|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,533.20 |
$2,533.20 |
$2,533.20 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,568.40 |
$4,568.40 |
$4,568.40 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$526.20 |
$526.20 |
$526.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$203.40 |
$203.40 |
$203.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$559.20 |
$559.20 |
$559.20 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$19.80 |
$19.80 |
$19.80 |
$420.60
|
|
Liberta rc ipg
|
$49,345.80 |
$49,345.80 |
$49,345.80 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.60 |
$0.60 |
$0.60 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.40 |
$0.40 |
$0.40 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$310.20 |
$310.20 |
$310.20 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$59.80 |
$59.80 |
$59.80 |
$30,744.64
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$225.60 |
$225.60 |
$225.60 |
$121.00
|
|
Lipase
|
$102.60 |
$102.60 |
$102.60 |
$93.58
|
|
Lipoprotein blood quant
|
$631.80 |
$631.80 |
$631.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$122.40 |
$122.40 |
$122.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$70.80 |
$70.80 |
$70.80 |
$61.60
|
|
Lithium therapeutic drug level
|
$98.40 |
$98.40 |
$98.40 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$11,297.40 |
$11,297.40 |
$11,297.40 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$972.60 |
$972.60 |
$972.60 |
$365.28
|
|
Liver Function Test
|
$168.00 |
$168.00 |
$168.00 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$3.80 |
$3.80 |
$3.80 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$99.20 |
$99.20 |
$99.20 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,242.40 |
$3,242.40 |
$3,242.40 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,917.20 |
$2,917.20 |
$2,917.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,218.40 |
$6,218.40 |
$6,218.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$5,074.20 |
$5,074.20 |
$5,074.20 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,940.80 |
$3,940.80 |
$3,940.80 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$436.20 |
$436.20 |
$436.20 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$732.60 |
$732.60 |
$732.60 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$732.60 |
$732.60 |
$732.60 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$436.20 |
$436.20 |
$436.20 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$253.80 |
$253.80 |
$253.80 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$109.20 |
$109.20 |
$109.20 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$142.20 |
$142.20 |
$142.20 |
$296.91
|
|
Lung perfusion imaging
|
$1,770.00 |
$1,770.00 |
$1,770.00 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,978.20 |
$1,978.20 |
$1,978.20 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$453.00 |
$453.00 |
$453.00 |
$271.88
|
|
Macroscopic exam parasite
|
$88.20 |
$88.20 |
$88.20 |
$37.05
|
|
Magnesium
|
$99.00 |
$99.00 |
$99.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$20.40 |
$20.40 |
$20.40 |
$58.70
|
|
Mannitol 12.5 gm/50 ml inj
|
$173.40 |
$173.40 |
$173.40 |
$26.29
|
|
Marker biop eviva buckle ss
|
$1,304.40 |
$1,304.40 |
$1,304.40 |
$1,451.30
|
|
M.avium-intra dna amp prob
|
$357.60 |
$357.60 |
$357.60 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$215.40 |
$215.40 |
$215.40 |
$65.28
|
|
Mayo aathr protein s free
|
$322.20 |
$322.20 |
$322.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$316.20 |
$316.20 |
$316.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$171.00 |
$171.00 |
$171.00 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$217.80 |
$217.80 |
$217.80 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$201.00 |
$201.00 |
$201.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$316.80 |
$316.80 |
$316.80 |
$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
|
$2,547.60 |
$2,547.60 |
$2,547.60 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$14,400.60 |
$14,400.60 |
$14,400.60 |
$1,860.00
|
|
Mayo androstenedione
|
$437.40 |
$437.40 |
$437.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$216.00 |
$216.00 |
$216.00 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$127.80 |
$127.80 |
$127.80 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$316.80 |
$316.80 |
$316.80 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$480.00 |
$480.00 |
$480.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$697.20 |
$697.20 |
$697.20 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$210.00 |
$210.00 |
$210.00 |
$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
|
$277.20 |
$277.20 |
$277.20 |
$56.00
|
|
Mayo bordetella pertussis antibody igg
|
$198.00 |
$198.00 |
$198.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$77.40 |
$77.40 |
$77.40 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$202.80 |
$202.80 |
$202.80 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$345.00 |
$345.00 |
$345.00 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$538.20 |
$538.20 |
$538.20 |
$110.02
|
|
Mayo ceruloplasmin
|
$159.00 |
$159.00 |
$159.00 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$298.80 |
$298.80 |
$298.80 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$271.20 |
$271.20 |
$271.20 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$121.20 |
$121.20 |
$121.20 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$271.20 |
$271.20 |
$271.20 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$366.94
|
|
Mayo chromium
|
$137.40 |
$137.40 |
$137.40 |
$75.60
|
|
Mayo coccidioides antibody
|
$244.80 |
$244.80 |
$244.80 |
$54.00
|
|
Mayo cocou cortisone urine
|
$370.80 |
$370.80 |
$370.80 |
$216.00
|
|
Mayo cortisol free
|
$253.20 |
$253.20 |
$253.20 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$130.20 |
$130.20 |
$130.20 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$265.80 |
$265.80 |
$265.80 |
$58.20
|
|
Mayo cyanide
|
$200.40 |
$200.40 |
$200.40 |
$87.60
|
|
Mayo deoxyribonuclease antibody titer
|
$280.20 |
$280.20 |
$280.20 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$378.00 |
$378.00 |
$378.00 |
$106.47
|
|
Mayo dihydrotestosterone
|
$542.40 |
$542.40 |
$542.40 |
$78.00
|
|
Mayo efpo chloride stool
|
$96.60 |
$96.60 |
$96.60 |
$44.20
|
|
Mayo estriol
|
$362.40 |
$362.40 |
$362.40 |
$90.35
|
|
Mayo estrone
|
$312.00 |
$312.00 |
$312.00 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$162.00 |
$162.00 |
$162.00 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$203.40 |
$203.40 |
$203.40 |
$97.50
|
|
Mayo factor ii
|
$111.60 |
$111.60 |
$111.60 |
$99.06
|
|
Mayo factor v
|
$299.40 |
$299.40 |
$299.40 |
$129.60
|
|
Mayo factor vii
|
$282.60 |
$282.60 |
$282.60 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$341.40 |
$341.40 |
$341.40 |
$128.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$481.20 |
$481.20 |
$481.20 |
$130.20
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$481.20 |
$481.20 |
$481.20 |
$141.30
|
|
Mayo factor x
|
$299.40 |
$299.40 |
$299.40 |
$155.00
|
|
Mayo factor xi
|
$299.40 |
$299.40 |
$299.40 |
$123.75
|
|
Mayo fat/lipids feces quantitative
|
$251.40 |
$251.40 |
$251.40 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$189.60 |
$189.60 |
$189.60 |
$106.56
|
