|
Leuprolide 3.75 mg intramuscular syringe kit
|
$5,340.26 |
$5,340.26 |
$5,340.26 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$160.55 |
$160.55 |
$160.55 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$10.44 |
$10.44 |
$10.44 |
$82.50
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$521.74 |
$521.74 |
$521.74 |
$420.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$17.57 |
$17.57 |
$17.57 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$29.58 |
$29.58 |
$29.58 |
$87.45
|
|
Liletta, 52 mg
|
$920.85 |
$920.85 |
$920.85 |
$1,453.50
|
|
Lincomycin injection
|
$42.98 |
$42.98 |
$42.98 |
$64.31
|
|
Lipase
|
$20.01 |
$20.01 |
$20.01 |
$91.80
|
|
Lipoprotein blood high res frac & quant
|
$12.18 |
$12.18 |
$12.18 |
$89.52
|
|
Lipoprotein direct measurement hdl
|
$23.78 |
$23.78 |
$23.78 |
$57.50
|
|
Lithium therapeutic drug level
|
$19.43 |
$19.43 |
$19.43 |
$69.42
|
|
Liver Function Test
|
$34.80 |
$34.80 |
$34.80 |
$115.44
|
|
Liver/spleen imag static only
|
$223.88 |
$223.88 |
$223.88 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$177.77 |
$177.77 |
$177.77 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$105.98 |
$105.98 |
$105.98 |
$44.10
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$27,990.93 |
$27,990.93 |
$27,990.93 |
$58,923.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$12.71 |
$12.71 |
$12.71 |
$37.44
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$789.09 |
$789.09 |
$789.09 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$526.06 |
$526.06 |
$526.06 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$526.06 |
$526.06 |
$526.06 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$838.10 |
$838.10 |
$838.10 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$681.50 |
$681.50 |
$681.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$681.50 |
$681.50 |
$681.50 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$72.79 |
$72.79 |
$72.79 |
$355.00
|
|
Lumbar diskogram s&i
|
$867.97 |
$867.97 |
$867.97 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$38.57 |
$38.57 |
$38.57 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$95.99 |
$95.99 |
$95.99 |
$296.91
|
|
Lung perfusion imaging
|
$207.35 |
$207.35 |
$207.35 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$8,153.64 |
$8,153.64 |
$8,153.64 |
$17,393.41
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$12,195.25 |
$12,195.25 |
$12,195.25 |
$21,365.20
|
|
Lymphatics/lymph node imaging
|
$250.56 |
$250.56 |
$250.56 |
$1,463.22
|
|
Magnesium
|
$19.43 |
$19.43 |
$19.43 |
$73.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$59.16 |
$59.16 |
$59.16 |
$130.32
|
|
Manipulation chest wall initial demonstration/evaluation
|
$59.16 |
$59.16 |
$59.16 |
$159.05
|
|
Marker biop eviva buckle ss
|
$267.97 |
$267.97 |
$267.97 |
$1,304.40
|
|
Mastoids complete
|
$100.63 |
$100.63 |
$100.63 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$11.60 |
$11.60 |
$11.60 |
$65.00
|
|
Mayo aathr protein s free
|
$30.45 |
$30.45 |
$30.45 |
$130.08
|
|
Mayo alkaline phosphatase isoenzyme
|
$14.50 |
$14.50 |
$14.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$10.73 |
$10.73 |
$10.73 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$43.21 |
$43.21 |
$43.21 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$178.64 |
$178.64 |
$178.64 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$69.02 |
$69.02 |
$69.02 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$79.46 |
$79.46 |
$79.46 |
$368.25
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$10.44 |
$10.44 |
$10.44 |
$73.08
|
|
Mayo aspergillus fumigatus antibody
|
$12.18 |
$12.18 |
$12.18 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$76.85 |
$76.85 |
$76.85 |
$170.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$174.00 |
$174.00 |
$174.00 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$29.29 |
$29.29 |
$29.29 |
$57.00
|
|
Mayo c1 esterase inhibitor
|
$44.95 |
$44.95 |
$44.95 |
$85.00
|
|
Mayo ceruloplasmin
|
$8.41 |
$8.41 |
$8.41 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$25.23 |
$25.23 |
$25.23 |
$117.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$9.86 |
$9.86 |
$9.86 |
$52.80
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$10.73 |
$10.73 |
$10.73 |
$49.20
|
|
Mayo chromium
|
$174.29 |
$174.29 |
$174.29 |
$70.85
|
|
Mayo coccidioides antibody
|
$22.91 |
$22.91 |
$22.91 |
$55.20
|
|
Mayo cocou cortisone urine
|
$15.08 |
$15.08 |
$15.08 |
$204.10
|
|
Mayo cortisol free
|
$27.84 |
$27.84 |
$27.84 |
$92.80
|
|
Mayo covid-19 antibody nucleocapsid total
|
$37.41 |
$37.41 |
$37.41 |
$71.50
|
|
Mayo deoxyribonuclease antibody titer
|
$10.44 |
$10.44 |
$10.44 |
$56.11
|
|
Mayo factor ii
|
$41.47 |
$41.47 |
$41.47 |
$96.76
|
|
Mayo factor v
|
$49.88 |
$49.88 |
$49.88 |
$125.58
|
|
Mayo factor vii
|
$36.54 |
$36.54 |
$36.54 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$33.93 |
$33.93 |
$33.93 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$42.34 |
$42.34 |
$42.34 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$25.23 |
$25.23 |
$25.23 |
$138.00
|
|
Mayo factor x
|
$42.05 |
$42.05 |
$42.05 |
$151.22
|
|
Mayo factor xi
|
$62.64 |
$62.64 |
$62.64 |
$121.80
|
|
Mayo fat/lipids feces quantitative
|
$26.10 |
$26.10 |
$26.10 |
$76.05
|
|
Mayo fdp/fsp paracoagulation
|
$82.65 |
$82.65 |
$82.65 |
$124.80
|
|
Mayo ffspg allergen clam igg
|
$43.21 |
$43.21 |
$43.21 |
$37.00
|
|
Mayo fibrinogen antigen
|
$90.19 |
$90.19 |
$90.19 |
$78.60
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$18.85 |
$18.85 |
$18.85 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$284.20 |
$284.20 |
$284.20 |
$1,317.60
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$20.30 |
$20.30 |
$20.30 |
$165.55
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$20.30 |
$20.30 |
$20.30 |
$118.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$10.44 |
$10.44 |
$10.44 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$28.71 |
$28.71 |
$28.71 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$6.96 |
$6.96 |
$6.96 |
$70.85
|
|
Mayo hvdip HIV 2 antibody
|
$10.73 |
$10.73 |
$10.73 |
$75.04
|
|
Mayo hydroxyprogesterone 17-d
|
$30.74 |
$30.74 |
$30.74 |
$107.25
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$40.60 |
$40.60 |
$40.60 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$31.03 |
$31.03 |
$31.03 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$61.77 |
$61.77 |
$61.77 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$19.14 |
$19.14 |
$19.14 |
$107.50
|
|
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance
|
$54.81 |
$54.81 |
$54.81 |
$72.80
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$32.48 |
$32.48 |
$32.48 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$43.50 |
$43.50 |
$43.50 |
$106.50
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$66.99 |
$66.99 |
$66.99 |
$81.26
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$27.84 |
$27.84 |
$27.84 |
$155.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$44.95 |
$44.95 |
$44.95 |
$227.70
|
|
Mayo insulin antibodies
|
$37.41 |
$37.41 |
$37.41 |
$96.20
|
|
Mayo iodine
|
$100.34 |
$100.34 |
$100.34 |
$113.53
|
|
Mayo lamotrigine therapeutic drug level
|
$12.47 |
$12.47 |
$12.47 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$8.41 |
$8.41 |
$8.41 |
$53.20
|
|
Mayo legionella antibody
|
$14.21 |
$14.21 |
$14.21 |
$73.50
|
|
Mayo lipoprotein electrophoresis
|
$8.99 |
$8.99 |
$8.99 |
$50.40
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$9.86 |
$9.86 |
$9.86 |
$70.00
|
|
Mayo metanephrines plasma
|
$25.23 |
$25.23 |
$25.23 |
$122.40
|
