|
Lig/band angioaccess av fistula
|
$4,488.00 |
$4,488.00 |
$4,488.00 |
$4,240.23
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$262.55 |
$262.55 |
$262.55 |
$172.25
|
|
Lipase
|
$101.49 |
$101.49 |
$101.49 |
$83.20
|
|
Lipoprotein blood quant
|
$32.02 |
$32.02 |
$32.02 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$104.04 |
$104.04 |
$104.04 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$145.86 |
$145.86 |
$145.86 |
$60.00
|
|
Lithium therapeutic drug level
|
$123.42 |
$123.42 |
$123.42 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,079.89 |
$3,079.89 |
$3,079.89 |
$4,371.12
|
|
Liver Function Test
|
$245.82 |
$245.82 |
$245.82 |
$110.50
|
|
Liver imag w/vasclr flow
|
$1,517.76 |
$1,517.76 |
$1,517.76 |
$1,255.15
|
|
Liver/spleen imag static only
|
$1,843.65 |
$1,843.65 |
$1,843.65 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,884.96 |
$1,884.96 |
$1,884.96 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$45.90 |
$45.90 |
$45.90 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$43.95
|
|
Low cost skin substitute app
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$1,030.00
|
|
Low cost skin substitute app
|
$3,908.64 |
$3,908.64 |
$3,908.64 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$1,132.56
|
|
Low cost skin substitute app
|
$1,315.80 |
$1,315.80 |
$1,315.80 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,158.43 |
$3,158.43 |
$3,158.43 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,793.27 |
$2,793.27 |
$2,793.27 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,387.31 |
$2,387.31 |
$2,387.31 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$7,859.10 |
$7,859.10 |
$7,859.10 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,789.41 |
$4,789.41 |
$4,789.41 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,423.74 |
$4,423.74 |
$4,423.74 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,133.22 |
$1,133.22 |
$1,133.22 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$97.41 |
$97.41 |
$97.41 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$164.22 |
$164.22 |
$164.22 |
$298.50
|
|
Lung perfusion imaging
|
$1,626.90 |
$1,626.90 |
$1,626.90 |
$1,100.39
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$26,131.86 |
$26,131.86 |
$26,131.86 |
$25,341.71
|
|
Lvad shower bag heartmate
|
$1,735.02 |
$1,735.02 |
$1,735.02 |
$972.60
|
|
Lymphatics/lymph node imaging
|
$2,241.96 |
$2,241.96 |
$2,241.96 |
$1,543.75
|
|
Magnesium
|
$97.41 |
$97.41 |
$97.41 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$69.30
|
|
Mammosite ced
|
$4,277.63 |
$4,277.63 |
$4,277.63 |
$5,100.00
|
|
Manipulate wrist w/anesthes
|
$3,248.19 |
$3,248.19 |
$3,248.19 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$753.78 |
$753.78 |
$753.78 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$805.80 |
$805.80 |
$805.80 |
$178.75
|
|
Marker biop eviva buckle ss
|
$4,102.57 |
$4,102.57 |
$4,102.57 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,503.38 |
$2,503.38 |
$2,503.38 |
$1,753.29
|
|
Mastoids complete
|
$1,268.88 |
$1,268.88 |
$1,268.88 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6,115.38 |
$6,115.38 |
$6,115.38 |
$6,321.00
|
|
M.avium-intra dna amp prob
|
$191.76 |
$191.76 |
$191.76 |
$113.31
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$61.58 |
$61.58 |
$61.58 |
$66.50
|
|
Mayo aathr protein s free
|
$97.46 |
$97.46 |
$97.46 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$53.30 |
$53.30 |
$53.30 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$30.60 |
$30.60 |
$30.60 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$594.66 |
$594.66 |
$594.66 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$18.48 |
$18.48 |
$18.48 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$39.78 |
$39.78 |
$39.78 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$164.73 |
$164.73 |
$164.73 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$55.85 |
$55.85 |
$55.85 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$5.56 |
$5.56 |
$5.56 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$175.95 |
$175.95 |
$175.95 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$249.90 |
$249.90 |
$249.90 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$1,909.44
|
|
Mayo androstenedione
|
$92.13 |
$92.13 |
$92.13 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$49.55 |
$49.55 |
$49.55 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$100.22 |
$100.22 |
$100.22 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$20.00 |
$20.00 |
$20.00 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$130.05 |
$130.05 |
$130.05 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$55.45 |
$55.45 |
$55.45 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$19.97 |
$19.97 |
$19.97 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$43.35 |
$43.35 |
$43.35 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$10.71 |
$10.71 |
$10.71 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$5.56 |
$5.56 |
$5.56 |
$66.00
|
|
Mayo brcmg brucella antibody igm
|
$46.41 |
$46.41 |
$46.41 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$15.81 |
$15.81 |
$15.81 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$30.60 |
$30.60 |
$30.60 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$85.17 |
$85.17 |
$85.17 |
$83.97
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$26.14 |
$26.14 |
$26.14 |
$274.40
|
|
Mayo ceruloplasmin
|
$109.14 |
$109.14 |
$109.14 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$32.13 |
$32.13 |
$32.13 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$46.80 |
$46.80 |
$46.80 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$10.24 |
$10.24 |
$10.24 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$10.23 |
$10.23 |
$10.23 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$161.93 |
$161.93 |
$161.93 |
$353.99
|
|
Mayo chromium
|
$23.97 |
$23.97 |
$23.97 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$30.60 |
$30.60 |
$30.60 |
$89.53
|
|
Mayo coccidioides antibody
|
$38.91 |
$38.91 |
$38.91 |
$58.37
|
|
Mayo cocou cortisone urine
|
$84.15 |
$84.15 |
$84.15 |
$207.26
|
|
Mayo cortisol free
|
$64.80 |
$64.80 |
$64.80 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$168.81 |
$168.81 |
$168.81 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$30.28 |
$30.28 |
$30.28 |
$61.02
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$5.56 |
$5.56 |
$5.56 |
$72.14
|
|
Mayo deoxyribonuclease antibody titer
|
$49.14 |
$49.14 |
$49.14 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$51.69 |
$51.69 |
$51.69 |
$88.45
|
|
Mayo dihydrotestosterone
|
$93.18 |
$93.18 |
$93.18 |
$81.90
|
|
Mayo efpo chloride stool
|
$26.86 |
$26.86 |
$26.86 |
$44.20
|
|
Mayo estriol
|
$4.85 |
$4.85 |
$4.85 |
$98.70
|
|
Mayo estrone
|
$85.73 |
$85.73 |
$85.73 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$43.76 |
$43.76 |
$43.76 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$57.12 |
$57.12 |
$57.12 |
$80.50
|
|
Mayo factor ii
|
$102.06 |
$102.06 |
$102.06 |
$93.00
|
|
Mayo factor v
|
$93.87 |
$93.87 |
$93.87 |
$125.48
|
|
Mayo factor vii
|
$93.87 |
$93.87 |
$93.87 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$89.38 |
$89.38 |
$89.38 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$109.14 |
$109.14 |
$109.14 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$76.34 |
$76.34 |
$76.34 |
$129.60
|
|
Mayo factor x
|
$93.87 |
$93.87 |
$93.87 |
$139.50
|
|
Mayo factor xi
|
$93.87 |
$93.87 |
$93.87 |
$117.50
|
