|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,275.60 |
$1,275.60 |
$1,275.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,750.80 |
$1,750.80 |
$1,750.80 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$257.40 |
$257.40 |
$257.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$355.20 |
$355.20 |
$355.20 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$438.60 |
$438.60 |
$438.60 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$249.00 |
$249.00 |
$249.00 |
$338.40
|
|
Lsh uterus 250 g or less
|
$1,679.40 |
$1,679.40 |
$1,679.40 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$1,907.40 |
$1,907.40 |
$1,907.40 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$1,875.60 |
$1,875.60 |
$1,875.60 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$2,064.60 |
$2,064.60 |
$2,064.60 |
$11,533.76
|
|
Lumbar Spinal Fusion (single level)
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$14,331.20
|
|
Lumizyme injection
|
$1,789.05 |
$1,789.05 |
$1,789.05 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$444.00 |
$444.00 |
$444.00 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$107.40 |
$107.40 |
$107.40 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$221.40 |
$221.40 |
$221.40 |
$296.91
|
|
Lung volume reduction 32491
|
$2,248.20 |
$2,248.20 |
$2,248.20 |
$2,248.20
|
|
Lurbinectedin 4 mg intravenous solution
|
$14,405.83 |
$14,405.83 |
$14,405.83 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$21,867.91 |
$21,867.91 |
$21,867.91 |
$22,771.63
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$1,335.60 |
$1,335.60 |
$1,335.60 |
$1,748.00
|
|
Lymphocyte transformation mitogen
|
$229.20 |
$229.20 |
$229.20 |
$271.88
|
|
Lysis intranasal synechia 30560
|
$526.80 |
$526.80 |
$526.80 |
$833.97
|
|
Lysis of labial adhesions
|
$281.40 |
$281.40 |
$281.40 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$511.20 |
$511.20 |
$511.20 |
$3,503.00
|
|
Macroscopic exam arthropod
|
$55.20 |
$55.20 |
$55.20 |
$38.58
|
|
Macroscopic exam parasite
|
$18.00 |
$18.00 |
$18.00 |
$37.05
|
|
Magnesium
|
$64.80 |
$64.80 |
$64.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$221.80 |
$221.80 |
$221.80 |
$58.70
|
|
Makena, 10 mg
|
$6,123.06 |
$6,123.06 |
$6,123.06 |
$1,405.80
|
|
Management of liver hemorrhage 47361
|
$4,383.00 |
$4,383.00 |
$4,383.00 |
$7,440.00
|
|
Mannitol 12.5 gm/50 ml inj
|
$17.29 |
$17.29 |
$17.29 |
$26.29
|
|
Mapping io sentinel lymph node
|
$256.80 |
$256.80 |
$256.80 |
$650.00
|
|
Marker biop eviva buckle ss
|
$616.80 |
$616.80 |
$616.80 |
$1,451.30
|
|
Marsupialization liver lesion 47300
|
$2,128.20 |
$2,128.20 |
$2,128.20 |
$2,771.20
|
|
Mastectomy partial
|
$1,211.40 |
$1,211.40 |
$1,211.40 |
$5,110.00
|
|
Mast mod rad
|
$2,229.60 |
$2,229.60 |
$2,229.60 |
$7,224.60
|
|
Mastoidectomy complete 69502
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$6,969.40
|
|
Mastoids complete
|
$235.20 |
$235.20 |
$235.20 |
$299.50
|
|
Mastopexy
|
$1,756.80 |
$1,756.80 |
$1,756.80 |
$6,839.00
|
|
Mast simple complete
|
$1,876.80 |
$1,876.80 |
$1,876.80 |
$7,127.17
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$49.80 |
$49.80 |
$49.80 |
$65.28
|
|
Mayo aathr protein s free
|
$255.60 |
$255.60 |
$255.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$263.40 |
$263.40 |
$263.40 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$109.80 |
$109.80 |
$109.80 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$288.60 |
$288.60 |
$288.60 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$364.20 |
$364.20 |
$364.20 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$304.80 |
$304.80 |
$304.80 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$208.20 |
$208.20 |
$208.20 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$82.20 |
$82.20 |
$82.20 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$122.40 |
$122.40 |
$122.40 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$425.40 |
$425.40 |
$425.40 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$317.40 |
$317.40 |
$317.40 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,228.80 |
$1,228.80 |
$1,228.80 |
$1,860.00
|
|
Mayo androstenedione
|
$252.00 |
$252.00 |
$252.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$86.40 |
$86.40 |
$86.40 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$297.60 |
$297.60 |
$297.60 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$78.60 |
$78.60 |
$78.60 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$280.80 |
$280.80 |
$280.80 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$306.00 |
$306.00 |
$306.00 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$36.60 |
$36.60 |
$36.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$513.00 |
$513.00 |
$513.00 |
$333.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$238.80 |
$238.80 |
$238.80 |
$56.00
|
|
Mayo bordetella pertussis antibody igg
|
$226.80 |
$226.80 |
$226.80 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$32.40 |
$32.40 |
$32.40 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$235.80 |
$235.80 |
$235.80 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$288.60 |
$288.60 |
$288.60 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$178.80 |
$178.80 |
$178.80 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$92.40 |
$92.40 |
$92.40 |
$110.02
|
|
Mayo ceruloplasmin
|
$147.00 |
$147.00 |
$147.00 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$200.40 |
$200.40 |
$200.40 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$188.40 |
$188.40 |
$188.40 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$121.80 |
$121.80 |
$121.80 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$97.80 |
$97.80 |
$97.80 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$413.40 |
$413.40 |
$413.40 |
$366.94
|
|
Mayo chromium
|
$87.00 |
$87.00 |
$87.00 |
$75.60
|
|
Mayo cocaine definitive assay confirmation urine
|
$288.60 |
$288.60 |
$288.60 |
$100.00
|
|
Mayo coccidioides antibody
|
$83.40 |
$83.40 |
$83.40 |
$54.00
|
|
Mayo cocou cortisone urine
|
$236.40 |
$236.40 |
$236.40 |
$216.00
|
|
Mayo cortisol free
|
$142.20 |
$142.20 |
$142.20 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$50.40 |
$50.40 |
$50.40 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$52.20 |
$52.20 |
$52.20 |
$58.20
|
|
Mayo cyanide
|
$66.60 |
$66.60 |
$66.60 |
$87.60
|
|
Mayo deoxyribonuclease antibody titer
|
$106.80 |
$106.80 |
$106.80 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$133.20 |
$133.20 |
$133.20 |
$106.47
|
|
Mayo dihydrotestosterone
|
$82.20 |
$82.20 |
$82.20 |
$78.00
|
|
Mayo efpo chloride stool
|
$42.60 |
$42.60 |
$42.60 |
$44.20
|
|
Mayo estriol
|
$80.40 |
$80.40 |
$80.40 |
$90.35
|
|
Mayo estrone
|
$136.80 |
$136.80 |
$136.80 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$124.20 |
$124.20 |
$124.20 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$47.40 |
$47.40 |
$47.40 |
$97.50
|
|
Mayo factor ii
|
$143.40 |
$143.40 |
$143.40 |
$99.06
|
|
Mayo factor v
|
$64.80 |
$64.80 |
$64.80 |
$129.60
|
|
Mayo factor vii
|
$78.00 |
$78.00 |
$78.00 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$203.40 |
$203.40 |
$203.40 |
$128.80
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$104.40 |
$104.40 |
$104.40 |
$141.30
|
|
Mayo factor x
|
$66.00 |
$66.00 |
$66.00 |
$155.00
|
|
Mayo factor xi
|
$257.40 |
$257.40 |
$257.40 |
$123.75
|
|
Mayo fat/lipids feces quantitative
|
$273.00 |
$273.00 |
$273.00 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$105.60 |
$105.60 |
$105.60 |
$106.56
|
|
Mayo ffspg allergen clam igg
|
$19.20 |
$19.20 |
$19.20 |
$35.10
|
