|
Knee X-ray
|
$424.20 |
$424.20 |
$424.20 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$424.20 |
$424.20 |
$424.20 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$424.20 |
$424.20 |
$424.20 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$424.20 |
$424.20 |
$424.20 |
$251.20
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$114.60 |
$114.60 |
$114.60 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$105.00 |
$105.00 |
$105.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$69.80 |
$69.80 |
$69.80 |
$43.74
|
|
Lactic acid
|
$115.80 |
$115.80 |
$115.80 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$117.00 |
$117.00 |
$117.00 |
$82.16
|
|
Lactoferrin fecal quant
|
$183.60 |
$183.60 |
$183.60 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$215.40 |
$215.40 |
$215.40 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$282.00 |
$282.00 |
$282.00 |
$740.40
|
|
Laryngoscopy w/fb removal
|
$3,752.40 |
$3,752.40 |
$3,752.40 |
$2,854.09
|
|
Lead capillary
|
$147.00 |
$147.00 |
$147.00 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$6,097.20 |
$6,097.20 |
$6,097.20 |
$2,928.00
|
|
Left compres band >=3" <5"/yd
|
$3.60 |
$3.60 |
$3.60 |
$5.20
|
|
Left compres band >=5"/yd
|
$3.60 |
$3.60 |
$3.60 |
$6.73
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,501.80 |
$1,501.80 |
$1,501.80 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$984.60 |
$984.60 |
$984.60 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$712.20 |
$712.20 |
$712.20 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$652.20 |
$652.20 |
$652.20 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$153.00 |
$153.00 |
$153.00 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,855.60 |
$3,855.60 |
$3,855.60 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,201.00 |
$3,201.00 |
$3,201.00 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$1,396.20 |
$1,396.20 |
$1,396.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$154.80 |
$154.80 |
$154.80 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$311.40 |
$311.40 |
$311.40 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$18.60 |
$18.60 |
$18.60 |
$420.60
|
|
Liberta rc ipg
|
$41,431.80 |
$41,431.80 |
$41,431.80 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.60 |
$0.60 |
$0.60 |
$46.02
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$308.80 |
$308.80 |
$308.80 |
$121.00
|
|
Lipase
|
$250.20 |
$250.20 |
$250.20 |
$93.58
|
|
Lipoprotein blood quant
|
$318.00 |
$318.00 |
$318.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$63.00 |
$63.00 |
$63.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$90.60 |
$90.60 |
$90.60 |
$61.60
|
|
Lithium therapeutic drug level
|
$210.60 |
$210.60 |
$210.60 |
$69.75
|
|
Liver ds alys 3 bmrk srm alg
|
$972.60 |
$972.60 |
$972.60 |
$365.28
|
|
Liver elastography 91200
|
$65.40 |
$65.40 |
$65.40 |
$285.18
|
|
Liver Function Test
|
$345.60 |
$345.60 |
$345.60 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$8.40 |
$8.40 |
$8.40 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$411.60 |
$411.60 |
$411.60 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$402.00 |
$402.00 |
$402.00 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$236.40 |
$236.40 |
$236.40 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,154.20 |
$3,154.20 |
$3,154.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,836.20 |
$2,836.20 |
$2,836.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,810.20 |
$1,810.20 |
$1,810.20 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,049.20 |
$6,049.20 |
$6,049.20 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,936.20 |
$4,936.20 |
$4,936.20 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,834.60 |
$3,834.60 |
$3,834.60 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$424.20 |
$424.20 |
$424.20 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$711.60 |
$711.60 |
$711.60 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$711.60 |
$711.60 |
$711.60 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$424.20 |
$424.20 |
$424.20 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$370.80 |
$370.80 |
$370.80 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$147.00 |
$147.00 |
$147.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,008.60 |
$1,008.60 |
$1,008.60 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$400.20 |
$400.20 |
$400.20 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$87.60 |
$87.60 |
$87.60 |
$22,771.63
|
|
Lymphocyte transformation mitogen
|
$516.00 |
$516.00 |
$516.00 |
$271.88
|
|
Macroscopic exam parasite
|
$46.20 |
$46.20 |
$46.20 |
$37.05
|
|
Magnesium
|
$94.80 |
$94.80 |
$94.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$31.80 |
$31.80 |
$31.80 |
$58.70
|
|
Mannitol 12.5 gm/50 ml inj
|
$171.00 |
$171.00 |
$171.00 |
$26.29
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$94.80 |
$94.80 |
$94.80 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$609.00 |
$609.00 |
$609.00 |
$1,451.30
|
|
M.avium-intra dna amp prob
|
$362.40 |
$362.40 |
$362.40 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$214.80 |
$214.80 |
$214.80 |
$65.28
|
|
Mayo aathr protein s free
|
$187.20 |
$187.20 |
$187.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$210.00 |
$210.00 |
$210.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$154.80 |
$154.80 |
$154.80 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$128.40 |
$128.40 |
$128.40 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$134.40 |
$134.40 |
$134.40 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$147.00 |
$147.00 |
$147.00 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,702.80 |
$1,702.80 |
$1,702.80 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,261.80 |
$1,261.80 |
$1,261.80 |
$368.25
|
|
Mayo androstenedione
|
$163.80 |
$163.80 |
$163.80 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$105.00 |
$105.00 |
$105.00 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$243.00 |
$243.00 |
$243.00 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$155.40 |
$155.40 |
$155.40 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$212.40 |
$212.40 |
$212.40 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$928.80 |
$928.80 |
$928.80 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$99.00 |
$99.00 |
$99.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$333.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$131.40 |
$131.40 |
$131.40 |
$56.00
|
|
Mayo brcmg brucella antibody igm
|
$87.60 |
$87.60 |
$87.60 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$178.20 |
$178.20 |
$178.20 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$198.60 |
$198.60 |
$198.60 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$325.20 |
$325.20 |
$325.20 |
$110.02
|
|
Mayo ceruloplasmin
|
$110.40 |
$110.40 |
$110.40 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$141.00 |
$141.00 |
$141.00 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$129.60 |
$129.60 |
$129.60 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$63.00 |
$63.00 |
$63.00 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$225.00 |
$225.00 |
$225.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$811.20 |
$811.20 |
$811.20 |
$366.94
|
|
Mayo chromium
|
$197.40 |
$197.40 |
$197.40 |
$75.60
|
|
Mayo coccidioides antibody
|
$115.80 |
$115.80 |
$115.80 |
$54.00
|
|
Mayo cocou cortisone urine
|
$125.40 |
$125.40 |
$125.40 |
$216.00
|