|
Knee MRI (with contrast)
|
$4,879.79 |
$4,879.79 |
$4,879.79 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,032.52 |
$4,032.52 |
$4,032.52 |
$2,181.10
|
|
Knee X-ray
|
$1,219.02 |
$1,219.02 |
$1,219.02 |
$443.90
|
|
Kras gene variants exon 2
|
$1,809.61 |
$1,809.61 |
$1,809.61 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$359.23 |
$359.23 |
$359.23 |
$39.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$303.50 |
$303.50 |
$303.50 |
$172.80
|
|
Lactate dehydrogenase (ldh)
|
$176.01 |
$176.01 |
$176.01 |
$53.30
|
|
Lactated ringers intravenous solution
|
$170.46 |
$170.46 |
$170.46 |
$48.00
|
|
Lactic acid
|
$255.68 |
$255.68 |
$255.68 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$615.57 |
$615.57 |
$615.57 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$76,166.51 |
$76,166.51 |
$76,166.51 |
$21,470.76
|
|
Largsc w/rmvl foreign bdy(s)
|
$4,648.48 |
$4,648.48 |
$4,648.48 |
$765.97
|
|
Lead capillary
|
$309.88 |
$309.88 |
$309.88 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,033.04 |
$2,033.04 |
$2,033.04 |
$1,100.74
|
|
Leishmania antibody
|
$121.19 |
$121.19 |
$121.19 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1,255.15 |
$1,255.15 |
$1,255.15 |
$168.92
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$361.53 |
$361.53 |
$361.53 |
$78.05
|
|
Levetiracetam therapeutic drug level
|
$322.15 |
$322.15 |
$322.15 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$212.76 |
$212.76 |
$212.76 |
$62.72
|
|
Lidocaine therapeutic drug level
|
$438.54 |
$438.54 |
$438.54 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$329.04 |
$329.04 |
$329.04 |
$159.18
|
|
Lipase
|
$220.99 |
$220.99 |
$220.99 |
$83.20
|
|
Lipoprotein blood quant
|
$547.19 |
$547.19 |
$547.19 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$329.42 |
$329.42 |
$329.42 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$159.14 |
$159.14 |
$159.14 |
$60.00
|
|
Lithium therapeutic drug level
|
$253.26 |
$253.26 |
$253.26 |
$67.60
|
|
Liver Function Test
|
$260.78 |
$260.78 |
$260.78 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$43.67 |
$43.67 |
$43.67 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$64.33 |
$64.33 |
$64.33 |
$43.75
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,235.43 |
$5,235.43 |
$5,235.43 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$5,034.65 |
$5,034.65 |
$5,034.65 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$4,947.46 |
$4,947.46 |
$4,947.46 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,046.72 |
$6,046.72 |
$6,046.72 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,879.79 |
$4,879.79 |
$4,879.79 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,032.52 |
$4,032.52 |
$4,032.52 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$920.62 |
$920.62 |
$920.62 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$582.31 |
$582.31 |
$582.31 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$1,731.71 |
$1,731.71 |
$1,731.71 |
$298.50
|
|
Lung perfusion imaging
|
$2,652.14 |
$2,652.14 |
$2,652.14 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$2,084.94 |
$2,084.94 |
$2,084.94 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$2,025.58 |
$2,025.58 |
$2,025.58 |
$266.20
|
|
Magnesium
|
$222.26 |
$222.26 |
$222.26 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$212.76 |
$212.76 |
$212.76 |
$64.61
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$290.52 |
$290.52 |
$290.52 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$429.94 |
$429.94 |
$429.94 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$183.45 |
$183.45 |
$183.45 |
$27.63
|
|
Map tachycard site(s)
|
$8,887.37 |
$8,887.37 |
$8,887.37 |
$3,960.00
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$112,526.96 |
$112,526.96 |
$112,526.96 |
$8,622.65
|
|
Marker biop eviva buckle ss
|
$635.54 |
$635.54 |
$635.54 |
$1,213.20
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$198.21 |
$198.21 |
$198.21 |
$66.50
|
|
Mayo aathr protein s free
|
$312.59 |
$312.59 |
$312.59 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$292.94 |
$292.94 |
$292.94 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$705.18 |
$705.18 |
$705.18 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$196.35 |
$196.35 |
$196.35 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$416.12 |
$416.12 |
$416.12 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$221.95 |
$221.95 |
$221.95 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$587.95 |
$587.95 |
$587.95 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$241.48 |
$241.48 |
$241.48 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$700.18 |
$700.18 |
$700.18 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$255.03 |
$255.03 |
$255.03 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$153.52 |
$153.52 |
$153.52 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$1,034.91 |
$1,034.91 |
$1,034.91 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$358.13 |
$358.13 |
$358.13 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,097.14 |
$1,097.14 |
$1,097.14 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$10,035.45 |
$10,035.45 |
$10,035.45 |
$1,909.44
|
|
Mayo androstenedione
|
$276.40 |
$276.40 |
$276.40 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$420.15 |
$420.15 |
$420.15 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$81.97 |
$81.97 |
$81.97 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$275.71 |
$275.71 |
$275.71 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$530.24 |
$530.24 |
$530.24 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$118.58 |
$118.58 |
$118.58 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$255.03 |
$255.03 |
$255.03 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$181.79 |
$181.79 |
$181.79 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$457.38 |
$457.38 |
$457.38 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$1,991.72 |
$1,991.72 |
$1,991.72 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$321.16 |
$321.16 |
$321.16 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$104.53 |
$104.53 |
$104.53 |
$66.00
|
|
Mayo brcmg brucella antibody igm
|
$329.70 |
$329.70 |
$329.70 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$192.63 |
$192.63 |
$192.63 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$255.03 |
$255.03 |
$255.03 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$255.43 |
$255.43 |
$255.43 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$310.83 |
$310.83 |
$310.83 |
$110.00
|
|
Mayo ceruloplasmin
|
$178.67 |
$178.67 |
$178.67 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$897.53 |
$897.53 |
$897.53 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$788.57 |
$788.57 |
$788.57 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$248.44 |
$248.44 |
$248.44 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$238.73 |
$238.73 |
$238.73 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$443.26 |
$443.26 |
$443.26 |
$353.99
|
|
Mayo chromium
|
$274.98 |
$274.98 |
$274.98 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$255.03 |
$255.03 |
$255.03 |
$89.53
|
|
Mayo coccidioides antibody
|
$436.82 |
$436.82 |
$436.82 |
$58.37
|
|
Mayo cocou cortisone urine
|
$611.37 |
$611.37 |
$611.37 |
$207.26
|
|
Mayo cortisol free
|
$256.83 |
$256.83 |
$256.83 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$401.12 |
$401.12 |
$401.12 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$320.82 |
$320.82 |
$320.82 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$175.70 |
$175.70 |
$175.70 |
$106.70
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$255.03 |
$255.03 |
$255.03 |
$72.14
|
|
Mayo deoxyribonuclease antibody titer
|
$229.53 |
$229.53 |
$229.53 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$466.21 |
$466.21 |
$466.21 |
$88.45
|
|
Mayo dihydrotestosterone
|
$647.12 |
$647.12 |
$647.12 |
$81.90
|