|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,473.05 |
$3,473.05 |
$3,473.05 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$281.75 |
$281.75 |
$281.75 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,777.30 |
$1,777.30 |
$1,777.30 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$140.35 |
$140.35 |
$140.35 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$441.00 |
$441.00 |
$441.00 |
$298.50
|
|
Lung perfusion imaging
|
$434.35 |
$434.35 |
$434.35 |
$1,100.39
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$15,728.33 |
$15,728.33 |
$15,728.33 |
$25,341.71
|
|
Lvad shower bag heartmate
|
$833.49 |
$833.49 |
$833.49 |
$972.60
|
|
Lymphatics/lymph node imaging
|
$877.80 |
$877.80 |
$877.80 |
$1,543.75
|
|
Lymph vessel x-ray arms/legs
|
$2,721.95 |
$2,721.95 |
$2,721.95 |
$2,229.24
|
|
Macroscopic exam arthropod
|
$103.60 |
$103.60 |
$103.60 |
$38.58
|
|
Magnesium
|
$237.65 |
$237.65 |
$237.65 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$86.10 |
$86.10 |
$86.10 |
$69.30
|
|
Magnetic image bone marrow
|
$1,189.30 |
$1,189.30 |
$1,189.30 |
$1,152.80
|
|
Mammosite ced
|
$3,762.50 |
$3,762.50 |
$3,762.50 |
$5,100.00
|
|
Manipulate wrist w/anesthes
|
$1,346.45 |
$1,346.45 |
$1,346.45 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$125.30 |
$125.30 |
$125.30 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$136.50 |
$136.50 |
$136.50 |
$178.75
|
|
Map tachycard site(s)
|
$592.20 |
$592.20 |
$592.20 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$3,969.37 |
$3,969.37 |
$3,969.37 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,542.63 |
$1,542.63 |
$1,542.63 |
$1,753.29
|
|
Mastoids complete
|
$583.80 |
$583.80 |
$583.80 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6,785.68 |
$6,785.68 |
$6,785.68 |
$6,321.00
|
|
Mayo alcohol definitive assay volatile screen
|
$314.30 |
$314.30 |
$314.30 |
$118.95
|
|
Mayo amikacin trough therapeutic drug level
|
$10.76 |
$10.76 |
$10.76 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$64.75 |
$64.75 |
$64.75 |
$326.48
|
|
Mayo barbiturates definitive assay confirmation urine
|
$39.01 |
$39.01 |
$39.01 |
$91.65
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$52.50 |
$52.50 |
$52.50 |
$353.60
|
|
Mayo c1 esterase inhibitor
|
$119.00 |
$119.00 |
$119.00 |
$88.35
|
|
Mayo coccidioides antibody
|
$14.00 |
$14.00 |
$14.00 |
$58.37
|
|
Mayo cocou cortisone urine
|
$17.50 |
$17.50 |
$17.50 |
$207.26
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.35 |
$42.35 |
$42.35 |
$72.60
|
|
Mayo fbl culture fungi blood
|
$137.20 |
$137.20 |
$137.20 |
$102.20
|
|
Mayo gamma-globin full gene sequencing
|
$135.80 |
$135.80 |
$135.80 |
$1,446.90
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$136.14 |
$136.14 |
$136.14 |
$165.00
|
|
Mayo hvdip HIV 1 antibody
|
$29.85 |
$29.85 |
$29.85 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$5.15 |
$5.15 |
$5.15 |
$67.60
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$46.81 |
$46.81 |
$46.81 |
$202.63
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$146.65 |
$146.65 |
$146.65 |
$112.50
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$65.10 |
$65.10 |
$65.10 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$44.08 |
$44.08 |
$44.08 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$82.34 |
$82.34 |
$82.34 |
$157.30
|
|
Mayo microsomal antibody liver-kidney
|
$101.85 |
$101.85 |
$101.85 |
$90.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$30.45 |
$30.45 |
$30.45 |
$167.70
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$21.00 |
$21.00 |
$21.00 |
$190.20
|
|
Mayo psaft prostate specific antigen free
|
$88.20 |
$88.20 |
$88.20 |
$92.50
|
|
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative
|
$63.21 |
$63.21 |
$63.21 |
$263.97
|
|
Mayo repu protein electrophoresis urine
|
$440.65 |
$440.65 |
$440.65 |
$92.70
|
|
Mayo sfgp rickettsia rickettsii antibody igg
|
$21.09 |
$21.09 |
$21.09 |
$80.00
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$78.05 |
$78.05 |
$78.05 |
$48.00
|
|
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification
|
$175.00 |
$175.00 |
$175.00 |
$501.75
|
|
Mayo tgrp testosterone total
|
$166.25 |
$166.25 |
$166.25 |
$139.34
|
|
Measurement post void urine by ultrasound
|
$213.85 |
$213.85 |
$213.85 |
$176.40
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$105.99 |
$105.99 |
$105.99 |
$227.25
|
|
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm
|
$1,871.63 |
$1,871.63 |
$1,871.63 |
$1,154.53
|
|
Membrane amnioband 2x2cm -cost per sq cm
|
$10,493.92 |
$10,493.92 |
$10,493.92 |
$402.60
|
|
Membrane amnio clarix 4x3cm 1k -cost per sq cm
|
$2,076.90 |
$2,076.90 |
$2,076.90 |
$2,873.32
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$43.75 |
$43.75 |
$43.75 |
$41.34
|
|
Meropenem 1 gram intravenous solution
|
$39.40 |
$39.40 |
$39.40 |
$70.93
|
|
Mesna 100 mg/ml intravenous solution
|
$254.96 |
$254.96 |
$254.96 |
$107.41
|
|
Metabolic Blood Panel (Basic)
|
$238.70 |
$238.70 |
$238.70 |
$107.25
|
|
Metabolic Blood Panel (Comprehensive)
|
$415.45 |
$415.45 |
$415.45 |
$142.40
|
|
Metabolic panel ionized ca
|
$37.80 |
$37.80 |
$37.80 |
$121.50
|
|
Methotrexate sodium 2.5 mg tablet
|
$1.47 |
$1.47 |
$1.47 |
$9.93
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$266.04 |
$266.04 |
$266.04 |
$133.53
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$1,132.49 |
$1,132.49 |
$1,132.49 |
$1,068.20
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$80.30 |
$80.30 |
$80.30 |
$76.59
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$407.16 |
$407.16 |
$407.16 |
$432.83
|
|
Methylprednisolone 4 mg tablet
|
$0.69 |
$0.69 |
$0.69 |
$4.77
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$33.41 |
$33.41 |
$33.41 |
$67.62
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$365.97 |
$365.97 |
$365.97 |
$205.86
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$33.51 |
$33.51 |
$33.51 |
$22.62
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$85.26 |
$85.26 |
$85.26 |
$28.46
|
|
Micafungin 100 mg intravenous solution
|
$280.26 |
$280.26 |
$280.26 |
$439.70
|
|
Microsatellite instability
|
$168.70 |
$168.70 |
$168.70 |
$603.68
|
|
Midazolam 1 mg/ml injection solution
|
$98.32 |
$98.32 |
$98.32 |
$60.68
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$126.10 |
$126.10 |
$126.10 |
$108.00
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$87.43 |
$87.43 |
$87.43 |
$103.70
|
|
Mitomycin 40 mg intravenous solution
|
$4,544.88 |
$4,544.88 |
$4,544.88 |
$1,776.48
|
|
Mitoxantrone 2 mg/ml concentrate,intravenous
|
$930.33 |
$930.33 |
$930.33 |
$437.16
|
|
Mnpj elbow under anes
|
$1,346.45 |
$1,346.45 |
$1,346.45 |
$2,094.40
|
|
Mnpj of tmj w/anesth
|
$1,249.15 |
$1,249.15 |
$1,249.15 |
$2,207.28
|
|
Monitor reveal linq ii cardiac
|
$7,015.75 |
$7,015.75 |
$7,015.75 |
$9,583.13
|
|
Morphine 4 mg/ml injection (wrapper)
|
$145.85 |
$145.85 |
$145.85 |
$72.78
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$43.75 |
$43.75 |
$43.75 |
$38.54
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$1,199.90 |
$1,199.90 |
$1,199.90 |
$167.58
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$101.50 |
$101.50 |
$101.50 |
$402.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$99.05 |
$99.05 |
$99.05 |
$309.50
|
|
M/phmtrc alys ishquant/semiq
|
$101.50 |
$101.50 |
$101.50 |
$574.00
|
|
MRA abdomen post contrast
|
$4,710.65 |
$4,710.65 |
$4,710.65 |
$2,144.35
|
|
MRA aorta thoracic w/wo contrast
|
$3,251.50 |
$3,251.50 |
$3,251.50 |
$2,295.00
|
|
MRA ext low(run-off)pst cntrst
|
$4,710.65 |
$4,710.65 |
$4,710.65 |
$2,539.68
|
|
MRA pelvis
|
$3,028.55 |
$3,028.55 |
$3,028.55 |
$2,229.00
|
|
MRA spinal canal
|
$3,473.05 |
$3,473.05 |
$3,473.05 |
$1,803.94
|
|
MRA upper extremity post contrast-bil
|
$4,561.20 |
$4,561.20 |
$4,561.20 |
$1,943.87
|
|
MRI breast c- unilateral
|
$2,280.95 |
$2,280.95 |
$2,280.95 |
$1,097.50
|
|
MRI breast c-+ w/cad uni
|
$3,473.05 |
$3,473.05 |
$3,473.05 |
$1,829.72
|
|
MRI breast without cont bi
|
$3,251.50 |
$3,251.50 |
$3,251.50 |
$1,778.00
|
|
MRI breast w IV cont bi
|
$3,769.85 |
$3,769.85 |
$3,769.85 |
$1,876.12
|
|
MRI cardiac morph & func wo IV cont
|
$3,251.50 |
$3,251.50 |
$3,251.50 |
$1,367.88
|