|
Levetiracetam therapeutic drug level
|
$8.00 |
$8.00 |
$8.00 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.23 |
$0.23 |
$0.23 |
$64.88
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,727.60 |
$1,727.60 |
$1,727.60 |
$420.60
|
|
Lidocaine injection
|
$0.62 |
$0.62 |
$0.62 |
$47.23
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$13.32 |
$13.32 |
$13.32 |
$50.70
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.10 |
$0.10 |
$0.10 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$33.00 |
$33.00 |
$33.00 |
$83.85
|
|
Lifileucel til/dose 7.5b-72b snij
|
$0.35 |
$0.35 |
$0.35 |
$25,349.40
|
|
Liletta, 52 mg
|
$3,105.76 |
$3,105.76 |
$3,105.76 |
$1,790.04
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.10 |
$0.10 |
$0.10 |
$172.25
|
|
Lipase
|
$107.00 |
$107.00 |
$107.00 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$15.00 |
$15.00 |
$15.00 |
$89.52
|
|
Lipoprotein blood quant
|
$68.00 |
$68.00 |
$68.00 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$75.00 |
$75.00 |
$75.00 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$75.00 |
$75.00 |
$75.00 |
$60.00
|
|
Listeria monocytogenes
|
$232.00 |
$232.00 |
$232.00 |
$95.40
|
|
Lithium therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$67.60
|
|
Liver elastography 91200
|
$303.00 |
$303.00 |
$303.00 |
$291.74
|
|
Liver Function Test
|
$57.00 |
$57.00 |
$57.00 |
$110.50
|
|
Liver/spleen imag static only
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$1,140.78
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$94,581.41 |
$94,581.41 |
$94,581.41 |
$67,929.65
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$3.50 |
$3.50 |
$3.50 |
$43.95
|
|
Low cost skin substitute app
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$1,030.00
|
|
Low cost skin substitute app
|
$2,894.00 |
$2,894.00 |
$2,894.00 |
$2,164.64
|
|
Low cost skin substitute app
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$1,132.56
|
|
Low cost skin substitute app
|
$2,060.00 |
$2,060.00 |
$2,060.00 |
$1,030.00
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$515.00
|
|
Low cost skin substitute app
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$652.86
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$408.45
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$447.96
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$7,923.00 |
$7,923.00 |
$7,923.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,532.00 |
$4,532.00 |
$4,532.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,132.00 |
$3,132.00 |
$3,132.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,236.00 |
$8,236.00 |
$8,236.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$7,986.00 |
$7,986.00 |
$7,986.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,733.00 |
$4,733.00 |
$4,733.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$877.00 |
$877.00 |
$877.00 |
$344.00
|
|
L/s ratio fetal lung
|
$198.00 |
$198.00 |
$198.00 |
$168.00
|
|
Lumizyme injection
|
$3,375.51 |
$3,375.51 |
$3,375.51 |
$1,735.97
|
|
Lung function test (mbc/mvv)
|
$223.00 |
$223.00 |
$223.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$1,026.00 |
$1,026.00 |
$1,026.00 |
$298.50
|
|
Lung perfusion imaging
|
$2,084.00 |
$2,084.00 |
$2,084.00 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$28,105.00 |
$28,105.00 |
$28,105.00 |
$20,686.05
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$13,836.97 |
$13,836.97 |
$13,836.97 |
$25,341.71
|
|
Lymphatics/lymph node imaging
|
$3,458.00 |
$3,458.00 |
$3,458.00 |
$1,543.75
|
|
Lymphocyte culture mixed
|
$296.00 |
$296.00 |
$296.00 |
$50.45
|
|
Lymphocyte transformation mitogen
|
$345.00 |
$345.00 |
$345.00 |
$266.20
|
|
Lymphocytotoxicity assay
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$370.20
|
|
Macroscopic exam arthropod
|
$181.00 |
$181.00 |
$181.00 |
$38.58
|
|
Macroscopic exam parasite
|
$57.00 |
$57.00 |
$57.00 |
$38.50
|
|
Magnesium
|
$167.00 |
$167.00 |
$167.00 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$0.28 |
$0.28 |
$0.28 |
$69.30
|
|
Magnetic image bone marrow
|
$2,487.00 |
$2,487.00 |
$2,487.00 |
$1,152.80
|
|
Makena, 10 mg
|
$373.07 |
$373.07 |
$373.07 |
$120.48
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$570.00 |
$570.00 |
$570.00 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$570.00 |
$570.00 |
$570.00 |
$178.75
|
|
Manipulat palm cord post inj
|
$752.00 |
$752.00 |
$752.00 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.40 |
$0.40 |
$0.40 |
$28.48
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$826.69 |
$826.69 |
$826.69 |
$8,622.65
|
|
Mastoids complete
|
$624.00 |
$624.00 |
$624.00 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$15.00 |
$15.00 |
$15.00 |
$66.50
|
|
Mayo aathr protein s free
|
$394.00 |
$394.00 |
$394.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$595.00 |
$595.00 |
$595.00 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$403.00 |
$403.00 |
$403.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$320.00 |
$320.00 |
$320.00 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$269.00 |
$269.00 |
$269.00 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$9.00 |
$9.00 |
$9.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$417.00 |
$417.00 |
$417.00 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$337.00 |
$337.00 |
$337.00 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$188.00 |
$188.00 |
$188.00 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$273.00 |
$273.00 |
$273.00 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$158.00 |
$158.00 |
$158.00 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,196.00 |
$1,196.00 |
$1,196.00 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,502.00 |
$1,502.00 |
$1,502.00 |
$1,909.44
|
|
Mayo androstenedione
|
$23.00 |
$23.00 |
$23.00 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$4.00 |
$4.00 |
$4.00 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$27.00 |
$27.00 |
$27.00 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$14.00 |
$14.00 |
$14.00 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$146.00 |
$146.00 |
$146.00 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$372.00 |
$372.00 |
$372.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$11.00 |
$11.00 |
$11.00 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$303.00 |
$303.00 |
$303.00 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$16.00 |
$16.00 |
$16.00 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$70.00 |
$70.00 |
$70.00 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$17.00 |
$17.00 |
$17.00 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$29.00 |
$29.00 |
$29.00 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$135.00 |
$135.00 |
$135.00 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$366.00 |
$366.00 |
$366.00 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$272.00 |
$272.00 |
$272.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$561.00 |
$561.00 |
$561.00 |
$274.40
|
|
Mayo ceruloplasmin
|
$140.00 |
$140.00 |
$140.00 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$517.00 |
$517.00 |
$517.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$375.00 |
$375.00 |
$375.00 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$12.00 |
$12.00 |
$12.00 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$12.00 |
$12.00 |
$12.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$343.00 |
$343.00 |
$343.00 |
$353.99
|
|
Mayo chromium
|
$19.00 |
$19.00 |
$19.00 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$182.00 |
$182.00 |
$182.00 |
$89.53
|
|
Mayo coccidioides antibody
|
$19.00 |
$19.00 |
$19.00 |
$58.37
|
|
Mayo cocou cortisone urine
|
$767.00 |
$767.00 |
$767.00 |
$207.26
|
