|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$30,791.46 |
$30,791.46 |
$30,791.46 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$42,325.47 |
$42,325.47 |
$42,325.47 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$1,901.89 |
$1,901.89 |
$1,901.89 |
$1,322.50
|
|
Levalbuterol non-comp con
|
$9.80 |
$9.80 |
$9.80 |
$20.06
|
|
Levalbuterol non-comp unit
|
$5.40 |
$5.40 |
$5.40 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$97.62 |
$97.62 |
$97.62 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$155.25 |
$155.25 |
$155.25 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$47.70 |
$47.70 |
$47.70 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$652.50 |
$652.50 |
$652.50 |
$420.60
|
|
Liberta rc ipg
|
$63,376.43 |
$63,376.43 |
$63,376.43 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$74.62 |
$74.62 |
$74.62 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$25.89 |
$25.89 |
$25.89 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$63.75 |
$63.75 |
$63.75 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$38,415.18 |
$38,415.18 |
$38,415.18 |
$30,744.64
|
|
Lig/band angioaccess av fistula
|
$2,678.25 |
$2,678.25 |
$2,678.25 |
$4,676.50
|
|
Liletta, 52 mg
|
$3,445.08 |
$3,445.08 |
$3,445.08 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$119.81 |
$119.81 |
$119.81 |
$121.00
|
|
Lipase
|
$127.50 |
$127.50 |
$127.50 |
$93.58
|
|
Lipoprotein blood quant
|
$175.50 |
$175.50 |
$175.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$63.75 |
$63.75 |
$63.75 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$75.00 |
$75.00 |
$75.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$69.75 |
$69.75 |
$69.75 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,042.00 |
$3,042.00 |
$3,042.00 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$812.25 |
$812.25 |
$812.25 |
$365.28
|
|
Liver Function Test
|
$55.50 |
$55.50 |
$55.50 |
$115.44
|
|
Liver imaging
|
$558.75 |
$558.75 |
$558.75 |
$1,109.00
|
|
Liver/spleen imag static only
|
$726.00 |
$726.00 |
$726.00 |
$1,138.55
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$104,719.60 |
$104,719.60 |
$104,719.60 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$49.14 |
$49.14 |
$49.14 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$101.25 |
$101.25 |
$101.25 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,228.25 |
$2,228.25 |
$2,228.25 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,241.75 |
$2,241.75 |
$2,241.75 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,797.00 |
$1,797.00 |
$1,797.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,919.75 |
$2,919.75 |
$2,919.75 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,994.00 |
$2,994.00 |
$2,994.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,854.50 |
$2,854.50 |
$2,854.50 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$293.25 |
$293.25 |
$293.25 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$418.50 |
$418.50 |
$418.50 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$420.75 |
$420.75 |
$420.75 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$228.00 |
$228.00 |
$228.00 |
$338.40
|
|
Lso flex no ri stays pre ots
|
$213.75 |
$213.75 |
$213.75 |
$164.80
|
|
Lumbar diskogram s&i
|
$2,409.75 |
$2,409.75 |
$2,409.75 |
$2,358.23
|
|
Lumizyme injection
|
$3,672.96 |
$3,672.96 |
$3,672.96 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$315.75 |
$315.75 |
$315.75 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$102.75 |
$102.75 |
$102.75 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$162.75 |
$162.75 |
$162.75 |
$296.91
|
|
Lung perfusion imaging
|
$700.50 |
$700.50 |
$700.50 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$30,504.38 |
$30,504.38 |
$30,504.38 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$45,624.83 |
$45,624.83 |
$45,624.83 |
$22,771.63
|
|
Lvad shower bag heartmate
|
$1,059.75 |
$1,059.75 |
$1,059.75 |
$893.74
|
|
Lymphatics/lymph node imaging
|
$730.50 |
$730.50 |
$730.50 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$858.75 |
$858.75 |
$858.75 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$2,379.00 |
$2,379.00 |
$2,379.00 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$3,555.75 |
$3,555.75 |
$3,555.75 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$2,179.50 |
$2,179.50 |
$2,179.50 |
$3,452.15
|
|
Magnesium
|
$78.00 |
$78.00 |
$78.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$23.30 |
$23.30 |
$23.30 |
$58.70
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,536.75 |
$1,536.75 |
$1,536.75 |
$584.80
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$9,885.94 |
$9,885.94 |
$9,885.94 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$819.00 |
$819.00 |
$819.00 |
$1,451.30
|
|
Mastoids complete
|
$361.50 |
$361.50 |
$361.50 |
$299.50
|
|
M.avium-intra dna amp prob
|
$489.75 |
$489.75 |
$489.75 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$66.75 |
$66.75 |
$66.75 |
$65.28
|
|
Mayo aathr protein s free
|
$167.25 |
$167.25 |
$167.25 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$125.25 |
$125.25 |
$125.25 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$2,744.25 |
$2,744.25 |
$2,744.25 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$63.00 |
$63.00 |
$63.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$564.75 |
$564.75 |
$564.75 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$153.75 |
$153.75 |
$153.75 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$270.75 |
$270.75 |
$270.75 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$276.00 |
$276.00 |
$276.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$186.00 |
$186.00 |
$186.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$72.00 |
$72.00 |
$72.00 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$89.25 |
$89.25 |
$89.25 |
$78.10
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$215.25 |
$215.25 |
$215.25 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$241.50 |
$241.50 |
$241.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,242.00 |
$1,242.00 |
$1,242.00 |
$1,860.00
|
|
Mayo androstenedione
|
$195.75 |
$195.75 |
$195.75 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$56.25 |
$56.25 |
$56.25 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$73.50 |
$73.50 |
$73.50 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$77.25 |
$77.25 |
$77.25 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$911.25 |
$911.25 |
$911.25 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$105.00 |
$105.00 |
$105.00 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$450.00 |
$450.00 |
$450.00 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$66.75 |
$66.75 |
$66.75 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$239.25 |
$239.25 |
$239.25 |
$333.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$189.75 |
$189.75 |
$189.75 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$92.25 |
$92.25 |
$92.25 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$122.25 |
$122.25 |
$122.25 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$210.75 |
$210.75 |
$210.75 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$149.25 |
$149.25 |
$149.25 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$300.00 |
$300.00 |
$300.00 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$78.75 |
$78.75 |
$78.75 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$773.25 |
$773.25 |
$773.25 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$333.00 |
$333.00 |
$333.00 |
$283.40
|
|
Mayo ceruloplasmin
|
$93.00 |
$93.00 |
$93.00 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$377.25 |
$377.25 |
$377.25 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$423.00 |
$423.00 |
$423.00 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$114.75 |
$114.75 |
$114.75 |
$53.30
|
