|
Lithotripsy transluminal coronary percutaneous
|
$3,750.00 |
$3,750.00 |
$3,750.00 |
$4,371.12
|
|
Liver Function Test
|
$62.50 |
$62.50 |
$62.50 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$10.02 |
$10.02 |
$10.02 |
$16.17
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$111,620.93 |
$111,620.93 |
$111,620.93 |
$58,923.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$35.40 |
$35.40 |
$35.40 |
$43.75
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$750.00 |
$750.00 |
$750.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$700.00 |
$700.00 |
$700.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$625.00 |
$625.00 |
$625.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$127.50 |
$127.50 |
$127.50 |
$344.00
|
|
Lumizyme injection
|
$740.59 |
$740.59 |
$740.59 |
$1,735.97
|
|
Lung function test (mbc/mvv)
|
$37.50 |
$37.50 |
$37.50 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$72.50 |
$72.50 |
$72.50 |
$298.50
|
|
Lung perfusion imaging
|
$433.75 |
$433.75 |
$433.75 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$32,602.20 |
$32,602.20 |
$32,602.20 |
$20,261.91
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$48,631.63 |
$48,631.63 |
$48,631.63 |
$21,365.20
|
|
Lutetium lu 177 dotatat ther
|
$165,072.07 |
$165,072.07 |
$165,072.07 |
$365.20
|
|
Lutetium lu 177 vipivotide
|
$134,422.30 |
$134,422.30 |
$134,422.30 |
$332.80
|
|
Lymphatics/lymph node imaging
|
$500.00 |
$500.00 |
$500.00 |
$1,543.75
|
|
Macroscopic exam parasite
|
$20.00 |
$20.00 |
$20.00 |
$38.50
|
|
Magnesium
|
$31.25 |
$31.25 |
$31.25 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$35.40 |
$35.40 |
$35.40 |
$61.42
|
|
Makena, 10 mg
|
$428.82 |
$428.82 |
$428.82 |
$120.75
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$37.50 |
$37.50 |
$37.50 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$56.25 |
$56.25 |
$56.25 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$211.68 |
$211.68 |
$211.68 |
$27.81
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$10,435.16 |
$10,435.16 |
$10,435.16 |
$6,408.17
|
|
Marker biop eviva buckle ss
|
$406.72 |
$406.72 |
$406.72 |
$1,213.20
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$35.00 |
$35.00 |
$35.00 |
$66.50
|
|
Mayo aathr protein s free
|
$35.00 |
$35.00 |
$35.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$35.00 |
$35.00 |
$35.00 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$43.75 |
$43.75 |
$43.75 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$18.75 |
$18.75 |
$18.75 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$15.00 |
$15.00 |
$15.00 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$35.00 |
$35.00 |
$35.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$45.00 |
$45.00 |
$45.00 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$35.00 |
$35.00 |
$35.00 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$26.25 |
$26.25 |
$26.25 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$27.50 |
$27.50 |
$27.50 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$25.00 |
$25.00 |
$25.00 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$93.75 |
$93.75 |
$93.75 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$72.50 |
$72.50 |
$72.50 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$100.00 |
$100.00 |
$100.00 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$725.00 |
$725.00 |
$725.00 |
$1,909.44
|
|
Mayo androstenedione
|
$43.75 |
$43.75 |
$43.75 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$35.00 |
$35.00 |
$35.00 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$40.00 |
$40.00 |
$40.00 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$26.25 |
$26.25 |
$26.25 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$43.75 |
$43.75 |
$43.75 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$37.50 |
$37.50 |
$37.50 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$40.00 |
$40.00 |
$40.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$31.25 |
$31.25 |
$31.25 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$106.25 |
$106.25 |
$106.25 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$125.00 |
$125.00 |
$125.00 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$35.00 |
$35.00 |
$35.00 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$75.00 |
$75.00 |
$75.00 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$35.00 |
$35.00 |
$35.00 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$37.50 |
$37.50 |
$37.50 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$35.00 |
$35.00 |
$35.00 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$37.50 |
$37.50 |
$37.50 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$26.25 |
$26.25 |
$26.25 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$33.00 |
$33.00 |
$33.00 |
$110.00
|
|
Mayo ceruloplasmin
|
$31.25 |
$31.25 |
$31.25 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$35.00 |
$35.00 |
$35.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$50.00 |
$50.00 |
$50.00 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$35.00 |
$35.00 |
$35.00 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$35.00 |
$35.00 |
$35.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$93.75 |
$93.75 |
$93.75 |
$353.99
|
|
Mayo chromium
|
$25.00 |
$25.00 |
$25.00 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$25.00 |
$25.00 |
$25.00 |
$89.53
|
|
Mayo coccidioides antibody
|
$35.00 |
$35.00 |
$35.00 |
$58.37
|
|
Mayo cocou cortisone urine
|
$41.25 |
$41.25 |
$41.25 |
$207.26
|
|
Mayo cortisol free
|
$46.25 |
$46.25 |
$46.25 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$43.75 |
$43.75 |
$43.75 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$35.00 |
$35.00 |
$35.00 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$75.00 |
$75.00 |
$75.00 |
$106.70
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$27.50 |
$27.50 |
$27.50 |
$72.14
|
|
Mayo deoxyribonuclease antibody titer
|
$35.00 |
$35.00 |
$35.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$43.75 |
$43.75 |
$43.75 |
$88.45
|
|
Mayo dihydrotestosterone
|
$43.75 |
$43.75 |
$43.75 |
$81.90
|
|
Mayo efpo chloride stool
|
$13.50 |
$13.50 |
$13.50 |
$44.20
|
|
Mayo estriol
|
$21.25 |
$21.25 |
$21.25 |
$98.70
|
|
Mayo estrone
|
$21.75 |
$21.75 |
$21.75 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$20.00 |
$20.00 |
$20.00 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$31.25 |
$31.25 |
$31.25 |
$80.50
|
|
Mayo factor ii
|
$35.00 |
$35.00 |
$35.00 |
$93.00
|
|
Mayo factor v
|
$40.00 |
$40.00 |
$40.00 |
$125.48
|
|
Mayo factor vii
|
$40.00 |
$40.00 |
$40.00 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$32.50 |
$32.50 |
$32.50 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$40.00 |
$40.00 |
$40.00 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$32.50 |
$32.50 |
$32.50 |
$129.60
|
|
Mayo factor x
|
$40.00 |
$40.00 |
$40.00 |
$139.50
|
|
Mayo factor xi
|
$40.00 |
$40.00 |
$40.00 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$46.25 |
$46.25 |
$46.25 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$50.00 |
$50.00 |
$50.00 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$20.75 |
$20.75 |
$20.75 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$37.50 |
$37.50 |
$37.50 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$202.50 |
$202.50 |
$202.50 |
$1,446.90
|