|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$129.14 |
$129.14 |
$129.14 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$284.56 |
$284.56 |
$284.56 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$844.11 |
$844.11 |
$844.11 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$2,358.31 |
$2,358.31 |
$2,358.31 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$104.03 |
$104.03 |
$104.03 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$144.01 |
$144.01 |
$144.01 |
$30.08
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,416.02 |
$2,416.02 |
$2,416.02 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$5,129.09 |
$5,129.09 |
$5,129.09 |
$2,950.00
|
|
Knee MRI (without contrast)
|
$7,146.98 |
$7,146.98 |
$7,146.98 |
$2,181.10
|
|
Knee X-ray
|
$1,820.64 |
$1,820.64 |
$1,820.64 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$307.42 |
$307.42 |
$307.42 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$260.13 |
$260.13 |
$260.13 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$166.77 |
$166.77 |
$166.77 |
$53.30
|
|
Lactated ringers intravenous solution
|
$324.13 |
$324.13 |
$324.13 |
$54.11
|
|
Lactic acid
|
$233.51 |
$233.51 |
$233.51 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$250.87 |
$250.87 |
$250.87 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$59,328.34 |
$59,328.34 |
$59,328.34 |
$22,903.90
|
|
Lead capillary
|
$42.06 |
$42.06 |
$42.06 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$4,056.83 |
$4,056.83 |
$4,056.83 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$590.43 |
$590.43 |
$590.43 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$500.70 |
$500.70 |
$500.70 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$41.74 |
$41.74 |
$41.74 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$292.07 |
$292.07 |
$292.07 |
$66.59
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$455.13 |
$455.13 |
$455.13 |
$177.90
|
|
Lipase
|
$295.83 |
$295.83 |
$295.83 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$196.70 |
$196.70 |
$196.70 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$36.47 |
$36.47 |
$36.47 |
$60.00
|
|
Lithium therapeutic drug level
|
$133.13 |
$133.13 |
$133.13 |
$67.60
|
|
Liver Function Test
|
$443.33 |
$443.33 |
$443.33 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.10 |
$44.10 |
$44.10 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$59.42 |
$59.42 |
$59.42 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$5,129.09 |
$5,129.09 |
$5,129.09 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$5,496.16 |
$5,496.16 |
$5,496.16 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$9,555.24 |
$9,555.24 |
$9,555.24 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$7,641.67 |
$7,641.67 |
$7,641.67 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,613.33 |
$1,613.33 |
$1,613.33 |
$344.00
|
|
Magnesium
|
$164.07 |
$164.07 |
$164.07 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$314.58 |
$314.58 |
$314.58 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$1,792.70 |
$1,792.70 |
$1,792.70 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$155.62 |
$155.62 |
$155.62 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$42,218.13 |
$42,218.13 |
$42,218.13 |
$34,164.07
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$184.13 |
$184.13 |
$184.13 |
$66.50
|
|
Mayo aathr protein s free
|
$56.58 |
$56.58 |
$56.58 |
$130.00
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$173.07 |
$173.07 |
$173.07 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$130.63 |
$130.63 |
$130.63 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$188.21 |
$188.21 |
$188.21 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$180.82 |
$180.82 |
$180.82 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$171.14 |
$171.14 |
$171.14 |
$87.60
|
|
Mayo analysis gene calr common variants exon 9
|
$1,548.82 |
$1,548.82 |
$1,548.82 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$288.73 |
$288.73 |
$288.73 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$431.55 |
$431.55 |
$431.55 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$14,771.30 |
$14,771.30 |
$14,771.30 |
$1,909.44
|
|
Mayo androstenedione
|
$101.68 |
$101.68 |
$101.68 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$185.91 |
$185.91 |
$185.91 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$64.65 |
$64.65 |
$64.65 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$191.65 |
$191.65 |
$191.65 |
$67.60
|
|
Mayo bart bartonella henselae antibody igg
|
$129.63 |
$129.63 |
$129.63 |
$45.75
|
|
Mayo bordetella pertussis antibody igg
|
$167.96 |
$167.96 |
$167.96 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$113.72 |
$113.72 |
$113.72 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$43.56 |
$43.56 |
$43.56 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$214.82 |
$214.82 |
$214.82 |
$83.97
|
|
Mayo ceruloplasmin
|
$106.80 |
$106.80 |
$106.80 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$44.48 |
$44.48 |
$44.48 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$164.01 |
$164.01 |
$164.01 |
$102.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$366.94 |
$366.94 |
$366.94 |
$353.99
|
|
Mayo chromium
|
$62.69 |
$62.69 |
$62.69 |
$70.85
|
|
Mayo coccidioides antibody
|
$146.06 |
$146.06 |
$146.06 |
$58.37
|
|
Mayo cocou cortisone urine
|
$306.76 |
$306.76 |
$306.76 |
$207.26
|
|
Mayo cortisol free
|
$212.78 |
$212.78 |
$212.78 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$146.32 |
$146.32 |
$146.32 |
$72.60
|
|
Mayo dhea (dehydroepiandrosterone)
|
$79.60 |
$79.60 |
$79.60 |
$88.45
|
|
Mayo dihydrotestosterone
|
$372.84 |
$372.84 |
$372.84 |
$81.90
|
|
Mayo estrone
|
$317.71 |
$317.71 |
$317.71 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$208.08 |
$208.08 |
$208.08 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$174.84 |
$174.84 |
$174.84 |
$80.50
|
|
Mayo factor viii vw factor antigen
|
$72.26 |
$72.26 |
$72.26 |
$110.50
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$76.00 |
$76.00 |
$76.00 |
$129.60
|
|
Mayo ffspg allergen clam igg
|
$99.58 |
$99.58 |
$99.58 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$275.94 |
$275.94 |
$275.94 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$3,447.00 |
$3,447.00 |
$3,447.00 |
$1,446.90
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$446.83 |
$446.83 |
$446.83 |
$165.00
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$175.59 |
$175.59 |
$175.59 |
$52.21
|
|
Mayo hvdip HIV 1 antibody
|
$112.84 |
$112.84 |
$112.84 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$44.23 |
$44.23 |
$44.23 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$85.59 |
$85.59 |
$85.59 |
$93.45
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$219.91 |
$219.91 |
$219.91 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$190.88 |
$190.88 |
$190.88 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$72.27 |
$72.27 |
$72.27 |
$112.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$265.00 |
$265.00 |
$265.00 |
$103.20
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$152.55 |
$152.55 |
$152.55 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$446.83 |
$446.83 |
$446.83 |
$157.30
|
|
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii
|
$250.00 |
$250.00 |
$250.00 |
$218.40
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$545.52 |
$545.52 |
$545.52 |
$233.75
|
|
Mayo inhab inhibin a
|
$198.51 |
$198.51 |
$198.51 |
$81.60
|
|
Mayo insft insulin free
|
$40.79 |
$40.79 |
$40.79 |
$57.85
|
|
Mayo insulin antibodies
|
$272.63 |
$272.63 |
$272.63 |
$91.00
|
|
Mayo lacosamide therapeutic drug level
|
$345.22 |
$345.22 |
$345.22 |
$99.20
|
|
Mayo lamotrigine therapeutic drug level
|
$280.31 |
$280.31 |
$280.31 |
$66.43
|
|
Mayo legionella antibody
|
$194.84 |
$194.84 |
$194.84 |
$80.60
|