|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$442.29 |
$442.29 |
$442.29 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$17,799.13 |
$17,799.13 |
$17,799.13 |
$6,236.52
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$56.58 |
$56.58 |
$56.58 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$20.54 |
$20.54 |
$20.54 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$55.29 |
$55.29 |
$55.29 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$583.73 |
$583.73 |
$583.73 |
$420.60
|
|
Lidocaine injection
|
$26.41 |
$26.41 |
$26.41 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$27.58 |
$27.58 |
$27.58 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$34.55 |
$34.55 |
$34.55 |
$40.54
|
|
Ligate oviduct(s) add-on 58611
|
$3,797.56 |
$3,797.56 |
$3,797.56 |
$800.00
|
|
Ligate/transect fallopian tubes 58600
|
$3,127.54 |
$3,127.54 |
$3,127.54 |
$3,522.35
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$179.68 |
$179.68 |
$179.68 |
$121.00
|
|
Lipase
|
$82.42 |
$82.42 |
$82.42 |
$91.65
|
|
Lipoprotein direct measurement hdl
|
$23.40 |
$23.40 |
$23.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$21.84 |
$21.84 |
$21.84 |
$61.60
|
|
Lithium therapeutic drug level
|
$26.00 |
$26.00 |
$26.00 |
$69.42
|
|
Liver Function Test
|
$21.58 |
$21.58 |
$21.58 |
$115.44
|
|
Liver imaging
|
$457.34 |
$457.34 |
$457.34 |
$1,143.00
|
|
Liver/spleen imag static only
|
$368.68 |
$368.68 |
$368.68 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$21.74 |
$21.74 |
$21.74 |
$37.37
|
|
Low cost skin substitute app
|
$302.64 |
$302.64 |
$302.64 |
$933.60
|
|
Low cost skin substitute app
|
$939.12 |
$939.12 |
$939.12 |
$2,147.57
|
|
Low cost skin substitute app
|
$189.28 |
$189.28 |
$189.28 |
$1,012.00
|
|
Low cost skin substitute app
|
$754.78 |
$754.78 |
$754.78 |
$1,009.49
|
|
Low cost skin substitute app
|
$302.64 |
$302.64 |
$302.64 |
$428.35
|
|
Low cost skin substitute app
|
$939.12 |
$939.12 |
$939.12 |
$727.77
|
|
Low cost skin substitute app
|
$189.28 |
$189.28 |
$189.28 |
$408.04
|
|
Low cost skin substitute app
|
$754.78 |
$754.78 |
$754.78 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$585.00 |
$585.00 |
$585.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$483.08 |
$483.08 |
$483.08 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$399.36 |
$399.36 |
$399.36 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$893.88 |
$893.88 |
$893.88 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$757.90 |
$757.90 |
$757.90 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$643.24 |
$643.24 |
$643.24 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$150.80 |
$150.80 |
$150.80 |
$356.16
|
|
Lung Function Test (Spirometry)
|
$254.02 |
$254.02 |
$254.02 |
$295.35
|
|
Lung perfusion imaging
|
$372.84 |
$372.84 |
$372.84 |
$1,059.97
|
|
Lymphatics/lymph node imaging
|
$405.86 |
$405.86 |
$405.86 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$246.48 |
$246.48 |
$246.48 |
$271.88
|
|
Macroscopic exam parasite
|
$7.02 |
$7.02 |
$7.02 |
$36.55
|
|
Magnesium
|
$34.32 |
$34.32 |
$34.32 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$112.65 |
$112.65 |
$112.65 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$93.60 |
$93.60 |
$93.60 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$121.68 |
$121.68 |
$121.68 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$22.11 |
$22.11 |
$22.11 |
$30.75
|
|
Map tachycard site(s)
|
$2,369.12 |
$2,369.12 |
$2,369.12 |
$4,082.82
|
|
Mastoids complete
|
$255.58 |
$255.58 |
$255.58 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$23.14 |
$23.14 |
$23.14 |
$65.00
|
|
Mayo aathr protein s free
|
$108.16 |
$108.16 |
$108.16 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$32.50 |
$32.50 |
$32.50 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$47.32 |
$47.32 |
$47.32 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$219.44 |
$219.44 |
$219.44 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$18.72 |
$18.72 |
$18.72 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$41.60 |
$41.60 |
$41.60 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$83.98 |
$83.98 |
$83.98 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$51.22 |
$51.22 |
$51.22 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$31.72 |
$31.72 |
$31.72 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$22.10 |
$22.10 |
$22.10 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$83.98 |
$83.98 |
$83.98 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$276.90 |
$276.90 |
$276.90 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$293.02 |
$293.02 |
$293.02 |
$369.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,016.86 |
$1,016.86 |
$1,016.86 |
$1,860.00
|
|
Mayo androstenedione
|
$73.32 |
$73.32 |
$73.32 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$30.68 |
$30.68 |
$30.68 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$32.24 |
$32.24 |
$32.24 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$60.58 |
$60.58 |
$60.58 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$93.34 |
$93.34 |
$93.34 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$22.88 |
$22.88 |
$22.88 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$18.20 |
$18.20 |
$18.20 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$37.18 |
$37.18 |
$37.18 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$747.76 |
$747.76 |
$747.76 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$436.28 |
$436.28 |
$436.28 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$46.54 |
$46.54 |
$46.54 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$14.82 |
$14.82 |
$14.82 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$21.32 |
$21.32 |
$21.32 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$34.06 |
$34.06 |
$34.06 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$55.38 |
$55.38 |
$55.38 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$14.04 |
$14.04 |
$14.04 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$123.76 |
$123.76 |
$123.76 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$48.10 |
$48.10 |
$48.10 |
$110.00
|
|
Mayo ceruloplasmin
|
$28.86 |
$28.86 |
$28.86 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$159.12 |
$159.12 |
$159.12 |
$123.73
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$57.46 |
$57.46 |
$57.46 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$127.66 |
$127.66 |
$127.66 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$168.22 |
$168.22 |
$168.22 |
$360.33
|
|
Mayo chromium
|
$21.06 |
$21.06 |
$21.06 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$14.30 |
$14.30 |
$14.30 |
$100.00
|
|
Mayo coccidioides antibody
|
$50.44 |
$50.44 |
$50.44 |
$53.90
|
|
Mayo cocou cortisone urine
|
$60.32 |
$60.32 |
$60.32 |
$213.92
|
|
Mayo cortisol free
|
$65.26 |
$65.26 |
$65.26 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$50.44 |
$50.44 |
$50.44 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$37.70 |
$37.70 |
$37.70 |
$58.10
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$24.44 |
$24.44 |
$24.44 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$122.20 |
$122.20 |
$122.20 |
$66.00
|
|
Mayo cyanide
|
$31.20 |
$31.20 |
$31.20 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$34.58 |
$34.58 |
$34.58 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$52.78 |
$52.78 |
$52.78 |
$105.60
|
|
Mayo dihydrotestosterone
|
$56.16 |
$56.16 |
$56.16 |
$74.25
|
|
Mayo efpo chloride stool
|
$13.78 |
$13.78 |
$13.78 |
$43.41
|
|
Mayo estrone
|
$65.78 |
$65.78 |
$65.78 |
$85.00
|