|
Lead capillary
|
$146.16 |
$146.16 |
$146.16 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$4,919.04 |
$4,919.04 |
$4,919.04 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$11,375.28 |
$11,375.28 |
$11,375.28 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,092.44 |
$2,092.44 |
$2,092.44 |
$1,092.58
|
|
Leishmania antibody
|
$166.32 |
$166.32 |
$166.32 |
$58.50
|
|
Lens, intraocular (new tech)
|
$995.40 |
$995.40 |
$995.40 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$415.80 |
$415.80 |
$415.80 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,089.50 |
$2,089.50 |
$2,089.50 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$733.60 |
$733.60 |
$733.60 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$331.09 |
$331.09 |
$331.09 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$4,081.14 |
$4,081.14 |
$4,081.14 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$20,756.07 |
$20,756.07 |
$20,756.07 |
$9,107.80
|
|
Leuprolide depot cipla 7.5mg
|
$5,239.97 |
$5,239.97 |
$5,239.97 |
$623.81
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$220.53 |
$220.53 |
$220.53 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$176.40 |
$176.40 |
$176.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$173.67 |
$173.67 |
$173.67 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$307.57 |
$307.57 |
$307.57 |
$420.60
|
|
Liberta rc ipg
|
$57,522.03 |
$57,522.03 |
$57,522.03 |
$39,406.68
|
|
Lidocaine injection
|
$83.58 |
$83.58 |
$83.58 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$83.58 |
$83.58 |
$83.58 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$155.40 |
$155.40 |
$155.40 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$19.76 |
$19.76 |
$19.76 |
$133.50
|
|
Ligation/biopsy of temporal artery 37609
|
$733.32 |
$733.32 |
$733.32 |
$3,322.80
|
|
Liletta, 52 mg
|
$2,003.61 |
$2,003.61 |
$2,003.61 |
$1,514.24
|
|
Lincomycin injection
|
$652.98 |
$652.98 |
$652.98 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$307.44 |
$307.44 |
$307.44 |
$121.00
|
|
Lipase
|
$178.08 |
$178.08 |
$178.08 |
$91.65
|
|
Lipoprotein blood quant
|
$444.36 |
$444.36 |
$444.36 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$166.32 |
$166.32 |
$166.32 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$186.48 |
$186.48 |
$186.48 |
$61.60
|
|
Lip surgery procedure
|
$106.68 |
$106.68 |
$106.68 |
$335.50
|
|
Lithium therapeutic drug level
|
$150.36 |
$150.36 |
$150.36 |
$69.42
|
|
Liver abs/cyst dr opn 1-2 stge
|
$2,745.96 |
$2,745.96 |
$2,745.96 |
$1,714.14
|
|
Liver Function Test
|
$255.36 |
$255.36 |
$255.36 |
$115.44
|
|
Liver imaging
|
$441.00 |
$441.00 |
$441.00 |
$1,143.00
|
|
Liver/spleen imag static only
|
$877.80 |
$877.80 |
$877.80 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$593.04 |
$593.04 |
$593.04 |
$1,069.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$83.58 |
$83.58 |
$83.58 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,116.40 |
$3,116.40 |
$3,116.40 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,830.80 |
$2,830.80 |
$2,830.80 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,639.28 |
$2,639.28 |
$2,639.28 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,349.52 |
$4,349.52 |
$4,349.52 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,918.60 |
$3,918.60 |
$3,918.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,918.60 |
$3,918.60 |
$3,918.60 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$424.20 |
$424.20 |
$424.20 |
$356.16
|
|
Lso flex no ri stays pre ots
|
$520.36 |
$520.36 |
$520.36 |
$164.80
|
|
L/s ratio fetal lung
|
$522.48 |
$522.48 |
$522.48 |
$178.36
|
|
Lung Function Test (Spirometry)
|
$361.20 |
$361.20 |
$361.20 |
$295.35
|
|
Lung perfusion imaging
|
$1,030.68 |
$1,030.68 |
$1,030.68 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$28,972.95 |
$28,972.95 |
$28,972.95 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$49,812.93 |
$49,812.93 |
$49,812.93 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$199,500.00 |
$199,500.00 |
$199,500.00 |
$333.50
|
|
Lymphatics/lymph node imaging
|
$1,413.72 |
$1,413.72 |
$1,413.72 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$63.00 |
$63.00 |
$63.00 |
$38.58
|
|
Macroscopic exam parasite
|
$66.36 |
$66.36 |
$66.36 |
$36.55
|
|
Magnesium
|
$97.44 |
$97.44 |
$97.44 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$173.67 |
$173.67 |
$173.67 |
$59.88
|
|
Mammosite ced
|
$8,454.60 |
$8,454.60 |
$8,454.60 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$73.92 |
$73.92 |
$73.92 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$126.00 |
$126.00 |
$126.00 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$83.58 |
$83.58 |
$83.58 |
$30.75
|
|
Manual diff wbc count b-coat
|
$102.48 |
$102.48 |
$102.48 |
$25.74
|
|
Marker biop eviva buckle ss
|
$5,292.00 |
$5,292.00 |
$5,292.00 |
$1,451.30
|
|
Mastectomy partial
|
$3,715.32 |
$3,715.32 |
$3,715.32 |
$4,531.42
|
|
Mast mod rad
|
$2,676.24 |
$2,676.24 |
$2,676.24 |
$7,127.17
|
|
Mastoids complete
|
$359.52 |
$359.52 |
$359.52 |
$299.50
|
|
Mast radical
|
$2,602.32 |
$2,602.32 |
$2,602.32 |
$1,780.80
|
|
Mast rad urban type
|
$2,772.00 |
$2,772.00 |
$2,772.00 |
$2,772.00
|
|
Mast simple complete
|
$2,167.20 |
$2,167.20 |
$2,167.20 |
$6,174.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$8,058.96 |
$8,058.96 |
$8,058.96 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$258.72 |
$258.72 |
$258.72 |
$65.00
|
|
Mayo aathr protein s free
|
$479.64 |
$479.64 |
$479.64 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$78.12 |
$78.12 |
$78.12 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$252.84 |
$252.84 |
$252.84 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$126.00 |
$126.00 |
$126.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$219.24 |
$219.24 |
$219.24 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$119.28 |
$119.28 |
$119.28 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$152.04 |
$152.04 |
$152.04 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$183.12 |
$183.12 |
$183.12 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$15.96 |
$15.96 |
$15.96 |
$75.90
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$888.72 |
$888.72 |
$888.72 |
$369.00
|
|
Mayo androstenedione
|
$243.60 |
$243.60 |
$243.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$170.52 |
$170.52 |
$170.52 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$231.84 |
$231.84 |
$231.84 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$136.08 |
$136.08 |
$136.08 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$278.04 |
$278.04 |
$278.04 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$208.32 |
$208.32 |
$208.32 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$165.48 |
$165.48 |
$165.48 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$148.68 |
$148.68 |
$148.68 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$104.16 |
$104.16 |
$104.16 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$159.60 |
$159.60 |
$159.60 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$214.20 |
$214.20 |
$214.20 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$140.28 |
$140.28 |
$140.28 |
$80.16
|
|
Mayo ceruloplasmin
|
$121.80 |
$121.80 |
$121.80 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$231.84 |
$231.84 |
$231.84 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$196.56 |
$196.56 |
$196.56 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$94.08 |
$94.08 |
$94.08 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$105.00 |
$105.00 |
$105.00 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$698.88 |
$698.88 |
$698.88 |
$360.33
|
