|
Liberta rc ipg
|
$26,638.17 |
$26,638.17 |
$26,638.17 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$19.11 |
$19.11 |
$19.11 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$105.55 |
$105.55 |
$204.99 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$24,738.05 |
$24,738.05 |
$24,738.05 |
$172.25
|
|
Lipase
|
$224.33 |
$224.33 |
$314.05 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$35.87 |
$35.87 |
$65.10 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$98.79 |
$98.79 |
$115.35 |
$60.00
|
|
Lithium therapeutic drug level
|
$230.12 |
$230.12 |
$347.51 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,438.23 |
$4,438.23 |
$4,438.23 |
$4,371.12
|
|
Liver Function Test
|
$382.79 |
$382.79 |
$432.25 |
$110.50
|
|
Liver imaging
|
$2,619.54 |
$2,619.54 |
$2,619.54 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$1,060.17 |
$1,060.17 |
$1,060.17 |
$1,255.15
|
|
Liver/spleen imag static only
|
$2,586.03 |
$2,586.03 |
$2,586.03 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,271.85 |
$1,271.85 |
$1,271.85 |
$949.00
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$34.70 |
$34.70 |
$37.12 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,884.41 |
$5,884.41 |
$5,884.41 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$5,221.74 |
$5,221.74 |
$5,221.74 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,650.71 |
$2,650.71 |
$2,650.71 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,046.78 |
$8,046.78 |
$8,046.78 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$7,000.73 |
$7,000.73 |
$7,000.73 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,828.07 |
$4,828.07 |
$4,828.07 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$533.03 |
$533.03 |
$533.03 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$174.93 |
$174.93 |
$174.93 |
$275.88
|
|
Lumbar diskogram s&i
|
$1,992.74 |
$1,992.74 |
$1,992.74 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$187.87 |
$187.87 |
$230.69 |
$298.50
|
|
Lung perfusion imaging
|
$3,108.47 |
$3,108.47 |
$3,108.47 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$4,630.50 |
$4,630.50 |
$4,630.50 |
$1,543.75
|
|
Lymph vessel x-ray arms/legs
|
$652.39 |
$652.39 |
$652.39 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$1,351.23 |
$1,351.23 |
$1,351.23 |
$3,380.00
|
|
Macroscopic exam parasite
|
$32.34 |
$32.34 |
$48.54 |
$38.50
|
|
Magnesium
|
$147.32 |
$147.32 |
$172.88 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$37.12 |
$37.12 |
$179.05 |
$69.30
|
|
Magnetic image bone marrow
|
$885.83 |
$885.83 |
$885.83 |
$1,152.80
|
|
Makena, 10 mg
|
$827.91 |
$827.91 |
$827.91 |
$120.48
|
|
Mammosite ced
|
$3,212.54 |
$3,212.54 |
$3,212.54 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$77.62 |
$77.62 |
$98.79 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$99.38 |
$99.38 |
$126.20 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$19.11 |
$19.11 |
$37.12 |
$28.48
|
|
Manual diff wbc count b-coat
|
$52.63 |
$52.63 |
$101.07 |
$22.75
|
|
Map tachycard site(s)
|
$7,464.66 |
$7,464.66 |
$7,464.66 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$6,050.52 |
$6,050.52 |
$6,050.52 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$5,042.10 |
$5,042.10 |
$5,042.10 |
$1,753.29
|
|
Mastoids complete
|
$115.55 |
$115.55 |
$115.55 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$2,983.52 |
$2,983.52 |
$2,983.52 |
$6,321.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$5.40 |
$5.40 |
$10.49 |
$66.50
|
|
Mayo aathr protein s free
|
$158.18 |
$158.18 |
$356.88 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$6.18 |
$6.18 |
$12.00 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$8.82 |
$8.82 |
$17.13 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$17.94 |
$17.94 |
$34.84 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$20.58 |
$20.58 |
$39.97 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$83.79 |
$83.79 |
$162.74 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$57.33 |
$57.33 |
$111.35 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$58.80 |
$58.80 |
$114.20 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$374.50 |
$374.50 |
$727.34 |
$1,909.44
|
|
Mayo androstenedione
|
$7.06 |
$7.06 |
$13.71 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$5.88 |
$5.88 |
$11.42 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$5.49 |
$5.49 |
$10.65 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$35.58 |
$35.58 |
$69.10 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$44.76 |
$44.76 |
$86.92 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$20.58 |
$20.58 |
$39.97 |
$105.00
|
|
Mayo bart bartonella henselae antibody igg
|
$6.29 |
$6.29 |
$12.20 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$49.98 |
$49.98 |
$97.07 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$80.85 |
$80.85 |
$157.03 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$3.55 |
$3.55 |
$6.89 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$7.35 |
$7.35 |
$14.28 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$6.62 |
$6.62 |
$12.85 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$21.46 |
$21.46 |
$41.67 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$16.45 |
$16.45 |
$31.94 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$41.08 |
$41.08 |
$79.77 |
$110.00
|
|
Mayo ceruloplasmin
|
$2.06 |
$2.06 |
$4.00 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$65.86 |
$65.86 |
$127.91 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$40.58 |
$40.58 |
$64.70 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$3.24 |
$3.24 |
$6.29 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$3.24 |
$3.24 |
$6.29 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$64.39 |
$64.39 |
$125.05 |
$353.99
|
|
Mayo chromium
|
$11.08 |
$11.08 |
$21.52 |
$70.85
|
|
Mayo coccidioides antibody
|
$46.46 |
$46.46 |
$89.08 |
$58.37
|
|
Mayo cocou cortisone urine
|
$128.05 |
$128.05 |
$248.69 |
$207.26
|
|
Mayo cortisol free
|
$4.79 |
$4.79 |
$9.29 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$43.81 |
$43.81 |
$87.37 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$18.63 |
$18.63 |
$36.18 |
$61.02
|
|
Mayo cyanide
|
$24.99 |
$24.99 |
$48.54 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$2.94 |
$2.94 |
$5.71 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$4.93 |
$4.93 |
$9.57 |
$88.45
|
|
Mayo efpo chloride stool
|
$140.24 |
$140.24 |
$316.34 |
$44.20
|
|
Mayo estriol
|
$3.47 |
$3.47 |
$6.73 |
$98.70
|
|
Mayo estrone
|
$7.35 |
$7.35 |
$14.28 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$5.24 |
$5.24 |
$10.16 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$5.88 |
$5.88 |
$11.42 |
$80.50
|
|
Mayo factor ii
|
$11.16 |
$11.16 |
$21.66 |
$93.00
|
|
Mayo factor v
|
$9.12 |
$9.12 |
$17.71 |
$125.48
|
|
Mayo factor vii
|
$7.94 |
$7.94 |
$15.42 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$24.90 |
$24.90 |
$48.36 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$14.27 |
$14.27 |
$18.82 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$17.35 |
$17.35 |
$33.12 |
$129.60
|
|
Mayo factor x
|
$8.24 |
$8.24 |
$15.99 |
$139.50
|
|
Mayo factor xi
|
$12.46 |
$12.46 |
$24.19 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$10.29 |
$10.29 |
$19.99 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$122.60 |
$122.60 |
$236.40 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$4.60 |
$4.60 |
$8.92 |
$37.05
|
