|
Levetiracetam 500 mg/5 ml intravenous solution
|
$9.26 |
$9.26 |
$9.26 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$63.05 |
$63.05 |
$63.05 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$19.45 |
$19.45 |
$19.45 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$325.98 |
$325.98 |
$325.98 |
$343.13
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$21.61 |
$21.61 |
$21.61 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$78.65 |
$78.65 |
$78.65 |
$82.50
|
|
Ligation/biopsy of temporal artery 37609
|
$553.80 |
$553.80 |
$553.80 |
$3,679.25
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$192.66 |
$192.66 |
$192.66 |
$84.28
|
|
Lipase
|
$68.90 |
$68.90 |
$68.90 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$90.35 |
$90.35 |
$90.35 |
$90.60
|
|
Lipoprotein direct measurement hdl
|
$42.90 |
$42.90 |
$42.90 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$42.90 |
$42.90 |
$42.90 |
$61.60
|
|
Lithium therapeutic drug level
|
$62.40 |
$62.40 |
$62.40 |
$62.40
|
|
Liver Function Test
|
$89.05 |
$89.05 |
$89.05 |
$92.85
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.00 |
$13.00 |
$13.00 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,754.35 |
$1,754.35 |
$1,754.35 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,673.75 |
$1,673.75 |
$1,673.75 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$1,450.15
|
|
Lower Back (Lumbar Spine) X-ray
|
$232.70 |
$232.70 |
$232.70 |
$328.23
|
|
L/s ratio fetal lung
|
$173.55 |
$173.55 |
$173.55 |
$173.55
|
|
Lung Function Test (Spirometry)
|
$233.35 |
$233.35 |
$233.35 |
$290.89
|
|
Macroscopic exam arthropod
|
$14.95 |
$14.95 |
$14.95 |
$38.50
|
|
Macroscopic exam parasite
|
$35.10 |
$35.10 |
$35.10 |
$35.98
|
|
Magnesium
|
$96.20 |
$96.20 |
$96.20 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$50.02 |
$50.02 |
$50.02 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$70.85 |
$70.85 |
$70.85 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$83.85 |
$83.85 |
$83.85 |
$147.72
|
|
Mastoids complete
|
$218.40 |
$218.40 |
$218.40 |
$271.95
|
|
M.avium-intra dna dir prob
|
$70.85 |
$70.85 |
$70.85 |
$58.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$100.10 |
$100.10 |
$100.10 |
$76.70
|
|
Mayo aathr protein s free
|
$174.20 |
$174.20 |
$174.20 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$100.10 |
$100.10 |
$100.10 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$209.30 |
$209.30 |
$209.30 |
$172.80
|
|
Mayo alcohol definitive assay volatile screen
|
$93.60 |
$93.60 |
$93.60 |
$118.40
|
|
Mayo alkaline phosphatase isoenzyme
|
$118.30 |
$118.30 |
$118.30 |
$83.85
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$89.05 |
$89.05 |
$89.05 |
$96.10
|
|
Mayo alpha 1 antitrypsin
|
$102.70 |
$102.70 |
$102.70 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$58.50 |
$58.50 |
$58.50 |
$112.89
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$110.50 |
$110.50 |
$110.50 |
$94.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$108.55 |
$108.55 |
$108.55 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$657.80 |
$657.80 |
$657.80 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$284.05 |
$284.05 |
$284.05 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$472.55 |
$472.55 |
$472.55 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,524.25 |
$1,524.25 |
$1,524.25 |
$1,922.13
|
|
Mayo androstenedione
|
$115.05 |
$115.05 |
$115.05 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$119.60 |
$119.60 |
$119.60 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$102.05 |
$102.05 |
$102.05 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$83.20 |
$83.20 |
$83.20 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$157.95 |
$157.95 |
$157.95 |
$159.66
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$276.90 |
$276.90 |
$276.90 |
$147.20
|
|
Mayo barbiturates definitive assay confirmation urine
|
$81.90 |
$81.90 |
$81.90 |
$80.39
|
|
Mayo bart bartonella henselae antibody igg
|
$37.05 |
$37.05 |
$37.05 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$460.85 |
$460.85 |
$460.85 |
$364.90
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$373.75 |
$373.75 |
$373.75 |
$381.55
|
|
Mayo blastomyces antibody immunodiffusion
|
$81.90 |
$81.90 |
$81.90 |
$67.60
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$24.05 |
$24.05 |
$24.05 |
$60.15
|
|
Mayo bordetella pertussis antibody igg
|
$87.10 |
$87.10 |
$87.10 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$85.80 |
$85.80 |
$85.80 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$172.25 |
$172.25 |
$172.25 |
$124.80
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$99.45 |
$99.45 |
$99.45 |
$84.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$107.90 |
$107.90 |
$107.90 |
$104.55
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$84.50 |
$84.50 |
$84.50 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$250.25 |
$250.25 |
$250.25 |
$274.40
|
|
Mayo ceruloplasmin
|
$75.40 |
$75.40 |
$75.40 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$150.80 |
$150.80 |
$150.80 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$98.80 |
$98.80 |
$98.80 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$67.60 |
$67.60 |
$67.60 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$52.00 |
$52.00 |
$52.00 |
$54.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$326.30 |
$326.30 |
$326.30 |
$380.40
|
|
Mayo chromium
|
$70.85 |
$70.85 |
$70.85 |
$89.25
|
|
Mayo cocaine definitive assay confirmation urine
|
$81.90 |
$81.90 |
$81.90 |
$89.00
|
|
Mayo coccidioides antibody
|
$63.05 |
$63.05 |
$63.05 |
$61.10
|
|
Mayo cocou cortisone urine
|
$218.40 |
$218.40 |
$218.40 |
$222.62
|
|
Mayo cortisol free
|
$119.60 |
$119.60 |
$119.60 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$70.20 |
$70.20 |
$70.20 |
$77.63
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$79.30 |
$79.30 |
$79.30 |
$67.80
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$89.05 |
$89.05 |
$89.05 |
$74.40
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$107.90 |
$107.90 |
$107.90 |
$72.14
|
|
Mayo cyanide
|
$55.90 |
$55.90 |
$55.90 |
$98.40
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$519.35 |
$519.35 |
$519.35 |
$780.00
|
|
Mayo deoxyribonuclease antibody titer
|
$74.75 |
$74.75 |
$74.75 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$104.65 |
$104.65 |
$104.65 |
$113.10
|
|
Mayo dihydrotestosterone
|
$94.90 |
$94.90 |
$94.90 |
$94.90
|
|
Mayo efpo chloride stool
|
$81.90 |
$81.90 |
$81.90 |
$45.00
|
|
Mayo estriol
|
$98.80 |
$98.80 |
$98.80 |
$102.50
|
|
Mayo estrone
|
$92.30 |
$92.30 |
$92.30 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$55.90 |
$55.90 |
$55.90 |
$81.60
|
|
Mayo everolimus therapeutic drug level
|
$161.85 |
$161.85 |
$161.85 |
$107.00
|
|
Mayo factor ii
|
$92.30 |
$92.30 |
$92.30 |
$96.76
|
|
Mayo factor v
|
$102.05 |
$102.05 |
$102.05 |
$119.60
|
|
Mayo factor vii
|
$102.05 |
$102.05 |
$102.05 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$102.05 |
$102.05 |
$102.05 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$141.70 |
$141.70 |
$141.70 |
$147.63
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$133.25 |
$133.25 |
$133.25 |
$133.25
|
|
Mayo factor x
|
$102.05 |
$102.05 |
$102.05 |
$130.65
|
|
Mayo factor xi
|
$102.05 |
$102.05 |
$102.05 |
$120.96
|
|
Mayo fat/lipids feces quantitative
|
$72.15 |
$72.15 |
$72.15 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$79.95 |
$79.95 |
$79.95 |
$91.65
|
|
Mayo ffspg allergen clam igg
|
$26.00 |
$26.00 |
$26.00 |
$37.05
|
|
Mayo fibrinogen antigen
|
$111.80 |
$111.80 |
$111.80 |
$91.20
|
