|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$292.05 |
$292.05 |
$292.05 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,824.07 |
$1,824.07 |
$1,824.07 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,811.54 |
$4,811.54 |
$4,811.54 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$95.60 |
$95.60 |
$95.60 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$109.60 |
$109.60 |
$109.60 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$96.48 |
$96.48 |
$96.48 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$199.24 |
$199.24 |
$199.24 |
$420.60
|
|
Liberta rc ipg
|
$25,760.00 |
$25,760.00 |
$25,760.00 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$36.69 |
$36.69 |
$36.69 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$74.16 |
$74.16 |
$74.16 |
$39.75
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$224.36 |
$224.36 |
$224.36 |
$121.00
|
|
Lipase
|
$88.00 |
$88.00 |
$88.00 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$85.60 |
$85.60 |
$85.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$88.00 |
$88.00 |
$88.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$67.20 |
$67.20 |
$67.20 |
$69.75
|
|
Liver Function Test
|
$120.00 |
$120.00 |
$120.00 |
$115.44
|
|
Liver/spleen imag static only
|
$1,480.80 |
$1,480.80 |
$1,480.80 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$21.00 |
$21.00 |
$21.00 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$38.40 |
$38.40 |
$38.40 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$481.60 |
$481.60 |
$481.60 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,896.80 |
$2,896.80 |
$2,896.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,419.20 |
$2,419.20 |
$2,419.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,286.40 |
$2,286.40 |
$2,286.40 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,103.20 |
$4,103.20 |
$4,103.20 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,382.40 |
$3,382.40 |
$3,382.40 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,757.60 |
$2,757.60 |
$2,757.60 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$412.00 |
$412.00 |
$412.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$581.60 |
$581.60 |
$581.60 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$440.00 |
$440.00 |
$440.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$273.60 |
$273.60 |
$273.60 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$395.20 |
$395.20 |
$395.20 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$204.80 |
$204.80 |
$204.80 |
$296.91
|
|
Lung perfusion imaging
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$8,727.88 |
$8,727.88 |
$8,727.88 |
$19,182.33
|
|
Lymphatics/lymph node imaging
|
$1,548.00 |
$1,548.00 |
$1,548.00 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$585.60 |
$585.60 |
$585.60 |
$271.88
|
|
Macroscopic exam arthropod
|
$20.80 |
$20.80 |
$20.80 |
$38.58
|
|
Macroscopic exam parasite
|
$23.20 |
$23.20 |
$23.20 |
$37.05
|
|
Magnesium
|
$76.00 |
$76.00 |
$76.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$96.12 |
$96.12 |
$96.12 |
$58.70
|
|
Makena, 10 mg
|
$1,727.28 |
$1,727.28 |
$1,727.28 |
$1,405.80
|
|
Marker biop eviva buckle ss
|
$194.40 |
$194.40 |
$194.40 |
$1,451.30
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$208.80 |
$208.80 |
$208.80 |
$65.28
|
|
Mayo aathr protein s free
|
$166.40 |
$166.40 |
$166.40 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$100.80 |
$100.80 |
$100.80 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$238.40 |
$238.40 |
$238.40 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$96.80 |
$96.80 |
$96.80 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$184.00 |
$184.00 |
$184.00 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$50.40 |
$50.40 |
$50.40 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$88.80 |
$88.80 |
$88.80 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$143.20 |
$143.20 |
$143.20 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$40.00 |
$40.00 |
$40.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$58.40 |
$58.40 |
$58.40 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$73.60 |
$73.60 |
$73.60 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$512.80 |
$512.80 |
$512.80 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$286.40 |
$286.40 |
$286.40 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,989.60 |
$2,989.60 |
$2,989.60 |
$1,860.00
|
|
Mayo androstenedione
|
$70.40 |
$70.40 |
$70.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$140.80 |
$140.80 |
$140.80 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$122.40 |
$122.40 |
$122.40 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$84.80 |
$84.80 |
$84.80 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$211.20 |
$211.20 |
$211.20 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$170.40 |
$170.40 |
$170.40 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$88.00 |
$88.00 |
$88.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$353.60 |
$353.60 |
$353.60 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$524.00 |
$524.00 |
$524.00 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$69.60 |
$69.60 |
$69.60 |
$56.00
|
|
Mayo bordetella pertussis antibody igg
|
$132.00 |
$132.00 |
$132.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$56.80 |
$56.80 |
$56.80 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$264.00 |
$264.00 |
$264.00 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$151.20 |
$151.20 |
$151.20 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$47.20 |
$47.20 |
$47.20 |
$81.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$298.40 |
$298.40 |
$298.40 |
$283.40
|
|
Mayo ceruloplasmin
|
$82.40 |
$82.40 |
$82.40 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$128.00 |
$128.00 |
$128.00 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$102.40 |
$102.40 |
$102.40 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$54.40 |
$54.40 |
$54.40 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$54.40 |
$54.40 |
$54.40 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$296.00 |
$296.00 |
$296.00 |
$366.94
|
|
Mayo chromium
|
$59.20 |
$59.20 |
$59.20 |
$75.60
|
|
Mayo coccidioides antibody
|
$95.20 |
$95.20 |
$95.20 |
$54.00
|
|
Mayo cocou cortisone urine
|
$230.40 |
$230.40 |
$230.40 |
$216.00
|
|
Mayo cortisol free
|
$108.80 |
$108.80 |
$108.80 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$71.20 |
$71.20 |
$71.20 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$62.40 |
$62.40 |
$62.40 |
$58.20
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$74.40 |
$74.40 |
$74.40 |
$92.50
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$1,308.80 |
$1,308.80 |
$1,308.80 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$56.80 |
$56.80 |
$56.80 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$61.60 |
$61.60 |
$61.60 |
$106.47
|
|
Mayo dihydrotestosterone
|
$71.20 |
$71.20 |
$71.20 |
$78.00
|
|
Mayo efpo chloride stool
|
$28.80 |
$28.80 |
$28.80 |
$44.20
|
|
Mayo estriol
|
$58.40 |
$58.40 |
$58.40 |
$90.35
|
|
Mayo estrone
|
$60.00 |
$60.00 |
$60.00 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$132.00 |
$132.00 |
$132.00 |
$69.55
|
|
Mayo factor ii
|
$106.40 |
$106.40 |
$106.40 |
$99.06
|
|
Mayo factor v
|
$236.00 |
$236.00 |
$236.00 |
$129.60
|
|
Mayo factor vii
|
$102.40 |
$102.40 |
$102.40 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$100.00 |
$100.00 |
$100.00 |
$128.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$69.60 |
$69.60 |
$69.60 |
$130.20
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$89.60 |
$89.60 |
$89.60 |
$141.30
|