|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$46.35 |
$46.35 |
$46.35 |
$121.00
|
|
Lipase
|
$35.91 |
$35.91 |
$35.91 |
$91.65
|
|
Lip exc/transverse wedge/w closure 40510
|
$234.08 |
$234.08 |
$234.08 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$5.13 |
$5.13 |
$5.13 |
$86.42
|
|
Lipoprotein blood quant
|
$5.33 |
$5.33 |
$5.33 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$44.08 |
$44.08 |
$44.08 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$26.60 |
$26.60 |
$26.60 |
$61.60
|
|
Lithium therapeutic drug level
|
$52.25 |
$52.25 |
$52.25 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$66.50 |
$66.50 |
$66.50 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$773.30 |
$773.30 |
$773.30 |
$1,714.14
|
|
Liver Function Test
|
$73.15 |
$73.15 |
$73.15 |
$115.44
|
|
Liver imaging
|
$696.73 |
$696.73 |
$696.73 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$17.67 |
$17.67 |
$17.67 |
$1,227.60
|
|
Liver/spleen imag static only
|
$593.94 |
$593.94 |
$593.94 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$20.33 |
$20.33 |
$20.33 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$313.69 |
$313.69 |
$313.69 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.73 |
$1.73 |
$1.73 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$8.95 |
$8.95 |
$8.95 |
$37.37
|
|
Low back disk surgery
|
$595.27 |
$595.27 |
$595.27 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,361.92 |
$1,361.92 |
$1,361.92 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,119.29 |
$1,119.29 |
$1,119.29 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$742.52 |
$742.52 |
$742.52 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,751.23 |
$1,751.23 |
$1,751.23 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,521.71 |
$1,521.71 |
$1,521.71 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,184.84 |
$1,184.84 |
$1,184.84 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$145.16 |
$145.16 |
$145.16 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$83.98 |
$83.98 |
$83.98 |
$364.00
|
|
Lsh w/t/o ut 250 g or less
|
$536.94 |
$536.94 |
$536.94 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$584.82 |
$584.82 |
$584.82 |
$11,533.76
|
|
L/s ratio fetal lung
|
$16.08 |
$16.08 |
$16.08 |
$178.36
|
|
Lumbar diskogram s&i
|
$29.64 |
$29.64 |
$29.64 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$1,013.08 |
$1,013.08 |
$1,013.08 |
$14,331.20
|
|
Lung function test (mbc/mvv)
|
$53.20 |
$53.20 |
$53.20 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$97.28 |
$97.28 |
$97.28 |
$295.35
|
|
Lung perfusion imaging
|
$410.97 |
$410.97 |
$410.97 |
$1,059.97
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$462.65 |
$462.65 |
$462.65 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$677.35 |
$677.35 |
$677.35 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$29.83 |
$29.83 |
$29.83 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$38.38 |
$38.38 |
$38.38 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$102.22 |
$102.22 |
$102.22 |
$741.60
|
|
Lysis of labial adhesions
|
$103.17 |
$103.17 |
$103.17 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$132.24 |
$132.24 |
$132.24 |
$3,274.00
|
|
Macroscopic exam arthropod
|
$26.05 |
$26.05 |
$26.05 |
$38.58
|
|
Macroscopic exam parasite
|
$11.02 |
$11.02 |
$11.02 |
$36.55
|
|
Magnesium
|
$36.86 |
$36.86 |
$36.86 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$20.27 |
$20.27 |
$20.27 |
$59.88
|
|
Male sling procedure
|
$491.15 |
$491.15 |
$491.15 |
$8,465.18
|
|
Manipulate finger w/anesth
|
$253.27 |
$253.27 |
$253.27 |
$1,675.20
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$31.16 |
$31.16 |
$31.16 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$56.24 |
$56.24 |
$56.24 |
$160.80
|
|
Manipulation of hip joint
|
$124.26 |
$124.26 |
$124.26 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$52.82 |
$52.82 |
$52.82 |
$521.60
|
|
Mapping io sentinel lymph node
|
$85.69 |
$85.69 |
$85.69 |
$650.00
|
|
Marker biop eviva buckle ss
|
$185.82 |
$185.82 |
$185.82 |
$1,451.30
|
|
Mastectomy partial
|
$424.46 |
$424.46 |
$424.46 |
$4,531.42
|
|
Mast mod rad
|
$757.34 |
$757.34 |
$757.34 |
$7,127.17
|
|
Mastoids complete
|
$160.74 |
$160.74 |
$160.74 |
$299.50
|
|
Mastopexy
|
$522.12 |
$522.12 |
$522.12 |
$6,591.20
|
|
Mast radical
|
$735.68 |
$735.68 |
$735.68 |
$1,780.80
|
|
Mast rad urban type
|
$786.22 |
$786.22 |
$786.22 |
$2,772.00
|
|
Mast simple complete
|
$615.03 |
$615.03 |
$615.03 |
$6,174.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$2.44 |
$2.44 |
$2.44 |
$65.00
|
|
Mayo aathr protein s free
|
$2.59 |
$2.59 |
$2.59 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$2.59 |
$2.59 |
$2.59 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$40.00 |
$40.00 |
$40.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$18.35 |
$18.35 |
$18.35 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$75.05 |
$75.05 |
$75.05 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$3.38 |
$3.38 |
$3.38 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$25.84 |
$25.84 |
$25.84 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$6.91 |
$6.91 |
$6.91 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$2.55 |
$2.55 |
$2.55 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$1.63 |
$1.63 |
$1.63 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$1.63 |
$1.63 |
$1.63 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$54.15 |
$54.15 |
$54.15 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$37.05 |
$37.05 |
$37.05 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$26.03 |
$26.03 |
$26.03 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$275.03 |
$275.03 |
$275.03 |
$1,860.00
|
|
Mayo androstenedione
|
$4.94 |
$4.94 |
$4.94 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$2.47 |
$2.47 |
$2.47 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$1.83 |
$1.83 |
$1.83 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$2.86 |
$2.86 |
$2.86 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$18.05 |
$18.05 |
$18.05 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$5.73 |
$5.73 |
$5.73 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$58.90 |
$58.90 |
$58.90 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$1.72 |
$1.72 |
$1.72 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$27.52 |
$27.52 |
$27.52 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$9.69 |
$9.69 |
$9.69 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$2.18 |
$2.18 |
$2.18 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$27.74 |
$27.74 |
$27.74 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$2.23 |
$2.23 |
$2.23 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$1.51 |
$1.51 |
$1.51 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$11.73 |
$11.73 |
$11.73 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$121.79 |
$121.79 |
$121.79 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$2.85 |
$2.85 |
$2.85 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$30.16 |
$30.16 |
$30.16 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$20.64 |
$20.64 |
$20.64 |
$281.50
|
|
Mayo ceruloplasmin
|
$1.59 |
$1.59 |
$1.59 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$16.06 |
$16.06 |
$16.06 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$24.46 |
$24.46 |
$24.46 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$2.33 |
$2.33 |
$2.33 |
$52.66
|
