|
|
Mayo chemiluminescent parathyroid related peptide
|
$156.24 |
$156.24 |
$156.24 |
$121.60
|
|
Mayo chikv chikungunya antibodies igg
|
$159.84 |
$159.84 |
$159.84 |
$109.20
|