|
Lithotripsy transluminal coronary percutaneous
|
$33,467.28 |
$33,467.28 |
$33,467.28 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$880.74 |
$880.74 |
$880.74 |
$365.28
|
|
Liver elastography 91200
|
$942.66 |
$942.66 |
$942.66 |
$280.00
|
|
Liver Function Test
|
$84.38 |
$84.38 |
$84.38 |
$115.44
|
|
Liver imag w/vasclr flow
|
$5,067.86 |
$5,067.86 |
$5,067.86 |
$1,227.60
|
|
Liver/spleen imag static only
|
$4,366.13 |
$4,366.13 |
$4,366.13 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$443.64 |
$443.64 |
$443.64 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$2,193.88 |
$2,193.88 |
$2,193.88 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$170.96 |
$170.96 |
$170.96 |
$37.37
|
|
Lo sag rig pnl stays pre cst
|
$721.79 |
$721.79 |
$721.79 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,751.55 |
$4,751.55 |
$4,751.55 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,823.33 |
$3,823.33 |
$3,823.33 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,438.88 |
$3,438.88 |
$3,438.88 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,317.77 |
$4,317.77 |
$4,317.77 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,543.47 |
$3,543.47 |
$3,543.47 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,235.67 |
$3,235.67 |
$3,235.67 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$938.10 |
$938.10 |
$938.10 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$478.48 |
$478.48 |
$478.48 |
$364.00
|
|
Lso sag-coronal panel custom
|
$4,244.68 |
$4,244.68 |
$4,244.68 |
$2,518.78
|
|
Lso s/c shell/panel custom
|
$8,439.10 |
$8,439.10 |
$8,439.10 |
$2,252.16
|
|
L/s ratio fetal lung
|
$276.17 |
$276.17 |
$276.17 |
$178.36
|
|
Lumbar diskogram s&i
|
$8,165.15 |
$8,165.15 |
$8,165.15 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$588.90 |
$588.90 |
$588.90 |
$295.35
|
|
Lung perfusion imaging
|
$2,334.40 |
$2,334.40 |
$2,334.40 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$2,159.01 |
$2,159.01 |
$2,159.01 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$420.74 |
$420.74 |
$420.74 |
$22,210.87
|
|
Lutetium lu 177 vipivotide
|
$2,098.97 |
$2,098.97 |
$2,098.97 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$2,833.82 |
$2,833.82 |
$2,833.82 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$5,541.60 |
$5,541.60 |
$5,541.60 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$15,195.81 |
$15,195.81 |
$15,195.81 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$17,576.30 |
$17,576.30 |
$17,576.30 |
$3,380.00
|
|
Macro exam dissect molec study ea
|
$257.27 |
$257.27 |
$257.27 |
$67.08
|
|
Macroscopic exam arthropod
|
$79.29 |
$79.29 |
$79.29 |
$38.58
|
|
Macroscopic exam parasite
|
$76.94 |
$76.94 |
$76.94 |
$36.55
|
|
Magnesium
|
$86.20 |
$86.20 |
$86.20 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$372.74 |
$372.74 |
$372.74 |
$59.88
|
|
Magnetic image bone marrow
|
$3,771.00 |
$3,771.00 |
$3,771.00 |
$1,302.80
|
|
Malaria antibody
|
$154.95 |
$154.95 |
$154.95 |
$94.80
|
|
Mammosite ced
|
$1,267.06 |
$1,267.06 |
$1,267.06 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$207.95 |
$207.95 |
$207.95 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$207.95 |
$207.95 |
$207.95 |
$160.80
|
|
Map tachycard site(s)
|
$33,930.98 |
$33,930.98 |
$33,930.98 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$29,834.30 |
$29,834.30 |
$29,834.30 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$2,350.13 |
$2,350.13 |
$2,350.13 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$8,796.62 |
$8,796.62 |
$8,796.62 |
$1,941.63
|
|
Mastectomy form
|
$408.92 |
$408.92 |
$408.92 |
$235.20
|
|
Mastoids complete
|
$922.49 |
$922.49 |
$922.49 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$35,920.55 |
$35,920.55 |
$35,920.55 |
$6,321.66
|
|
M.avium-intra dna amp prob
|
$441.65 |
$441.65 |
$441.65 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$180.59 |
$180.59 |
$180.59 |
$65.00
|
|
Mayo aathr protein s free
|
$192.31 |
$192.31 |
$192.31 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$192.31 |
$192.31 |
$192.31 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$918.32 |
$918.32 |
$918.32 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$295.97 |
$295.97 |
$295.97 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$187.62 |
$187.62 |
$187.62 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$339.07 |
$339.07 |
$339.07 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$189.96 |
$189.96 |
$189.96 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$884.49 |
$884.49 |
$884.49 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$955.57 |
$955.57 |
$955.57 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$961.43 |
$961.43 |
$961.43 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$6,746.17 |
$6,746.17 |
$6,746.17 |
$1,860.00
|
|
Mayo androstenedione
|
$441.65 |
$441.65 |
$441.65 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$184.11 |
$184.11 |
$184.11 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$136.34 |
$136.34 |
$136.34 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$154.95 |
$154.95 |
$154.95 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$594.75 |
$594.75 |
$594.75 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$733.05 |
$733.05 |
$733.05 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$128.24 |
$128.24 |
$128.24 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$1,080.30 |
$1,080.30 |
$1,080.30 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$164.33 |
$164.33 |
$164.33 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$166.66 |
$166.66 |
$166.66 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$257.54 |
$257.54 |
$257.54 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$607.15 |
$607.15 |
$607.15 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$118.87 |
$118.87 |
$118.87 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$564.05 |
$564.05 |
$564.05 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$697.07 |
$697.07 |
$697.07 |
$281.50
|
|
Mayo ceruloplasmin
|
$135.17 |
$135.17 |
$135.17 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$1,575.06 |
$1,575.06 |
$1,575.06 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$11,902.16 |
$11,902.16 |
$11,902.16 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$533.71 |
$533.71 |
$533.71 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$533.71 |
$533.71 |
$533.71 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$1,586.99 |
$1,586.99 |
$1,586.99 |
$360.33
|
|
Mayo chromium
|
$751.67 |
$751.67 |
$751.67 |
$74.94
|
|
Mayo coccidioides antibody
|
$144.53 |
$144.53 |
$144.53 |
$53.90
|
|
Mayo cocou cortisone urine
|
$1,768.05 |
$1,768.05 |
$1,768.05 |
$213.92
|
|
Mayo cortisol free
|
$209.77 |
$209.77 |
$209.77 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$262.50 |
$262.50 |
$262.50 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$278.51 |
$278.51 |
$278.51 |
$58.10
|
|
Mayo cyanide
|
$228.39 |
$228.39 |
$228.39 |
$87.50
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$827.44 |
$827.44 |
$827.44 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$166.66 |
$166.66 |
$166.66 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$551.17 |
$551.17 |
$551.17 |
$105.60
|
|
Mayo dihydrotestosterone
|
$323.00 |
$323.00 |
$323.00 |
$74.25
|
|
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid
|
$2,607.56 |
$2,607.56 |
$2,607.56 |
$35.28
|
|
Mayo efpo chloride stool
|
$103.76 |
$103.76 |
$103.76 |
$43.41
|
|
Mayo estriol
|
$301.82 |
$301.82 |
$301.82 |
$90.34
|
|
Mayo estrone
|
$314.69 |
$314.69 |
$314.69 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$203.90 |
$203.90 |
$203.90 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$464.96 |
$464.96 |
$464.96 |
$97.50
|
