|
Knee X-ray (standing, both knees)
|
$384.60 |
$384.60 |
$384.60 |
$251.20
|
|
Kras gene addl variants
|
$308.70 |
$308.70 |
$308.70 |
$387.20
|
|
Kras gene variants exon 2
|
$1,262.90 |
$1,262.90 |
$1,262.90 |
$536.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$30.80 |
$30.80 |
$30.80 |
$70.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$63.95 |
$63.95 |
$63.95 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$574.10 |
$574.10 |
$574.10 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$191.00 |
$191.00 |
$191.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$12.92 |
$12.92 |
$12.92 |
$43.74
|
|
Lactation class
|
$68.10 |
$68.10 |
$68.10 |
$104.96
|
|
Lactic acid
|
$195.70 |
$195.70 |
$195.70 |
$107.10
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$99.70 |
$99.70 |
$99.70 |
$740.40
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$141.65 |
$141.65 |
$141.65 |
$981.40
|
|
Lead capillary
|
$55.60 |
$55.60 |
$55.60 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$636.75 |
$636.75 |
$636.75 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,394.15 |
$1,394.15 |
$1,394.15 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,267.40 |
$1,267.40 |
$1,267.40 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,948.15 |
$1,948.15 |
$1,948.15 |
$1,092.58
|
|
Leishmania antibody
|
$88.85 |
$88.85 |
$88.85 |
$58.50
|
|
Lens iol ant bicnvx 24.0 multi
|
$595.00 |
$595.00 |
$595.00 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$150.00 |
$150.00 |
$150.00 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$120.79 |
$120.79 |
$120.79 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,323.44 |
$3,323.44 |
$3,323.44 |
$6,360.76
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$231.78 |
$231.78 |
$231.78 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$276.60 |
$276.60 |
$276.60 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$14.79 |
$14.79 |
$14.79 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$511.53 |
$511.53 |
$511.53 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$46.53 |
$46.53 |
$46.53 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$49.28 |
$49.28 |
$49.28 |
$39.75
|
|
Ligation/major artery/extremity 37618
|
$720.70 |
$720.70 |
$720.70 |
$1,567.80
|
|
Ligation vericose vein cluster(s) 1 leg
|
$290.15 |
$290.15 |
$290.15 |
$3,724.63
|
|
Liletta, 52 mg
|
$1,142.59 |
$1,142.59 |
$1,142.59 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$278.13 |
$278.13 |
$278.13 |
$121.00
|
|
Lipase
|
$99.85 |
$99.85 |
$99.85 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$168.75 |
$168.75 |
$168.75 |
$87.00
|
|
Lipoprotein blood quant
|
$82.00 |
$82.00 |
$82.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$197.00 |
$197.00 |
$197.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$169.15 |
$169.15 |
$169.15 |
$61.60
|
|
Lip surgery procedure
|
$142.60 |
$142.60 |
$142.60 |
$334.50
|
|
Lithium therapeutic drug level
|
$139.70 |
$139.70 |
$139.70 |
$69.75
|
|
Liver Function Test
|
$164.90 |
$164.90 |
$164.90 |
$115.44
|
|
Liver imag w/vasclr flow
|
$3,046.40 |
$3,046.40 |
$3,046.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,442.75 |
$1,442.75 |
$1,442.75 |
$1,138.55
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$25.26 |
$25.26 |
$25.26 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$762.55 |
$762.55 |
$762.55 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,394.15 |
$1,394.15 |
$1,394.15 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,267.40 |
$1,267.40 |
$1,267.40 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,301.70 |
$3,301.70 |
$3,301.70 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,133.25 |
$2,133.25 |
$2,133.25 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,442.30 |
$1,442.30 |
$1,442.30 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$644.10 |
$644.10 |
$644.10 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$951.50 |
$951.50 |
$951.50 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$1,518.35 |
$1,518.35 |
$1,518.35 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$480.40 |
$480.40 |
$480.40 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$778.20 |
$778.20 |
$778.20 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$129.75 |
$129.75 |
$129.75 |
$296.91
|
|
Lung perfusion imaging
|
$1,171.30 |
$1,171.30 |
$1,171.30 |
$1,069.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$14,835.07 |
$14,835.07 |
$14,835.07 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$2,286.35 |
$2,286.35 |
$2,286.35 |
$1,491.70
|
|
Macro exam dissect molec study ea
|
$99.85 |
$99.85 |
$99.85 |
$67.08
|
|
Macroscopic exam parasite
|
$183.60 |
$183.60 |
$183.60 |
$37.05
|
|
Magnesium
|
$95.75 |
$95.75 |
$95.75 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$80.31 |
$80.31 |
$80.31 |
$58.70
|
|
Mannitol 12.5 gm/50 ml inj
|
$42.59 |
$42.59 |
$42.59 |
$26.29
|
|
Marker biop eviva buckle ss
|
$111.05 |
$111.05 |
$111.05 |
$1,451.30
|
|
Mastoids complete
|
$714.60 |
$714.60 |
$714.60 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$119.50 |
$119.50 |
$119.50 |
$65.28
|
|
Mayo aathr protein s free
|
$201.45 |
$201.45 |
$201.45 |
$130.00
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$239.05 |
$239.05 |
$239.05 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$201.55 |
$201.55 |
$201.55 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$183.60 |
$183.60 |
$183.60 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$78.50 |
$78.50 |
$78.50 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$158.70 |
$158.70 |
$158.70 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$105.80 |
$105.80 |
$105.80 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$165.00 |
$165.00 |
$165.00 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$265.45 |
$265.45 |
$265.45 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$457.05 |
$457.05 |
$457.05 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$330.50 |
$330.50 |
$330.50 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$239.05 |
$239.05 |
$239.05 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,443.95 |
$1,443.95 |
$1,443.95 |
$1,860.00
|
|
Mayo androstenedione
|
$223.80 |
$223.80 |
$223.80 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$229.70 |
$229.70 |
$229.70 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$111.30 |
$111.30 |
$111.30 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$80.25 |
$80.25 |
$80.25 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$121.10 |
$121.10 |
$121.10 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$218.00 |
$218.00 |
$218.00 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$126.55 |
$126.55 |
$126.55 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$488.65 |
$488.65 |
$488.65 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$542.50 |
$542.50 |
$542.50 |
$310.20
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$24.75 |
$24.75 |
$24.75 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$33.00 |
$33.00 |
$33.00 |
$69.20
|
|
Mayo c1 esterase inhibitor
|
$314.50 |
$314.50 |
$314.50 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$204.05 |
$204.05 |
$204.05 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$48.05 |
$48.05 |
$48.05 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$63.25 |
$63.25 |
$63.25 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$283.70 |
$283.70 |
$283.70 |
$283.40
|
|
Mayo ceruloplasmin
|
$185.15 |
$185.15 |
$185.15 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$126.05 |
$126.05 |
$126.05 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$154.35 |
$154.35 |
$154.35 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$240.20 |
$240.20 |
$240.20 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$71.50 |
$71.50 |
$71.50 |
$50.88
|