|
Leishmania antibody
|
$94.47 |
$94.47 |
$94.47 |
$61.10
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$479.70 |
$479.70 |
$479.70 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$725.70 |
$725.70 |
$725.70 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$100.80 |
$100.80 |
$100.80 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$16,189.23 |
$16,189.23 |
$16,189.23 |
$6,209.40
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$10,189.22 |
$10,189.22 |
$10,189.22 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$52.51 |
$52.51 |
$52.51 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$105.30 |
$105.30 |
$105.30 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$132.90 |
$132.90 |
$132.90 |
$85.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$46.98 |
$46.98 |
$46.98 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$627.16 |
$627.16 |
$627.16 |
$420.60
|
|
Liberta rc ipg
|
$31,524.00 |
$31,524.00 |
$31,524.00 |
$37,575.00
|
|
Lidocaine injection
|
$44.76 |
$44.76 |
$44.76 |
$44.76
|
|
Lidocaine therapeutic drug level
|
$243.60 |
$243.60 |
$243.60 |
$91.20
|
|
Lift heel adj small gl60404sm
|
$148.39 |
$148.39 |
$148.39 |
$148.39
|
|
Ligate oviduct(s) add-on 58611
|
$1,743.00 |
$1,743.00 |
$1,743.00 |
$800.00
|
|
Liletta, 52 mg
|
$1,100.85 |
$1,100.85 |
$1,100.85 |
$1,453.50
|
|
Limited ankle motion ea jnt
|
$123.05 |
$123.05 |
$123.05 |
$123.05
|
|
Limited motion knee joint
|
$278.92 |
$278.92 |
$278.92 |
$274.07
|
|
Lincomycin injection
|
$64.31 |
$64.31 |
$64.31 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$83.16 |
$83.16 |
$83.16 |
$125.66
|
|
Lipase
|
$160.50 |
$160.50 |
$160.50 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$221.10 |
$221.10 |
$221.10 |
$58.10
|
|
Lipoprotein direct measurement ldl
|
$99.45 |
$99.45 |
$99.45 |
$61.60
|
|
Lithium therapeutic drug level
|
$147.30 |
$147.30 |
$147.30 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,847.75 |
$5,847.75 |
$5,847.75 |
$4,204.55
|
|
Liver Function Test
|
$316.20 |
$316.20 |
$316.20 |
$115.44
|
|
Liver imaging
|
$777.90 |
$777.90 |
$777.90 |
$1,093.50
|
|
Liver imag w/vasclr flow
|
$820.20 |
$820.20 |
$820.20 |
$1,238.65
|
|
Liver/spleen imag static only
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$211.50 |
$211.50 |
$211.50 |
$45.35
|
|
Long tongue stirrup
|
$293.85 |
$293.85 |
$293.85 |
$247.25
|
|
Loop ostmy bridg ster
|
$27.60 |
$27.60 |
$27.60 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$39.61 |
$39.61 |
$39.61 |
$37.20
|
|
Lo sag rig pnl stays pre cst
|
$156.86 |
$156.86 |
$156.86 |
$167.74
|
|
Low cost skin substitute app
|
$933.60 |
$933.60 |
$933.60 |
$880.50
|
|
Low cost skin substitute app
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$2,154.21
|
|
Low cost skin substitute app
|
$933.60 |
$933.60 |
$933.60 |
$933.60
|
|
Low cost skin substitute app
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$923.50
|
|
Low cost skin substitute app
|
$466.80 |
$466.80 |
$466.80 |
$383.48
|
|
Low cost skin substitute app
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$699.72
|
|
Low cost skin substitute app
|
$466.80 |
$466.80 |
$466.80 |
$349.44
|
|
Low cost skin substitute app
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,955.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,495.45
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$3,075.80
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$524.40 |
$524.40 |
$524.40 |
$355.32
|
|
Lso flex no ri stays pre ots
|
$135.35 |
$135.35 |
$135.35 |
$164.80
|
|
Lso r post pnl sj-t9 pre cst
|
$326.82 |
$326.82 |
$326.82 |
$326.82
|
|
Lso sagit rigid panel prefab
|
$1,990.83 |
$1,990.83 |
$1,990.83 |
$1,990.83
|
|
Lso sc r pos/lat pnl pre cst
|
$577.00 |
$577.00 |
$577.00 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$598.52 |
$598.52 |
$598.52 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,320.59 |
$2,320.59 |
$2,320.59 |
$2,252.16
|
|
Lumizyme injection
|
$1,909.58 |
$1,909.58 |
$1,909.58 |
$1,738.40
|
|
Lung Function Test (Spirometry)
|
$356.85 |
$356.85 |
$356.85 |
$296.91
|
|
Lung perfusion imaging
|
$1,257.45 |
$1,257.45 |
$1,257.45 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$1,654.65 |
$1,654.65 |
$1,654.65 |
$1,487.90
|
|
Magnesium
|
$160.50 |
$160.50 |
$160.50 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$58.70 |
$58.70 |
$58.70 |
$60.00
|
|
Makena, 10 mg
|
$1,589.94 |
$1,589.94 |
$1,589.94 |
$1,405.80
|
|
Mammosite ced
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$82.50 |
$82.50 |
$82.50 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$188.70 |
$188.70 |
$188.70 |
$157.44
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.00 |
$9.00 |
$9.00 |
$27.81
|
|
Map tachycard site(s)
|
$7,396.05 |
$7,396.05 |
$7,396.05 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$1,282.55
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,455.60 |
$2,455.60 |
$2,455.60 |
$1,941.63
|
|
Mastoids complete
|
$300.60 |
$300.60 |
$300.60 |
$299.52
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$184.50 |
$184.50 |
$184.50 |
$4,784.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$25.95 |
$25.95 |
$25.95 |
$65.30
|
|
Mayo aathr protein s free
|
$180.30 |
$180.30 |
$180.30 |
$133.20
|
|
Mayo activated protein c resistance assay
|
$196.20 |
$196.20 |
$196.20 |
$97.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$37.35 |
$37.35 |
$37.35 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$150.00 |
$150.00 |
$150.00 |
$91.44
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$356.70 |
$356.70 |
$356.70 |
$369.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,770.00 |
$1,770.00 |
$1,770.00 |
$1,860.00
|
|
Mayo androstenedione
|
$102.60 |
$102.60 |
$102.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$67.20 |
$67.20 |
$67.20 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$127.95 |
$127.95 |
$127.95 |
$71.50
|
|
Mayo aspergillus fumigatus antibody
|
$172.65 |
$172.65 |
$172.65 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$332.10 |
$332.10 |
$332.10 |
$170.25
|
|
Mayo bart bartonella henselae antibody igg
|
$115.20 |
$115.20 |
$115.20 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$207.00 |
$207.00 |
$207.00 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$207.00 |
$207.00 |
$207.00 |
$326.80
|
|
Mayo blastomyces antibody immunodiffusion
|
$81.30 |
$81.30 |
$81.30 |
$57.77
|
|
Mayo bordetella pertussis antibody igg
|
$106.65 |
$106.65 |
$106.65 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$20.70 |
$20.70 |
$20.70 |
$44.86
|
|
Mayo c1 esterase inhibitor
|
$132.30 |
$132.30 |
$132.30 |
$85.02
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$159.90 |
$159.90 |
$159.90 |
$106.70
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$239.85 |
$239.85 |
$239.85 |
$115.00
|
|
Mayo ceruloplasmin
|
$81.30 |
$81.30 |
$81.30 |
$70.20
|
|
Mayo chemiluminescent parathyroid related peptide
|
$429.00 |
$429.00 |
$429.00 |
$121.60
|
|
Mayo chikv chikungunya antibodies igg
|
$246.00 |
$246.00 |
$246.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$77.55 |
$77.55 |
$77.55 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$77.55 |
$77.55 |
$77.55 |
$49.29
|