|
Lactate dehydrogenase (ldh)
|
$37.50 |
$37.50 |
$37.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$109.17 |
$109.17 |
$109.17 |
$43.74
|
|
Lactic acid
|
$70.00 |
$70.00 |
$70.00 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$97.50 |
$97.50 |
$97.50 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$162.67 |
$162.67 |
$162.67 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$680.00 |
$680.00 |
$680.00 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$485.00 |
$485.00 |
$485.00 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$2,514.60
|
|
Lead acuity x4 spiral l 86cm
|
$3,901.95 |
$3,901.95 |
$3,901.95 |
$5,460.00
|
|
Lead capillary
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$648.96 |
$648.96 |
$648.96 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$4,363.43 |
$4,363.43 |
$4,363.43 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$990.00 |
$990.00 |
$990.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$980.00 |
$980.00 |
$980.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$845.00 |
$845.00 |
$845.00 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$252.50 |
$252.50 |
$252.50 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$478.73 |
$478.73 |
$478.73 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$233.23 |
$233.23 |
$233.23 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$11.98 |
$11.98 |
$11.98 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$527.48 |
$527.48 |
$527.48 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,256.75 |
$3,256.75 |
$3,256.75 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.78 |
$0.78 |
$0.78 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$92.50 |
$92.50 |
$92.50 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$4,350.00 |
$4,350.00 |
$4,350.00 |
$6,104.00
|
|
Lidocaine therapeutic drug level
|
$95.00 |
$95.00 |
$95.00 |
$87.45
|
|
Lipase
|
$67.50 |
$67.50 |
$67.50 |
$93.58
|
|
Lipoprotein blood quant
|
$167.50 |
$167.50 |
$167.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$60.00 |
$60.00 |
$60.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$45.00 |
$45.00 |
$45.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$4,371.12
|
|
Liver elastography 91200
|
$427.50 |
$427.50 |
$427.50 |
$285.18
|
|
Liver Function Test
|
$80.00 |
$80.00 |
$80.00 |
$115.44
|
|
Liver/spleen imag static only
|
$1,090.00 |
$1,090.00 |
$1,090.00 |
$1,138.55
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$307.54 |
$307.54 |
$307.54 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$56.20 |
$56.20 |
$56.20 |
$37.20
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$933.60
|
|
Low cost skin substitute app
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,016.16
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$515.00 |
$466.80
|
|
Low cost skin substitute app
|
$650.00 |
$650.00 |
$650.00 |
$756.00
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$515.00 |
$408.45
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$515.00 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$565.00 |
$565.00 |
$565.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,275.00 |
$1,275.00 |
$1,275.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$885.00 |
$885.00 |
$885.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$780.00 |
$780.00 |
$780.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,310.00 |
$1,310.00 |
$1,310.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,210.00 |
$1,210.00 |
$1,210.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$255.00 |
$255.00 |
$255.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$382.50 |
$382.50 |
$382.50 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$420.00 |
$420.00 |
$420.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$265.00 |
$265.00 |
$265.00 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$137.50 |
$137.50 |
$137.50 |
$364.77
|
|
Lumbar diskogram s&i
|
$3,420.00 |
$3,420.00 |
$3,420.00 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$525.00 |
$525.00 |
$525.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$307.50 |
$307.50 |
$307.50 |
$296.91
|
|
Lung perfusion imaging
|
$855.00 |
$855.00 |
$855.00 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$468.26 |
$468.26 |
$468.26 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$98.80 |
$98.80 |
$98.80 |
$22,771.63
|
|
Lutetium lu 177 vipivotide
|
$267.50 |
$267.50 |
$267.50 |
$357.85
|
|
Lvad shower bag heartmate
|
$536.91 |
$536.91 |
$536.91 |
$893.74
|
|
Lymphatics/lymph node imaging
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$1,491.70
|
|
Lymphocytotoxicity assay
|
$255.00 |
$255.00 |
$255.00 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$1,195.00 |
$1,195.00 |
$1,195.00 |
$972.06
|
|
Lymph vessel x-ray trunk
|
$1,580.00 |
$1,580.00 |
$1,580.00 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$3,160.00 |
$3,160.00 |
$3,160.00 |
$3,452.15
|
|
Macro exam dissect molec study ea
|
$50.00 |
$50.00 |
$50.00 |
$67.08
|
|
Macroscopic exam arthropod
|
$77.50 |
$77.50 |
$77.50 |
$38.58
|
|
Macroscopic exam parasite
|
$67.50 |
$67.50 |
$67.50 |
$37.05
|
|
Magnesium
|
$50.00 |
$50.00 |
$50.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$17.14 |
$17.14 |
$17.14 |
$58.70
|
|
Manual diff wbc count b-coat
|
$20.00 |
$20.00 |
$20.00 |
$25.74
|
|
Map tachycard site(s)
|
$1,705.00 |
$1,705.00 |
$1,705.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$937.77 |
$937.77 |
$937.77 |
$1,451.30
|
|
Mastoids complete
|
$337.50 |
$337.50 |
$337.50 |
$299.50
|
|
M.avium-intra dna amp prob
|
$175.00 |
$175.00 |
$175.00 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$80.00 |
$80.00 |
$80.00 |
$65.28
|
|
Mayo aathr protein s free
|
$130.00 |
$130.00 |
$130.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$97.50 |
$97.50 |
$97.50 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$307.50 |
$307.50 |
$307.50 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$155.00 |
$155.00 |
$155.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$290.00 |
$290.00 |
$290.00 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$85.00 |
$85.00 |
$85.00 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$335.00 |
$335.00 |
$335.00 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$85.00 |
$85.00 |
$85.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$132.50 |
$132.50 |
$132.50 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$332.50 |
$332.50 |
$332.50 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$237.50 |
$237.50 |
$237.50 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$497.50 |
$497.50 |
$497.50 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$530.00 |
$530.00 |
$530.00 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$302.50 |
$302.50 |
$302.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,985.00 |
$1,985.00 |
$1,985.00 |
$1,860.00
|
|
Mayo androstenedione
|
$100.00 |
$100.00 |
$100.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$90.00 |
$90.00 |
$90.00 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$75.00 |
$75.00 |
$75.00 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$82.50 |
$82.50 |
$82.50 |
$67.20
|
