|
Lithotripsy transluminal coronary percutaneous
|
$2,495.78 |
$2,495.78 |
$2,495.78 |
$4,371.12
|
|
Liver Function Test
|
$5.75 |
$5.75 |
$5.75 |
$115.44
|
|
Liver imaging
|
$680.24 |
$680.24 |
$680.24 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$749.40 |
$749.40 |
$749.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$695.55 |
$695.55 |
$695.55 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$426.82 |
$426.82 |
$426.82 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.90 |
$0.90 |
$0.90 |
$49.70
|
|
Low cost skin substitute app
|
$414.32 |
$414.32 |
$414.32 |
$933.60
|
|
Low cost skin substitute app
|
$728.60 |
$728.60 |
$728.60 |
$2,164.64
|
|
Low cost skin substitute app
|
$391.23 |
$391.23 |
$391.23 |
$1,012.00
|
|
Low cost skin substitute app
|
$782.46 |
$782.46 |
$782.46 |
$1,016.16
|
|
Low cost skin substitute app
|
$51.44 |
$51.44 |
$51.44 |
$466.80
|
|
Low cost skin substitute app
|
$207.77 |
$207.77 |
$207.77 |
$756.00
|
|
Low cost skin substitute app
|
$57.11 |
$57.11 |
$57.11 |
$408.45
|
|
Low cost skin substitute app
|
$233.68 |
$233.68 |
$233.68 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$158.32 |
$158.32 |
$158.32 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$458.92 |
$458.92 |
$458.92 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$382.43 |
$382.43 |
$382.43 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$305.94 |
$305.94 |
$305.94 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$457.89 |
$457.89 |
$457.89 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$381.52 |
$381.52 |
$381.52 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$305.16 |
$305.16 |
$305.16 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$56.67 |
$56.67 |
$56.67 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$73.57 |
$73.57 |
$73.57 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$84.13 |
$84.13 |
$84.13 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$64.42 |
$64.42 |
$64.42 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$121.50 |
$121.50 |
$121.50 |
$364.77
|
|
Lumbar diskogram s&i
|
$1,963.10 |
$1,963.10 |
$1,963.10 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$209.09 |
$209.09 |
$209.09 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$37.03 |
$37.03 |
$37.03 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$156.82 |
$156.82 |
$156.82 |
$296.91
|
|
Lung perfusion imaging
|
$866.97 |
$866.97 |
$866.97 |
$1,069.25
|
|
Lutetium lu 177 dotatat ther
|
$364.24 |
$364.24 |
$364.24 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$299.10 |
$299.10 |
$299.10 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$905.01 |
$905.01 |
$905.01 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$39.52 |
$39.52 |
$39.52 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$591.36 |
$591.36 |
$591.36 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,250.66 |
$1,250.66 |
$1,250.66 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$997.92 |
$997.92 |
$997.92 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$1,390.40 |
$1,390.40 |
$1,390.40 |
$3,452.15
|
|
Macroscopic exam arthropod
|
$3.63 |
$3.63 |
$3.63 |
$38.58
|
|
Macroscopic exam parasite
|
$16.18 |
$16.18 |
$16.18 |
$37.05
|
|
Magnesium
|
$20.24 |
$20.24 |
$20.24 |
$73.00
|
|
Magnetic image bone marrow
|
$687.85 |
$687.85 |
$687.85 |
$1,329.39
|
|
Mammosite ced
|
$5,155.04 |
$5,155.04 |
$5,155.04 |
$5,031.60
|
|
Map tachycard site(s)
|
$1,591.50 |
$1,591.50 |
$1,591.50 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,264.96 |
$2,264.96 |
$2,264.96 |
$1,451.30
|
|
Mastoids complete
|
$68.64 |
$68.64 |
$68.64 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$32.61 |
$32.61 |
$32.61 |
$4,472.40
|
|
M.avium-intra dna amp prob
|
$75.33 |
$75.33 |
$75.33 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$14.49 |
$14.49 |
$14.49 |
$65.28
|
|
Mayo aathr protein s free
|
$18.61 |
$18.61 |
$18.61 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$18.61 |
$18.61 |
$18.61 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$69.00 |
$69.00 |
$69.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$36.34 |
$36.34 |
$36.34 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$30.36 |
$30.36 |
$30.36 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$13.11 |
$13.11 |
$13.11 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$41.86 |
$41.86 |
$41.86 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$13.57 |
$13.57 |
$13.57 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$14.26 |
$14.26 |
$14.26 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$16.10 |
$16.10 |
$16.10 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$157.68 |
$157.68 |
$157.68 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$118.80 |
$118.80 |
$118.80 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$226.80 |
$226.80 |
$226.80 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,503.36 |
$1,503.36 |
$1,503.36 |
$1,860.00
|
|
Mayo androstenedione
|
$20.24 |
$20.24 |
$20.24 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$14.03 |
$14.03 |
$14.03 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$19.46 |
$19.46 |
$19.46 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$14.69 |
$14.69 |
$14.69 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$46.25 |
$46.25 |
$46.25 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$230.73 |
$230.73 |
$230.73 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$36.34 |
$36.34 |
$36.34 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$16.55 |
$16.55 |
$16.55 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$187.92 |
$187.92 |
$187.92 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$278.21 |
$278.21 |
$278.21 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$20.83 |
$20.83 |
$20.83 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$12.88 |
$12.88 |
$12.88 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$18.69 |
$18.69 |
$18.69 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$17.89 |
$17.89 |
$17.89 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$16.56 |
$16.56 |
$16.56 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$19.32 |
$19.32 |
$19.32 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$26.45 |
$26.45 |
$26.45 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$24.83 |
$24.83 |
$24.83 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$158.54 |
$158.54 |
$158.54 |
$283.40
|
|
Mayo ceruloplasmin
|
$12.19 |
$12.19 |
$12.19 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$16.10 |
$16.10 |
$16.10 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$27.23 |
$27.23 |
$27.23 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$21.63 |
$21.63 |
$21.63 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$16.29 |
$16.29 |
$16.29 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$160.65 |
$160.65 |
$160.65 |
$366.94
|
|
Mayo chromium
|
$14.03 |
$14.03 |
$14.03 |
$75.60
|
|
Mayo cocaine definitive assay confirmation urine
|
$34.27 |
$34.27 |
$34.27 |
$100.00
|
|
Mayo coccidioides antibody
|
$17.62 |
$17.62 |
$17.62 |
$54.00
|
|
Mayo cocou cortisone urine
|
$209.07 |
$209.07 |
$209.07 |
$216.00
|
|
Mayo cortisol free
|
$12.65 |
$12.65 |
$12.65 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$33.91 |
$33.91 |
$33.91 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$15.22 |
$15.22 |
$15.22 |
$58.20
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$22.31 |
$22.31 |
$22.31 |
$66.00
|
|
Mayo cyanide
|
$17.94 |
$17.94 |
$17.94 |
$87.60
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$1,389.85 |
$1,389.85 |
$1,389.85 |
$578.82
|
