|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$396.40 |
$396.40 |
$396.40 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$37,312.35 |
$37,312.35 |
$37,312.35 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$5,218.50 |
$5,218.50 |
$5,218.50 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$7.95 |
$7.95 |
$7.95 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$130.00 |
$130.00 |
$130.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$61.50 |
$61.50 |
$61.50 |
$55.69
|
|
Liberta rc ipg
|
$29,884.39 |
$29,884.39 |
$29,884.39 |
$39,189.70
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$37.50 |
$37.50 |
$37.50 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$43.55 |
$43.55 |
$43.55 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$38.34 |
$38.34 |
$38.34 |
$133.50
|
|
Lift heel adjustable med
|
$3.03 |
$3.03 |
$3.03 |
$58.56
|
|
Lipase
|
$83.20 |
$83.20 |
$83.20 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$62.40 |
$62.40 |
$62.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$62.40 |
$62.40 |
$62.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$61.10 |
$61.10 |
$61.10 |
$69.75
|
|
Liver Function Test
|
$110.50 |
$110.50 |
$110.50 |
$115.44
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$87,089.35 |
$87,089.35 |
$87,089.35 |
$62,704.30
|
|
Loop ostmy bridg ster
|
$45.43 |
$45.43 |
$45.43 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$60.90 |
$60.90 |
$60.90 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$1,402.05 |
$1,402.05 |
$1,402.05 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,517.10 |
$1,517.10 |
$1,517.10 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,803.15 |
$3,803.15 |
$3,803.15 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,598.70 |
$2,598.70 |
$2,598.70 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$286.00 |
$286.00 |
$286.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$369.20 |
$369.20 |
$369.20 |
$505.83
|
|
Lower Leg (Shin) X-ray (both sides)
|
$295.75 |
$295.75 |
$295.75 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$453.05 |
$453.05 |
$453.05 |
$549.83
|
|
Lurbinectedin 4 mg intravenous solution
|
$25,230.00 |
$25,230.00 |
$25,230.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$37,758.50 |
$37,758.50 |
$37,758.50 |
$22,771.63
|
|
Lvad shower bag heartmate
|
$887.68 |
$887.68 |
$887.68 |
$893.74
|
|
Macroscopic exam arthropod
|
$40.95 |
$40.95 |
$40.95 |
$38.58
|
|
Macroscopic exam parasite
|
$19.50 |
$19.50 |
$19.50 |
$37.05
|
|
Magnesium
|
$69.55 |
$69.55 |
$69.55 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$75.00 |
$75.00 |
$75.00 |
$58.70
|
|
Mammosite ced
|
$1,437.46 |
$1,437.46 |
$1,437.46 |
$5,031.60
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$8,622.65 |
$8,622.65 |
$8,622.65 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$3,312.87 |
$3,312.87 |
$3,312.87 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,283.48 |
$1,283.48 |
$1,283.48 |
$1,941.63
|
|
Mask full face lg af531
|
$47.34 |
$47.34 |
$47.34 |
$66.00
|
|
Matrix bone cryomatrix 2.0ml
|
$6,518.34 |
$6,518.34 |
$6,518.34 |
$6,518.34
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$72.92 |
$72.92 |
$72.92 |
$4,472.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$81.90 |
$81.90 |
$81.90 |
$65.28
|
|
Mayo activated protein c resistance assay
|
$128.05 |
$128.05 |
$128.05 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$305.50 |
$305.50 |
$305.50 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$97.50 |
$97.50 |
$97.50 |
$101.07
|
|
Mayo alkaline phosphatase isoenzyme
|
$108.55 |
$108.55 |
$108.55 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$101.40 |
$101.40 |
$101.40 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$124.80 |
$124.80 |
$124.80 |
$89.05
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$561.60 |
$561.60 |
$561.60 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$520.65 |
$520.65 |
$520.65 |
$368.25
|
|
Mayo androstenedione
|
$170.95 |
$170.95 |
$170.95 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$118.95 |
$118.95 |
$118.95 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$157.95 |
$157.95 |
$157.95 |
$74.74
|
|
Mayo avwpr vw factor activity
|
$229.45 |
$229.45 |
$229.45 |
$171.50
|
|
Mayo c1 esterase inhibitor
|
$103.35 |
$103.35 |
$103.35 |
$86.73
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$220.35 |
$220.35 |
$220.35 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$317.20 |
$317.20 |
$317.20 |
$283.40
|
|
Mayo ceruloplasmin
|
$71.50 |
$71.50 |
$71.50 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$122.20 |
$122.20 |
$122.20 |
$122.20
|
|
Mayo chromium
|
$108.55 |
$108.55 |
$108.55 |
$75.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$68.25 |
$68.25 |
$68.25 |
$58.20
|
|
Mayo cyanide
|
$120.25 |
$120.25 |
$120.25 |
$87.60
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$750.75 |
$750.75 |
$750.75 |
$578.82
|
|
Mayo dhea (dehydroepiandrosterone)
|
$148.20 |
$148.20 |
$148.20 |
$106.47
|
|
Mayo dihydrotestosterone
|
$55.25 |
$55.25 |
$55.25 |
$78.00
|
|
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid
|
$133.25 |
$133.25 |
$133.25 |
$35.28
|
|
Mayo everolimus therapeutic drug level
|
$125.45 |
$125.45 |
$125.45 |
$97.50
|
|
Mayo factor v
|
$91.65 |
$91.65 |
$91.65 |
$129.60
|
|
Mayo factor vii
|
$91.65 |
$91.65 |
$91.65 |
$155.75
|
|
Mayo factor viii vw factor multimetric analysis
|
$218.40 |
$218.40 |
$218.40 |
$130.20
|
|
Mayo factor x
|
$109.85 |
$109.85 |
$109.85 |
$155.00
|
|
Mayo factor xi
|
$122.20 |
$122.20 |
$122.20 |
$123.75
|
|
Mayo fat/lipids feces quantitative
|
$109.20 |
$109.20 |
$109.20 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$309.40 |
$309.40 |
$309.40 |
$106.56
|
|
Mayo fdp/fsp paracoagulation
|
$261.30 |
$261.30 |
$261.30 |
$121.89
|
|
Mayo hydroxyprogesterone 17-d
|
$144.95 |
$144.95 |
$144.95 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$135.20 |
$135.20 |
$135.20 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$62.40 |
$62.40 |
$62.40 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$148.20 |
$148.20 |
$148.20 |
$108.96
|
|
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance
|
$68.25 |
$68.25 |
$68.25 |
$98.00
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$133.90 |
$133.90 |
$133.90 |
$109.08
|
|
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii
|
$148.20 |
$148.20 |
$148.20 |
$134.88
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$229.45 |
$229.45 |
$229.45 |
$230.65
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$295.10 |
$295.10 |
$295.10 |
$228.80
|
|
Mayo infliximab therapeutic drug level
|
$234.00 |
$234.00 |
$234.00 |
$148.80
|
|
Mayo iodine
|
$157.95 |
$157.95 |
$157.95 |
$114.05
|
|
Mayo lacosamide therapeutic drug level
|
$175.50 |
$175.50 |
$175.50 |
$106.00
|
|
Mayo lamotrigine therapeutic drug level
|
$14.30 |
$14.30 |
$14.30 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$65.00 |
$65.00 |
$65.00 |
$52.80
|
|
Mayo lipoprotein electrophoresis
|
$135.20 |
$135.20 |
$135.20 |
$50.70
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$102.70 |
$102.70 |
$102.70 |
$69.55
|
|
Mayo metanephrines plasma
|
$170.95 |
$170.95 |
$170.95 |
$123.87
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$78.00 |
$78.00 |
$78.00 |
$75.00
|
|
Mayo microsomal antibody liver-kidney
|
$114.40 |
$114.40 |
$114.40 |
$81.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$268.45 |
$268.45 |
$268.45 |
$168.84
|
|
Mayo mycophenolic acid therapeutic drug level
|
$152.10 |
$152.10 |
$152.10 |
$76.00
|
|
Mayo myoglobin
|
$98.80 |
$98.80 |
$98.80 |
$93.12
|
|
Mayo nickel
|
$97.50 |
$97.50 |
$97.50 |
$70.02
|
|
Mayo opatu opioid/analogs definitive assay 1 or 2
|
$37.05 |
$37.05 |
$37.05 |
$72.14
|
|
Mayo opatu oxycodone definitive assay
|
$84.50 |
$84.50 |
$84.50 |
$85.40
|
