|
Kras gene addl variants
|
$153.69 |
$153.69 |
$153.69 |
$386.75
|
|
Kras gene variants exon 2
|
$488.26 |
$488.26 |
$488.26 |
$509.00
|
|
Kyleena, 19.5 mg
|
$1,950.96 |
$1,950.96 |
$1,950.96 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$124.11 |
$124.11 |
$124.11 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$117.81 |
$117.81 |
$117.81 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$27.82 |
$27.82 |
$27.82 |
$55.50
|
|
Lactated ringers intravenous solution
|
$53.76 |
$53.76 |
$53.76 |
$44.91
|
|
Lactic acid
|
$78.86 |
$78.86 |
$78.86 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$45.06 |
$45.06 |
$45.06 |
$81.00
|
|
Lactoferrin fecal quant
|
$68.11 |
$68.11 |
$68.11 |
$108.93
|
|
Largsc w/rmvl foreign bdy(s)
|
$297.46 |
$297.46 |
$297.46 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$938.75 |
$938.75 |
$938.75 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$1,248.28 |
$1,248.28 |
$1,248.28 |
$2,854.09
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$1,098.67 |
$1,098.67 |
$1,098.67 |
$800.25
|
|
Lead acuity x4 spiral l 86cm
|
$5,524.41 |
$5,524.41 |
$5,524.41 |
$5,534.00
|
|
Lead capillary
|
$41.50 |
$41.50 |
$41.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,483.41 |
$1,483.41 |
$1,483.41 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$10,128.09 |
$10,128.09 |
$10,128.09 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$701.14 |
$701.14 |
$701.14 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$304.87 |
$304.87 |
$304.87 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$243.49 |
$243.49 |
$243.49 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$451.61 |
$451.61 |
$451.61 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$12,483.72 |
$12,483.72 |
$12,483.72 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,448.03 |
$2,448.03 |
$2,448.03 |
$9,107.80
|
|
Lev 1 hosp type b ed visit
|
$166.33 |
$166.33 |
$166.33 |
$186.98
|
|
Lev 2 hosp type b ed visit
|
$272.17 |
$272.17 |
$272.17 |
$359.65
|
|
Lev 3 hosp type b ed visit
|
$559.46 |
$559.46 |
$559.46 |
$598.15
|
|
Lev 4 hosp type b ed visit
|
$861.87 |
$861.87 |
$861.87 |
$915.40
|
|
Lev 5 hosp type b ed visit
|
$1,508.63 |
$1,508.63 |
$1,508.63 |
$1,542.68
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$559.80 |
$559.80 |
$559.80 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$101.25 |
$101.25 |
$101.25 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$167.07 |
$167.07 |
$167.07 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$94.29 |
$94.29 |
$94.29 |
$420.60
|
|
Liberta rc ipg
|
$45,013.71 |
$45,013.71 |
$45,013.71 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$102.83 |
$102.83 |
$102.83 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$32.13 |
$32.13 |
$32.13 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$74.22 |
$74.22 |
$74.22 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$16.62 |
$16.62 |
$16.62 |
$133.50
|
|
Ligation/biopsy of temporal artery 37609
|
$1,865.87 |
$1,865.87 |
$1,865.87 |
$3,322.80
|
|
Lig/band angioaccess av fistula
|
$2,077.01 |
$2,077.01 |
$2,077.01 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,519.61 |
$1,519.61 |
$1,519.61 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$50,991.36 |
$50,991.36 |
$50,991.36 |
$121.00
|
|
Lipase
|
$54.96 |
$54.96 |
$54.96 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$52.77 |
$52.77 |
$52.77 |
$86.42
|
|
Lipoprotein blood quant
|
$46.06 |
$46.06 |
$46.06 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$35.29 |
$35.29 |
$35.29 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$70.99 |
$70.99 |
$70.99 |
$61.60
|
|
Listeria monocytogenes
|
$86.59 |
$86.59 |
$86.59 |
$106.15
|
|
Lithium therapeutic drug level
|
$35.12 |
$35.12 |
$35.12 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,848.19 |
$1,848.19 |
$1,848.19 |
$4,113.20
|
|
Liver Function Test
|
$33.11 |
$33.11 |
$33.11 |
$115.44
|
|
Liver imaging
|
$737.79 |
$737.79 |
$737.79 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$711.60 |
$711.60 |
$711.60 |
$1,227.60
|
|
Liver/spleen imag static only
|
$711.13 |
$711.13 |
$711.13 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$764.62 |
$764.62 |
$764.62 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$124.25 |
$124.25 |
$124.25 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$60,344.20 |
$60,344.20 |
$60,344.20 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$780.42 |
$780.42 |
$780.42 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,445.71 |
$1,445.71 |
$1,445.71 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,325.24 |
$1,325.24 |
$1,325.24 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,204.76 |
$1,204.76 |
$1,204.76 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,039.24 |
$3,039.24 |
$3,039.24 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,004.26 |
$2,004.26 |
$2,004.26 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,971.40 |
$1,971.40 |
$1,971.40 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$257.05 |
$257.05 |
$257.05 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$123.59 |
$123.59 |
$123.59 |
$364.00
|
|
Lumbar diskogram s&i
|
$1,916.27 |
$1,916.27 |
$1,916.27 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$167.62 |
$167.62 |
$167.62 |
$295.35
|
|
Lung perfusion imaging
|
$663.85 |
$663.85 |
$663.85 |
$1,059.97
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$41,237.50 |
$41,237.50 |
$41,237.50 |
$22,210.87
|
|
Lymphatics/lymph node imaging
|
$1,131.67 |
$1,131.67 |
$1,131.67 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$119.44 |
$119.44 |
$119.44 |
$271.88
|
|
Lymph vessel x-ray arms/legs
|
$734.44 |
$734.44 |
$734.44 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$1,799.78 |
$1,799.78 |
$1,799.78 |
$3,380.00
|
|
Lysis of labial adhesions
|
$1,345.07 |
$1,345.07 |
$1,345.07 |
$3,986.00
|
|
Macroscopic exam arthropod
|
$40.21 |
$40.21 |
$40.21 |
$38.58
|
|
Macroscopic exam parasite
|
$43.03 |
$43.03 |
$43.03 |
$36.55
|
|
Magnesium
|
$40.14 |
$40.14 |
$40.14 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$81.72 |
$81.72 |
$81.72 |
$59.88
|
|
Magnetic image bone marrow
|
$1,254.88 |
$1,254.88 |
$1,254.88 |
$1,302.80
|
|
Mammosite ced
|
$709.97 |
$709.97 |
$709.97 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$53.01 |
$53.01 |
$53.01 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$96.47 |
$96.47 |
$96.47 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$178.21 |
$178.21 |
$178.21 |
$30.75
|
|
Map tachycard site(s)
|
$1,927.49 |
$1,927.49 |
$1,927.49 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$21,332.82 |
$21,332.82 |
$21,332.82 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,994.93 |
$1,994.93 |
$1,994.93 |
$1,451.30
|
|
Mastoids complete
|
$245.83 |
$245.83 |
$245.83 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$8,724.48 |
$8,724.48 |
$8,724.48 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$41.75 |
$41.75 |
$41.75 |
$65.00
|
|
Mayo aathr protein s free
|
$101.70 |
$101.70 |
$101.70 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$105.97 |
$105.97 |
$105.97 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$88.19 |
$88.19 |
$88.19 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$53.17 |
$53.17 |
$53.17 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$61.57 |
$61.57 |
$61.57 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$40.99 |
$40.99 |
$40.99 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$199.58 |
$199.58 |
$199.58 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$296.94 |
$296.94 |
$296.94 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$115.62 |
$115.62 |
$115.62 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,004.09 |
$1,004.09 |
$1,004.09 |
$1,860.00
|
