|
Lens iol ant chamb 10.5
|
$462.50 |
$462.50 |
$462.50 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$130.80 |
$130.80 |
$130.80 |
$163.80
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$29,611.72 |
$29,611.72 |
$29,611.72 |
$5,773.28
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$29,889.80 |
$29,889.80 |
$29,889.80 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$2,491.23 |
$2,491.23 |
$2,491.23 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$88.10 |
$88.10 |
$88.10 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$129.00 |
$129.00 |
$129.00 |
$81.50
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$33.60 |
$33.60 |
$33.60 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$353.88 |
$353.88 |
$353.88 |
$420.60
|
|
Liberta rc ipg
|
$50,000.00 |
$50,000.00 |
$50,000.00 |
$38,264.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$70.86 |
$70.86 |
$70.86 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$54.80 |
$54.80 |
$54.80 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$233.00 |
$233.00 |
$233.00 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$96,906.66 |
$96,906.66 |
$96,906.66 |
$30,744.64
|
|
Liletta, 52 mg
|
$1,110.58 |
$1,110.58 |
$1,110.58 |
$1,453.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$62.75 |
$62.75 |
$62.75 |
$122.21
|
|
Lipase
|
$103.50 |
$103.50 |
$103.50 |
$91.65
|
|
Lipoprotein blood quant
|
$149.50 |
$149.50 |
$149.50 |
$100.20
|
|
Lipoprotein direct measurement hdl
|
$66.00 |
$66.00 |
$66.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$59.50 |
$59.50 |
$59.50 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$94.00 |
$94.00 |
$94.00 |
$47.18
|
|
Lithium therapeutic drug level
|
$117.50 |
$117.50 |
$117.50 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,000.00 |
$5,000.00 |
$5,000.00 |
$4,113.20
|
|
Liver elastography 91200
|
$35.75 |
$35.75 |
$35.75 |
$291.74
|
|
Liver Function Test
|
$44.50 |
$44.50 |
$44.50 |
$115.44
|
|
Liver imaging
|
$950.50 |
$950.50 |
$950.50 |
$1,093.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$95.83 |
$95.83 |
$95.83 |
$44.10
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$67,584.15 |
$67,584.15 |
$67,584.15 |
$58,923.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.20 |
$37.20 |
$37.20 |
$37.44
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,031.50 |
$1,031.50 |
$1,031.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$844.00 |
$844.00 |
$844.00 |
$1,815.10
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$723.50 |
$723.50 |
$723.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,034.50 |
$1,034.50 |
$1,034.50 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$917.50 |
$917.50 |
$917.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$850.00 |
$850.00 |
$850.00 |
$2,053.20
|
|
Lower Back (Lumbar Spine) X-ray
|
$246.00 |
$246.00 |
$246.00 |
$355.00
|
|
Lung Function Test (Spirometry)
|
$437.00 |
$437.00 |
$437.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,173.00 |
$1,173.00 |
$1,173.00 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$20,101.00 |
$20,101.00 |
$20,101.00 |
$17,393.41
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$29,735.86 |
$29,735.86 |
$29,735.86 |
$21,365.20
|
|
Lutetium lu 177 vipivotide
|
$62,354.64 |
$62,354.64 |
$62,354.64 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$1,324.50 |
$1,324.50 |
$1,324.50 |
$1,463.22
|
|
Magnesium
|
$80.00 |
$80.00 |
$80.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$96.68 |
$96.68 |
$96.68 |
$58.70
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$145.00 |
$145.00 |
$145.00 |
$130.32
|
|
Manipulation chest wall initial demonstration/evaluation
|
$145.00 |
$145.00 |
$145.00 |
$159.05
|
|
Mannitol 12.5 gm/50 ml inj
|
$32.28 |
$32.28 |
$32.28 |
$27.81
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$5,930.92 |
$5,930.92 |
$5,930.92 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$1,312.40
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,375.72 |
$2,375.72 |
$2,375.72 |
$1,941.63
|
|
Mastectomy partial
|
$305.72 |
$305.72 |
$305.72 |
$4,531.42
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$121.50 |
$121.50 |
$121.50 |
$65.00
|
|
Mayo aathr protein s free
|
$92.50 |
$92.50 |
$92.50 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$136.00 |
$136.00 |
$136.00 |
$96.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$111.00 |
$111.00 |
$111.00 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$99.50 |
$99.50 |
$99.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$108.00 |
$108.00 |
$108.00 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$44.00 |
$44.00 |
$44.00 |
$81.81
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,760.50 |
$1,760.50 |
$1,760.50 |
$1,860.00
|
|
Mayo androstenedione
|
$126.50 |
$126.50 |
$126.50 |
$106.20
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$78.00 |
$78.00 |
$78.00 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$124.00 |
$124.00 |
$124.00 |
$71.20
|
|
Mayo aspergillus fumigatus antibody
|
$33.50 |
$33.50 |
$33.50 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$213.00 |
$213.00 |
$213.00 |
$170.00
|
|
Mayo bart bartonella henselae antibody igg
|
$87.00 |
$87.00 |
$87.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$335.00 |
$335.00 |
$335.00 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$30.00 |
$30.00 |
$30.00 |
$56.80
|
|
Mayo bordetella pertussis antibody igg
|
$135.50 |
$135.50 |
$135.50 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$87.50 |
$87.50 |
$87.50 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$67.50 |
$67.50 |
$67.50 |
$85.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$162.50 |
$162.50 |
$162.50 |
$79.20
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$207.00 |
$207.00 |
$207.00 |
$114.18
|
|
Mayo ceruloplasmin
|
$56.50 |
$56.50 |
$56.50 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$102.00 |
$102.00 |
$102.00 |
$117.00
|
|
Mayo chikv chikungunya antibodies igg
|
$122.00 |
$122.00 |
$122.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$50.50 |
$50.50 |
$50.50 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$73.00 |
$73.00 |
$73.00 |
$49.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$353.50 |
$353.50 |
$353.50 |
$353.99
|
|
Mayo chromium
|
$147.00 |
$147.00 |
$147.00 |
$70.85
|
|
Mayo coccidioides antibody
|
$27.50 |
$27.50 |
$27.50 |
$55.20
|
|
Mayo cocou cortisone urine
|
$119.00 |
$119.00 |
$119.00 |
$204.10
|
|
Mayo cortisol free
|
$141.50 |
$141.50 |
$141.50 |
$92.80
|
|
Mayo covid-19 antibody nucleocapsid total
|
$87.00 |
$87.00 |
$87.00 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$79.00 |
$79.00 |
$79.00 |
$61.02
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$606.00 |
$606.00 |
$606.00 |
$579.50
|
|
Mayo deoxyribonuclease antibody titer
|
$120.00 |
$120.00 |
$120.00 |
$56.11
|
|
Mayo dhea (dehydroepiandrosterone)
|
$142.00 |
$142.00 |
$142.00 |
$108.90
|
|
Mayo dihydrotestosterone
|
$62.00 |
$62.00 |
$62.00 |
$78.00
|
|
Mayo efpo chloride stool
|
$57.00 |
$57.00 |
$57.00 |
$44.20
|
|
Mayo estriol
|
$80.00 |
$80.00 |
$80.00 |
$90.34
|
|
Mayo estrone
|
$136.00 |
$136.00 |
$136.00 |
$84.96
|
|
Mayo ethosuximide therapeutic drug level
|
$138.00 |
$138.00 |
$138.00 |
$69.55
|
|
Mayo factor ii
|
$164.50 |
$164.50 |
$164.50 |
$96.76
|
|
Mayo factor v
|
$195.00 |
$195.00 |
$195.00 |
$125.58
|
|
Mayo factor vii
|
$190.00 |
$190.00 |
$190.00 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$158.00 |
$158.00 |
$158.00 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$150.00 |
$150.00 |
$150.00 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$149.00 |
$149.00 |
$149.00 |
$138.00
|
|
Mayo factor x
|
$183.00 |
$183.00 |
$183.00 |
$151.22
|
|
Mayo factor xi
|
$160.00 |
$160.00 |
$160.00 |
$121.80
|
