|
Levetiracetam therapeutic drug level
|
$23.18 |
$23.18 |
$23.18 |
$81.50
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.08 |
$0.08 |
$0.08 |
$55.60
|
|
Liberta rc ipg
|
$41,771.95 |
$41,771.95 |
$41,771.95 |
$38,264.00
|
|
Lidocaine injection
|
$0.01 |
$0.01 |
$0.01 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.82 |
$0.82 |
$0.82 |
$46.02
|
|
Lifileucel til/dose 7.5b-72b snij
|
$2,591.00 |
$2,591.00 |
$2,591.00 |
$30,744.64
|
|
Liletta, 52 mg
|
$363.75 |
$363.75 |
$363.75 |
$1,453.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.07 |
$0.07 |
$0.07 |
$122.21
|
|
Lipase
|
$79.91 |
$79.91 |
$79.91 |
$91.65
|
|
Lipoprotein blood quant
|
$145.18 |
$145.18 |
$145.18 |
$100.20
|
|
Lipoprotein direct measurement hdl
|
$65.27 |
$65.27 |
$65.27 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$31.72 |
$31.72 |
$31.72 |
$61.60
|
|
Lithium therapeutic drug level
|
$81.13 |
$81.13 |
$81.13 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,845.23 |
$4,845.23 |
$4,845.23 |
$4,113.20
|
|
Liver elastography 91200
|
$286.70 |
$286.70 |
$286.70 |
$291.74
|
|
Liver Function Test
|
$131.76 |
$131.76 |
$131.76 |
$115.44
|
|
Liver imaging
|
$631.35 |
$631.35 |
$631.35 |
$1,093.50
|
|
Liver/spleen imag static only
|
$727.12 |
$727.12 |
$727.12 |
$1,138.55
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.54 |
$1.54 |
$1.54 |
$37.44
|
|
Low cost skin substitute app
|
$559.37 |
$559.37 |
$559.37 |
$880.50
|
|
Low cost skin substitute app
|
$559.37 |
$559.37 |
$559.37 |
$933.60
|
|
Low cost skin substitute app
|
$161.65 |
$161.65 |
$161.65 |
$383.48
|
|
Low cost skin substitute app
|
$170.19 |
$170.19 |
$170.19 |
$349.44
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,027.64 |
$2,027.64 |
$2,027.64 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,939.80 |
$1,939.80 |
$1,939.80 |
$1,815.10
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,747.65 |
$1,747.65 |
$1,747.65 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,345.45 |
$2,345.45 |
$2,345.45 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,919.46 |
$2,919.46 |
$2,919.46 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,821.46 |
$1,821.46 |
$1,821.46 |
$2,053.20
|
|
Lower Back (Lumbar Spine) X-ray
|
$428.83 |
$428.83 |
$428.83 |
$355.00
|
|
Low frequency non-thermal Ultrasound
|
$265.35 |
$265.35 |
$265.35 |
$364.00
|
|
Lso flex no ri stays pre ots
|
$377.88 |
$377.88 |
$377.88 |
$164.80
|
|
Lumbar diskogram s&i
|
$2,162.45 |
$2,162.45 |
$2,162.45 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$220.21 |
$220.21 |
$220.21 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$258.03 |
$258.03 |
$258.03 |
$296.91
|
|
Lung perfusion imaging
|
$1,237.69 |
$1,237.69 |
$1,237.69 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$4,207.98 |
$4,207.98 |
$4,207.98 |
$17,393.41
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$7,234.74 |
$7,234.74 |
$7,234.74 |
$21,365.20
|
|
Lutetium lu 177 dotatat ther
|
$28,975.00 |
$28,975.00 |
$28,975.00 |
$329.41
|
|
Lymphatics/lymph node imaging
|
$1,537.81 |
$1,537.81 |
$1,537.81 |
$1,463.22
|
|
Lymph vessel x-ray trunk
|
$977.22 |
$977.22 |
$977.22 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$883.89 |
$883.89 |
$883.89 |
$3,549.50
|
|
Lysis of labial adhesions
|
$4,273.66 |
$4,273.66 |
$4,273.66 |
$4,383.99
|
|
Macroscopic exam parasite
|
$51.85 |
$51.85 |
$51.85 |
$37.05
|
|
Magnesium
|
$57.95 |
$57.95 |
$57.95 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$1.97 |
$1.97 |
$1.97 |
$58.70
|
|
Mammosite ced
|
$6,139.65 |
$6,139.65 |
$6,139.65 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$218.99 |
$218.99 |
$218.99 |
$130.32
|
|
Manipulation chest wall initial demonstration/evaluation
|
$214.72 |
$214.72 |
$214.72 |
$159.05
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.07 |
$0.07 |
$0.07 |
$27.81
|
|
Marker biop eviva buckle ss
|
$3,843.00 |
$3,843.00 |
$3,843.00 |
$1,312.40
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$5,852.34 |
$5,852.34 |
$5,852.34 |
$6,321.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$162.26 |
$162.26 |
$162.26 |
$65.00
|
|
Mayo aathr protein s free
|
$176.90 |
$176.90 |
$176.90 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$42.09 |
$42.09 |
$42.09 |
$96.50
|
|
Mayo alcohol definitive assay volatile screen
|
$40.26 |
$40.26 |
$40.26 |
$112.86
|
|
Mayo alkaline phosphatase isoenzyme
|
$85.40 |
$85.40 |
$85.40 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$28.06 |
$28.06 |
$28.06 |
$104.32
|
|
Mayo alpha 1 antitrypsin
|
$57.34 |
$57.34 |
$57.34 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$75.03 |
$75.03 |
$75.03 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$108.58 |
$108.58 |
$108.58 |
$73.83
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$92.11 |
$92.11 |
$92.11 |
$368.16
|
|
Mayo androstenedione
|
$137.86 |
$137.86 |
$137.86 |
$106.20
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$53.07 |
$53.07 |
$53.07 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$66.49 |
$66.49 |
$66.49 |
$71.20
|
|
Mayo aspergillus fumigatus antibody
|
$43.92 |
$43.92 |
$43.92 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$190.32 |
$190.32 |
$190.32 |
$170.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$56.12 |
$56.12 |
$56.12 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$39.04 |
$39.04 |
$39.04 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$15.86 |
$15.86 |
$15.86 |
$56.80
|
|
Mayo bordetella pertussis antibody igg
|
$29.89 |
$29.89 |
$29.89 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$87.23 |
$87.23 |
$87.23 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$73.20 |
$73.20 |
$73.20 |
$85.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$93.94 |
$93.94 |
$93.94 |
$106.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$54.90 |
$54.90 |
$54.90 |
$79.20
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$103.70 |
$103.70 |
$103.70 |
$114.18
|
|
Mayo ceruloplasmin
|
$28.06 |
$28.06 |
$28.06 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$57.95 |
$57.95 |
$57.95 |
$117.00
|
|
Mayo chikv chikungunya antibodies igg
|
$57.34 |
$57.34 |
$57.34 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$7.32 |
$7.32 |
$7.32 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$51.85 |
$51.85 |
$51.85 |
$49.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$358.07 |
$358.07 |
$358.07 |
$353.99
|
|
Mayo chromium
|
$50.02 |
$50.02 |
$50.02 |
$70.85
|
|
Mayo coccidioides antibody
|
$40.26 |
$40.26 |
$40.26 |
$55.20
|
|
Mayo cocou cortisone urine
|
$264.74 |
$264.74 |
$264.74 |
$204.10
|
|
Mayo cortisol free
|
$135.42 |
$135.42 |
$135.42 |
$92.80
|
|
Mayo covid-19 antibody nucleocapsid total
|
$59.78 |
$59.78 |
$59.78 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$35.38 |
$35.38 |
$35.38 |
$61.02
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$15.86 |
$15.86 |
$15.86 |
$66.00
|
|
Mayo cyanide
|
$54.29 |
$54.29 |
$54.29 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$79.30 |
$79.30 |
$79.30 |
$56.11
|
|
Mayo dhea (dehydroepiandrosterone)
|
$32.94 |
$32.94 |
$32.94 |
$108.90
|
|
Mayo efpo chloride stool
|
$33.55 |
$33.55 |
$33.55 |
$44.20
|
|
Mayo estrone
|
$35.38 |
$35.38 |
$35.38 |
$84.96
|
|
Mayo everolimus therapeutic drug level
|
$15.25 |
$15.25 |
$15.25 |
$88.20
|
|
Mayo factor ii
|
$155.55 |
$155.55 |
$155.55 |
$96.76
|
|
Mayo factor v
|
$217.77 |
$217.77 |
$217.77 |
$125.58
|
|
Mayo factor vii
|
$123.22 |
$123.22 |
$123.22 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$175.68 |
$175.68 |
$175.68 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$54.29 |
$54.29 |
$54.29 |
$127.92
|
