|
Levothyroxine 100 mcg intravenous powder for solution
|
$575.72 |
$575.72 |
$575.72 |
$420.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$19.39 |
$19.39 |
$19.39 |
$40.54
|
|
Liletta, 52 mg
|
$1,016.11 |
$1,016.11 |
$1,016.11 |
$1,514.24
|
|
Lincomycin injection
|
$47.42 |
$47.42 |
$47.42 |
$64.31
|
|
Lipase
|
$22.08 |
$22.08 |
$22.08 |
$91.65
|
|
Lipoprotein blood quant
|
$38.40 |
$38.40 |
$38.40 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$26.24 |
$26.24 |
$26.24 |
$57.50
|
|
Lithium therapeutic drug level
|
$21.44 |
$21.44 |
$21.44 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,822.72 |
$1,822.72 |
$1,822.72 |
$4,113.20
|
|
Liver Function Test
|
$38.40 |
$38.40 |
$38.40 |
$115.44
|
|
Liver imaging
|
$488.32 |
$488.32 |
$488.32 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$403.84 |
$403.84 |
$403.84 |
$1,227.60
|
|
Liver/spleen imag static only
|
$247.04 |
$247.04 |
$247.04 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$196.16 |
$196.16 |
$196.16 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$116.95 |
$116.95 |
$116.95 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$30,886.55 |
$30,886.55 |
$30,886.55 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$14.02 |
$14.02 |
$14.02 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$870.72 |
$870.72 |
$870.72 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$580.48 |
$580.48 |
$580.48 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$580.48 |
$580.48 |
$580.48 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$924.80 |
$924.80 |
$924.80 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$752.00 |
$752.00 |
$752.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$752.00 |
$752.00 |
$752.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$80.32 |
$80.32 |
$80.32 |
$356.16
|
|
Lung Function Test (Spirometry)
|
$105.92 |
$105.92 |
$105.92 |
$295.35
|
|
Lung perfusion imaging
|
$228.80 |
$228.80 |
$228.80 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$8,997.12 |
$8,997.12 |
$8,997.12 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$13,456.82 |
$13,456.82 |
$13,456.82 |
$22,210.87
|
|
Lymphatics/lymph node imaging
|
$276.48 |
$276.48 |
$276.48 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$92.48 |
$92.48 |
$92.48 |
$271.88
|
|
Macroscopic exam arthropod
|
$30.40 |
$30.40 |
$30.40 |
$38.58
|
|
Macroscopic exam parasite
|
$30.40 |
$30.40 |
$30.40 |
$36.55
|
|
Magnesium
|
$21.44 |
$21.44 |
$21.44 |
$72.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$65.28 |
$65.28 |
$65.28 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$65.28 |
$65.28 |
$65.28 |
$160.80
|
|
Marker biop eviva buckle ss
|
$345.97 |
$345.97 |
$345.97 |
$1,451.30
|
|
Mastoids complete
|
$111.04 |
$111.04 |
$111.04 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$24.32 |
$24.32 |
$24.32 |
$65.00
|
|
Mayo aathr protein s free
|
$33.60 |
$33.60 |
$33.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$38.72 |
$38.72 |
$38.72 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$24.64 |
$24.64 |
$24.64 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$12.80 |
$12.80 |
$12.80 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$33.60 |
$33.60 |
$33.60 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$47.68 |
$47.68 |
$47.68 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$76.16 |
$76.16 |
$76.16 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$285.76 |
$285.76 |
$285.76 |
$368.25
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$54.72 |
$54.72 |
$54.72 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$34.56 |
$34.56 |
$34.56 |
$73.50
|
|
Mayo avwpr vw factor activity
|
$84.80 |
$84.80 |
$84.80 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$22.40 |
$22.40 |
$22.40 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$9.28 |
$9.28 |
$9.28 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$224.00 |
$224.00 |
$224.00 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$32.32 |
$32.32 |
$32.32 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$65.92 |
$65.92 |
$65.92 |
$69.20
|
|
Mayo c1 esterase inhibitor
|
$21.76 |
$21.76 |
$21.76 |
$86.73
|
|
Mayo ceruloplasmin
|
$9.28 |
$9.28 |
$9.28 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$152.32 |
$152.32 |
$152.32 |
$123.73
|
|
Mayo chromium
|
$16.96 |
$16.96 |
$16.96 |
$74.94
|
|
Mayo coccidioides antibody
|
$10.56 |
$10.56 |
$10.56 |
$53.90
|
|
Mayo cocou cortisone urine
|
$36.80 |
$36.80 |
$36.80 |
$213.92
|
|
Mayo cortisol free
|
$30.72 |
$30.72 |
$30.72 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$41.28 |
$41.28 |
$41.28 |
$71.50
|
|
Mayo deoxyribonuclease antibody titer
|
$11.52 |
$11.52 |
$11.52 |
$56.80
|
|
Mayo dihydrotestosterone
|
$43.52 |
$43.52 |
$43.52 |
$74.25
|
|
Mayo everolimus therapeutic drug level
|
$39.68 |
$39.68 |
$39.68 |
$97.50
|
|
Mayo factor ii
|
$45.76 |
$45.76 |
$45.76 |
$99.06
|
|
Mayo factor v
|
$55.04 |
$55.04 |
$55.04 |
$127.80
|
|
Mayo factor vii
|
$40.32 |
$40.32 |
$40.32 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$37.44 |
$37.44 |
$37.44 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$46.72 |
$46.72 |
$46.72 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$27.84 |
$27.84 |
$27.84 |
$141.00
|
|
Mayo factor x
|
$46.40 |
$46.40 |
$46.40 |
$155.00
|
|
Mayo factor xi
|
$69.12 |
$69.12 |
$69.12 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$28.80 |
$28.80 |
$28.80 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$41.92 |
$41.92 |
$41.92 |
$105.60
|
|
Mayo fdp/fsp paracoagulation
|
$91.20 |
$91.20 |
$91.20 |
$124.80
|
|
Mayo ffspg allergen clam igg
|
$47.68 |
$47.68 |
$47.68 |
$35.10
|
|
Mayo fibrinogen antigen
|
$99.52 |
$99.52 |
$99.52 |
$76.44
|
|
Mayo gamma-globin full gene sequencing
|
$1,959.36 |
$1,959.36 |
$1,959.36 |
$1,460.30
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$22.40 |
$22.40 |
$22.40 |
$165.55
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$22.40 |
$22.40 |
$22.40 |
$122.00
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$11.52 |
$11.52 |
$11.52 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$31.68 |
$31.68 |
$31.68 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$7.68 |
$7.68 |
$7.68 |
$74.25
|
|
Mayo hvdip HIV 2 antibody
|
$11.84 |
$11.84 |
$11.84 |
$77.77
|
|
Mayo hydroxyprogesterone 17-d
|
$33.92 |
$33.92 |
$33.92 |
$106.65
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$97.92 |
$97.92 |
$97.92 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$24.00 |
$24.00 |
$24.00 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$68.16 |
$68.16 |
$68.16 |
$107.14
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$21.12 |
$21.12 |
$21.12 |
$108.96
|
|
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance
|
$60.48 |
$60.48 |
$60.48 |
$98.00
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$35.84 |
$35.84 |
$35.84 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$48.00 |
$48.00 |
$48.00 |
$109.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$49.60 |
$49.60 |
$49.60 |
$230.65
|
|
Mayo infliximab therapeutic drug level
|
$146.24 |
$146.24 |
$146.24 |
$150.40
|
|
Mayo inhab inhibin a
|
$21.76 |
$21.76 |
$21.76 |
$79.95
|
|
Mayo insulin antibodies
|
$41.28 |
$41.28 |
$41.28 |
$97.80
|
|
Mayo iodine
|
$25.60 |
$25.60 |
$25.60 |
$114.60
|
|
Mayo lamotrigine therapeutic drug level
|
$13.76 |
$13.76 |
$13.76 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$9.28 |
$9.28 |
$9.28 |
$52.50
|
