|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$7,655.90 |
$7,655.90 |
$7,655.90 |
$22,903.90
|
|
Laryngeal function studies
|
$57.02 |
$57.02 |
$57.02 |
$335.40
|
|
Lead capillary
|
$32.55 |
$32.55 |
$32.55 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,521.28 |
$1,521.28 |
$1,521.28 |
$3,842.56
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,589.70 |
$1,589.70 |
$1,589.70 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,960.39 |
$2,960.39 |
$2,960.39 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$577.92 |
$577.92 |
$577.92 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$203.84 |
$203.84 |
$203.84 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$90.95 |
$90.95 |
$90.95 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$8,906.80 |
$8,906.80 |
$8,906.80 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,314.73 |
$4,314.73 |
$4,314.73 |
$6,208.50
|
|
Levalbuterol non-comp unit
|
$12.13 |
$12.13 |
$12.13 |
$11.90
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$36.58 |
$36.58 |
$36.58 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$52.85 |
$52.85 |
$52.85 |
$71.40
|
|
Liberta rc ipg
|
$59,382.36 |
$59,382.36 |
$59,382.36 |
$39,406.68
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$135.24 |
$135.24 |
$135.24 |
$177.90
|
|
Lipase
|
$39.90 |
$39.90 |
$39.90 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$123.48 |
$123.48 |
$123.48 |
$89.52
|
|
Lipoprotein direct measurement hdl
|
$27.41 |
$27.41 |
$27.41 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$32.55 |
$32.55 |
$32.55 |
$60.00
|
|
Lithium therapeutic drug level
|
$110.95 |
$110.95 |
$110.95 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,855.00 |
$1,855.00 |
$1,855.00 |
$4,371.12
|
|
Liver Function Test
|
$215.95 |
$215.95 |
$215.95 |
$110.50
|
|
Liver imaging
|
$459.59 |
$459.59 |
$459.59 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$703.71 |
$703.71 |
$703.71 |
$1,255.15
|
|
Liver/spleen imag static only
|
$466.83 |
$466.83 |
$466.83 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$3.94 |
$3.94 |
$3.94 |
$16.54
|
|
Low cost skin substitute app
|
$208.95 |
$208.95 |
$208.95 |
$862.55
|
|
Low cost skin substitute app
|
$208.95 |
$208.95 |
$208.95 |
$2,164.64
|
|
Low cost skin substitute app
|
$208.95 |
$208.95 |
$208.95 |
$933.40
|
|
Low cost skin substitute app
|
$208.95 |
$208.95 |
$208.95 |
$868.70
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,453.35 |
$5,453.35 |
$5,453.35 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,638.90 |
$4,638.90 |
$4,638.90 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,541.09 |
$3,541.09 |
$3,541.09 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,868.40 |
$6,868.40 |
$6,868.40 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$5,840.10 |
$5,840.10 |
$5,840.10 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,112.66 |
$4,112.66 |
$4,112.66 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$582.05 |
$582.05 |
$582.05 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$122.54 |
$122.54 |
$122.54 |
$275.88
|
|
Lumbar diskogram s&i
|
$865.62 |
$865.62 |
$865.62 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$71.51 |
$71.51 |
$71.51 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$231.53 |
$231.53 |
$231.53 |
$298.50
|
|
Lung perfusion imaging
|
$419.65 |
$419.65 |
$419.65 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$6,565.08 |
$6,565.08 |
$6,565.08 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$9,599.06 |
$9,599.06 |
$9,599.06 |
$29,435.46
|
|
Lymphatics/lymph node imaging
|
$888.99 |
$888.99 |
$888.99 |
$1,543.75
|
|
Magnesium
|
$105.48 |
$105.48 |
$105.48 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$23.60 |
$23.60 |
$23.60 |
$65.49
|
|
Magnetic image bone marrow
|
$1,858.19 |
$1,858.19 |
$1,858.19 |
$1,152.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$65.80 |
$65.80 |
$65.80 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$65.80 |
$65.80 |
$65.80 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$5.88 |
$5.88 |
$5.88 |
$40.12
|
|
Marker biop eviva buckle ss
|
$275.63 |
$275.63 |
$275.63 |
$1,213.20
|
|
Mastoids complete
|
$205.07 |
$205.07 |
$205.07 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$540.30 |
$540.30 |
$540.30 |
$7,478.44
|
|
Mayo aathr protein s free
|
$44.10 |
$44.10 |
$44.10 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$147.35 |
$147.35 |
$147.35 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$185.50 |
$185.50 |
$185.50 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$47.95 |
$47.95 |
$47.95 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$90.68 |
$90.68 |
$90.68 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$24.26 |
$24.26 |
$24.26 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$0.95 |
$0.95 |
$0.95 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$79.80 |
$79.80 |
$79.80 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$50.40 |
$50.40 |
$50.40 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$0.63 |
$0.63 |
$0.63 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$1,628.20 |
$1,628.20 |
$1,628.20 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$130.25 |
$130.25 |
$130.25 |
$326.48
|
|
Mayo androstenedione
|
$105.68 |
$105.68 |
$105.68 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$25.35 |
$25.35 |
$25.35 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$15.37 |
$15.37 |
$15.37 |
$68.90
|
|
Mayo avwpr vw factor activity
|
$147.42 |
$147.42 |
$147.42 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$0.63 |
$0.63 |
$0.63 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$44.63 |
$44.63 |
$44.63 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$275.80 |
$275.80 |
$275.80 |
$353.60
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$0.63 |
$0.63 |
$0.63 |
$66.00
|
|
Mayo c1 esterase inhibitor
|
$37.10 |
$37.10 |
$37.10 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$0.63 |
$0.63 |
$0.63 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$39.38 |
$39.38 |
$39.38 |
$83.97
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$173.68 |
$173.68 |
$173.68 |
$274.40
|
|
Mayo ceruloplasmin
|
$35.35 |
$35.35 |
$35.35 |
$65.08
|
|
Mayo chikv chikungunya antibodies igg
|
$88.55 |
$88.55 |
$88.55 |
$102.40
|
|
Mayo chromium
|
$23.63 |
$23.63 |
$23.63 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$0.63 |
$0.63 |
$0.63 |
$89.53
|
|
Mayo coccidioides antibody
|
$41.27 |
$41.27 |
$41.27 |
$58.37
|
|
Mayo cocou cortisone urine
|
$114.45 |
$114.45 |
$114.45 |
$207.26
|
|
Mayo cortisol free
|
$41.90 |
$41.90 |
$41.90 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$59.87 |
$59.87 |
$59.87 |
$72.60
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$0.95 |
$0.95 |
$0.95 |
$72.14
|
|
Mayo dhea (dehydroepiandrosterone)
|
$45.50 |
$45.50 |
$45.50 |
$88.45
|
|
Mayo dihydrotestosterone
|
$20.48 |
$20.48 |
$20.48 |
$81.90
|
|
Mayo efpo chloride stool
|
$40.01 |
$40.01 |
$40.01 |
$44.20
|
|
Mayo ethosuximide therapeutic drug level
|
$31.50 |
$31.50 |
$31.50 |
$70.40
|
|
Mayo factor viii vw factor antigen
|
$88.55 |
$88.55 |
$88.55 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$190.40 |
$190.40 |
$190.40 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$118.30 |
$118.30 |
$118.30 |
$129.60
|
|
Mayo factor x
|
$125.06 |
$125.06 |
$125.06 |
$139.50
|
|
Mayo factor xi
|
$111.20 |
$111.20 |
$111.20 |
$117.50
|
|
Mayo fbl culture fungi blood
|
$28.35 |
$28.35 |
$28.35 |
$102.20
|
|
Mayo gamma-globin full gene sequencing
|
$515.55 |
$515.55 |
$515.55 |
$1,446.90
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$133.56 |
$133.56 |
$133.56 |
$165.00
|