|
Locm 100-199mg/ml iodine,1ml
|
$3.08 |
$3.08 |
$3.08 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$12.60 |
$12.60 |
$12.60 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,158.00 |
$1,158.00 |
$1,158.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$973.20 |
$973.20 |
$973.20 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$882.80 |
$882.80 |
$882.80 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,631.60 |
$1,631.60 |
$1,631.60 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,492.00 |
$1,492.00 |
$1,492.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,499.20 |
$1,499.20 |
$1,499.20 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$383.20 |
$383.20 |
$383.20 |
$344.00
|
|
L/s ratio fetal lung
|
$21.55 |
$21.55 |
$21.55 |
$168.00
|
|
Lumbar diskogram s&i
|
$1,821.20 |
$1,821.20 |
$1,821.20 |
$2,358.23
|
|
Lumizyme injection
|
$207.04 |
$207.04 |
$207.04 |
$1,602.30
|
|
Lung perfusion imaging
|
$695.20 |
$695.20 |
$695.20 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$198.44 |
$198.44 |
$198.44 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$41.08 |
$41.08 |
$41.08 |
$29,435.46
|
|
Lymphatics/lymph node imaging
|
$2,867.60 |
$2,867.60 |
$2,867.60 |
$1,543.75
|
|
Lymphocytotoxicity assay
|
$102.34 |
$102.34 |
$102.34 |
$370.20
|
|
Macroscopic exam parasite
|
$14.84 |
$14.84 |
$14.84 |
$38.50
|
|
Magnesium
|
$31.44 |
$31.44 |
$31.44 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$8.00 |
$8.00 |
$8.00 |
$65.49
|
|
Makena, 10 mg
|
$16.80 |
$16.80 |
$16.80 |
$22.86
|
|
Mannitol 12.5 gm/50 ml inj
|
$33.24 |
$33.24 |
$33.24 |
$40.12
|
|
Map tachycard site(s)
|
$3,221.60 |
$3,221.60 |
$3,221.60 |
$3,960.00
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$50.80 |
$50.80 |
$50.80 |
$34,164.07
|
|
Mastoids complete
|
$301.60 |
$301.60 |
$301.60 |
$271.95
|
|
Matrion 1 sq cm
|
$3,034.24 |
$3,034.24 |
$3,034.24 |
$764.03
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$55.28 |
$55.28 |
$55.28 |
$7,478.44
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$22.48 |
$22.48 |
$22.48 |
$66.50
|
|
Mayo aathr protein s free
|
$326.88 |
$326.88 |
$326.88 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$28.60 |
$28.60 |
$28.60 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$96.00 |
$96.00 |
$96.00 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$79.44 |
$79.44 |
$79.44 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$6.00 |
$6.00 |
$6.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$20.92 |
$20.92 |
$20.92 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$127.88 |
$127.88 |
$127.88 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$189.20 |
$189.20 |
$189.20 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$142.80 |
$142.80 |
$142.80 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$658.00 |
$658.00 |
$658.00 |
$1,909.44
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$39.52 |
$39.52 |
$39.52 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$5.20 |
$5.20 |
$5.20 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$72.80 |
$72.80 |
$72.80 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$26.00 |
$26.00 |
$26.00 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$68.56 |
$68.56 |
$68.56 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$137.52 |
$137.52 |
$137.52 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$429.44 |
$429.44 |
$429.44 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$110.00 |
$110.00 |
$110.00 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$5.52 |
$5.52 |
$5.52 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$59.20 |
$59.20 |
$59.20 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$13.02 |
$13.02 |
$13.02 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$5.09 |
$5.09 |
$5.09 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$35.96 |
$35.96 |
$35.96 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$10.18 |
$10.18 |
$10.18 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$39.00 |
$39.00 |
$39.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$66.00 |
$66.00 |
$66.00 |
$274.40
|
|
Mayo ceruloplasmin
|
$18.00 |
$18.00 |
$18.00 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$140.00 |
$140.00 |
$140.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$19.00 |
$19.00 |
$19.00 |
$102.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$144.00 |
$144.00 |
$144.00 |
$353.99
|
|
Mayo coccidioides antibody
|
$6.68 |
$6.68 |
$6.68 |
$58.37
|
|
Mayo cocou cortisone urine
|
$207.28 |
$207.28 |
$207.28 |
$207.26
|
|
Mayo cortisol free
|
$17.00 |
$17.00 |
$17.00 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$36.00 |
$36.00 |
$36.00 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$13.20 |
$13.20 |
$13.20 |
$61.02
|
|
Mayo cyanide
|
$13.64 |
$13.64 |
$13.64 |
$87.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$212.00 |
$212.00 |
$212.00 |
$611.60
|
|
Mayo efpo chloride stool
|
$34.76 |
$34.76 |
$34.76 |
$44.20
|
|
Mayo estriol
|
$85.92 |
$85.92 |
$85.92 |
$98.70
|
|
Mayo estrone
|
$72.80 |
$72.80 |
$72.80 |
$84.70
|
|
Mayo everolimus therapeutic drug level
|
$38.44 |
$38.44 |
$38.44 |
$80.50
|
|
Mayo factor v
|
$18.00 |
$18.00 |
$18.00 |
$125.48
|
|
Mayo factor vii
|
$150.00 |
$150.00 |
$150.00 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$357.00 |
$357.00 |
$357.00 |
$110.50
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$358.52 |
$358.52 |
$358.52 |
$129.60
|
|
Mayo factor x
|
$99.60 |
$99.60 |
$99.60 |
$139.50
|
|
Mayo factor xi
|
$112.24 |
$112.24 |
$112.24 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$34.10 |
$34.10 |
$34.10 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$15.48 |
$15.48 |
$15.48 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$53.08 |
$53.08 |
$53.08 |
$37.05
|
|
Mayo gamma-globin full gene sequencing
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$18.92 |
$18.92 |
$18.92 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$24.00 |
$24.00 |
$24.00 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$90.24 |
$90.24 |
$90.24 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$25.92 |
$25.92 |
$25.92 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$444.04 |
$444.04 |
$444.04 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$46.60 |
$46.60 |
$46.60 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$23.88 |
$23.88 |
$23.88 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$50.72 |
$50.72 |
$50.72 |
$93.45
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$158.88 |
$158.88 |
$158.88 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$24.52 |
$24.52 |
$24.52 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$41.80 |
$41.80 |
$41.80 |
$112.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$25.52 |
$25.52 |
$25.52 |
$103.20
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$117.52 |
$117.52 |
$117.52 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$34.72 |
$34.72 |
$34.72 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$186.64 |
$186.64 |
$186.64 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$54.60 |
$54.60 |
$54.60 |
$85.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$61.60 |
$61.60 |
$61.60 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$113.32 |
$113.32 |
$113.32 |
$233.75
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$438.72 |
$438.72 |
$438.72 |
$230.10
|
|
Mayo infliximab therapeutic drug level
|
$86.00 |
$86.00 |
$86.00 |
$155.35
|
|
Mayo inhab inhibin a
|
$97.08 |
$97.08 |
$97.08 |
$81.60
|
