|
Levalbuterol non-comp unit
|
$9.52 |
$9.52 |
$9.52 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$75.24 |
$75.24 |
$129.81 |
|
|
Levetiracetam therapeutic drug level
|
$129.60 |
$129.60 |
$129.60 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$78.63 |
$78.63 |
$79.34 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$267.31 |
$267.31 |
$363.97 |
|
|
Liberta rc ipg
|
$27,893.80 |
$27,893.80 |
$27,893.80 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$53.13 |
$53.13 |
$53.13 |
|
|
Lidocaine therapeutic drug level
|
$255.20 |
$255.20 |
$255.20 |
|
|
Ligate oviduct(s) add-on 58611
|
$111.20 |
$111.20 |
$111.20 |
|
|
Ligate/strip long leg vein
|
$684.00 |
$684.00 |
$684.00 |
|
|
Ligate/transect fallopian tubes 58600
|
$556.00 |
$556.00 |
$556.00 |
|
|
Ligation/biopsy of temporal artery 37609
|
$468.00 |
$468.00 |
$2,068.80 |
|
|
Ligation external carotid artery 37600
|
$1,117.60 |
$1,117.60 |
$1,117.60 |
|
|
Ligation/major artery/extremity 37618
|
$8,864.80 |
$8,864.80 |
$8,864.80 |
|
|
Ligation major artery neck
|
$4,110.40 |
$4,110.40 |
$4,110.40 |
|
|
Lig/band angioaccess av fistula
|
$6,500.00 |
$6,500.00 |
$6,500.00 |
|
|
Liletta, 52 mg
|
$812.00 |
$812.00 |
$812.00 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$313.50 |
$313.50 |
$377.26 |
|
|
Lipase
|
$49.60 |
$49.60 |
$73.60 |
|
|
Lipoprotein blood high res frac & quant
|
$103.20 |
$103.20 |
$103.20 |
|
|
Lipoprotein blood quant
|
$89.60 |
$89.60 |
$89.60 |
|
|
Lipoprotein direct measurement hdl
|
$52.80 |
$52.80 |
$79.20 |
|
|
Lipoprotein direct measurement ldl
|
$63.20 |
$63.20 |
$63.20 |
|
|
Lithium therapeutic drug level
|
$68.00 |
$68.00 |
$98.40 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,556.00 |
$5,556.00 |
$5,556.00 |
|
|
Liver Function Test
|
$48.00 |
$48.00 |
$76.80 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$45.56 |
$45.56 |
$45.56 |
|
|
Low cost skin substitute app
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
|
|
Low cost skin substitute app
|
$3,659.20 |
$3,659.20 |
$3,659.20 |
|
|
Low cost skin substitute app
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
|
|
Low cost skin substitute app
|
$1,224.80 |
$1,224.80 |
$1,224.80 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,824.80 |
$1,824.80 |
$2,934.40 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,600.00 |
$1,600.00 |
$1,828.00 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,148.80 |
$1,148.80 |
$1,314.40 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,504.00 |
$2,504.00 |
$2,889.60 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,183.20 |
$2,183.20 |
$2,448.80 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,331.20 |
$1,331.20 |
$1,956.80 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$256.00 |
$256.00 |
$260.80 |
|
|
Lsh w/t/o ut 250 g or less
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
|
|
L/s ratio fetal lung
|
$255.20 |
$255.20 |
$255.20 |
|
|
Lumizyme injection
|
$3,546.41 |
$3,546.41 |
$3,546.41 |
|
|
Lung function test (mbc/mvv)
|
$148.80 |
$148.80 |
$148.80 |
|
|
Lung Function Test (Spirometry)
|
$164.80 |
$164.80 |
$178.40 |
|
|
Lung perfusion imaging
|
$991.20 |
$991.20 |
$991.20 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$32,228.43 |
$32,228.43 |
$32,228.43 |
|
|
Lvad shower bag heartmate
|
$1,108.08 |
$1,108.08 |
$1,108.08 |
|
|
Lw ntsty Ultrasound stimj bone healg
|
$81.60 |
$81.60 |
$81.60 |
|
|
Lymphatics/lymph node imaging
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
|
|
Lymphocyte transformation mitogen
|
$903.20 |
$903.20 |
$903.20 |
|
|
Lysis of labial adhesions
|
$272.00 |
$272.00 |
$272.00 |
|
|
Lysis penil circumic lesion
|
$379.20 |
$379.20 |
$379.20 |
|
|
Macroscopic exam arthropod
|
$40.80 |
$40.80 |
$77.60 |
|
|
Macroscopic exam parasite
|
$51.20 |
$51.20 |
$51.20 |
|
|
Magnesium
|
$45.60 |
$45.60 |
$112.00 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$70.84 |
$70.84 |
$101.21 |
|
|
Magnetic image bone marrow
|
$2,944.80 |
$2,944.80 |
$2,944.80 |
|
|
Makena, 10 mg
|
$31.20 |
$31.20 |
$31.20 |
|
|
Mammosite ced
|
$3,700.00 |
$3,700.00 |
$3,700.00 |
|
|
Manipulate wrist w/anesthes
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$120.00 |
$120.00 |
$214.40 |
|
|
Manipulation chest wall initial demonstration/evaluation
|
$152.00 |
$152.00 |
$214.40 |
|
|
Manipulat palm cord post inj
|
$173.60 |
$173.60 |
$173.60 |
|
|
Mapping io sentinel lymph node
|
$202.40 |
$202.40 |
$202.40 |
|
|
Map tachycard site(s)
|
$5,904.80 |
$5,904.80 |
$5,904.80 |
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$3,511.61 |
$3,511.61 |
$3,511.61 |
|
|
Marker biop eviva buckle ss
|
$135.37 |
$135.37 |
$3,903.44 |
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,744.45 |
$1,744.45 |
$1,744.45 |
|
|
Mastectomy partial
|
$979.20 |
$979.20 |
$979.20 |
|
|
Mast mod rad
|
$1,750.40 |
$1,750.40 |
$1,750.40 |
|
|
Mastoids complete
|
$412.00 |
$412.00 |
$412.00 |
|
|
Mast simple complete
|
$1,419.20 |
$1,419.20 |
$1,419.20 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6,321.66 |
$6,321.66 |
$6,321.66 |
|
|
M.avium-intra dna dir prob
|
$69.60 |
$69.60 |
$69.60 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$96.00 |
$96.00 |
$96.00 |
|
|
Mayo aathr protein s free
|
$155.20 |
$155.20 |
$155.20 |
|
|
Mayo activated protein c resistance assay
|
$152.80 |
$152.80 |
$152.80 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$43.20 |
$43.20 |
$43.20 |
|
|
Mayo alcohol definitive assay volatile screen
|
$60.80 |
$60.80 |
$92.80 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$60.80 |
$60.80 |
$60.80 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$75.20 |
$75.20 |
$75.20 |
|
|
Mayo alpha 1 antitrypsin
|
$127.20 |
$127.20 |
$127.20 |
|
|
Mayo amikacin trough therapeutic drug level
|
$183.20 |
$183.20 |
$183.20 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$374.40 |
$374.40 |
$387.20 |
|
|
Mayo androstenedione
|
$145.60 |
$145.60 |
$145.60 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$112.80 |
$112.80 |
$112.80 |
|
|
Mayo antithrombin iii antigen
|
$116.00 |
$116.00 |
$116.00 |
|
|
Mayo aspergillus fumigatus antibody
|
$92.80 |
$92.80 |
$92.80 |
|
|
Mayo avwpr vw factor activity
|
$238.40 |
$238.40 |
$238.40 |
|
|
Mayo barbiturates definitive assay confirmation urine
|
$116.00 |
$116.00 |
$116.00 |
|
|
Mayo bart bartonella henselae antibody igg
|
$181.60 |
$181.60 |
$181.60 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$364.00 |
$364.00 |
$428.00 |
|
|
Mayo blastomyces antibody immunodiffusion
|
$80.00 |
$80.00 |
$80.00 |
|
|
Mayo bordetella pertussis antibody igg
|
$255.20 |
$255.20 |
$255.20 |
|
|
Mayo brcmg brucella antibody igm
|
$136.00 |
$136.00 |
$136.00 |
|
|
Mayo c1 esterase inhibitor
|
$52.80 |
$52.80 |
$89.60 |
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$71.20 |
$71.20 |
$71.20 |
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$69.60 |
$69.60 |
$69.60 |
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$247.20 |
$247.20 |
$247.20 |
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$509.60 |
$509.60 |
$509.60 |
|
|
Mayo ceruloplasmin
|
$98.40 |
$98.40 |
$98.40 |
|