|
Lens iol ant bicnvx 24.0 multi
|
$692.25 |
$692.25 |
$692.25 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$354.25 |
$354.25 |
$354.25 |
$377.71
|
|
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
|
$15,655.60 |
$15,655.60 |
$15,655.60 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$17.90 |
$17.90 |
$17.90 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$106.60 |
$106.60 |
$106.60 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$61.50 |
$61.50 |
$61.50 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$875.45 |
$875.45 |
$875.45 |
$420.60
|
|
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
|
$11.05 |
$11.05 |
$11.05 |
$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
|
|
Ligate oviduct(s) add-on 58611
|
$874.90 |
$874.90 |
$874.90 |
$584.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$87.00 |
$87.00 |
$87.00 |
$121.00
|
|
Lipase
|
$75.40 |
$75.40 |
$75.40 |
$93.58
|
|
Lipoprotein blood quant
|
$137.80 |
$137.80 |
$137.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$44.85 |
$44.85 |
$44.85 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$726.00 |
$726.00 |
$726.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$50.70 |
$50.70 |
$50.70 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$58,952.82 |
$58,952.82 |
$58,952.82 |
$4,371.12
|
|
Liver elastography 91200
|
$338.00 |
$338.00 |
$338.00 |
$285.18
|
|
Liver Function Test
|
$255.45 |
$255.45 |
$255.45 |
$115.44
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$46,908.28 |
$46,908.28 |
$46,908.28 |
$3,878.80
|
|
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 back disk surgery
|
$66,693.75 |
$66,693.75 |
$66,693.75 |
$8,412.89
|
|
Low cost skin substitute app
|
$909.35 |
$909.35 |
$909.35 |
$933.60
|
|
Low cost skin substitute app
|
$11,101.76 |
$11,101.76 |
$11,101.76 |
$1,012.00
|
|
Low cost skin substitute app
|
$555.10 |
$555.10 |
$555.10 |
$466.80
|
|
Low cost skin substitute app
|
$555.10 |
$555.10 |
$555.10 |
$408.45
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$207.35 |
$207.35 |
$207.35 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,798.55 |
$1,798.55 |
$1,798.55 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,571.05 |
$1,571.05 |
$1,571.05 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,643.20 |
$1,643.20 |
$1,643.20 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,033.50 |
$1,033.50 |
$1,033.50 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$900.00 |
$900.00 |
$900.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$374.40 |
$374.40 |
$374.40 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$374.40 |
$374.40 |
$374.40 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$1,327.00 |
$1,327.00 |
$1,327.00 |
$338.40
|
|
Lumbar diskogram s&i
|
$6,646.90 |
$6,646.90 |
$6,646.90 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$85,494.17 |
$85,494.17 |
$85,494.17 |
$14,331.20
|
|
Lung Function Test Before and After an Inhaler
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$277.55 |
$277.55 |
$277.55 |
$296.91
|
|
Lung perfusion imaging
|
$805.35 |
$805.35 |
$805.35 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$56,049.90 |
$56,049.90 |
$56,049.90 |
$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
|
|
Lymphatics/lymph node imaging
|
$1,763.45 |
$1,763.45 |
$1,763.45 |
$1,491.70
|
|
Magnesium
|
$1,099.00 |
$1,099.00 |
$1,099.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$237.00 |
$237.00 |
$237.00 |
$58.70
|
|
Mammosite ced
|
$1,437.46 |
$1,437.46 |
$1,437.46 |
$5,031.60
|
|
Mapping io sentinel lymph node
|
$51,125.85 |
$51,125.85 |
$51,125.85 |
$650.00
|
|
Map tachycard site(s)
|
$1,966.90 |
$1,966.90 |
$1,966.90 |
$4,082.82
|
|
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
|
$1,262.93 |
$1,262.93 |
$1,262.93 |
$1,941.63
|
|
Mask full face lg af531
|
$47.34 |
$47.34 |
$47.34 |
$66.00
|
|
Mastectomy partial
|
$44,573.75 |
$44,573.75 |
$44,573.75 |
$5,110.00
|
|
Mast mod rad
|
$77,426.69 |
$77,426.69 |
$77,426.69 |
$7,224.60
|
|
Mast simple complete
|
$82,354.60 |
$82,354.60 |
$82,354.60 |
$7,127.17
|
|
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
|
$104.65 |
$104.65 |
$104.65 |
$65.28
|
|
Mayo aathr protein s free
|
$150.80 |
$150.80 |
$150.80 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$161.20 |
$161.20 |
$161.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$141.05 |
$141.05 |
$141.05 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$97.50 |
$97.50 |
$97.50 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$145.60 |
$145.60 |
$145.60 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$106.60 |
$106.60 |
$106.60 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$180.70 |
$180.70 |
$180.70 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$59.80 |
$59.80 |
$59.80 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$58.50 |
$58.50 |
$58.50 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$39.65 |
$39.65 |
$39.65 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$169.65 |
$169.65 |
$169.65 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$4,054.00 |
$4,054.00 |
$4,054.00 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$2,484.00 |
$2,484.00 |
$2,484.00 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$411.45 |
$411.45 |
$411.45 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,683.50 |
$1,683.50 |
$1,683.50 |
$1,860.00
|
|
Mayo androstenedione
|
$137.80 |
$137.80 |
$137.80 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$90.35 |
$90.35 |
$90.35 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$109.85 |
$109.85 |
$109.85 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$54.60 |
$54.60 |
$54.60 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$196.95 |
$196.95 |
$196.95 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$82.55 |
$82.55 |
$82.55 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$39.00 |
$39.00 |
$39.00 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$25.35 |
$25.35 |
$25.35 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$308.75 |
$308.75 |
$308.75 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$232.70 |
$232.70 |
$232.70 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$90.35 |
$90.35 |
$90.35 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$58.50 |
$58.50 |
$58.50 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$48.75 |
$48.75 |
$48.75 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$352.95 |
$352.95 |
$352.95 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$117.65 |
$117.65 |
$117.65 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$62.40 |
$62.40 |
$62.40 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$56.55 |
$56.55 |
$56.55 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$250.25 |
$250.25 |
$250.25 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$478.40 |
$478.40 |
$478.40 |
$283.40
|