|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$858.35 |
$858.35 |
$858.35 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$858.35 |
$858.35 |
$858.35 |
$490.75
|
|
Kit gene analys d816 variant
|
$772.50 |
$772.50 |
$772.50 |
$374.61
|
|
Kit lead specify 5-6-5
|
$3,351.00 |
$3,351.00 |
$3,351.00 |
$16,672.10
|
|
Knee MRI (with and without contrast)
|
$3,347.25 |
$3,347.25 |
$3,347.25 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,822.25 |
$2,822.25 |
$2,822.25 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,181.10 |
$2,181.10 |
$2,181.10 |
$2,130.88
|
|
Knee X-ray
|
$645.15 |
$645.15 |
$645.15 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$473.75 |
$473.75 |
$473.75 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$473.75 |
$473.75 |
$473.75 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$473.75 |
$473.75 |
$473.75 |
$251.20
|
|
Kras gene addl variants
|
$960.30 |
$960.30 |
$960.30 |
$387.20
|
|
Kras gene variants exon 2
|
$960.30 |
$960.30 |
$960.30 |
$536.20
|
|
Kyleena, 19.5 mg
|
$3,197.15 |
$3,197.15 |
$3,197.15 |
$2,125.00
|
|
Lactate dehydrogenase (ldh)
|
$109.35 |
$109.35 |
$109.35 |
$55.50
|
|
Lactic acid
|
$145.80 |
$145.80 |
$145.80 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$113.80 |
$113.80 |
$113.80 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$511.50 |
$511.50 |
$511.50 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$635.25 |
$635.25 |
$635.25 |
$765.97
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$642.50 |
$642.50 |
$642.50 |
$981.40
|
|
Lead capillary
|
$123.65 |
$123.65 |
$123.65 |
$57.50
|
|
Leg CT Scan (with contrast, both legs)
|
$3,251.40 |
$3,251.40 |
$3,251.40 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,382.10 |
$1,382.10 |
$1,382.10 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,166.15 |
$1,166.15 |
$1,166.15 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$155.00 |
$155.00 |
$155.00 |
$1,065.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$242.98 |
$242.98 |
$242.98 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$16,948.42 |
$16,948.42 |
$16,948.42 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$14,222.76 |
$14,222.76 |
$14,222.76 |
$8,348.12
|
|
Lev 1 hosp type b ed visit
|
$140.35 |
$140.35 |
$140.35 |
$186.98
|
|
Lev 2 hosp type b ed visit
|
$253.75 |
$253.75 |
$253.75 |
$359.65
|
|
Lev 3 hosp type b ed visit
|
$421.15 |
$421.15 |
$421.15 |
$598.15
|
|
Lev 4 hosp type b ed visit
|
$701.80 |
$701.80 |
$701.80 |
$915.40
|
|
Lev 5 hosp type b ed visit
|
$1,052.75 |
$1,052.75 |
$1,052.75 |
$1,542.68
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$346.25 |
$346.25 |
$346.25 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$362.50 |
$362.50 |
$362.50 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$70.47 |
$70.47 |
$70.47 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$312.82 |
$312.82 |
$312.82 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$80.31 |
$80.31 |
$80.31 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$85.05 |
$85.05 |
$85.05 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$97.50 |
$97.50 |
$97.50 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$452.75 |
$452.75 |
$452.75 |
$3,322.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$583.15 |
$583.15 |
$583.15 |
$121.00
|
|
Lipase
|
$116.05 |
$116.05 |
$116.05 |
$93.58
|
|
Lipoprotein blood quant
|
$279.30 |
$279.30 |
$279.30 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$125.55 |
$125.55 |
$125.55 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$132.15 |
$132.15 |
$132.15 |
$61.60
|
|
Lip surgery procedure
|
$234.30 |
$234.30 |
$234.30 |
$334.50
|
|
Lithium therapeutic drug level
|
$113.40 |
$113.40 |
$113.40 |
$69.75
|
|
Liver Function Test
|
$125.55 |
$125.55 |
$125.55 |
$115.44
|
|
Liver imaging
|
$2,295.75 |
$2,295.75 |
$2,295.75 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$2,295.75 |
$2,295.75 |
$2,295.75 |
$1,227.60
|
|
Liver/spleen imag static only
|
$2,295.75 |
$2,295.75 |
$2,295.75 |
$1,138.55
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$939.75 |
$939.75 |
$939.75 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,248.75 |
$3,248.75 |
$3,248.75 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$5,227.40 |
$5,227.40 |
$5,227.40 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,382.10 |
$1,382.10 |
$1,382.10 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,347.25 |
$3,347.25 |
$3,347.25 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,822.25 |
$2,822.25 |
$2,822.25 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,181.10 |
$2,181.10 |
$2,181.10 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$473.75 |
$473.75 |
$473.75 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$645.15 |
$645.15 |
$645.15 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$645.15 |
$645.15 |
$645.15 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$473.75 |
$473.75 |
$473.75 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$835.45 |
$835.45 |
$835.45 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$149.75 |
$149.75 |
$149.75 |
$296.91
|
|
Lung perfusion imaging
|
$1,714.10 |
$1,714.10 |
$1,714.10 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$21,347.15 |
$21,347.15 |
$21,347.15 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$31,842.83 |
$31,842.83 |
$31,842.83 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$2,081.20 |
$2,081.20 |
$2,081.20 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$510.95 |
$510.95 |
$510.95 |
$271.88
|
|
Macro exam dissect molec study ea
|
$72.85 |
$72.85 |
$72.85 |
$67.08
|
|
Macroscopic exam arthropod
|
$54.20 |
$54.20 |
$54.20 |
$38.58
|
|
Macroscopic exam parasite
|
$85.00 |
$85.00 |
$85.00 |
$37.05
|
|
Magnesium
|
$114.65 |
$114.65 |
$114.65 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$75.33 |
$75.33 |
$75.33 |
$58.70
|
|
Marker biop eviva buckle ss
|
$1,081.85 |
$1,081.85 |
$1,081.85 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,332.85 |
$1,332.85 |
$1,332.85 |
$1,941.63
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$135.50 |
$135.50 |
$135.50 |
$65.28
|
|
Mayo aathr protein s free
|
$158.50 |
$158.50 |
$158.50 |
$130.00
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$202.00 |
$202.00 |
$202.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$196.45 |
$196.45 |
$196.45 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$182.25 |
$182.25 |
$182.25 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$152.10 |
$152.10 |
$152.10 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$214.25 |
$214.25 |
$214.25 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$165.35 |
$165.35 |
$165.35 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$183.55 |
$183.55 |
$183.55 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$284.10 |
$284.10 |
$284.10 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$834.35 |
$834.35 |
$834.35 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$606.10 |
$606.10 |
$606.10 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$647.55 |
$647.55 |
$647.55 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$5,556.10 |
$5,556.10 |
$5,556.10 |
$1,860.00
|
|
Mayo androstenedione
|
$226.30 |
$226.30 |
$226.30 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$150.95 |
$150.95 |
$150.95 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$152.10 |
$152.10 |
$152.10 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$307.70 |
$307.70 |
$307.70 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$120.55 |
$120.55 |
$120.55 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$129.60 |
$129.60 |
$129.60 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$116.50 |
$116.50 |
$116.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$489.70 |
$489.70 |
$489.70 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$551.45 |
$551.45 |
$551.45 |
$310.20
|