|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,018.55 |
$1,018.55 |
$1,018.55 |
$1,092.58
|
|
Leishmania antibody
|
$69.55 |
$69.55 |
$69.55 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$298.50 |
$298.50 |
$298.50 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$17,291.03 |
$17,291.03 |
$17,291.03 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$14,510.26 |
$14,510.26 |
$14,510.26 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$35.67 |
$35.67 |
$35.67 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$39.65 |
$39.65 |
$39.65 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$19.50 |
$19.50 |
$19.50 |
$55.69
|
|
Liberta rc ipg
|
$99,325.20 |
$99,325.20 |
$99,325.20 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$49.40 |
$49.40 |
$49.40 |
$87.45
|
|
Ligation/major artery/extremity 37618
|
$18,702.45 |
$18,702.45 |
$18,702.45 |
$1,567.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$19.50 |
$19.50 |
$19.50 |
$121.00
|
|
Lipase
|
$126.10 |
$126.10 |
$126.10 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$141.05 |
$141.05 |
$141.05 |
$87.00
|
|
Lipoprotein blood quant
|
$156.00 |
$156.00 |
$156.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$155.35 |
$155.35 |
$155.35 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$26.65 |
$26.65 |
$26.65 |
$61.60
|
|
Lithium therapeutic drug level
|
$152.10 |
$152.10 |
$152.10 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$33,712.90 |
$33,712.90 |
$33,712.90 |
$4,371.12
|
|
Liver Function Test
|
$276.90 |
$276.90 |
$276.90 |
$115.44
|
|
Liver imag w/vasclr flow
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,034.15 |
$1,034.15 |
$1,034.15 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$16.17 |
$16.17 |
$16.17 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$20.18 |
$20.18 |
$20.18 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$388.05 |
$388.05 |
$388.05 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,879.85 |
$3,879.85 |
$3,879.85 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,296.80 |
$3,296.80 |
$3,296.80 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,984.80 |
$2,984.80 |
$2,984.80 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,345.90 |
$4,345.90 |
$4,345.90 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,612.70 |
$3,612.70 |
$3,612.70 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,385.20 |
$3,385.20 |
$3,385.20 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$620.10 |
$620.10 |
$620.10 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$1,003.60 |
$1,003.60 |
$1,003.60 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$1,107.60 |
$1,107.60 |
$1,107.60 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$521.95 |
$521.95 |
$521.95 |
$338.40
|
|
Lso flex no ri stays pre ots
|
$1,002.30 |
$1,002.30 |
$1,002.30 |
$164.80
|
|
L/s ratio fetal lung
|
$128.05 |
$128.05 |
$128.05 |
$176.15
|
|
Lumbar diskogram s&i
|
$4,941.30 |
$4,941.30 |
$4,941.30 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$806.00 |
$806.00 |
$806.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$169.00 |
$169.00 |
$169.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,855.10 |
$1,855.10 |
$1,855.10 |
$1,069.25
|
|
Lutetium lu 177 vipivotide
|
$651.30 |
$651.30 |
$651.30 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$1,592.50 |
$1,592.50 |
$1,592.50 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$527.15 |
$527.15 |
$527.15 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$1,814.15 |
$1,814.15 |
$1,814.15 |
$972.06
|
|
Lymph vessel x-ray trunk
|
$3,199.95 |
$3,199.95 |
$3,199.95 |
$2,634.45
|
|
Macro exam dissect molec study ea
|
$459.55 |
$459.55 |
$459.55 |
$67.08
|
|
Macroscopic exam arthropod
|
$214.50 |
$214.50 |
$214.50 |
$38.58
|
|
Macroscopic exam parasite
|
$92.30 |
$92.30 |
$92.30 |
$37.05
|
|
Magnesium
|
$172.90 |
$172.90 |
$172.90 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$19.50 |
$19.50 |
$19.50 |
$58.70
|
|
Magnetic image bone marrow
|
$800.80 |
$800.80 |
$800.80 |
$1,329.39
|
|
Makena, 10 mg
|
$2,500.08 |
$2,500.08 |
$2,500.08 |
$1,405.80
|
|
Mammosite ced
|
$738.40 |
$738.40 |
$738.40 |
$5,031.60
|
|
Manual diff wbc count b-coat
|
$33.80 |
$33.80 |
$33.80 |
$25.74
|
|
Map tachycard site(s)
|
$5,029.05 |
$5,029.05 |
$5,029.05 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$3,218.80 |
$3,218.80 |
$3,218.80 |
$1,451.30
|
|
Mastoids complete
|
$329.55 |
$329.55 |
$329.55 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$124.15 |
$124.15 |
$124.15 |
$4,472.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$72.15 |
$72.15 |
$72.15 |
$65.28
|
|
Mayo aathr protein s free
|
$105.30 |
$105.30 |
$105.30 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$74.75 |
$74.75 |
$74.75 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$447.20 |
$447.20 |
$447.20 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$92.30 |
$92.30 |
$92.30 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$18.85 |
$18.85 |
$18.85 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$84.50 |
$84.50 |
$84.50 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$151.45 |
$151.45 |
$151.45 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$18.85 |
$18.85 |
$18.85 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$1,047.80 |
$1,047.80 |
$1,047.80 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$991.25 |
$991.25 |
$991.25 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$956.80 |
$956.80 |
$956.80 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$4,230.20 |
$4,230.20 |
$4,230.20 |
$1,860.00
|
|
Mayo androstenedione
|
$91.00 |
$91.00 |
$91.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$104.65 |
$104.65 |
$104.65 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$87.10 |
$87.10 |
$87.10 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$111.80 |
$111.80 |
$111.80 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$636.35 |
$636.35 |
$636.35 |
$171.50
|
|
Mayo bart bartonella henselae antibody igg
|
$28.60 |
$28.60 |
$28.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$444.60 |
$444.60 |
$444.60 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$90.35 |
$90.35 |
$90.35 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$28.60 |
$28.60 |
$28.60 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$187.85 |
$187.85 |
$187.85 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$59.15 |
$59.15 |
$59.15 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$286.00 |
$286.00 |
$286.00 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$369.85 |
$369.85 |
$369.85 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$56.55 |
$56.55 |
$56.55 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$273.65 |
$273.65 |
$273.65 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$226.20 |
$226.20 |
$226.20 |
$283.40
|
|
Mayo ceruloplasmin
|
$22.75 |
$22.75 |
$22.75 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$314.60 |
$314.60 |
$314.60 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$421.85 |
$421.85 |
$421.85 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$120.90 |
$120.90 |
$120.90 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$130.00 |
$130.00 |
$130.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$328.25 |
$328.25 |
$328.25 |
$366.94
|
|
Mayo chromium
|
$512.20 |
$512.20 |
$512.20 |
$75.60
|
|
Mayo cocaine definitive assay confirmation urine
|
$18.85 |
$18.85 |
$18.85 |
$100.00
|
|
Mayo coccidioides antibody
|
$32.50 |
$32.50 |
$32.50 |
$54.00
|
|
Mayo cocou cortisone urine
|
$1,928.55 |
$1,928.55 |
$1,928.55 |
$216.00
|
|
Mayo cortisol free
|
$131.30 |
$131.30 |
$131.30 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$203.45 |
$203.45 |
$203.45 |
$72.50
|