|
Lens iol ant chamb 10.5
|
$269.71 |
$269.71 |
$269.71 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$115.27 |
$115.27 |
$576.47 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$8,124.05 |
$8,124.05 |
$49,431.22 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,175.52 |
$4,175.52 |
$49,890.44 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.11 |
$14.62 |
$29.18 |
|
|
Levetiracetam therapeutic drug level
|
$70.39 |
$77.00 |
$128.05 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$30.71 |
$47.90 |
$100.13 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$461.86 |
$461.86 |
$514.70 |
|
|
Liberta rc ipg
|
$27,300.00 |
$27,300.00 |
$48,321.00 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$30.62 |
$34.12 |
$39.37 |
|
|
Lidocaine therapeutic drug level
|
$59.29 |
$80.60 |
$152.10 |
|
|
Ligation/biopsy of temporal artery 37609
|
$1,044.33 |
$1,044.33 |
$5,158.81 |
|
|
Ligation/major artery/extremity 37618
|
$1,044.42 |
$1,044.42 |
$1,044.42 |
|
|
Ligation of inf vena cava
|
$4,675.69 |
$4,675.69 |
$4,675.69 |
|
|
Ligation vericose vein cluster(s) 1 leg
|
$3,071.93 |
$3,071.93 |
$3,071.93 |
|
|
Lig/band angioaccess av fistula
|
$3,662.26 |
$3,662.26 |
$5,792.97 |
|
|
Lincomycin injection
|
$12.03 |
$13.41 |
$73.00 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$61.68 |
$64.58 |
$222.30 |
|
|
Lipase
|
$38.00 |
$44.68 |
$202.15 |
|
|
Lipoprotein blood high res frac & quant
|
$70.85 |
$70.85 |
$160.55 |
|
|
Lipoprotein blood quant
|
$40.05 |
$40.05 |
$178.10 |
|
|
Lipoprotein direct measurement hdl
|
$36.72 |
$48.10 |
$74.00 |
|
|
Lipoprotein direct measurement ldl
|
$21.45 |
$33.00 |
$80.00 |
|
|
Lithium therapeutic drug level
|
$36.00 |
$55.00 |
$224.90 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$11,511.50 |
$11,511.50 |
$11,511.50 |
|
|
Liver Function Test
|
$22.10 |
$44.31 |
$146.25 |
|
|
Liver imaging
|
$321.62 |
$321.62 |
$44,123.49 |
|
|
Liver/spleen imag static only
|
$406.08 |
$770.25 |
$1,236.30 |
|
|
Liver/spleen imag w/vasclr flow
|
$429.48 |
$429.48 |
$429.48 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.55 |
$1.55 |
$195.25 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.00 |
$13.56 |
$150.40 |
|
|
Low back disk surgery
|
$9,637.75 |
$9,637.75 |
$14,258.51 |
|
|
Low cost skin substitute app
|
$2,147.57 |
$2,147.57 |
$2,147.57 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$715.30 |
$1,972.10 |
$3,897.00 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$902.80 |
$1,815.45 |
$3,703.00 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$843.69 |
$1,444.30 |
$3,020.00 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,396.84 |
$2,889.25 |
$5,443.00 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,054.87 |
$1,950.65 |
$4,031.00 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$924.82 |
$1,756.95 |
$4,003.00 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$41.00 |
$159.90 |
$517.00 |
|
|
Low frequency non-thermal Ultrasound
|
$182.78 |
$182.78 |
$182.78 |
|
|
Lsh uterus 250 g or less
|
$32,509.91 |
$32,509.91 |
$32,509.91 |
|
|
Lsh w/t/o ut 250 g or less
|
$24,630.68 |
$24,630.68 |
$26,998.75 |
|
|
Lsh w/t/o uterus above 250 g
|
$25,975.53 |
$25,975.53 |
$28,804.46 |
|
|
L/s ratio fetal lung
|
$176.15 |
$179.40 |
$276.00 |
|
|
Lumbar diskogram s&i
|
$105.00 |
$2,575.30 |
$3,439.00 |
|
|
Lung function test (mbc/mvv)
|
$69.75 |
$69.75 |
$306.80 |
|
|
Lung Function Test (Spirometry)
|
$99.16 |
$252.85 |
$477.10 |
|
|
Lung perfusion imaging
|
$394.33 |
$839.15 |
$1,448.00 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$30,757.48 |
$30,757.48 |
$30,757.48 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$36,821.02 |
$40,940.77 |
$46,012.99 |
|
|
Lutetium lu 177 dotatat ther
|
$631.80 |
$631.80 |
$631.80 |
|
|
Lutetium lu 177 vipivotide
|
$482.95 |
$482.95 |
$482.95 |
|
|
Lymphatics/lymph node imaging
|
$563.97 |
$1,505.40 |
$21,027.32 |
|
|
Lymphocyte transformation mitogen
|
$95.55 |
$95.55 |
$95.55 |
|
|
Lymph vessel x-ray trunk
|
$711.05 |
$711.05 |
$2,118.35 |
|
|
Lymph vessel x-ray trunk
|
$3,452.15 |
$3,452.15 |
$3,452.15 |
|
|
Lysis of labial adhesions
|
$9,376.91 |
$9,376.91 |
$9,376.91 |
|
|
Lysis penil circumic lesion
|
$7,542.16 |
$7,542.16 |
$7,542.16 |
|
|
Macro exam dissect molec study ea
|
$36.54 |
$36.54 |
$94.25 |
|
|
Macroscopic exam arthropod
|
$34.45 |
$49.03 |
$80.60 |
|
|
Macroscopic exam parasite
|
$30.43 |
$34.45 |
$53.00 |
|
|
Magnesium
|
$38.00 |
$59.80 |
$232.70 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$22.75 |
$39.81 |
$94.50 |
|
|
Male sling procedure
|
$17,818.76 |
$17,818.76 |
$17,818.76 |
|
|
Mammosite ced
|
$2,983.50 |
$2,983.50 |
$4,468.75 |
|
|
Manipulate wrist w/anesthes
|
$2,341.00 |
$2,341.00 |
$2,341.00 |
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$27.47 |
$89.70 |
$261.30 |
|
|
Manipulation chest wall initial demonstration/evaluation
|
$78.81 |
$98.15 |
$372.45 |
|
|
Manipulation of spine
|
$1,649.37 |
$1,649.37 |
$1,649.37 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.25 |
$9.25 |
$9.25 |
|
|
Manual diff wbc count b-coat
|
$15.73 |
$15.73 |
$15.73 |
|
|
Mapping io sentinel lymph node
|
$19,950.10 |
$19,950.10 |
$21,027.32 |
|
|
Map tachycard site(s)
|
$1,092.24 |
$1,092.24 |
$1,092.24 |
|
|
Marker biop eviva buckle ss
|
$366.82 |
$2,042.79 |
$2,042.79 |
|
|
Mastoids complete
|
$63.00 |
$93.61 |
$310.70 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$21.45 |
$21.45 |
$21.45 |
|
|
M.avium-intra dna amp prob
|
$113.31 |
$113.31 |
$113.31 |
|
|
M.avium-intra dna dir prob
|
$83.85 |
$83.85 |
$83.85 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$42.09 |
$76.70 |
$131.00 |
|
|
Mayo aathr protein s free
|
$99.44 |
$133.90 |
$258.70 |
|
|
Mayo activated protein c resistance assay
|
$81.25 |
$95.92 |
$211.25 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$215.15 |
$220.35 |
$339.00 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$20.80 |
$20.80 |
$169.65 |
|
|
Mayo alcohol definitive assay volatile screen
|
$118.95 |
$118.95 |
$128.70 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$66.79 |
$78.65 |
$133.00 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$63.05 |
$63.05 |
$134.55 |
|
|
Mayo alpha 1 antitrypsin
|
$55.04 |
$87.10 |
$156.00 |
|
|
Mayo amikacin trough therapeutic drug level
|
$65.86 |
$95.55 |
$176.00 |
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$93.60 |
$93.60 |
$93.60 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$68.00 |
$100.75 |
$100.75 |
|
|
Mayo analysis gene calr common variants exon 9
|
$83.99 |
$594.10 |
$914.00 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$195.00 |
$258.35 |
$805.35 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$398.45 |
$414.70 |
$638.00 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,287.60 |
$1,459.25 |
$3,172.65 |
|
|
Mayo androstenedione
|
$79.00 |
$115.44 |
$179.00 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$42.90 |
$69.00 |
$137.00 |
|
|
Mayo antithrombin iii antigen
|
$96.20 |
$103.51 |
$160.00 |
|
|
Mayo aspergillus fumigatus antibody
|
$59.29 |
$89.70 |
$204.10 |
|
|
Mayo avwpr vw factor activity
|
$103.35 |
$159.66 |
$479.05 |
|
