|
Labetalol 5 mg/ml IV (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$32.34
|
|
Lacer molded to patient mode
|
$547.71 |
$547.71 |
$547.71 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$163.48 |
$163.48 |
$163.48 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$70.50 |
$70.50 |
$70.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$84.00 |
$84.00 |
$84.00 |
$45.56
|
|
Lactic acid
|
$74.70 |
$74.70 |
$74.70 |
$107.00
|
|
Lateral thoracic extension
|
$364.98 |
$364.98 |
$364.98 |
$578.90
|
|
Lateral trochanteric pad
|
$115.91 |
$115.91 |
$115.91 |
$183.85
|
|
Lead acuity x4 spiral l 86cm
|
$33,090.00 |
$33,090.00 |
$33,090.00 |
$5,488.00
|
|
Lead capillary
|
$9.60 |
$9.60 |
$9.60 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$36,635.59 |
$36,635.59 |
$36,635.59 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$9,099.75 |
$9,099.75 |
$9,099.75 |
$8,000.00
|
|
Legg perthes orthosis trilat
|
$2,200.60 |
$2,200.60 |
$2,200.60 |
$3,490.40
|
|
Legg perthes orth scottish r
|
$1,857.80 |
$1,857.80 |
$1,857.80 |
$2,946.68
|
|
Legg perthes patten bottom t
|
$2,670.99 |
$2,670.99 |
$2,670.99 |
$4,236.49
|
|
Leg perthes orth toronto typ
|
$2,320.92 |
$2,320.92 |
$2,320.92 |
$3,681.23
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,032.90 |
$1,032.90 |
$1,032.90 |
$1,088.26
|
|
Lens, intraocular (new tech)
|
$140.63 |
$140.63 |
$140.63 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,654.50 |
$1,654.50 |
$1,654.50 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,977.13 |
$1,977.13 |
$1,977.13 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$496.35 |
$496.35 |
$496.35 |
$367.97
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$130.26 |
$130.26 |
$130.26 |
$163.62
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$92.40 |
$92.40 |
$92.40 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$30.90 |
$30.90 |
$30.90 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$40.26 |
$40.26 |
$40.26 |
$55.60
|
|
Liberta rc ipg
|
$51,181.96 |
$51,181.96 |
$51,181.96 |
$36,300.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$29.57 |
$29.57 |
$29.57 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$39.60 |
$39.60 |
$39.60 |
$39.37
|
|
Lift heel adj small gl60404sm
|
$110.02 |
$110.02 |
$110.02 |
$148.39
|
|
Lift heel adjustable med
|
$56.88 |
$56.88 |
$56.88 |
$57.90
|
|
Lifts elevation metal extens
|
$844.24 |
$844.24 |
$844.24 |
$959.80
|
|
Ligation internal/common carotid artery 37605
|
$2,069.10 |
$2,069.10 |
$2,069.10 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$2,511.60 |
$2,511.60 |
$2,511.60 |
$1,525.00
|
|
Limited ankle motion ea jnt
|
$61.81 |
$61.81 |
$61.81 |
$123.05
|
|
Limited motion knee joint
|
$172.80 |
$172.80 |
$172.80 |
$278.92
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$300.96 |
$300.96 |
$300.96 |
$125.66
|
|
Lipase
|
$88.20 |
$88.20 |
$88.20 |
$93.58
|
|
Lipoprotein blood quant
|
$37.80 |
$37.80 |
$37.80 |
$102.05
|
|
Lipoprotein direct measurement ldl
|
$99.00 |
$99.00 |
$99.00 |
$61.60
|
|
Lip surgery procedure
|
$144.60 |
$144.60 |
$144.60 |
$334.50
|
|
Listeria monocytogenes
|
$71.70 |
$71.70 |
$71.70 |
$117.52
|
|
Lithium therapeutic drug level
|
$102.90 |
$102.90 |
$102.90 |
$69.42
|
|
Liver Function Test
|
$162.30 |
$162.30 |
$162.30 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$37.20
|
|
Lo rig pos pnl l1-l5 pre ots
|
$257.34 |
$257.34 |
$257.34 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$105.76 |
$105.76 |
$105.76 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$173.70 |
$173.70 |
$173.70 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$990.30 |
$990.30 |
$990.30 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$422.70 |
$422.70 |
$422.70 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,699.80 |
$1,699.80 |
$1,699.80 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,699.80 |
$1,699.80 |
$1,699.80 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$730.80 |
$730.80 |
$730.80 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$287.10 |
$287.10 |
$287.10 |
$352.32
|
|
Lso corset front
|
$157.01 |
$157.01 |
$157.01 |
$172.04
|
|
Lso flex no ri stays pre ots
|
$169.65 |
$169.65 |
$169.65 |
$195.00
|
|
Lso full corset
|
$223.04 |
$223.04 |
$223.04 |
$320.92
|
|
Lso r post pnl sj-t9 pre cst
|
$253.14 |
$253.14 |
$253.14 |
$326.82
|
|
Lso sag-coronal panel custom
|
$2,503.26 |
$2,503.26 |
$2,503.26 |
$2,440.98
|
|
Lso sag-co shell pnl pre ots
|
$1,932.59 |
$1,932.59 |
$1,932.59 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$241.62 |
$241.62 |
$241.62 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$1,490.60 |
$1,490.60 |
$1,490.60 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$2,022.51 |
$2,022.51 |
$2,022.51 |
$3,092.00
|
|
Lso sc r pos/lat pnl pre cst
|
$389.12 |
$389.12 |
$389.12 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$427.77 |
$427.77 |
$427.77 |
$678.49
|
|
Lso s/c shell/panel custom
|
$1,419.92 |
$1,419.92 |
$1,419.92 |
$2,252.16
|
|
Lumbar bolster pad
|
$116.81 |
$116.81 |
$116.81 |
$185.27
|
|
Lumbar derotation pad
|
$135.67 |
$135.67 |
$135.67 |
$215.18
|
|
Lumbar or lumbar rib pad
|
$132.26 |
$132.26 |
$132.26 |
$209.78
|
|
Lumbar sling
|
$150.11 |
$150.11 |
$150.11 |
$238.10
|
|
Lung Function Test (Spirometry)
|
$234.90 |
$234.90 |
$234.90 |
$295.35
|
|
Lung perfusion imaging
|
$997.20 |
$997.20 |
$997.20 |
$1,075.25
|
|
Lutetium lu 177 dotatat ther
|
$146,411.74 |
$146,411.74 |
$146,411.74 |
$312.69
|
|
Lvad shower bag heartmate
|
$496.35 |
$496.35 |
$496.35 |
$887.68
|
|
Magnesium
|
$58.50 |
$58.50 |
$58.50 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$34.32 |
$34.32 |
$34.32 |
$58.70
|
|
Mammosite ced
|
$5,004.86 |
$5,004.86 |
$5,004.86 |
$5,152.06
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$99.60 |
$99.60 |
$99.60 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$150.90 |
$150.90 |
$150.90 |
$152.54
|
|
Man's shoe oxford brace
|
$110.11 |
$110.11 |
$110.11 |
$175.11
|
|
Marker biop eviva buckle ss
|
$9,347.92 |
$9,347.92 |
$9,347.92 |
$1,152.48
|
|
Matrion 1 sq cm
|
$12,797.56 |
$12,797.56 |
$12,797.56 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$53,754.70 |
$53,754.70 |
$53,754.70 |
$5,065.63
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$123.00 |
$123.00 |
$123.00 |
$66.36
|
|
Mayo aathr protein s free
|
$75.00 |
$75.00 |
$75.00 |
$130.08
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$159.30 |
$159.30 |
$159.30 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$41.40 |
$41.40 |
$41.40 |
$112.85
|
|
Mayo alkaline phosphatase isoenzyme
|
$47.40 |
$47.40 |
$47.40 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$129.60 |
$129.60 |
$129.60 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$54.00 |
$54.00 |
$54.00 |
$82.80
|
|
Mayo analysis gene calr common variants exon 9
|
$222.30 |
$222.30 |
$222.30 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$106.50 |
$106.50 |
$106.50 |
$359.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$415.50 |
$415.50 |
$415.50 |
$361.50
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$1,860.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$151.80 |
$151.80 |
$151.80 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$9.60 |
$9.60 |
$9.60 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$27.60 |
$27.60 |
$27.60 |
$67.60
|
|
Mayo barbiturates definitive assay confirmation urine
|
$26.10 |
$26.10 |
$26.10 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$18.90 |
$18.90 |
$18.90 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$164.10 |
$164.10 |
$164.10 |
$325.60
|
|
Mayo bordetella pertussis antibody igg
|
$11.10 |
$11.10 |
$11.10 |
$69.00
|
