|
Lens, intraocular (new tech)
|
$376.10 |
$376.10 |
$376.10 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$574.13 |
$574.13 |
$574.13 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$574.13 |
$574.13 |
$574.13 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$9.70 |
$9.70 |
$9.70 |
$88.92
|
|
Liberta rc ipg
|
$22,777.04 |
$22,777.04 |
$22,777.04 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$6.93 |
$6.93 |
$6.93 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$1,000,667.18 |
$1,000,667.18 |
$1,000,667.18 |
$30,744.64
|
|
Lipase
|
$38.35 |
$38.35 |
$38.35 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$15.71 |
$15.71 |
$15.71 |
$87.00
|
|
Lipoprotein blood quant
|
$15.86 |
$15.86 |
$15.86 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$18.94 |
$18.94 |
$18.94 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$14.48 |
$14.48 |
$14.48 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$15.86 |
$15.86 |
$15.86 |
$47.18
|
|
Lithium therapeutic drug level
|
$8.01 |
$8.01 |
$8.01 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,176.15 |
$3,176.15 |
$3,176.15 |
$4,371.12
|
|
Liver Function Test
|
$44.20 |
$44.20 |
$44.20 |
$115.44
|
|
Liver/spleen imag static only
|
$310.37 |
$310.37 |
$310.37 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$273.06 |
$273.06 |
$273.06 |
$1,069.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$680.75 |
$680.75 |
$680.75 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$567.35 |
$567.35 |
$567.35 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$453.78 |
$453.78 |
$453.78 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$453.25 |
$453.25 |
$453.25 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$377.75 |
$377.75 |
$377.75 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$302.12 |
$302.12 |
$302.12 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$102.75 |
$102.75 |
$102.75 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$117.20 |
$117.20 |
$117.20 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$138.87 |
$138.87 |
$138.87 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$73.63 |
$73.63 |
$73.63 |
$338.40
|
|
Lumbar diskogram s&i
|
$836.94 |
$836.94 |
$836.94 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$50.08 |
$50.08 |
$50.08 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$17.63 |
$17.63 |
$17.63 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$39.62 |
$39.62 |
$39.62 |
$296.91
|
|
Lung perfusion imaging
|
$330.93 |
$330.93 |
$330.93 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$456.65 |
$456.65 |
$456.65 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$19.39 |
$19.39 |
$19.39 |
$271.88
|
|
Macroscopic exam arthropod
|
$2.61 |
$2.61 |
$2.61 |
$38.58
|
|
Macroscopic exam parasite
|
$11.66 |
$11.66 |
$11.66 |
$37.05
|
|
Magnesium
|
$20.33 |
$20.33 |
$20.33 |
$73.00
|
|
Mammosite ced
|
$3,612.70 |
$3,612.70 |
$3,612.70 |
$5,031.60
|
|
Marker biop eviva buckle ss
|
$1,587.30 |
$1,587.30 |
$1,587.30 |
$1,451.30
|
|
Mastoids complete
|
$194.79 |
$194.79 |
$194.79 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$23.92 |
$23.92 |
$23.92 |
$4,472.40
|
|
M.avium-intra dna amp prob
|
$21.31 |
$21.31 |
$21.31 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$9.70 |
$9.70 |
$9.70 |
$65.28
|
|
Mayo aathr protein s free
|
$12.61 |
$12.61 |
$12.61 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$12.61 |
$12.61 |
$12.61 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$46.20 |
$46.20 |
$46.20 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$24.33 |
$24.33 |
$24.33 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$64.06 |
$64.06 |
$64.06 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$8.78 |
$8.78 |
$8.78 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$24.64 |
$24.64 |
$24.64 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$9.09 |
$9.09 |
$9.09 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$9.55 |
$9.55 |
$9.55 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$24.02 |
$24.02 |
$24.02 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$104.31 |
$104.31 |
$104.31 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$78.68 |
$78.68 |
$78.68 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$994.84 |
$994.84 |
$994.84 |
$1,860.00
|
|
Mayo androstenedione
|
$13.55 |
$13.55 |
$13.55 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$9.39 |
$9.39 |
$9.39 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$13.18 |
$13.18 |
$13.18 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$7.20 |
$7.20 |
$7.20 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$31.32 |
$31.32 |
$31.32 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$26.80 |
$26.80 |
$26.80 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$8.12 |
$8.12 |
$8.12 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$124.24 |
$124.24 |
$124.24 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$184.23 |
$184.23 |
$184.23 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$10.22 |
$10.22 |
$10.22 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$8.62 |
$8.62 |
$8.62 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$9.17 |
$9.17 |
$9.17 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$8.78 |
$8.78 |
$8.78 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$11.09 |
$11.09 |
$11.09 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$12.94 |
$12.94 |
$12.94 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$17.71 |
$17.71 |
$17.71 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$12.18 |
$12.18 |
$12.18 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$65.33 |
$65.33 |
$65.33 |
$283.40
|
|
Mayo ceruloplasmin
|
$8.16 |
$8.16 |
$8.16 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$10.78 |
$10.78 |
$10.78 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$31.44 |
$31.44 |
$31.44 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$10.61 |
$10.61 |
$10.61 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$7.99 |
$7.99 |
$7.99 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$115.77 |
$115.77 |
$115.77 |
$366.94
|
|
Mayo chromium
|
$9.39 |
$9.39 |
$9.39 |
$75.60
|
|
Mayo cocaine definitive assay confirmation urine
|
$22.95 |
$22.95 |
$22.95 |
$100.00
|
|
Mayo coccidioides antibody
|
$19.91 |
$19.91 |
$19.91 |
$54.00
|
|
Mayo cocou cortisone urine
|
$216.99 |
$216.99 |
$216.99 |
$216.00
|
|
Mayo cortisol free
|
$8.47 |
$8.47 |
$8.47 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$16.64 |
$16.64 |
$16.64 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$7.47 |
$7.47 |
$7.47 |
$58.20
|
|
Mayo cyanide
|
$12.01 |
$12.01 |
$12.01 |
$87.60
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$124.22 |
$124.22 |
$124.22 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$5.24 |
$5.24 |
$5.24 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$11.70 |
$11.70 |
$11.70 |
$106.47
|
|
Mayo dihydrotestosterone
|
$13.55 |
$13.55 |
$13.55 |
$78.00
|
|
Mayo efpo chloride stool
|
$8.93 |
$8.93 |
$8.93 |
$44.20
|
|
Mayo estriol
|
$11.24 |
$11.24 |
$11.24 |
$90.35
|
|
Mayo estrone
|
$11.55 |
$11.55 |
$11.55 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$16.48 |
$16.48 |
$16.48 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$9.24 |
$9.24 |
$9.24 |
$97.50
|
|
Mayo factor ii
|
$12.22 |
$12.22 |
$12.22 |
$99.06
|
|
Mayo factor v
|
$14.33 |
$14.33 |
$14.33 |
$129.60
|
