|
Lidocaine injection
|
$3.79 |
$3.79 |
$3.79 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$30.02 |
$30.02 |
$30.02 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$30.80 |
$30.80 |
$30.80 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$18.00 |
$18.00 |
$18.00 |
$133.50
|
|
Lifts elevation metal extens
|
$346.00 |
$346.00 |
$346.00 |
$959.80
|
|
Ligate/transect fallopian tubes 58600
|
$1,410.00 |
$1,410.00 |
$1,410.00 |
$3,522.35
|
|
Limited motion knee joint
|
$72.40 |
$72.40 |
$72.40 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$64.12 |
$64.12 |
$64.12 |
$121.00
|
|
Lipase
|
$60.00 |
$60.00 |
$60.00 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$51.60 |
$51.60 |
$51.60 |
$86.42
|
|
Lipoprotein blood quant
|
$42.80 |
$42.80 |
$42.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$40.00 |
$40.00 |
$40.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$34.40 |
$34.40 |
$34.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$45.60 |
$45.60 |
$45.60 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,972.40 |
$2,972.40 |
$2,972.40 |
$4,113.20
|
|
Liver Function Test
|
$88.40 |
$88.40 |
$88.40 |
$115.44
|
|
Liver imaging
|
$1,466.80 |
$1,466.80 |
$1,466.80 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$1,466.80 |
$1,466.80 |
$1,466.80 |
$1,227.60
|
|
Liver/spleen imag static only
|
$478.80 |
$478.80 |
$478.80 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$478.80 |
$478.80 |
$478.80 |
$1,069.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$50.00 |
$50.00 |
$50.00 |
$37.37
|
|
Lo sag rig pnl stays pre cst
|
$47.60 |
$47.60 |
$47.60 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,035.20 |
$2,035.20 |
$2,035.20 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,723.20 |
$1,723.20 |
$1,723.20 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,356.80 |
$1,356.80 |
$1,356.80 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,791.60 |
$1,791.60 |
$1,791.60 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,605.20 |
$1,605.20 |
$1,605.20 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,433.20 |
$1,433.20 |
$1,433.20 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$483.20 |
$483.20 |
$483.20 |
$356.16
|
|
Lso flex no ri stays pre ots
|
$14.40 |
$14.40 |
$14.40 |
$164.80
|
|
Lso r post pnl sj-t9 pre cst
|
$99.20 |
$99.20 |
$99.20 |
$326.82
|
|
Lso sc r pos/lat pnl pre cst
|
$175.20 |
$175.20 |
$175.20 |
$577.00
|
|
Lso s/c shell/panel custom
|
$640.00 |
$640.00 |
$640.00 |
$2,252.16
|
|
L/s ratio fetal lung
|
$46.00 |
$46.00 |
$46.00 |
$178.36
|
|
Lumbar derotation pad
|
$48.80 |
$48.80 |
$48.80 |
$168.53
|
|
Lumbar diskogram s&i
|
$3,660.40 |
$3,660.40 |
$3,660.40 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$194.40 |
$194.40 |
$194.40 |
$295.35
|
|
Lung perfusion imaging
|
$554.00 |
$554.00 |
$554.00 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$319.32 |
$319.32 |
$319.32 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$71.46 |
$71.46 |
$71.46 |
$22,210.87
|
|
Lutetium lu 177 vipivotide
|
$444.00 |
$444.00 |
$444.00 |
$345.87
|
|
Lvad shower bag heartmate
|
$919.60 |
$919.60 |
$919.60 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$833.20 |
$833.20 |
$833.20 |
$1,463.22
|
|
Lymph vessel x-ray trunk
|
$3,635.20 |
$3,635.20 |
$3,635.20 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$5,453.20 |
$5,453.20 |
$5,453.20 |
$3,380.00
|
|
Macroscopic exam parasite
|
$8.40 |
$8.40 |
$8.40 |
$36.55
|
|
Magnesium
|
$45.60 |
$45.60 |
$45.60 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$23.52 |
$23.52 |
$23.52 |
$59.88
|
|
Magnetic image bone marrow
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
$1,302.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$164.00 |
$164.00 |
$164.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$164.00 |
$164.00 |
$164.00 |
$160.80
|
|
Manual diff wbc count b-coat
|
$27.60 |
$27.60 |
$27.60 |
$25.74
|
|
Map tachycard site(s)
|
$363.60 |
$363.60 |
$363.60 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$1,312.40 |
$1,312.40 |
$1,312.40 |
$1,451.30
|
|
Mastectomy partial
|
$447.60 |
$447.60 |
$447.60 |
$4,531.42
|
|
Mastoids complete
|
$202.80 |
$202.80 |
$202.80 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$30.40 |
$30.40 |
$30.40 |
$65.00
|
|
Mayo aathr protein s free
|
$42.40 |
$42.40 |
$42.40 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$29.20 |
$29.20 |
$29.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$61.60 |
$61.60 |
$61.60 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$21.60 |
$21.60 |
$21.60 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$32.00 |
$32.00 |
$32.00 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$45.20 |
$45.20 |
$45.20 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$52.40 |
$52.40 |
$52.40 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$73.60 |
$73.60 |
$73.60 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$37.20 |
$37.20 |
$37.20 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$29.60 |
$29.60 |
$29.60 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$134.00 |
$134.00 |
$134.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$89.60 |
$89.60 |
$89.60 |
$369.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,326.80 |
$1,326.80 |
$1,326.80 |
$1,860.00
|
|
Mayo androstenedione
|
$40.40 |
$40.40 |
$40.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$58.40 |
$58.40 |
$58.40 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$136.00 |
$136.00 |
$136.00 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$68.40 |
$68.40 |
$68.40 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$48.40 |
$48.40 |
$48.40 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$29.60 |
$29.60 |
$29.60 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$48.80 |
$48.80 |
$48.80 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$110.80 |
$110.80 |
$110.80 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$148.80 |
$148.80 |
$148.80 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$26.80 |
$26.80 |
$26.80 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$6.00 |
$6.00 |
$6.00 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$23.60 |
$23.60 |
$23.60 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$38.80 |
$38.80 |
$38.80 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$36.40 |
$36.40 |
$36.40 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$20.40 |
$20.40 |
$20.40 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$18.80 |
$18.80 |
$18.80 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$41.20 |
$41.20 |
$41.20 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$184.80 |
$184.80 |
$184.80 |
$281.50
|
|
Mayo ceruloplasmin
|
$39.20 |
$39.20 |
$39.20 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$66.40 |
$66.40 |
$66.40 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$63.60 |
$63.60 |
$63.60 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$41.20 |
$41.20 |
$41.20 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$41.60 |
$41.60 |
$41.60 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$80.80 |
$80.80 |
$80.80 |
$360.33
|
|
Mayo chromium
|
$31.20 |
$31.20 |
$31.20 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$20.40 |
$20.40 |
$20.40 |
$100.00
|
|
Mayo coccidioides antibody
|
$21.60 |
$21.60 |
$21.60 |
$53.90
|
|
Mayo cocou cortisone urine
|
$62.40 |
$62.40 |
$62.40 |
$213.92
|
|
Mayo cortisol free
|
$37.20 |
$37.20 |
$37.20 |
$94.95
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$22.40 |
$22.40 |
$22.40 |
$58.10
|
