|
Levetiracetam therapeutic drug level
|
$221.40 |
$221.40 |
$221.40 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$8,941.80 |
$8,941.80 |
$8,941.80 |
$6,095.95
|
|
Lidocaine therapeutic drug level
|
$179.40 |
$179.40 |
$179.40 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$85.20 |
$85.20 |
$85.20 |
$133.50
|
|
Ligation/biopsy of temporal artery 37609
|
$3,949.20 |
$3,949.20 |
$3,949.20 |
$3,322.80
|
|
Ligation/major artery/extremity 37618
|
$685.20 |
$685.20 |
$685.20 |
$1,525.00
|
|
Limited ankle motion ea jnt
|
$585.60 |
$585.60 |
$585.60 |
$109.20
|
|
Lipase
|
$232.20 |
$232.20 |
$232.20 |
$91.65
|
|
Lipoprotein blood quant
|
$281.40 |
$281.40 |
$281.40 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$106.20 |
$106.20 |
$106.20 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$94.20 |
$94.20 |
$94.20 |
$61.60
|
|
Lithium therapeutic drug level
|
$145.20 |
$145.20 |
$145.20 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,942.20 |
$4,942.20 |
$4,942.20 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$945.60 |
$945.60 |
$945.60 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$612.00 |
$612.00 |
$612.00 |
$365.28
|
|
Liver Function Test
|
$211.20 |
$211.20 |
$211.20 |
$115.44
|
|
Liver/spleen imag static only
|
$1,749.00 |
$1,749.00 |
$1,749.00 |
$1,123.50
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$1,108.80 |
$1,108.80 |
$1,108.80 |
$3,839.54
|
|
Lo sag rig pnl stays pre cst
|
$85.20 |
$85.20 |
$85.20 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,964.00 |
$2,964.00 |
$2,964.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,376.00 |
$2,376.00 |
$2,376.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,022.00 |
$2,022.00 |
$2,022.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,525.00 |
$3,525.00 |
$3,525.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,343.80 |
$3,343.80 |
$3,343.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,091.80 |
$3,091.80 |
$3,091.80 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$489.60 |
$489.60 |
$489.60 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$278.40 |
$278.40 |
$278.40 |
$364.00
|
|
Lumbar diskogram s&i
|
$3,572.40 |
$3,572.40 |
$3,572.40 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$294.60 |
$294.60 |
$294.60 |
$295.35
|
|
Lung perfusion imaging
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$1,059.97
|
|
Lymphatics/lymph node imaging
|
$1,726.20 |
$1,726.20 |
$1,726.20 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$118.20 |
$118.20 |
$118.20 |
$38.58
|
|
Macroscopic exam parasite
|
$98.40 |
$98.40 |
$98.40 |
$36.55
|
|
Magnesium
|
$190.80 |
$190.80 |
$190.80 |
$72.50
|
|
Magnetic image bone marrow
|
$3,091.80 |
$3,091.80 |
$3,091.80 |
$1,302.80
|
|
Manipulate finger w/anesth
|
$507.60 |
$507.60 |
$507.60 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$613.80 |
$613.80 |
$613.80 |
$2,211.05
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$120.00 |
$120.00 |
$120.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$120.00 |
$120.00 |
$120.00 |
$160.80
|
|
Manipulation of hip joint
|
$410.40 |
$410.40 |
$410.40 |
$2,211.05
|
|
Map tachycard site(s)
|
$2,626.80 |
$2,626.80 |
$2,626.80 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$3,357.60 |
$3,357.60 |
$3,357.60 |
$1,451.30
|
|
Mastoids complete
|
$834.00 |
$834.00 |
$834.00 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$201.00 |
$201.00 |
$201.00 |
$65.00
|
|
Mayo aathr protein s free
|
$265.20 |
$265.20 |
$265.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$501.60 |
$501.60 |
$501.60 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$698.40 |
$698.40 |
$698.40 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$196.80 |
$196.80 |
$196.80 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$292.80 |
$292.80 |
$292.80 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$129.00 |
$129.00 |
$129.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$135.00 |
$135.00 |
$135.00 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$186.60 |
$186.60 |
$186.60 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$188.40 |
$188.40 |
$188.40 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$45.60 |
$45.60 |
$45.60 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$178.20 |
$178.20 |
$178.20 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$1,389.60 |
$1,389.60 |
$1,389.60 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,678.20 |
$1,678.20 |
$1,678.20 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$5,700.60 |
$5,700.60 |
$5,700.60 |
$1,860.00
|
|
Mayo androstenedione
|
$229.80 |
$229.80 |
$229.80 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$265.20 |
$265.20 |
$265.20 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$193.20 |
$193.20 |
$193.20 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$144.00 |
$144.00 |
$144.00 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$499.20 |
$499.20 |
$499.20 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$34.20 |
$34.20 |
$34.20 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$613.20 |
$613.20 |
$613.20 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$103.80 |
$103.80 |
$103.80 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$339.00 |
$339.00 |
$339.00 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$406.80 |
$406.80 |
$406.80 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$142.80 |
$142.80 |
$142.80 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$28.20 |
$28.20 |
$28.20 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$235.20 |
$235.20 |
$235.20 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$402.60 |
$402.60 |
$402.60 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$357.00 |
$357.00 |
$357.00 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$276.60 |
$276.60 |
$276.60 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$242.40 |
$242.40 |
$242.40 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$388.20 |
$388.20 |
$388.20 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$287.40 |
$287.40 |
$287.40 |
$281.50
|
|
Mayo ceruloplasmin
|
$126.00 |
$126.00 |
$126.00 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$366.60 |
$366.60 |
$366.60 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$430.80 |
$430.80 |
$430.80 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$111.60 |
$111.60 |
$111.60 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$105.60 |
$105.60 |
$105.60 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$936.60 |
$936.60 |
$936.60 |
$360.33
|
|
Mayo chromium
|
$307.80 |
$307.80 |
$307.80 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$353.40 |
$353.40 |
$353.40 |
$100.00
|
|
Mayo coccidioides antibody
|
$118.80 |
$118.80 |
$118.80 |
$53.90
|
|
Mayo cocou cortisone urine
|
$825.60 |
$825.60 |
$825.60 |
$213.92
|
|
Mayo cortisol free
|
$360.00 |
$360.00 |
$360.00 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$32.40 |
$32.40 |
$32.40 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$107.40 |
$107.40 |
$107.40 |
$58.10
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$286.80 |
$286.80 |
$286.80 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$297.00 |
$297.00 |
$297.00 |
$66.00
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$974.40 |
$974.40 |
$974.40 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$116.40 |
$116.40 |
$116.40 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$188.40 |
$188.40 |
$188.40 |
$105.60
|
|
Mayo dihydrotestosterone
|
$132.60 |
$132.60 |
$132.60 |
$74.25
|
|
Mayo efpo chloride stool
|
$94.20 |
$94.20 |
$94.20 |
$43.41
|
|
Mayo estriol
|
$145.80 |
$145.80 |
$145.80 |
$90.34
|
|
Mayo estrone
|
$165.00 |
$165.00 |
$165.00 |
$85.00
|
