|
Leg CT Scan (with contrast, both legs)
|
$2,262.10 |
$2,262.10 |
$2,262.10 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,876.10 |
$1,876.10 |
$1,876.10 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,407.45 |
$1,407.45 |
$1,407.45 |
$1,092.58
|
|
Leishmania antibody
|
$30.65 |
$30.65 |
$30.65 |
$58.50
|
|
Lens iol ant bicnvx 24.0 multi
|
$150.00 |
$150.00 |
$150.00 |
$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)
|
$858.86 |
$858.86 |
$858.86 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$30,750.07 |
$30,750.07 |
$30,750.07 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$12,902.17 |
$12,902.17 |
$12,902.17 |
$8,348.12
|
|
Lev 1 hosp type b ed visit
|
$152.55 |
$152.55 |
$152.55 |
$186.98
|
|
Lev 2 hosp type b ed visit
|
$195.90 |
$195.90 |
$195.90 |
$359.65
|
|
Lev 3 hosp type b ed visit
|
$345.40 |
$345.40 |
$345.40 |
$598.15
|
|
Lev 4 hosp type b ed visit
|
$456.60 |
$456.60 |
$456.60 |
$915.40
|
|
Lev 5 hosp type b ed visit
|
$677.90 |
$677.90 |
$677.90 |
$1,542.68
|
|
Levalbuterol non-comp unit
|
$1.05 |
$1.05 |
$1.05 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$390.39 |
$390.39 |
$390.39 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$4.40 |
$4.40 |
$4.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$67.30 |
$67.30 |
$67.30 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,174.69 |
$1,174.69 |
$1,174.69 |
$420.60
|
|
Liberta rc ipg
|
$10,734.00 |
$10,734.00 |
$10,734.00 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$316.18 |
$316.18 |
$316.18 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$73.72 |
$73.72 |
$73.72 |
$39.75
|
|
Ligation/biopsy of temporal artery 37609
|
$3,679.25 |
$3,679.25 |
$3,679.25 |
$3,322.80
|
|
Ligation/major artery/extremity 37618
|
$9,253.45 |
$9,253.45 |
$9,253.45 |
$1,567.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$322.07 |
$322.07 |
$322.07 |
$121.00
|
|
Lipase
|
$115.40 |
$115.40 |
$115.40 |
$93.58
|
|
Lipoprotein blood quant
|
$148.55 |
$148.55 |
$148.55 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$16.90 |
$16.90 |
$16.90 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$116.10 |
$116.10 |
$116.10 |
$61.60
|
|
Lip surgery procedure
|
$425.20 |
$425.20 |
$425.20 |
$334.50
|
|
Lithium therapeutic drug level
|
$133.20 |
$133.20 |
$133.20 |
$69.75
|
|
Liver Function Test
|
$203.95 |
$203.95 |
$203.95 |
$115.44
|
|
Liver imag w/vasclr flow
|
$3,467.40 |
$3,467.40 |
$3,467.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,972.25 |
$1,972.25 |
$1,972.25 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$2,204.00 |
$2,204.00 |
$2,204.00 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$40.05 |
$40.05 |
$40.05 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$7.81 |
$7.81 |
$7.81 |
$37.20
|
|
Low cost skin substitute app
|
$944.85 |
$944.85 |
$944.85 |
$933.60
|
|
Low cost skin substitute app
|
$2,806.90 |
$2,806.90 |
$2,806.90 |
$2,164.64
|
|
Low cost skin substitute app
|
$944.85 |
$944.85 |
$944.85 |
$1,012.00
|
|
Low cost skin substitute app
|
$944.85 |
$944.85 |
$944.85 |
$1,016.16
|
|
Low cost skin substitute app
|
$472.40 |
$472.40 |
$472.40 |
$466.80
|
|
Low cost skin substitute app
|
$1,926.45 |
$1,926.45 |
$1,926.45 |
$756.00
|
|
Low cost skin substitute app
|
$472.40 |
$472.40 |
$472.40 |
$408.45
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$382.45 |
$382.45 |
$382.45 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,953.20 |
$2,953.20 |
$2,953.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,306.60 |
$2,306.60 |
$2,306.60 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,649.25 |
$2,649.25 |
$2,649.25 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,183.30 |
$2,183.30 |
$2,183.30 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,854.70 |
$1,854.70 |
$1,854.70 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,293.45 |
$1,293.45 |
$1,293.45 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$804.45 |
$804.45 |
$804.45 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$1,187.75 |
$1,187.75 |
$1,187.75 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$1,418.50 |
$1,418.50 |
$1,418.50 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$437.25 |
$437.25 |
$437.25 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$530.40 |
$530.40 |
$530.40 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$332.00 |
$332.00 |
$332.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,889.60 |
$1,889.60 |
$1,889.60 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$19,365.06 |
$19,365.06 |
$19,365.06 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$28,886.22 |
$28,886.22 |
$28,886.22 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$3,944.20 |
$3,944.20 |
$3,944.20 |
$1,491.70
|
|
Lymph vessel x-ray arm/leg
|
$1,192.45 |
$1,192.45 |
$1,192.45 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,269.75 |
$1,269.75 |
$1,269.75 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$1,192.45 |
$1,192.45 |
$1,192.45 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$1,269.75 |
$1,269.75 |
$1,269.75 |
$3,452.15
|
|
Macro exam dissect molec study ea
|
$118.75 |
$118.75 |
$118.75 |
$67.08
|
|
Macroscopic exam parasite
|
$11.95 |
$11.95 |
$11.95 |
$37.05
|
|
Magnesium
|
$46.65 |
$46.65 |
$46.65 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$187.97 |
$187.97 |
$187.97 |
$58.70
|
|
Marker biop eviva buckle ss
|
$848.10 |
$848.10 |
$848.10 |
$1,451.30
|
|
Mastoids complete
|
$456.50 |
$456.50 |
$456.50 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$32.55 |
$32.55 |
$32.55 |
$65.28
|
|
Mayo aathr protein s free
|
$80.45 |
$80.45 |
$80.45 |
$130.00
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$347.35 |
$347.35 |
$347.35 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$210.40 |
$210.40 |
$210.40 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$207.10 |
$207.10 |
$207.10 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$31.90 |
$31.90 |
$31.90 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$99.00 |
$99.00 |
$99.00 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$30.90 |
$30.90 |
$30.90 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$69.90 |
$69.90 |
$69.90 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$36.70 |
$36.70 |
$36.70 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$645.30 |
$645.30 |
$645.30 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$530.45 |
$530.45 |
$530.45 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$460.55 |
$460.55 |
$460.55 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,221.10 |
$3,221.10 |
$3,221.10 |
$1,860.00
|
|
Mayo androstenedione
|
$199.25 |
$199.25 |
$199.25 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$35.85 |
$35.85 |
$35.85 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$89.15 |
$89.15 |
$89.15 |
$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
|
$378.85 |
$378.85 |
$378.85 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$8.10 |
$8.10 |
$8.10 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$20.35 |
$20.35 |
$20.35 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$520.00 |
$520.00 |
$520.00 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$637.70 |
$637.70 |
$637.70 |
$310.20
|
|
Mayo bordetella pertussis antibody igg
|
$33.00 |
$33.00 |
$33.00 |
$69.20
|
|
Mayo c1 esterase inhibitor
|
$57.60 |
$57.60 |
$57.60 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$56.60 |
$56.60 |
$56.60 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$43.15 |
$43.15 |
$43.15 |
$81.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$317.75 |
$317.75 |
$317.75 |
$283.40
|
|
Mayo ceruloplasmin
|
$18.90 |
$18.90 |
$18.90 |
$69.60
|