|
Lactate dehydrogenase (ldh)
|
$60.75 |
$60.75 |
$60.75 |
$55.50
|
|
Lactated ringers intravenous solution
|
$22.19 |
$22.19 |
$22.19 |
$43.74
|
|
Lactic acid
|
$99.75 |
$99.75 |
$99.75 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$52.50 |
$52.50 |
$52.50 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$35,355.50 |
$35,355.50 |
$35,355.50 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$2,066.54 |
$2,066.54 |
$2,066.54 |
$14.53
|
|
Laparoscopye procstom 43659
|
$5,688.75 |
$5,688.75 |
$5,688.75 |
$6,448.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$498.00 |
$498.00 |
$498.00 |
$740.40
|
|
Laronidase injection
|
$4,116.73 |
$4,116.73 |
$4,116.73 |
$1,927.01
|
|
Laryngeal function studies
|
$333.00 |
$333.00 |
$333.00 |
$342.60
|
|
Laryngoscope w/vc inj
|
$3,593.25 |
$3,593.25 |
$3,593.25 |
$4,108.00
|
|
Laryngoscopy telescopic
|
$907.50 |
$907.50 |
$907.50 |
$852.80
|
|
Laryngoscopy w/fb removal
|
$1,681.50 |
$1,681.50 |
$1,681.50 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$455.25 |
$455.25 |
$455.25 |
$981.40
|
|
Lead acuity x4 spiral l 86cm
|
$4,863.24 |
$4,863.24 |
$4,863.24 |
$5,460.00
|
|
Lead capillary
|
$93.00 |
$93.00 |
$93.00 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$7,616.25 |
$7,616.25 |
$7,616.25 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$13,488.75 |
$13,488.75 |
$13,488.75 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$580.50 |
$580.50 |
$580.50 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,619.25 |
$1,619.25 |
$1,619.25 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,471.50 |
$1,471.50 |
$1,471.50 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$957.00 |
$957.00 |
$957.00 |
$1,092.58
|
|
Leishmania antibody
|
$182.25 |
$182.25 |
$182.25 |
$58.50
|
|
Lens, intraocular (new tech)
|
$2,238.75 |
$2,238.75 |
$2,238.75 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,238.75 |
$2,238.75 |
$2,238.75 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,136.25 |
$1,136.25 |
$1,136.25 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$191.25 |
$191.25 |
$191.25 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$83.13 |
$83.13 |
$83.13 |
$163.62
|
|
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
|
$184.50 |
$184.50 |
$184.50 |
$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
|
$82.50 |
$82.50 |
$82.50 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$38,415.18 |
$38,415.18 |
$38,415.18 |
$30,744.64
|
|
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
|
$177.75 |
$177.75 |
$177.75 |
$93.58
|
|
Lipoprotein blood quant
|
$225.75 |
$225.75 |
$225.75 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$119.25 |
$119.25 |
$119.25 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$134.25 |
$134.25 |
$134.25 |
$61.60
|
|
Lithium therapeutic drug level
|
$84.00 |
$84.00 |
$84.00 |
$69.75
|
|
Liver ds alys 3 bmrk srm alg
|
$780.75 |
$780.75 |
$780.75 |
$365.28
|
|
Liver Function Test
|
$187.50 |
$187.50 |
$187.50 |
$115.44
|
|
Liver imaging
|
$1,241.25 |
$1,241.25 |
$1,241.25 |
$1,109.00
|
|
Liver/spleen imag static only
|
$895.50 |
$895.50 |
$895.50 |
$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
|
$138.75 |
$138.75 |
$138.75 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,060.25 |
$2,060.25 |
$2,060.25 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,894.50 |
$1,894.50 |
$1,894.50 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,668.75 |
$1,668.75 |
$1,668.75 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,259.00 |
$2,259.00 |
$2,259.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,661.75 |
$2,661.75 |
$2,661.75 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,977.00 |
$1,977.00 |
$1,977.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$390.00 |
$390.00 |
$390.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$577.50 |
$577.50 |
$577.50 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$645.00 |
$645.00 |
$645.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$436.50 |
$436.50 |
$436.50 |
$338.40
|
|
Lso flex no ri stays pre ots
|
$213.75 |
$213.75 |
$213.75 |
$164.80
|
|
Lumbar diskogram s&i
|
$2,690.25 |
$2,690.25 |
$2,690.25 |
$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
|
$543.75 |
$543.75 |
$543.75 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$152.25 |
$152.25 |
$152.25 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$195.00 |
$195.00 |
$195.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,590.75 |
$1,590.75 |
$1,590.75 |
$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
|
$1,681.50 |
$1,681.50 |
$1,681.50 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$794.25 |
$794.25 |
$794.25 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$1,464.75 |
$1,464.75 |
$1,464.75 |
$2,634.45
|
|
Magnesium
|
$88.50 |
$88.50 |
$88.50 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$23.30 |
$23.30 |
$23.30 |
$58.70
|
|
Manipulat palm cord post inj
|
$492.75 |
$492.75 |
$492.75 |
$521.60
|
|
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
|
$465.75 |
$465.75 |
$465.75 |
$299.50
|
|
M.avium-intra dna amp prob
|
$489.75 |
$489.75 |
$489.75 |
$141.00
|
|
Mayo aathr protein s free
|
$263.25 |
$263.25 |
$263.25 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$196.50 |
$196.50 |
$196.50 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$1,517.25 |
$1,517.25 |
$1,517.25 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$72.00 |
$72.00 |
$72.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$639.75 |
$639.75 |
$639.75 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$258.00 |
$258.00 |
$258.00 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$270.75 |
$270.75 |
$270.75 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$368.25 |
$368.25 |
$368.25 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$230.25 |
$230.25 |
$230.25 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$96.75 |
$96.75 |
$96.75 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$96.75 |
$96.75 |
$96.75 |
$78.10
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$178.50 |
$178.50 |
$178.50 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$312.00 |
$312.00 |
$312.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,528.50 |
$1,528.50 |
$1,528.50 |
$1,860.00
|
