|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$356.13 |
$356.13 |
$356.13 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,223.65 |
$3,223.65 |
$3,223.65 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.19 |
$0.19 |
$0.19 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$61.56 |
$61.56 |
$61.56 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$10.66 |
$10.66 |
$10.66 |
$64.88
|
|
Lift heel adj small gl60404sm
|
$202.35 |
$202.35 |
$202.35 |
$155.52
|
|
Ligate/strip long leg vein
|
$1,053.93 |
$1,053.93 |
$1,053.93 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$992.37 |
$992.37 |
$992.37 |
$3,724.63
|
|
Ligation/biopsy of temporal artery 37609
|
$344.28 |
$344.28 |
$344.28 |
$2,968.00
|
|
Ligation vericose vein cluster(s) 1 leg
|
$469.11 |
$469.11 |
$469.11 |
$3,486.86
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$38.18 |
$38.18 |
$38.18 |
$172.25
|
|
Lipase
|
$58.14 |
$58.14 |
$58.14 |
$83.20
|
|
Lipoprotein blood quant
|
$95.19 |
$95.19 |
$95.19 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$30.78 |
$30.78 |
$30.78 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$35.34 |
$35.34 |
$35.34 |
$60.00
|
|
Lithium therapeutic drug level
|
$30.78 |
$30.78 |
$30.78 |
$67.60
|
|
Liver Function Test
|
$95.76 |
$95.76 |
$95.76 |
$110.50
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$742.14 |
$742.14 |
$742.14 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.71 |
$1.71 |
$1.71 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$823.08 |
$823.08 |
$823.08 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$709.08 |
$709.08 |
$709.08 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,448.72 |
$2,448.72 |
$2,448.72 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,221.86 |
$2,221.86 |
$2,221.86 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,945.98 |
$1,945.98 |
$1,945.98 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$210.90 |
$210.90 |
$210.90 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$179.55 |
$179.55 |
$179.55 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$119.70 |
$119.70 |
$119.70 |
$298.50
|
|
Lung perfusion imaging
|
$661.20 |
$661.20 |
$661.20 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$314.78 |
$314.78 |
$314.78 |
$20,686.05
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$72.17 |
$72.17 |
$72.17 |
$25,341.71
|
|
Lutetium lu 177 vipivotide
|
$287.85 |
$287.85 |
$287.85 |
$332.80
|
|
Macroscopic exam arthropod
|
$17.10 |
$17.10 |
$17.10 |
$38.58
|
|
Macroscopic exam parasite
|
$17.10 |
$17.10 |
$17.10 |
$38.50
|
|
Magnesium
|
$41.04 |
$41.04 |
$41.04 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$9.49 |
$9.49 |
$9.49 |
$69.30
|
|
Makena, 10 mg
|
$29.07 |
$29.07 |
$29.07 |
$120.48
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$127.68 |
$127.68 |
$127.68 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$127.68 |
$127.68 |
$127.68 |
$178.75
|
|
Mastectomy partial
|
$983.25 |
$983.25 |
$983.25 |
$4,509.59
|
|
Mast mod rad
|
$1,802.34 |
$1,802.34 |
$1,802.34 |
$5,886.40
|
|
Mast simple complete
|
$1,557.24 |
$1,557.24 |
$1,557.24 |
$5,419.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$25.08 |
$25.08 |
$25.08 |
$66.50
|
|
Mayo aathr protein s free
|
$64.41 |
$64.41 |
$64.41 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$90.06 |
$90.06 |
$90.06 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$40.47 |
$40.47 |
$40.47 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$62.13 |
$62.13 |
$62.13 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$52.44 |
$52.44 |
$52.44 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$62.13 |
$62.13 |
$62.13 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$49.02 |
$49.02 |
$49.02 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$66.12 |
$66.12 |
$66.12 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$208.05 |
$208.05 |
$208.05 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$274.17 |
$274.17 |
$274.17 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$234.27 |
$234.27 |
$234.27 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,059.06 |
$1,059.06 |
$1,059.06 |
$1,909.44
|
|
Mayo androstenedione
|
$102.60 |
$102.60 |
$102.60 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$53.01 |
$53.01 |
$53.01 |
$72.46
|
|
Mayo aspergillus fumigatus antibody
|
$33.63 |
$33.63 |
$33.63 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$53.01 |
$53.01 |
$53.01 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$62.13 |
$62.13 |
$62.13 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$21.66 |
$21.66 |
$21.66 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$420.66 |
$420.66 |
$420.66 |
$353.60
|
|
Mayo bordetella pertussis antibody igg
|
$27.36 |
$27.36 |
$27.36 |
$59.15
|
|
Mayo c1 esterase inhibitor
|
$130.53 |
$130.53 |
$130.53 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$63.84 |
$63.84 |
$63.84 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$115.71 |
$115.71 |
$115.71 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$79.23 |
$79.23 |
$79.23 |
$110.00
|
|
Mayo ceruloplasmin
|
$39.33 |
$39.33 |
$39.33 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$75.81 |
$75.81 |
$75.81 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$43.89 |
$43.89 |
$43.89 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$21.66 |
$21.66 |
$21.66 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$21.66 |
$21.66 |
$21.66 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$242.25 |
$242.25 |
$242.25 |
$353.99
|
|
Mayo chromium
|
$57.00 |
$57.00 |
$57.00 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$76.38 |
$76.38 |
$76.38 |
$89.53
|
|
Mayo coccidioides antibody
|
$19.95 |
$19.95 |
$19.95 |
$58.37
|
|
Mayo cocou cortisone urine
|
$290.13 |
$290.13 |
$290.13 |
$207.26
|
|
Mayo cortisol free
|
$49.59 |
$49.59 |
$49.59 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$90.63 |
$90.63 |
$90.63 |
$72.60
|
|
Mayo deoxyribonuclease antibody titer
|
$46.17 |
$46.17 |
$46.17 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$90.06 |
$90.06 |
$90.06 |
$88.45
|
|
Mayo dihydrotestosterone
|
$147.63 |
$147.63 |
$147.63 |
$81.90
|
|
Mayo estriol
|
$84.93 |
$84.93 |
$84.93 |
$98.70
|
|
Mayo estrone
|
$73.53 |
$73.53 |
$73.53 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$58.14 |
$58.14 |
$58.14 |
$70.40
|
|
Mayo factor ii
|
$31.35 |
$31.35 |
$31.35 |
$93.00
|
|
Mayo factor v
|
$63.27 |
$63.27 |
$63.27 |
$125.48
|
|
Mayo factor vii
|
$63.84 |
$63.84 |
$63.84 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$71.82 |
$71.82 |
$71.82 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$69.54 |
$69.54 |
$69.54 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$70.68 |
$70.68 |
$70.68 |
$129.60
|
|
Mayo factor x
|
$63.84 |
$63.84 |
$63.84 |
$139.50
|
|
Mayo factor xi
|
$63.84 |
$63.84 |
$63.84 |
$117.50
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$73.53 |
$73.53 |
$73.53 |
$69.96
|
|
Mayo hemosiderin qualitative urine
|
$8.55 |
$8.55 |
$8.55 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$217.17 |
$217.17 |
$217.17 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$59.85 |
$59.85 |
$59.85 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$34.77 |
$34.77 |
$34.77 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$91.77 |
$91.77 |
$91.77 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$15.39 |
$15.39 |
$15.39 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$23.37 |
$23.37 |
$23.37 |
$67.60
|
