|
Knee MRI (with and without contrast)
|
$895.95 |
$895.95 |
$895.95 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$586.41 |
$586.41 |
$586.41 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$511.83 |
$511.83 |
$511.83 |
$2,110.76
|
|
Knee X-ray
|
$138.93 |
$138.93 |
$138.93 |
$425.55
|
|
Ko w/0 joint rigid molded to
|
$372.24 |
$372.24 |
$372.24 |
$1,230.99
|
|
Lactate dehydrogenase (ldh)
|
$20.13 |
$20.13 |
$20.13 |
$55.50
|
|
Lactic acid
|
$35.64 |
$35.64 |
$35.64 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$65.01 |
$65.01 |
$65.01 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$10,753.81 |
$10,753.81 |
$10,753.81 |
$19,124.00
|
|
Lead acuity x4 spiral l 86cm
|
$4,702.50 |
$4,702.50 |
$4,702.50 |
$5,534.00
|
|
Lead capillary
|
$11.55 |
$11.55 |
$11.55 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,154.34 |
$1,154.34 |
$1,154.34 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$6,591.75 |
$6,591.75 |
$6,591.75 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$249.48 |
$249.48 |
$249.48 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$445.50 |
$445.50 |
$445.50 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$273.49 |
$273.49 |
$273.49 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$14,483.10 |
$14,483.10 |
$14,483.10 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$6,076.85 |
$6,076.85 |
$6,076.85 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$182.70 |
$182.70 |
$182.70 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$11.88 |
$11.88 |
$11.88 |
$88.92
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$593.71 |
$593.71 |
$593.71 |
$420.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$19.99 |
$19.99 |
$19.99 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$33.66 |
$33.66 |
$33.66 |
$87.45
|
|
Liletta, 52 mg
|
$1,047.86 |
$1,047.86 |
$1,047.86 |
$1,514.24
|
|
Lincomycin injection
|
$48.91 |
$48.91 |
$48.91 |
$64.31
|
|
Lipase
|
$22.77 |
$22.77 |
$22.77 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$13.86 |
$13.86 |
$13.86 |
$86.42
|
|
Lipoprotein direct measurement hdl
|
$27.06 |
$27.06 |
$27.06 |
$57.50
|
|
Lithium therapeutic drug level
|
$22.11 |
$22.11 |
$22.11 |
$69.42
|
|
Liver Function Test
|
$39.60 |
$39.60 |
$39.60 |
$115.44
|
|
Liver/spleen imag static only
|
$254.76 |
$254.76 |
$254.76 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$202.29 |
$202.29 |
$202.29 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$120.60 |
$120.60 |
$120.60 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$31,851.75 |
$31,851.75 |
$31,851.75 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$14.46 |
$14.46 |
$14.46 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$897.93 |
$897.93 |
$897.93 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$598.62 |
$598.62 |
$598.62 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$598.62 |
$598.62 |
$598.62 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$953.70 |
$953.70 |
$953.70 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$775.50 |
$775.50 |
$775.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$775.50 |
$775.50 |
$775.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$82.83 |
$82.83 |
$82.83 |
$356.16
|
|
Lung function test (mbc/mvv)
|
$43.89 |
$43.89 |
$43.89 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$109.23 |
$109.23 |
$109.23 |
$295.35
|
|
Lung perfusion imaging
|
$235.95 |
$235.95 |
$235.95 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$9,278.28 |
$9,278.28 |
$9,278.28 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$13,877.35 |
$13,877.35 |
$13,877.35 |
$22,210.87
|
|
Lymphatics/lymph node imaging
|
$285.12 |
$285.12 |
$285.12 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$45.54 |
$45.54 |
$45.54 |
$271.88
|
|
Magnesium
|
$22.11 |
$22.11 |
$22.11 |
$72.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$67.32 |
$67.32 |
$67.32 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$67.32 |
$67.32 |
$67.32 |
$160.80
|
|
Marker biop eviva buckle ss
|
$283.72 |
$283.72 |
$283.72 |
$1,451.30
|
|
Mastoids complete
|
$114.51 |
$114.51 |
$114.51 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$25.08 |
$25.08 |
$25.08 |
$65.00
|
|
Mayo aathr protein s free
|
$34.65 |
$34.65 |
$34.65 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$39.93 |
$39.93 |
$39.93 |
$97.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$13.20 |
$13.20 |
$13.20 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$12.21 |
$12.21 |
$12.21 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$49.17 |
$49.17 |
$49.17 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$78.54 |
$78.54 |
$78.54 |
$369.00
|
|
Mayo androstenedione
|
$23.76 |
$23.76 |
$23.76 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$56.43 |
$56.43 |
$56.43 |
$73.60
|
|
Mayo aspergillus fumigatus antibody
|
$13.86 |
$13.86 |
$13.86 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$61.38 |
$61.38 |
$61.38 |
$171.50
|
|
Mayo bart bartonella henselae antibody igg
|
$9.57 |
$9.57 |
$9.57 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$231.00 |
$231.00 |
$231.00 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$33.33 |
$33.33 |
$33.33 |
$55.04
|
|
Mayo brcmg brucella antibody igm
|
$25.08 |
$25.08 |
$25.08 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$24.75 |
$24.75 |
$24.75 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$30.36 |
$30.36 |
$30.36 |
$80.16
|
|
Mayo ceruloplasmin
|
$9.57 |
$9.57 |
$9.57 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$28.71 |
$28.71 |
$28.71 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$13.86 |
$13.86 |
$13.86 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$11.22 |
$11.22 |
$11.22 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$12.21 |
$12.21 |
$12.21 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$110.55 |
$110.55 |
$110.55 |
$360.33
|
|
Mayo chromium
|
$17.49 |
$17.49 |
$17.49 |
$74.94
|
|
Mayo coccidioides antibody
|
$10.89 |
$10.89 |
$10.89 |
$53.90
|
|
Mayo cocou cortisone urine
|
$69.96 |
$69.96 |
$69.96 |
$213.92
|
|
Mayo cortisol free
|
$31.68 |
$31.68 |
$31.68 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.57 |
$42.57 |
$42.57 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$46.53 |
$46.53 |
$46.53 |
$58.10
|
|
Mayo deoxyribonuclease antibody titer
|
$11.88 |
$11.88 |
$11.88 |
$56.80
|
|
Mayo dihydrotestosterone
|
$44.88 |
$44.88 |
$44.88 |
$74.25
|
|
Mayo estriol
|
$14.19 |
$14.19 |
$14.19 |
$90.34
|
|
Mayo estrone
|
$19.80 |
$19.80 |
$19.80 |
$85.00
|
|
Mayo factor ii
|
$47.19 |
$47.19 |
$47.19 |
$99.06
|
|
Mayo factor v
|
$56.76 |
$56.76 |
$56.76 |
$127.80
|
|
Mayo factor vii
|
$41.58 |
$41.58 |
$41.58 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$38.61 |
$38.61 |
$38.61 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$48.18 |
$48.18 |
$48.18 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$28.71 |
$28.71 |
$28.71 |
$141.00
|
|
Mayo factor x
|
$96.69 |
$96.69 |
$96.69 |
$155.00
|
|
Mayo factor xi
|
$71.28 |
$71.28 |
$71.28 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$29.70 |
$29.70 |
$29.70 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$30.03 |
$30.03 |
$30.03 |
$105.60
|
|
Mayo fdp/fsp paracoagulation
|
$94.05 |
$94.05 |
$94.05 |
$124.80
|
|
Mayo ffspg allergen clam igg
|
$29.70 |
$29.70 |
$29.70 |
$35.10
|
|
Mayo fibrinogen antigen
|
$102.63 |
$102.63 |
$102.63 |
$76.44
|
