|
Ketorolac 15 mg/ml injection (wrapper)
|
$39.01 |
$39.01 |
$39.01 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$637.20 |
$637.20 |
$637.20 |
$618.54
|
|
Knee MRI (with and without contrast)
|
$5,390.40 |
$5,390.40 |
$5,390.40 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$4,492.80 |
$4,492.80 |
$4,492.80 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$3,595.20 |
$3,595.20 |
$3,595.20 |
$2,120.00
|
|
Knee X-ray
|
$799.20 |
$799.20 |
$799.20 |
$387.20
|
|
Kras gene addl variants
|
$291.60 |
$291.60 |
$291.60 |
$366.56
|
|
Kras gene variants exon 2
|
$393.00 |
$393.00 |
$393.00 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$44.90 |
$44.90 |
$44.90 |
$13.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$130.51 |
$130.51 |
$130.51 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$82.20 |
$82.20 |
$82.20 |
$50.55
|
|
Lactated ringers intravenous solution
|
$78.68 |
$78.68 |
$78.68 |
$46.35
|
|
Lactic acid
|
$172.20 |
$172.20 |
$172.20 |
$85.20
|
|
Lactoferrin fecal quant
|
$48.60 |
$48.60 |
$48.60 |
$106.10
|
|
Lead capillary
|
$162.00 |
$162.00 |
$162.00 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,778.40 |
$1,778.40 |
$1,778.40 |
$1,053.00
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,505.64 |
$2,505.64 |
$2,505.64 |
$5,001.00
|
|
Levalbuterol non-comp unit
|
$20.15 |
$20.15 |
$20.15 |
$20.15
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$40.91 |
$40.91 |
$40.91 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$259.80 |
$259.80 |
$259.80 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$64.88 |
$64.88 |
$64.88 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$420.60 |
$420.60 |
$420.60 |
$343.13
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$130.49 |
$130.49 |
$130.49 |
$84.28
|
|
Lipase
|
$138.00 |
$138.00 |
$138.00 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$106.20 |
$106.20 |
$106.20 |
$90.60
|
|
Lipoprotein blood quant
|
$280.20 |
$280.20 |
$280.20 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$133.80 |
$133.80 |
$133.80 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$121.80 |
$121.80 |
$121.80 |
$61.60
|
|
Lithium therapeutic drug level
|
$150.00 |
$150.00 |
$150.00 |
$62.40
|
|
Liver Function Test
|
$194.40 |
$194.40 |
$194.40 |
$92.85
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$43.30 |
$43.30 |
$43.30 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,451.60 |
$2,451.60 |
$2,451.60 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,043.60 |
$2,043.60 |
$2,043.60 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,556.40 |
$1,556.40 |
$1,556.40 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,070.20 |
$3,070.20 |
$3,070.20 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,559.00 |
$2,559.00 |
$2,559.00 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,047.20 |
$2,047.20 |
$2,047.20 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$333.60 |
$333.60 |
$333.60 |
$328.23
|
|
Lung Function Test (Spirometry)
|
$462.00 |
$462.00 |
$462.00 |
$290.89
|
|
Macroscopic exam arthropod
|
$64.80 |
$64.80 |
$64.80 |
$38.50
|
|
Magnesium
|
$114.60 |
$114.60 |
$114.60 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$64.61 |
$64.61 |
$64.61 |
$39.81
|
|
Manual diff wbc count b-coat
|
$68.40 |
$68.40 |
$68.40 |
$22.75
|
|
Mastoids complete
|
$520.80 |
$520.80 |
$520.80 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$215.40 |
$215.40 |
$215.40 |
$76.70
|
|
Mayo aathr protein s free
|
$470.40 |
$470.40 |
$470.40 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$726.00 |
$726.00 |
$726.00 |
$100.26
|
|
Mayo alkaline phosphatase isoenzyme
|
$276.60 |
$276.60 |
$276.60 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$224.40 |
$224.40 |
$224.40 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$180.60 |
$180.60 |
$180.60 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$612.00 |
$612.00 |
$612.00 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$532.80 |
$532.80 |
$532.80 |
$343.20
|
|
Mayo androstenedione
|
$133.80 |
$133.80 |
$133.80 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$239.40 |
$239.40 |
$239.40 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$410.40 |
$410.40 |
$410.40 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$73.80 |
$73.80 |
$73.80 |
$72.60
|
|
Mayo bart bartonella henselae antibody igg
|
$90.00 |
$90.00 |
$90.00 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$375.00 |
$375.00 |
$375.00 |
$364.90
|
|
Mayo blastomyces antibody immunodiffusion
|
$161.40 |
$161.40 |
$161.40 |
$67.60
|
|
Mayo bordetella pertussis antibody igg
|
$110.40 |
$110.40 |
$110.40 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$27.00 |
$27.00 |
$27.00 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$187.80 |
$187.80 |
$187.80 |
$124.80
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$132.00 |
$132.00 |
$132.00 |
$104.55
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$192.00 |
$192.00 |
$192.00 |
$274.40
|
|
Mayo ceruloplasmin
|
$166.80 |
$166.80 |
$166.80 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$36.00 |
$36.00 |
$36.00 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$135.60 |
$135.60 |
$135.60 |
$122.00
|
|
Mayo chromium
|
$106.20 |
$106.20 |
$106.20 |
$89.25
|
|
Mayo coccidioides antibody
|
$165.60 |
$165.60 |
$165.60 |
$61.10
|
|
Mayo cocou cortisone urine
|
$194.40 |
$194.40 |
$194.40 |
$222.62
|
|
Mayo cortisol free
|
$252.60 |
$252.60 |
$252.60 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$81.00 |
$81.00 |
$81.00 |
$77.63
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$49.80 |
$49.80 |
$49.80 |
$67.80
|
|
Mayo cyanide
|
$141.60 |
$141.60 |
$141.60 |
$98.40
|
|
Mayo deoxyribonuclease antibody titer
|
$92.40 |
$92.40 |
$92.40 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$162.00 |
$162.00 |
$162.00 |
$113.10
|
|
Mayo efpo chloride stool
|
$106.80 |
$106.80 |
$106.80 |
$45.00
|
|
Mayo estriol
|
$135.60 |
$135.60 |
$135.60 |
$102.50
|
|
Mayo estrone
|
$161.40 |
$161.40 |
$161.40 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$99.60 |
$99.60 |
$99.60 |
$81.60
|
|
Mayo factor ii
|
$191.40 |
$191.40 |
$191.40 |
$96.76
|
|
Mayo factor v
|
$265.80 |
$265.80 |
$265.80 |
$119.60
|
|
Mayo factor vii
|
$241.20 |
$241.20 |
$241.20 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$278.40 |
$278.40 |
$278.40 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$267.60 |
$267.60 |
$267.60 |
$147.63
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$208.80 |
$208.80 |
$208.80 |
$133.25
|
|
Mayo factor xi
|
$279.00 |
$279.00 |
$279.00 |
$120.96
|
|
Mayo fbl culture fungi blood
|
$198.60 |
$198.60 |
$198.60 |
$91.65
|
|
Mayo ffspg allergen clam igg
|
$104.40 |
$104.40 |
$104.40 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$172.80 |
$172.80 |
$172.80 |
$80.00
|
|
Mayo hemosiderin qualitative urine
|
$71.40 |
$71.40 |
$71.40 |
$38.35
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$342.60 |
$342.60 |
$342.60 |
$170.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$115.20 |
$115.20 |
$115.20 |
$121.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$160.20 |
$160.20 |
$160.20 |
$61.75
|
|
Mayo hla typing a/b/c single antigen
|
$318.00 |
$318.00 |
$318.00 |
$142.00
|
|
Mayo hvdip HIV 1 antibody
|
$190.20 |
$190.20 |
$190.20 |
$69.60
|
|
Mayo hvdip HIV 2 antibody
|
$40.80 |
$40.80 |
$40.80 |
$80.00
|
|
Mayo hydroxyprogesterone 17-d
|
$136.20 |
$136.20 |
$136.20 |
$120.75
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$280.20 |
$280.20 |
$280.20 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$44.40 |
$44.40 |
$44.40 |
$83.40
|
