|
Lead capillary
|
$101.00 |
$101.00 |
$101.00 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$8,042.00 |
$8,042.00 |
$8,042.00 |
$1,097.20
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,190.00 |
$2,190.00 |
$2,190.00 |
$1,264.86
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$10,327.00 |
$10,327.00 |
$10,327.00 |
$3,527.57
|
|
Levalbuterol non-comp unit
|
$99.00 |
$99.00 |
$99.00 |
$12.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$522.00 |
$522.00 |
$522.00 |
$89.50
|
|
Levetiracetam therapeutic drug level
|
$29.00 |
$29.00 |
$29.00 |
$72.00
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$397.50 |
$397.50 |
$397.50 |
$319.12
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$918.00 |
$918.00 |
$918.00 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$83.00 |
$83.00 |
$83.00 |
$85.27
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,420.00 |
$1,420.00 |
$1,420.00 |
$171.73
|
|
Lipase
|
$2,157.00 |
$2,157.00 |
$2,157.00 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$202.00 |
$202.00 |
$202.00 |
$55.80
|
|
Lithium therapeutic drug level
|
$39.00 |
$39.00 |
$39.00 |
$67.80
|
|
Liver Function Test
|
$3,045.00 |
$3,045.00 |
$3,045.00 |
$111.13
|
|
Liver imag w/vasclr flow
|
$2,544.00 |
$2,544.00 |
$2,544.00 |
$1,255.15
|
|
Liver/spleen imag static only
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$1,140.78
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$15,834.00 |
$15,834.00 |
$15,834.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$15,412.00 |
$15,412.00 |
$15,412.00 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$18,291.00 |
$18,291.00 |
$18,291.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$10,300.00 |
$10,300.00 |
$10,300.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$8,319.00 |
$8,319.00 |
$8,319.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$7,205.00 |
$7,205.00 |
$7,205.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$6,051.00 |
$6,051.00 |
$6,051.00 |
$344.85
|
|
Lumbar diskogram s&i
|
$11,274.00 |
$11,274.00 |
$11,274.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$510.00 |
$510.00 |
$510.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$590.00 |
$590.00 |
$590.00 |
$298.50
|
|
Lung perfusion imaging
|
$2,617.00 |
$2,617.00 |
$2,617.00 |
$1,100.39
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$86.03 |
$86.03 |
$86.03 |
$29,435.46
|
|
Lvad shower bag heartmate
|
$5,006.00 |
$5,006.00 |
$5,006.00 |
$1,059.75
|
|
Lymphatics/lymph node imaging
|
$2,425.00 |
$2,425.00 |
$2,425.00 |
$1,526.38
|
|
Lymph vessel x-ray trunk
|
$14,102.00 |
$14,102.00 |
$14,102.00 |
$3,380.00
|
|
Magnesium
|
$285.00 |
$285.00 |
$285.00 |
$71.76
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$370.00 |
$370.00 |
$370.00 |
$142.98
|
|
Manipulation chest wall initial demonstration/evaluation
|
$548.00 |
$548.00 |
$548.00 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$53.00 |
$53.00 |
$53.00 |
$40.12
|
|
Map tachycard site(s)
|
$21,887.00 |
$21,887.00 |
$21,887.00 |
$3,928.16
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$512.00 |
$512.00 |
$512.00 |
$66.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$83.00 |
$83.00 |
$83.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$27.00 |
$27.00 |
$27.00 |
$112.00
|
|
Mayo alpha 1 antitrypsin
|
$77.00 |
$77.00 |
$77.00 |
$86.40
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$172.00 |
$172.00 |
$172.00 |
$317.40
|
|
Mayo androstenedione
|
$158.00 |
$158.00 |
$158.00 |
$103.89
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$83.00 |
$83.00 |
$83.00 |
$72.46
|
|
Mayo avwpr vw factor activity
|
$299.00 |
$299.00 |
$299.00 |
$158.08
|
|
Mayo blastomyces antibody immunodiffusion
|
$74.00 |
$74.00 |
$74.00 |
$57.85
|
|
Mayo c1 esterase inhibitor
|
$40.00 |
$40.00 |
$40.00 |
$88.05
|
|
Mayo ceruloplasmin
|
$58.00 |
$58.00 |
$58.00 |
$64.80
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$84.00 |
$84.00 |
$84.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$542.00 |
$542.00 |
$542.00 |
$352.00
|
|
Mayo coccidioides antibody
|
$78.00 |
$78.00 |
$78.00 |
$58.37
|
|
Mayo cocou cortisone urine
|
$263.00 |
$263.00 |
$263.00 |
$209.07
|
|
Mayo cortisol free
|
$92.00 |
$92.00 |
$92.00 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$64.00 |
$64.00 |
$64.00 |
$72.52
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$171.00 |
$171.00 |
$171.00 |
$61.60
|
|
Mayo cyanide
|
$145.00 |
$145.00 |
$145.00 |
$87.10
|
|
Mayo dhea (dehydroepiandrosterone)
|
$384.00 |
$384.00 |
$384.00 |
$89.70
|
|
Mayo estriol
|
$130.00 |
$130.00 |
$130.00 |
$95.20
|
|
Mayo ethosuximide therapeutic drug level
|
$92.00 |
$92.00 |
$92.00 |
$70.20
|
|
Mayo factor ii
|
$130.00 |
$130.00 |
$130.00 |
$94.90
|
|
Mayo factor v
|
$130.00 |
$130.00 |
$130.00 |
$127.80
|
|
Mayo factor vii
|
$130.00 |
$130.00 |
$130.00 |
$141.70
|
|
Mayo factor viii vw factor antigen
|
$160.00 |
$160.00 |
$160.00 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$299.00 |
$299.00 |
$299.00 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$167.00 |
$167.00 |
$167.00 |
$128.70
|
|
Mayo factor x
|
$130.00 |
$130.00 |
$130.00 |
$139.50
|
|
Mayo factor xi
|
$130.00 |
$130.00 |
$130.00 |
$117.50
|
|
Mayo fbl culture fungi blood
|
$1,010.00 |
$1,010.00 |
$1,010.00 |
$101.38
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$195.00 |
$195.00 |
$195.00 |
$70.39
|
|
Mayo hemosiderin qualitative urine
|
$321.00 |
$321.00 |
$321.00 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$446.00 |
$446.00 |
$446.00 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$82.00 |
$82.00 |
$82.00 |
$114.23
|
|
Mayo hvdip HIV 1 antibody
|
$334.00 |
$334.00 |
$334.00 |
$67.60
|
|
Mayo hvdip HIV 2 antibody
|
$224.00 |
$224.00 |
$224.00 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$148.00 |
$148.00 |
$148.00 |
$93.45
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$148.00 |
$148.00 |
$148.00 |
$86.84
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$71.00 |
$71.00 |
$71.00 |
$108.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$114.00 |
$114.00 |
$114.00 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$410.00 |
$410.00 |
$410.00 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$48.00 |
$48.00 |
$48.00 |
$233.75
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$235.00 |
$235.00 |
$235.00 |
$228.80
|
|
Mayo inhab inhibin a
|
$42.00 |
$42.00 |
$42.00 |
$81.60
|
|
Mayo insulin antibodies
|
$546.00 |
$546.00 |
$546.00 |
$90.40
|
|
Mayo lacosamide therapeutic drug level
|
$60.00 |
$60.00 |
$60.00 |
$103.12
|
|
Mayo lamotrigine therapeutic drug level
|
$11.00 |
$11.00 |
$11.00 |
$69.75
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$180.00 |
$180.00 |
$180.00 |
$55.12
|
|
Mayo legionella antibody
|
$185.00 |
$185.00 |
$185.00 |
$80.60
|
|
Mayo leptospira antibody igm
|
$306.00 |
$306.00 |
$306.00 |
$76.70
|
|
Mayo lipoprotein electrophoresis
|
$417.00 |
$417.00 |
$417.00 |
$50.40
|
|
Mayo metanephrines plasma
|
$93.00 |
$93.00 |
$93.00 |
$104.50
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$192.00 |
$192.00 |
$192.00 |
$97.25
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$28.00 |
$28.00 |
$28.00 |
$65.00
|
|
Mayo microsomal antibody liver-kidney
|
$80.00 |
$80.00 |
$80.00 |
$90.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$263.00 |
$263.00 |
$263.00 |
$170.50
|
|
Mayo muscle-specific kinase (musk) antibody
|
$948.00 |
$948.00 |
$948.00 |
$224.64
|
|
Mayo organic acid methylmalonic single quantitative
|
$146.00 |
$146.00 |
$146.00 |
$104.13
|
|
Mayo oxalate 24 hour urine
|
$123.00 |
$123.00 |
$123.00 |
$65.00
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$135.00 |
$135.00 |
$135.00 |
$71.20
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$85.00 |
$85.00 |
$85.00 |
$44.73
|
|
Mayo proinsulin
|
$34.00 |
$34.00 |
$34.00 |
$97.50
|
