|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$538.20 |
$538.20 |
$538.20 |
$666.00
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$923.90 |
$923.90 |
$923.90 |
$740.00
|
|
Knee Arthroscopy (Cartilage Repair)
|
$1,685.40 |
$1,685.40 |
$1,685.40 |
$4,304.96
|
|
Knee Arthroscopy (Meniscus Repair)
|
$1,960.80 |
$1,960.80 |
$1,960.80 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$1,567.20 |
$1,567.20 |
$1,567.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,224.80 |
$2,224.80 |
$2,224.80 |
$4,499.12
|
|
Knee arthroscopy/surgery
|
$3,287.40 |
$3,287.40 |
$3,287.40 |
$8,453.60
|
|
Knee MRI (with and without contrast)
|
$3,763.20 |
$3,763.20 |
$3,763.20 |
$3,034.80
|
|
Knee MRI (without contrast)
|
$3,517.20 |
$3,517.20 |
$3,517.20 |
$2,169.60
|
|
Knee X-ray
|
$732.60 |
$732.60 |
$732.60 |
$425.55
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$33.60 |
$33.60 |
$33.60 |
$32.34
|
|
Lactate dehydrogenase (ldh)
|
$85.20 |
$85.20 |
$85.20 |
$55.50
|
|
Lactated ringers intravenous solution
|
$21.00 |
$21.00 |
$21.00 |
$45.56
|
|
Lactic acid
|
$48.00 |
$48.00 |
$48.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$276.00 |
$276.00 |
$276.00 |
$80.40
|
|
Lactoferrin fecal quant
|
$82.80 |
$82.80 |
$82.80 |
$106.10
|
|
Lead capillary
|
$161.40 |
$161.40 |
$161.40 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$957.60 |
$957.60 |
$957.60 |
$1,088.26
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,552.32 |
$1,552.32 |
$1,552.32 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,014.30 |
$1,014.30 |
$1,014.30 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$917.28 |
$917.28 |
$917.28 |
$367.97
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$27.00 |
$27.00 |
$27.00 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$160.20 |
$160.20 |
$160.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$39.00 |
$39.00 |
$39.00 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$814.80 |
$814.80 |
$814.80 |
$385.62
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$19.20 |
$19.20 |
$19.20 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$27.30 |
$27.30 |
$27.30 |
$39.37
|
|
Ligation/major artery/extremity 37618
|
$1,002.60 |
$1,002.60 |
$1,002.60 |
$1,525.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$135.60 |
$135.60 |
$135.60 |
$125.66
|
|
Lipase
|
$164.40 |
$164.40 |
$164.40 |
$93.58
|
|
Lipoprotein blood quant
|
$85.20 |
$85.20 |
$85.20 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$97.80 |
$97.80 |
$97.80 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$112.80 |
$112.80 |
$112.80 |
$61.60
|
|
Lithium therapeutic drug level
|
$115.20 |
$115.20 |
$115.20 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$145.80 |
$145.80 |
$145.80 |
$340.00
|
|
Liver Function Test
|
$178.80 |
$178.80 |
$178.80 |
$115.44
|
|
Liver imaging
|
$297.00 |
$297.00 |
$297.00 |
$1,093.50
|
|
Liver/spleen imag static only
|
$1,539.60 |
$1,539.60 |
$1,539.60 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$4.20 |
$4.20 |
$4.20 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,442.80 |
$3,442.80 |
$3,442.80 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,910.60 |
$2,910.60 |
$2,910.60 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,389.20 |
$2,389.20 |
$2,389.20 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,315.80 |
$4,315.80 |
$4,315.80 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,509.40 |
$3,509.40 |
$3,509.40 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$349.80 |
$349.80 |
$349.80 |
$352.32
|
|
Lung Function Test (Spirometry)
|
$198.60 |
$198.60 |
$198.60 |
$295.35
|
|
Lung perfusion imaging
|
$801.60 |
$801.60 |
$801.60 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$852.00 |
$852.00 |
$852.00 |
$1,448.00
|
|
Magnesium
|
$473.40 |
$473.40 |
$473.40 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$28.20 |
$28.20 |
$28.20 |
$58.70
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$91.80 |
$91.80 |
$91.80 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$105.00 |
$105.00 |
$105.00 |
$152.54
|
|
Mastoids complete
|
$1,525.20 |
$1,525.20 |
$1,525.20 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$82.79 |
$82.79 |
$82.79 |
$5,065.63
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$27.60 |
$27.60 |
$27.60 |
$66.36
|
|
Mayo aathr protein s free
|
$198.00 |
$198.00 |
$198.00 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$238.80 |
$238.80 |
$238.80 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$161.40 |
$161.40 |
$161.40 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$330.60 |
$330.60 |
$330.60 |
$89.05
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$277.20 |
$277.20 |
$277.20 |
$359.00
|
|
Mayo androstenedione
|
$336.00 |
$336.00 |
$336.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$250.80 |
$250.80 |
$250.80 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$127.20 |
$127.20 |
$127.20 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$27.60 |
$27.60 |
$27.60 |
$67.60
|
|
Mayo bart bartonella henselae antibody igg
|
$87.60 |
$87.60 |
$87.60 |
$45.50
|
|
Mayo bordetella pertussis antibody igg
|
$160.20 |
$160.20 |
$160.20 |
$69.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$101.40 |
$101.40 |
$101.40 |
$106.70
|
|
Mayo ceruloplasmin
|
$198.00 |
$198.00 |
$198.00 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$51.60 |
$51.60 |
$51.60 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$110.40 |
$110.40 |
$110.40 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$39.00 |
$39.00 |
$39.00 |
$53.30
|
|
Mayo chromium
|
$229.80 |
$229.80 |
$229.80 |
$70.85
|
|
Mayo cocou cortisone urine
|
$891.60 |
$891.60 |
$891.60 |
$207.26
|
|
Mayo cortisol free
|
$73.80 |
$73.80 |
$73.80 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$96.00 |
$96.00 |
$96.00 |
$70.20
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$101.40 |
$101.40 |
$101.40 |
$92.50
|
|
Mayo dhea (dehydroepiandrosterone)
|
$184.20 |
$184.20 |
$184.20 |
$113.10
|
|
Mayo estrone
|
$504.00 |
$504.00 |
$504.00 |
$84.60
|
|
Mayo ethosuximide therapeutic drug level
|
$198.00 |
$198.00 |
$198.00 |
$72.80
|
|
Mayo factor ii
|
$127.20 |
$127.20 |
$127.20 |
$96.76
|
|
Mayo factor v
|
$550.20 |
$550.20 |
$550.20 |
$125.58
|
|
Mayo factor vii
|
$550.20 |
$550.20 |
$550.20 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$402.00 |
$402.00 |
$402.00 |
$112.75
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$276.60 |
$276.60 |
$276.60 |
$140.40
|
|
Mayo factor x
|
$550.20 |
$550.20 |
$550.20 |
$155.00
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$316.80 |
$316.80 |
$316.80 |
$69.00
|
|
Mayo gamma-globin full gene sequencing
|
$221.40 |
$221.40 |
$221.40 |
$1,264.25
|
|
Mayo hvdip HIV 1 antibody
|
$222.60 |
$222.60 |
$222.60 |
$67.24
|
|
Mayo hydroxyprogesterone 17-d
|
$619.20 |
$619.20 |
$619.20 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$291.60 |
$291.60 |
$291.60 |
$204.48
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$24.60 |
$24.60 |
$24.60 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$90.60 |
$90.60 |
$90.60 |
$107.50
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$392.40 |
$392.40 |
$392.40 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$127.80 |
$127.80 |
$127.80 |
$109.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$244.50 |
$244.50 |
$244.50 |
$230.65
|
|
Mayo insft insulin free
|
$58.80 |
$58.80 |
$58.80 |
$55.00
|
|
Mayo insulin antibodies
|
$133.20 |
$133.20 |
$133.20 |
$98.82
|
|
Mayo iodine
|
$82.80 |
$82.80 |
$82.80 |
$114.60
|
|
Mayo lamotrigine therapeutic drug level
|
$316.80 |
$316.80 |
$316.80 |
$69.75
|
