|
Levetiracetam therapeutic drug level
|
$146.16 |
$146.16 |
$146.16 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$65.52 |
$65.52 |
$65.52 |
$55.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.65 |
$0.65 |
$0.65 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$79.20 |
$79.20 |
$79.20 |
$89.70
|
|
Lipase
|
$139.68 |
$139.68 |
$139.68 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$65.52 |
$65.52 |
$65.52 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$65.52 |
$65.52 |
$65.52 |
$61.60
|
|
Lithium therapeutic drug level
|
$56.88 |
$56.88 |
$56.88 |
$69.42
|
|
Liver Function Test
|
$231.84 |
$231.84 |
$231.84 |
$115.44
|
|
Liver/spleen imag static only
|
$1,659.60 |
$1,659.60 |
$1,659.60 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$134.64 |
$134.64 |
$134.64 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,742.48 |
$2,742.48 |
$2,742.48 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,626.56 |
$2,626.56 |
$2,626.56 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,355.84 |
$2,355.84 |
$2,355.84 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,202.64 |
$4,202.64 |
$4,202.64 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,974.32 |
$2,974.32 |
$2,974.32 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,201.12 |
$3,201.12 |
$3,201.12 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$496.80 |
$496.80 |
$496.80 |
$352.32
|
|
Lung Function Test (Spirometry)
|
$210.96 |
$210.96 |
$210.96 |
$295.35
|
|
Lung perfusion imaging
|
$1,075.68 |
$1,075.68 |
$1,075.68 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$2,404.80 |
$2,404.80 |
$2,404.80 |
$1,448.00
|
|
Magnesium
|
$114.48 |
$114.48 |
$114.48 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$16.38 |
$16.38 |
$16.38 |
$58.70
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$130.32 |
$130.32 |
$130.32 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$238.32 |
$238.32 |
$238.32 |
$152.54
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$142.56 |
$142.56 |
$142.56 |
$66.36
|
|
Mayo aathr protein s free
|
$149.76 |
$149.76 |
$149.76 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$102.96 |
$102.96 |
$102.96 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$216.00 |
$216.00 |
$216.00 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$76.32 |
$76.32 |
$76.32 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$328.32 |
$328.32 |
$328.32 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$118.08 |
$118.08 |
$118.08 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$72.00 |
$72.00 |
$72.00 |
$82.80
|
|
Mayo analysis gene calr common variants exon 9
|
$300.24 |
$300.24 |
$300.24 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$247.68 |
$247.68 |
$247.68 |
$359.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,461.60 |
$1,461.60 |
$1,461.60 |
$1,860.00
|
|
Mayo androstenedione
|
$99.36 |
$99.36 |
$99.36 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$87.84 |
$87.84 |
$87.84 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$231.12 |
$231.12 |
$231.12 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$138.96 |
$138.96 |
$138.96 |
$67.60
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$114.48 |
$114.48 |
$114.48 |
$95.45
|
|
Mayo bart bartonella henselae antibody igg
|
$88.56 |
$88.56 |
$88.56 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$545.76 |
$545.76 |
$545.76 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$74.16 |
$74.16 |
$74.16 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$97.20 |
$97.20 |
$97.20 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$84.96 |
$84.96 |
$84.96 |
$44.14
|
|
Mayo c1 esterase inhibitor
|
$123.12 |
$123.12 |
$123.12 |
$85.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$196.56 |
$196.56 |
$196.56 |
$82.68
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$262.08 |
$262.08 |
$262.08 |
$274.40
|
|
Mayo ceruloplasmin
|
$89.28 |
$89.28 |
$89.28 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$138.96 |
$138.96 |
$138.96 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$167.04 |
$167.04 |
$167.04 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$92.16 |
$92.16 |
$92.16 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$145.44 |
$145.44 |
$145.44 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$1,223.28 |
$1,223.28 |
$1,223.28 |
$346.32
|
|
Mayo chromium
|
$90.00 |
$90.00 |
$90.00 |
$70.85
|
|
Mayo coccidioides antibody
|
$133.20 |
$133.20 |
$133.20 |
$55.20
|
|
Mayo cocou cortisone urine
|
$833.76 |
$833.76 |
$833.76 |
$207.26
|
|
Mayo cortisol free
|
$207.36 |
$207.36 |
$207.36 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$235.44 |
$235.44 |
$235.44 |
$70.20
|
|
Mayo cyanide
|
$64.80 |
$64.80 |
$64.80 |
$90.00
|
|
Mayo deoxyribonuclease antibody titer
|
$125.28 |
$125.28 |
$125.28 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$77.76 |
$77.76 |
$77.76 |
$113.10
|
|
Mayo dihydrotestosterone
|
$304.56 |
$304.56 |
$304.56 |
$78.00
|
|
Mayo efpo chloride stool
|
$23.04 |
$23.04 |
$23.04 |
$44.20
|
|
Mayo estriol
|
$30.24 |
$30.24 |
$30.24 |
$92.30
|
|
Mayo estrone
|
$149.76 |
$149.76 |
$149.76 |
$84.60
|
|
Mayo ethosuximide therapeutic drug level
|
$43.92 |
$43.92 |
$43.92 |
$72.80
|
|
Mayo everolimus therapeutic drug level
|
$208.08 |
$208.08 |
$208.08 |
$91.99
|
|
Mayo factor ii
|
$184.32 |
$184.32 |
$184.32 |
$96.76
|
|
Mayo factor v
|
$113.04 |
$113.04 |
$113.04 |
$125.58
|
|
Mayo factor vii
|
$108.00 |
$108.00 |
$108.00 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$290.88 |
$290.88 |
$290.88 |
$112.75
|
|
Mayo factor viii vw factor multimetric analysis
|
$90.72 |
$90.72 |
$90.72 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$60.48 |
$60.48 |
$60.48 |
$140.40
|
|
Mayo factor x
|
$113.04 |
$113.04 |
$113.04 |
$155.00
|
|
Mayo factor xi
|
$38.88 |
$38.88 |
$38.88 |
$121.80
|
|
Mayo fbl culture fungi blood
|
$169.92 |
$169.92 |
$169.92 |
$104.53
|
|
Mayo ffspg allergen clam igg
|
$46.80 |
$46.80 |
$46.80 |
$37.00
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$124.56 |
$124.56 |
$124.56 |
$69.00
|
|
Mayo gamma-globin full gene sequencing
|
$546.48 |
$546.48 |
$546.48 |
$1,264.25
|
|
Mayo hemosiderin qualitative urine
|
$41.76 |
$41.76 |
$41.76 |
$33.57
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$156.96 |
$156.96 |
$156.96 |
$52.80
|
|
Mayo hla typing a/b/c single antigen
|
$352.80 |
$352.80 |
$352.80 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$45.36 |
$45.36 |
$45.36 |
$67.24
|
|
Mayo hvdip HIV 2 antibody
|
$45.36 |
$45.36 |
$45.36 |
$75.04
|
|
Mayo hydroxyprogesterone 17-d
|
$247.68 |
$247.68 |
$247.68 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$194.40 |
$194.40 |
$194.40 |
$204.48
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$246.96 |
$246.96 |
$246.96 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$183.60 |
$183.60 |
$183.60 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$401.04 |
$401.04 |
$401.04 |
$107.50
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$391.68 |
$391.68 |
$391.68 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$119.52 |
$119.52 |
$119.52 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$171.36 |
$171.36 |
$171.36 |
$195.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$118.08 |
$118.08 |
$118.08 |
$76.20
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$479.52 |
$479.52 |
$479.52 |
$155.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$339.12 |
$339.12 |
$339.12 |
$230.65
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$456.48 |
$456.48 |
$456.48 |
$211.86
|
|
Mayo infliximab therapeutic drug level
|
$336.24 |
$336.24 |
$336.24 |
$148.80
|
|
Mayo inhab inhibin a
|
$141.12 |
$141.12 |
$141.12 |
$78.60
|
