|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$95.00 |
$95.00 |
$95.00 |
$48.48
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$819.00 |
$819.00 |
$819.00 |
$159.12
|
|
Lipoprotein blood quant
|
$381.25 |
$381.25 |
$381.25 |
$98.95
|
|
Lipoprotein direct measurement hdl
|
$610.00 |
$610.00 |
$610.00 |
$55.25
|
|
Listeria monocytogenes
|
$395.25 |
$395.25 |
$395.25 |
$95.40
|
|
Lithium therapeutic drug level
|
$80.50 |
$80.50 |
$80.50 |
$67.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$24,245.00 |
$24,245.00 |
$24,245.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$12,155.75 |
$12,155.75 |
$12,155.75 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$11,125.50 |
$11,125.50 |
$11,125.50 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$9,244.25 |
$9,244.25 |
$9,244.25 |
$2,441.25
|
|
Lower Back (Lumbar Spine) X-ray
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$341.64
|
|
L/s ratio fetal lung
|
$1,288.00 |
$1,288.00 |
$1,288.00 |
$168.00
|
|
Lung Function Test (Spirometry)
|
$63.00 |
$63.00 |
$63.00 |
$296.91
|
|
Lung perfusion imaging
|
$6,626.00 |
$6,626.00 |
$6,626.00 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$7,175.25 |
$7,175.25 |
$7,175.25 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$1,468.00 |
$1,468.00 |
$1,468.00 |
$266.20
|
|
Macroscopic exam arthropod
|
$133.50 |
$133.50 |
$133.50 |
$38.58
|
|
Macroscopic exam parasite
|
$143.00 |
$143.00 |
$143.00 |
$38.50
|
|
Malaria antibody
|
$285.50 |
$285.50 |
$285.50 |
$38.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$141.00 |
$141.00 |
$141.00 |
$142.67
|
|
Manipulation chest wall initial demonstration/evaluation
|
$329.25 |
$329.25 |
$329.25 |
$176.52
|
|
Manual diff wbc count b-coat
|
$122.50 |
$122.50 |
$122.50 |
$22.75
|
|
M.avium-intra dna dir prob
|
$386.50 |
$386.50 |
$386.50 |
$58.25
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$346.00 |
$346.00 |
$346.00 |
$176.00
|
|
Mayo analysis gene calr common variants exon 9
|
$467.25 |
$467.25 |
$467.25 |
$494.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$696.00 |
$696.00 |
$696.00 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$198.00 |
$198.00 |
$198.00 |
$322.30
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$668.25 |
$668.25 |
$668.25 |
$353.60
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$525.25 |
$525.25 |
$525.25 |
$62.79
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$101.00 |
$101.00 |
$101.00 |
$110.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$48.75 |
$48.75 |
$48.75 |
$72.52
|
|
Mayo cyanide
|
$578.50 |
$578.50 |
$578.50 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$159.25 |
$159.25 |
$159.25 |
$56.80
|
|
Mayo everolimus therapeutic drug level
|
$63.25 |
$63.25 |
$63.25 |
$80.19
|
|
Mayo factor v
|
$724.75 |
$724.75 |
$724.75 |
$126.40
|
|
Mayo factor vii
|
$739.00 |
$739.00 |
$739.00 |
$141.00
|
|
Mayo factor viii vw factor multimetric analysis
|
$692.00 |
$692.00 |
$692.00 |
$125.00
|
|
Mayo factor xi
|
$538.25 |
$538.25 |
$538.25 |
$117.50
|
|
Mayo fbl culture fungi blood
|
$272.75 |
$272.75 |
$272.75 |
$98.21
|
|
Mayo fdp/fsp paracoagulation
|
$261.50 |
$261.50 |
$261.50 |
$111.03
|
|
Mayo ffspg allergen clam igg
|
$168.00 |
$168.00 |
$168.00 |
$37.05
|
|
Mayo fibrinogen antigen
|
$24.00 |
$24.00 |
$24.00 |
$98.28
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$662.50 |
$662.50 |
$662.50 |
$70.39
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$162.00 |
$162.00 |
$162.00 |
$114.23
|
|
Mayo hvdip HIV 1 antibody
|
$256.25 |
$256.25 |
$256.25 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$411.75 |
$411.75 |
$411.75 |
$65.70
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$896.50 |
$896.50 |
$896.50 |
$157.30
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$396.00 |
$396.00 |
$396.00 |
$226.20
|
|
Mayo infliximab therapeutic drug level
|
$242.25 |
$242.25 |
$242.25 |
$155.35
|
|
Mayo inhab inhibin a
|
$109.50 |
$109.50 |
$109.50 |
$81.60
|
|
Mayo insft insulin free
|
$390.00 |
$390.00 |
$390.00 |
$58.50
|
|
Mayo lacosamide therapeutic drug level
|
$125.25 |
$125.25 |
$125.25 |
$106.00
|
|
Mayo lamotrigine therapeutic drug level
|
$411.75 |
$411.75 |
$411.75 |
$69.75
|
|
Mayo lipoprotein electrophoresis
|
$347.25 |
$347.25 |
$347.25 |
$50.40
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$85.00 |
$85.00 |
$85.00 |
$65.00
|
|
Mayo muramidase
|
$567.25 |
$567.25 |
$567.25 |
$62.70
|
|
Mayo nickel
|
$179.25 |
$179.25 |
$179.25 |
$84.70
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$337.25 |
$337.25 |
$337.25 |
$156.00
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$25.25 |
$25.25 |
$25.25 |
$80.60
|
|
Mayo rbcme osmotic fragility rbc incubated
|
$406.25 |
$406.25 |
$406.25 |
$106.90
|
|
Mayo thiopurine s-methyltransferase
|
$225.00 |
$225.00 |
$225.00 |
$81.48
|
|
Mayo vitamin b-2 (riboflavin)
|
$386.50 |
$386.50 |
$386.50 |
$87.95
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$521.00 |
$521.00 |
$521.00 |
$306.13
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$84.50 |
$84.50 |
$84.50 |
$39.72
|
|
Metabolic Blood Panel (Basic)
|
$286.75 |
$286.75 |
$286.75 |
$111.15
|
|
Metabolic Blood Panel (Comprehensive)
|
$47.50 |
$47.50 |
$47.50 |
$145.24
|
|
Metabolic panel ionized ca
|
$286.75 |
$286.75 |
$286.75 |
$121.50
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$197.00 |
$197.00 |
$197.00 |
$81.04
|
|
Methotrexate sodium 2.5 mg tablet
|
$14.00 |
$14.00 |
$14.00 |
$18.64
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$52.00 |
$52.00 |
$52.00 |
$64.94
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$194.00 |
$194.00 |
$194.00 |
$76.59
|
|
Methylprednisolone 4 mg tablet
|
$13.00 |
$13.00 |
$13.00 |
$5.28
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$93.00 |
$93.00 |
$93.00 |
$25.11
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$66.25 |
$66.25 |
$66.25 |
$42.58
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$266.67 |
$266.67 |
$266.67 |
$126.10
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$96.25 |
$96.25 |
$96.25 |
$104.42
|
|
Minocycline hydrochloride
|
$11.00 |
$11.00 |
$11.00 |
$661.32
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$28.00 |
$28.00 |
$28.00 |
$38.00
|
|
M/phmtrc alysishquant/semiq
|
$455.75 |
$455.75 |
$455.75 |
$331.55
|
|
M/phmtrc alys skeletal musc
|
$439.75 |
$439.75 |
$439.75 |
$274.49
|
|
Mpl gene analysis common variants
|
$346.00 |
$346.00 |
$346.00 |
$444.00
|
|
MRA without cont, abd
|
$10,076.25 |
$10,076.25 |
$10,076.25 |
$1,523.97
|
|
MRA without fol w/cont, pelvis
|
$7,711.25 |
$7,711.25 |
$7,711.25 |
$2,305.60
|
|
MRI breast without cont bi
|
$9,823.00 |
$9,823.00 |
$9,823.00 |
$1,778.00
|
|
MRI chest without contrast
|
$7,318.25 |
$7,318.25 |
$7,318.25 |
$1,810.38
|
|
MRI orbit/face/neck without contrast
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$1,883.20
|
|
MRI without fol w/cont, breast
|
$11,688.75 |
$11,688.75 |
$11,688.75 |
$2,071.85
|
|
Mr safety determination physician/other qhp
|
$136.65 |
$136.65 |
$136.65 |
$160.20
|
|
Mr safety implant elec prepj
|
$239.73 |
$239.73 |
$239.73 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$366.30 |
$366.30 |
$366.30 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$33.45 |
$33.45 |
$33.45 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$573.93 |
$573.93 |
$573.93 |
$402.40
|
|
Mthfr gene analy common variants
|
$78.50 |
$78.50 |
$78.50 |
$213.20
|
|
Mucin synovial fluid
|
$190.00 |
$190.00 |
$190.00 |
$26.00
|
|
Mucopolysaccharides
|
$600.00 |
$600.00 |
$600.00 |
$211.20
|
|
Mycobacteria dna amp probe
|
$935.50 |
$935.50 |
$935.50 |
$275.71
|
|
Mycophenolate mofetil 250 mg capsule
|
$24.00 |
$24.00 |
$24.00 |
$18.12
|
|
Nalbuphine 10 mg/ml injection solution
|
$33.00 |
$33.00 |
$33.00 |
$37.81
|
|
Natural killer cells total count
|
$1,129.25 |
$1,129.25 |
$1,129.25 |
$122.20
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$23,275.50 |
$23,275.50 |
$23,275.50 |
$2,055.15
|
