|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$9,776.19 |
$9,776.19 |
$10,753.81 |
$19,124.00
|
|
Lead acuity x4 spiral l 86cm
|
$4,275.00 |
$4,275.00 |
$4,702.50 |
$5,534.00
|
|
Lead capillary
|
$11.55 |
$11.55 |
$22.05 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,049.40 |
$1,049.40 |
$1,154.34 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$5,992.50 |
$5,992.50 |
$8,736.75 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$226.80 |
$226.80 |
$249.48 |
$1,092.58
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$248.63 |
$248.63 |
$273.49 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$13,166.46 |
$13,166.46 |
$14,483.10 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$5,524.41 |
$5,524.41 |
$6,076.85 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$166.09 |
$166.09 |
$182.70 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$11.88 |
$11.88 |
$22.68 |
$88.92
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$539.73 |
$539.73 |
$593.71 |
$420.60
|
|
Liberta rc ipg
|
$29,250.00 |
$29,250.00 |
$42,046.29 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$18.18 |
$18.18 |
$19.99 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$33.66 |
$33.66 |
$64.26 |
$87.45
|
|
Liletta, 52 mg
|
$952.60 |
$952.60 |
$1,047.86 |
$1,514.24
|
|
Lincomycin injection
|
$44.46 |
$44.46 |
$48.91 |
$64.31
|
|
Lipase
|
$22.77 |
$22.77 |
$43.47 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$13.86 |
$13.86 |
$26.46 |
$86.42
|
|
Lipoprotein direct measurement hdl
|
$27.06 |
$27.06 |
$51.66 |
$57.50
|
|
Lithium therapeutic drug level
|
$22.11 |
$22.11 |
$42.21 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,708.80 |
$1,708.80 |
$1,879.68 |
$4,113.20
|
|
Liver Function Test
|
$39.60 |
$39.60 |
$75.60 |
$115.44
|
|
Liver imag w/vasclr flow
|
$378.60 |
$378.60 |
$416.46 |
$1,227.60
|
|
Liver/spleen imag static only
|
$231.60 |
$231.60 |
$254.76 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$183.90 |
$183.90 |
$202.29 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$109.64 |
$109.64 |
$120.60 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$28,956.14 |
$28,956.14 |
$31,851.75 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.15 |
$13.15 |
$14.46 |
$37.37
|
|
Lo sag rig pnl stays pre cst
|
$193.32 |
$193.32 |
$193.32 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$816.30 |
$816.30 |
$897.93 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$544.20 |
$544.20 |
$598.62 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$544.20 |
$544.20 |
$598.62 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$867.00 |
$867.00 |
$953.70 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$705.00 |
$705.00 |
$775.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$705.00 |
$705.00 |
$775.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$75.30 |
$75.30 |
$82.83 |
$356.16
|
|
Lumbar diskogram s&i
|
$897.90 |
$897.90 |
$987.69 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$39.90 |
$39.90 |
$43.89 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$99.30 |
$99.30 |
$109.23 |
$295.35
|
|
Lung perfusion imaging
|
$214.50 |
$214.50 |
$235.95 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$8,434.80 |
$8,434.80 |
$9,278.28 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$12,615.77 |
$12,615.77 |
$13,877.35 |
$22,210.87
|
|
Lutetium lu 177 vipivotide
|
$163.79 |
$163.79 |
$163.79 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$259.20 |
$259.20 |
$285.12 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$45.54 |
$45.54 |
$241.92 |
$271.88
|
|
Lymph vessel x-ray arms/legs
|
$1,103.40 |
$1,103.40 |
$1,213.74 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$1,451.70 |
$1,451.70 |
$1,596.87 |
$3,380.00
|
|
Magnesium
|
$22.11 |
$22.11 |
$42.21 |
$72.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$61.20 |
$61.20 |
$67.32 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$61.20 |
$61.20 |
$67.32 |
$160.80
|
|
Mapping functional cort/subcort ea add'l hr
|
$210.00 |
$210.00 |
$210.00 |
$636.50
|
|
Map tachycard site(s)
|
$1,081.80 |
$1,081.80 |
$1,189.98 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$277.21 |
$277.21 |
$1,694.09 |
$1,451.30
|
|
Mastoids complete
|
$104.10 |
$104.10 |
$114.51 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$12,209.26 |
$12,209.26 |
$12,209.26 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$25.08 |
$25.08 |
$47.88 |
$65.00
|
|
Mayo aathr protein s free
|
$34.65 |
$34.65 |
$66.15 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$39.93 |
$39.93 |
$76.23 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$25.41 |
$25.41 |
$25.41 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$16.50 |
$16.50 |
$31.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$12.21 |
$12.21 |
$23.31 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$49.17 |
$49.17 |
$93.87 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$203.28 |
$203.28 |
$652.05 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$102.30 |
$102.30 |
$277.20 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$172.62 |
$172.62 |
$294.69 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$727.65 |
$727.65 |
$1,683.99 |
$1,860.00
|
|
Mayo androstenedione
|
$23.76 |
$23.76 |
$23.76 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$56.43 |
$56.43 |
$107.73 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$35.64 |
$35.64 |
$35.64 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$13.86 |
$13.86 |
$26.46 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$87.45 |
$87.45 |
$166.95 |
$171.50
|
|
Mayo bart bartonella henselae antibody igg
|
$9.57 |
$9.57 |
$18.27 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$110.88 |
$110.88 |
$211.68 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$33.33 |
$33.33 |
$63.63 |
$55.04
|
|
Mayo brcmg brucella antibody igm
|
$25.08 |
$25.08 |
$47.88 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$51.15 |
$51.15 |
$97.65 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$30.36 |
$30.36 |
$30.36 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$17.82 |
$17.82 |
$17.82 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$71.94 |
$71.94 |
$207.27 |
$281.50
|
|
Mayo ceruloplasmin
|
$9.57 |
$9.57 |
$18.27 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$28.71 |
$28.71 |
$54.81 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$148.83 |
$148.83 |
$148.83 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$11.22 |
$11.22 |
$21.42 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$12.21 |
$12.21 |
$23.31 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$110.55 |
$110.55 |
$386.19 |
$360.33
|
|
Mayo chromium
|
$17.49 |
$17.49 |
$33.39 |
$74.94
|
|
Mayo coccidioides antibody
|
$10.89 |
$10.89 |
$20.79 |
$53.90
|
|
Mayo cocou cortisone urine
|
$93.72 |
$93.72 |
$198.45 |
$213.92
|
|
Mayo cortisol free
|
$31.68 |
$31.68 |
$60.48 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.57 |
$42.57 |
$81.27 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$46.53 |
$46.53 |
$88.83 |
$58.10
|
|
Mayo cyanide
|
$73.59 |
$73.59 |
$73.59 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$11.88 |
$11.88 |
$22.68 |
$56.80
|
|
Mayo dihydrotestosterone
|
$44.88 |
$44.88 |
$85.68 |
$74.25
|
|
Mayo estriol
|
$14.19 |
$14.19 |
$14.19 |
$90.34
|
|
Mayo estrone
|
$19.80 |
$19.80 |
$37.80 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$26.73 |
$26.73 |
$26.73 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$40.92 |
$40.92 |
$40.92 |
$97.50
|
|
Mayo factor ii
|
$47.19 |
$47.19 |
$90.09 |
$99.06
|
