|
Liberta rc ipg
|
$50,000.00 |
$50,000.00 |
$272,150.66 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$16.09 |
$70.86 |
$70.86 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$54.80 |
$54.80 |
$72.66 |
|
|
Lidocaine therapeutic drug level
|
$147.60 |
$214.20 |
$247.80 |
|
|
Lifileucel til/dose 7.5b-72b snij
|
$23,715.32 |
$96,906.66 |
$96,906.66 |
|
|
Lift heel adj small gl60404sm
|
$36.29 |
$36.29 |
$36.29 |
|
|
Liletta, 52 mg
|
$1,110.58 |
$1,110.58 |
$1,110.58 |
|
|
Lincomycin injection
|
$225.14 |
$225.14 |
$225.14 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$62.75 |
$130.49 |
$647.72 |
|
|
Lipase
|
$60.88 |
$130.80 |
$191.40 |
|
|
Lipoprotein blood high res frac & quant
|
$50.40 |
$87.00 |
$312.35 |
|
|
Lipoprotein blood quant
|
$57.00 |
$223.20 |
$396.20 |
|
|
Lipoprotein direct measurement hdl
|
$47.40 |
$91.20 |
$196.80 |
|
|
Lipoprotein direct measurement ldl
|
$33.38 |
$100.80 |
$185.40 |
|
|
Lipoprtn dir meas sd ldl chl
|
$89.50 |
$91.00 |
$94.00 |
|
|
Listeria monocytogenes
|
$95.40 |
$95.40 |
$151.55 |
|
|
Lithium therapeutic drug level
|
$71.00 |
$117.50 |
$208.80 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,000.00 |
$11,460.60 |
$33,467.28 |
|
|
Liver ds alys 3 bmrk srm alg
|
$880.74 |
$880.74 |
$880.74 |
|
|
Liver elastography 91200
|
$35.75 |
$35.75 |
$942.66 |
|
|
Liver Function Test
|
$37.80 |
$107.40 |
$294.00 |
|
|
Liver imaging
|
$595.20 |
$922.00 |
$1,031.40 |
|
|
Liver imag w/vasclr flow
|
$1,222.80 |
$1,222.80 |
$5,067.86 |
|
|
Liver/spleen imag static only
|
$1,250.40 |
$1,635.00 |
$4,366.13 |
|
|
Liver/spleen imag w/vasclr flow
|
$1,273.20 |
$1,273.20 |
$1,735.80 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$5,840.40 |
$5,840.40 |
$5,840.40 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$2.57 |
$95.83 |
$443.64 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$383.01 |
$67,584.15 |
$67,584.15 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.20 |
$41.24 |
$261.04 |
|
|
Lo sag rig pnl stays pre cst
|
$721.79 |
$721.79 |
$721.79 |
|
|
Low cost skin substitute app
|
$1,214.40 |
$1,380.00 |
$1,449.00 |
|
|
Low cost skin substitute app
|
$3,895.20 |
$4,850.40 |
$6,739.20 |
|
|
Low cost skin substitute app
|
$1,214.40 |
$1,380.00 |
$1,449.00 |
|
|
Low cost skin substitute app
|
$1,214.40 |
$1,449.00 |
$4,450.20 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$49.50 |
$542.40 |
$885.00 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$542.40 |
$997.50 |
$4,751.55 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$542.40 |
$816.00 |
$3,823.33 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$481.12 |
$699.50 |
$3,438.88 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$582.60 |
$1,003.50 |
$4,317.77 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$582.60 |
$890.00 |
$3,543.47 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$582.60 |
$824.50 |
$3,235.67 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$176.00 |
$240.00 |
$938.10 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$310.00 |
$346.80 |
$1,836.65 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$246.88 |
$364.50 |
$2,047.22 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$281.40 |
$397.20 |
$1,867.78 |
|
|
Low frequency non-thermal Ultrasound
|
$184.20 |
$233.40 |
$478.48 |
|
|
Lso sag-coronal panel custom
|
$4,244.68 |
$4,244.68 |
$4,244.68 |
|
|
Lso sc r pos/lat pnl pre cst
|
$1,068.60 |
$1,068.60 |
$1,068.60 |
|
|
Lso s/c shell/panel custom
|
$8,439.10 |
$8,439.10 |
$8,439.10 |
|
|
L/s ratio fetal lung
|
$76.80 |
$134.40 |
$318.60 |
|
|
Lumbar diskogram s&i
|
$1,227.60 |
$1,227.60 |
$8,165.15 |
|
|
Lumizyme injection
|
$1,594.90 |
$1,594.90 |
$1,594.90 |
|
|
Lung Function Test Before and After an Inhaler
|
$420.50 |
$794.50 |
$1,115.87 |
|
|
Lung function test (mbc/mvv)
|
$40.20 |
$229.20 |
$360.00 |
|
|
Lung Function Test (Spirometry)
|
$218.88 |
$426.00 |
$694.20 |
|
|
Lung perfusion imaging
|
$567.25 |
$1,173.00 |
$2,334.40 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$298.13 |
$2,159.01 |
$20,101.00 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$237.20 |
$420.74 |
$29,735.86 |
|
|
Lutetium lu 177 vipivotide
|
$365.28 |
$62,354.64 |
$62,354.64 |
|
|
Lvad shower bag heartmate
|
$707.40 |
$972.60 |
$972.60 |
|
|
Lymphatics/lymph node imaging
|
$311.00 |
$1,324.50 |
$2,833.82 |
|
|
Lymphocyte transformation mitogen
|
$5,541.60 |
$5,541.60 |
$5,541.60 |
|
|
Lymphocytotoxicity assay
|
$361.20 |
$408.00 |
$922.20 |
|
|
Lymph vessel x-ray arms/legs
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
|
|
Lymph vessel x-ray trunk
|
$588.60 |
$588.60 |
$15,195.81 |
|
|
Lymph vessel x-ray trunk
|
$1,176.60 |
$1,176.60 |
$17,576.30 |
|
|
Macro exam dissect molec study ea
|
$146.40 |
$175.20 |
$257.27 |
|
|
Macroscopic exam arthropod
|
$17.40 |
$85.80 |
$109.80 |
|
|
Macroscopic exam parasite
|
$43.80 |
$52.20 |
$117.00 |
|
|
Magnesium
|
$45.00 |
$97.20 |
$162.00 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$64.61 |
$96.68 |
$372.74 |
|
|
Magnetic image bone marrow
|
$582.60 |
$582.60 |
$3,771.00 |
|
|
Malaria antibody
|
$154.95 |
$154.95 |
$154.95 |
|
|
Mammosite ced
|
$1,267.06 |
$1,267.06 |
$1,267.06 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$32.28 |
$40.12 |
$40.12 |
|
|
Manual diff wbc count b-coat
|
$55.20 |
$75.60 |
$88.80 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$403.80 |
$403.80 |
$403.80 |
|
|
Map tachycard site(s)
|
$6,008.40 |
$6,303.60 |
$33,930.98 |
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$5,930.92 |
$5,930.92 |
$29,834.30 |
|
|
Marker biop eviva buckle ss
|
$200.40 |
$1,863.20 |
$3,697.80 |
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,375.50 |
$2,375.72 |
$8,796.62 |
|
|
Mastectomy form
|
$408.92 |
$408.92 |
$408.92 |
|
|
Mastectomy partial
|
$305.72 |
$305.72 |
$305.72 |
|
|
Mastoids complete
|
$330.00 |
$390.00 |
$922.49 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$3,901.80 |
$13,359.00 |
$35,920.55 |
|
|
M.avium-intra dna amp prob
|
$441.65 |
$441.65 |
$441.65 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$20.00 |
$180.59 |
$358.80 |
|
|
Mayo aathr protein s free
|
$88.00 |
$250.80 |
$648.60 |
|
|
Mayo activated protein c resistance assay
|
$71.40 |
$226.80 |
$1,128.00 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$105.50 |
$107.50 |
$918.32 |
|
|
Mayo alcohol definitive assay volatile screen
|
$295.97 |
$295.97 |
$295.97 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$47.88 |
$99.50 |
$381.60 |
|
|
Mayo alpha 1 antitrypsin
|
$81.00 |
$151.20 |
$339.07 |
|
|
Mayo amikacin trough therapeutic drug level
|
$42.00 |
$189.96 |
$251.40 |
|
|
Mayo analysis gene calr common variants exon 9
|
$219.00 |
$612.00 |
$884.49 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$385.20 |
$633.60 |
$955.57 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$961.43 |
$961.43 |
$961.43 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,573.20 |
$1,791.60 |
$6,746.17 |
|
|
Mayo androstenedione
|
$114.25 |
$151.20 |
$441.65 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$74.50 |
$195.60 |
$334.20 |
|
