|
Lead tachy durata sj4 58cm
|
$6,500.16 |
$6,500.16 |
$6,500.16 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,195.68 |
$1,195.68 |
$1,195.68 |
$1,092.58
|
|
Leishmania antibody
|
$95.04 |
$95.04 |
$95.04 |
$58.50
|
|
Lens, intraocular (new tech)
|
$568.80 |
$568.80 |
$568.80 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$237.60 |
$237.60 |
$237.60 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,194.00 |
$1,194.00 |
$1,194.00 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$419.20 |
$419.20 |
$419.20 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$189.20 |
$189.20 |
$189.20 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,332.08 |
$2,332.08 |
$2,332.08 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$11,860.61 |
$11,860.61 |
$11,860.61 |
$9,107.80
|
|
Leuprolide depot cipla 7.5mg
|
$2,994.27 |
$2,994.27 |
$2,994.27 |
$623.81
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$126.02 |
$126.02 |
$126.02 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$100.80 |
$100.80 |
$100.80 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$99.24 |
$99.24 |
$99.24 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$175.76 |
$175.76 |
$175.76 |
$420.60
|
|
Liberta rc ipg
|
$32,869.73 |
$32,869.73 |
$32,869.73 |
$39,406.68
|
|
Lidocaine injection
|
$47.76 |
$47.76 |
$47.76 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$47.76 |
$47.76 |
$47.76 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$88.80 |
$88.80 |
$88.80 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$11.29 |
$11.29 |
$11.29 |
$133.50
|
|
Ligation/biopsy of temporal artery 37609
|
$419.04 |
$419.04 |
$419.04 |
$3,322.80
|
|
Liletta, 52 mg
|
$1,144.92 |
$1,144.92 |
$1,144.92 |
$1,514.24
|
|
Lincomycin injection
|
$373.13 |
$373.13 |
$373.13 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$175.68 |
$175.68 |
$175.68 |
$121.00
|
|
Lipase
|
$101.76 |
$101.76 |
$101.76 |
$91.65
|
|
Lipoprotein blood quant
|
$253.92 |
$253.92 |
$253.92 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$95.04 |
$95.04 |
$95.04 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$106.56 |
$106.56 |
$106.56 |
$61.60
|
|
Lip surgery procedure
|
$60.96 |
$60.96 |
$60.96 |
$335.50
|
|
Lithium therapeutic drug level
|
$85.92 |
$85.92 |
$85.92 |
$69.42
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,569.12 |
$1,569.12 |
$1,569.12 |
$1,714.14
|
|
Liver Function Test
|
$145.92 |
$145.92 |
$145.92 |
$115.44
|
|
Liver imaging
|
$252.00 |
$252.00 |
$252.00 |
$1,143.00
|
|
Liver/spleen imag static only
|
$501.60 |
$501.60 |
$501.60 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$338.88 |
$338.88 |
$338.88 |
$1,069.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$47.76 |
$47.76 |
$47.76 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,617.60 |
$1,617.60 |
$1,617.60 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,508.16 |
$1,508.16 |
$1,508.16 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,485.44 |
$2,485.44 |
$2,485.44 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,239.20 |
$2,239.20 |
$2,239.20 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,239.20 |
$2,239.20 |
$2,239.20 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$242.40 |
$242.40 |
$242.40 |
$356.16
|
|
Lso flex no ri stays pre ots
|
$297.35 |
$297.35 |
$297.35 |
$164.80
|
|
L/s ratio fetal lung
|
$298.56 |
$298.56 |
$298.56 |
$178.36
|
|
Lung Function Test (Spirometry)
|
$206.40 |
$206.40 |
$206.40 |
$295.35
|
|
Lung perfusion imaging
|
$588.96 |
$588.96 |
$588.96 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$16,555.97 |
$16,555.97 |
$16,555.97 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$28,464.53 |
$28,464.53 |
$28,464.53 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$114,000.00 |
$114,000.00 |
$114,000.00 |
$333.50
|
|
Lymphatics/lymph node imaging
|
$807.84 |
$807.84 |
$807.84 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$36.00 |
$36.00 |
$36.00 |
$38.58
|
|
Macroscopic exam parasite
|
$37.92 |
$37.92 |
$37.92 |
$36.55
|
|
Magnesium
|
$55.68 |
$55.68 |
$55.68 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$99.24 |
$99.24 |
$99.24 |
$59.88
|
|
Mammosite ced
|
$4,831.20 |
$4,831.20 |
$4,831.20 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$42.24 |
$42.24 |
$42.24 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$72.00 |
$72.00 |
$72.00 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$47.76 |
$47.76 |
$47.76 |
$30.75
|
|
Manual diff wbc count b-coat
|
$58.56 |
$58.56 |
$58.56 |
$25.74
|
|
Marker biop eviva buckle ss
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$1,451.30
|
|
Mastectomy partial
|
$2,123.04 |
$2,123.04 |
$2,123.04 |
$4,531.42
|
|
Mast mod rad
|
$1,529.28 |
$1,529.28 |
$1,529.28 |
$7,127.17
|
|
Mastoids complete
|
$205.44 |
$205.44 |
$205.44 |
$299.50
|
|
Mast radical
|
$1,487.04 |
$1,487.04 |
$1,487.04 |
$1,780.80
|
|
Mast rad urban type
|
$1,584.00 |
$1,584.00 |
$1,584.00 |
$2,772.00
|
|
Mast simple complete
|
$1,238.40 |
$1,238.40 |
$1,238.40 |
$6,174.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$4,605.12 |
$4,605.12 |
$4,605.12 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$147.84 |
$147.84 |
$147.84 |
$65.00
|
|
Mayo aathr protein s free
|
$274.08 |
$274.08 |
$274.08 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$44.64 |
$44.64 |
$44.64 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$144.48 |
$144.48 |
$144.48 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$72.00 |
$72.00 |
$72.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$125.28 |
$125.28 |
$125.28 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$68.16 |
$68.16 |
$68.16 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$86.88 |
$86.88 |
$86.88 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$104.64 |
$104.64 |
$104.64 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$9.12 |
$9.12 |
$9.12 |
$75.90
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$507.84 |
$507.84 |
$507.84 |
$369.00
|
|
Mayo androstenedione
|
$139.20 |
$139.20 |
$139.20 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$97.44 |
$97.44 |
$97.44 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$132.48 |
$132.48 |
$132.48 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$77.76 |
$77.76 |
$77.76 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$158.88 |
$158.88 |
$158.88 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$119.04 |
$119.04 |
$119.04 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$48.00 |
$48.00 |
$48.00 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$94.56 |
$94.56 |
$94.56 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$84.96 |
$84.96 |
$84.96 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$59.52 |
$59.52 |
$59.52 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$91.20 |
$91.20 |
$91.20 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$122.40 |
$122.40 |
$122.40 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$80.16 |
$80.16 |
$80.16 |
$80.16
|
|
Mayo ceruloplasmin
|
$69.60 |
$69.60 |
$69.60 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$132.48 |
$132.48 |
$132.48 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$112.32 |
$112.32 |
$112.32 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$53.76 |
$53.76 |
$53.76 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$60.00 |
$60.00 |
$60.00 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$399.36 |
$399.36 |
$399.36 |
$360.33
|
|
Mayo chromium
|
$105.60 |
$105.60 |
$105.60 |
$74.94
|
|
Mayo coccidioides antibody
|
$51.84 |
$51.84 |
$51.84 |
$53.90
|
