|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$568.05 |
$568.05 |
$568.05 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$603.35 |
$603.35 |
$603.35 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$360.17 |
$360.17 |
$360.17 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$350.70 |
$350.70 |
$350.70 |
$66.59
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$548.17 |
$548.17 |
$548.17 |
$177.90
|
|
Lipase
|
$301.52 |
$301.52 |
$301.52 |
$83.20
|
|
Lipoprotein blood quant
|
$187.25 |
$187.25 |
$187.25 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$129.09 |
$129.09 |
$129.09 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$116.58 |
$116.58 |
$116.58 |
$60.00
|
|
Lithium therapeutic drug level
|
$172.62 |
$172.62 |
$172.62 |
$67.60
|
|
Liver Function Test
|
$421.36 |
$421.36 |
$421.36 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.91 |
$44.91 |
$44.91 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$83.16 |
$83.16 |
$83.16 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,364.65 |
$3,364.65 |
$3,364.65 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,179.37 |
$3,179.37 |
$3,179.37 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,800.72 |
$2,800.72 |
$2,800.72 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$7,523.12 |
$7,523.12 |
$7,523.12 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$5,212.17 |
$5,212.17 |
$5,212.17 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$6,181.88 |
$6,181.88 |
$6,181.88 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,372.78 |
$1,372.78 |
$1,372.78 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$239.36 |
$239.36 |
$239.36 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$487.39 |
$487.39 |
$487.39 |
$298.50
|
|
Lung perfusion imaging
|
$2,681.42 |
$2,681.42 |
$2,681.42 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$3,016.13 |
$3,016.13 |
$3,016.13 |
$1,543.75
|
|
Macroscopic exam parasite
|
$71.19 |
$71.19 |
$71.19 |
$38.50
|
|
Magnesium
|
$196.56 |
$196.56 |
$196.56 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$350.70 |
$350.70 |
$350.70 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$317.02 |
$317.02 |
$317.02 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$316.29 |
$316.29 |
$316.29 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$227.28 |
$227.28 |
$227.28 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$38,252.87 |
$38,252.87 |
$38,252.87 |
$34,164.07
|
|
Marker biop eviva buckle ss
|
$661.27 |
$661.27 |
$661.27 |
$1,213.20
|
|
Matrion 1 sq cm
|
$890.00 |
$890.00 |
$890.00 |
$764.03
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$272.12 |
$272.12 |
$272.12 |
$66.50
|
|
Mayo aathr protein s free
|
$479.30 |
$479.30 |
$479.30 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$166.46 |
$166.46 |
$166.46 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$407.87 |
$407.87 |
$407.87 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$178.07 |
$178.07 |
$178.07 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$316.46 |
$316.46 |
$316.46 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$236.34 |
$236.34 |
$236.34 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$194.57 |
$194.57 |
$194.57 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$198.20 |
$198.20 |
$198.20 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$333.12 |
$333.12 |
$333.12 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$190.40 |
$190.40 |
$190.40 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$229.71 |
$229.71 |
$229.71 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$752.76 |
$752.76 |
$752.76 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$760.71 |
$760.71 |
$760.71 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$401.46 |
$401.46 |
$401.46 |
$328.80
|
|
Mayo androstenedione
|
$115.74 |
$115.74 |
$115.74 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$296.88 |
$296.88 |
$296.88 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$93.03 |
$93.03 |
$93.03 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$135.98 |
$135.98 |
$135.98 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$270.36 |
$270.36 |
$270.36 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$110.40 |
$110.40 |
$110.40 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$276.07 |
$276.07 |
$276.07 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$181.36 |
$181.36 |
$181.36 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$1,035.27 |
$1,035.27 |
$1,035.27 |
$353.60
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$111.85 |
$111.85 |
$111.85 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$141.02 |
$141.02 |
$141.02 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$379.62 |
$379.62 |
$379.62 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$397.69 |
$397.69 |
$397.69 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$477.58 |
$477.58 |
$477.58 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$155.58 |
$155.58 |
$155.58 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$319.55 |
$319.55 |
$319.55 |
$110.00
|
|
Mayo ceruloplasmin
|
$70.02 |
$70.02 |
$70.02 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$232.59 |
$232.59 |
$232.59 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$199.86 |
$199.86 |
$199.86 |
$102.40
|
|
Mayo chromium
|
$285.98 |
$285.98 |
$285.98 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$130.96 |
$130.96 |
$130.96 |
$89.53
|
|
Mayo coccidioides antibody
|
$157.38 |
$157.38 |
$157.38 |
$58.37
|
|
Mayo cocou cortisone urine
|
$272.79 |
$272.79 |
$272.79 |
$207.26
|
|
Mayo cortisol free
|
$480.88 |
$480.88 |
$480.88 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$142.38 |
$142.38 |
$142.38 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$152.00 |
$152.00 |
$152.00 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$119.95 |
$119.95 |
$119.95 |
$106.70
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$55.80 |
$55.80 |
$55.80 |
$72.14
|
|
Mayo cyanide
|
$265.98 |
$265.98 |
$265.98 |
$87.10
|
|
Mayo dhea (dehydroepiandrosterone)
|
$117.18 |
$117.18 |
$117.18 |
$88.45
|
|
Mayo dihydrotestosterone
|
$284.73 |
$284.73 |
$284.73 |
$81.90
|
|
Mayo efpo chloride stool
|
$300.01 |
$300.01 |
$300.01 |
$44.20
|
|
Mayo estriol
|
$208.25 |
$208.25 |
$208.25 |
$98.70
|
|
Mayo estrone
|
$137.83 |
$137.83 |
$137.83 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$442.89 |
$442.89 |
$442.89 |
$70.40
|
|
Mayo factor v
|
$824.01 |
$824.01 |
$824.01 |
$125.48
|
|
Mayo factor viii vw factor antigen
|
$682.48 |
$682.48 |
$682.48 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$410.63 |
$410.63 |
$410.63 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$682.48 |
$682.48 |
$682.48 |
$129.60
|
|
Mayo factor x
|
$387.11 |
$387.11 |
$387.11 |
$139.50
|
|
Mayo factor xi
|
$357.72 |
$357.72 |
$357.72 |
$117.50
|
|
Mayo fbl culture fungi blood
|
$558.26 |
$558.26 |
$558.26 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$93.13 |
$93.13 |
$93.13 |
$37.05
|
|
Mayo gamma-globin full gene sequencing
|
$2,044.15 |
$2,044.15 |
$2,044.15 |
$1,446.90
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$961.76 |
$961.76 |
$961.76 |
$165.00
|
|
Mayo hla typing a/b/c single antigen
|
$1,057.42 |
$1,057.42 |
$1,057.42 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$230.82 |
$230.82 |
$230.82 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$288.03 |
$288.03 |
$288.03 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$401.31 |
$401.31 |
$401.31 |
$93.45
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$536.19 |
$536.19 |
$536.19 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$348.08 |
$348.08 |
$348.08 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$439.43 |
$439.43 |
$439.43 |
$112.50
|