|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,162.80 |
$1,162.80 |
$1,162.80 |
$1,088.26
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,014.30 |
$1,014.30 |
$1,014.30 |
$1,065.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$274.80 |
$274.80 |
$274.80 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$4,711.80 |
$4,711.80 |
$4,711.80 |
$7,052.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$87.00 |
$87.00 |
$87.00 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$168.60 |
$168.60 |
$168.60 |
$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
|
$421.50 |
$421.50 |
$421.50 |
$385.62
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$13.80 |
$13.80 |
$13.80 |
$46.02
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$135.60 |
$135.60 |
$135.60 |
$125.66
|
|
Lipase
|
$121.20 |
$121.20 |
$121.20 |
$93.58
|
|
Lipoprotein blood quant
|
$89.40 |
$89.40 |
$89.40 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$101.40 |
$101.40 |
$101.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$118.20 |
$118.20 |
$118.20 |
$61.60
|
|
Lithium therapeutic drug level
|
$118.80 |
$118.80 |
$118.80 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$145.80 |
$145.80 |
$145.80 |
$340.00
|
|
Liver Function Test
|
$184.20 |
$184.20 |
$184.20 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$4.20 |
$4.20 |
$4.20 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,409.80 |
$3,409.80 |
$3,409.80 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,876.40 |
$2,876.40 |
$2,876.40 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,725.20 |
$2,725.20 |
$2,725.20 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,486.20 |
$4,486.20 |
$4,486.20 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,747.00 |
$3,747.00 |
$3,747.00 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,648.60 |
$3,648.60 |
$3,648.60 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$388.80 |
$388.80 |
$388.80 |
$352.32
|
|
Lung Function Test (Spirometry)
|
$228.00 |
$228.00 |
$228.00 |
$295.35
|
|
Lung perfusion imaging
|
$956.40 |
$956.40 |
$956.40 |
$1,075.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$36,126.00 |
$36,126.00 |
$36,126.00 |
$21,867.91
|
|
Lymphatics/lymph node imaging
|
$385.20 |
$385.20 |
$385.20 |
$1,448.00
|
|
Macroscopic exam parasite
|
$30.00 |
$30.00 |
$30.00 |
$36.40
|
|
Magnesium
|
$139.80 |
$139.80 |
$139.80 |
$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
|
$139.80 |
$139.80 |
$139.80 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$150.00 |
$150.00 |
$150.00 |
$152.54
|
|
Mastectomy partial
|
$1,122.60 |
$1,122.60 |
$1,122.60 |
$4,531.42
|
|
Mast mod rad
|
$2,418.00 |
$2,418.00 |
$2,418.00 |
$7,127.17
|
|
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
|
$27.00 |
$27.00 |
$27.00 |
$66.36
|
|
Mayo aathr protein s free
|
$150.60 |
$150.60 |
$150.60 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$252.60 |
$252.60 |
$252.60 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$1,072.80 |
$1,072.80 |
$1,072.80 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$169.20 |
$169.20 |
$169.20 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$323.40 |
$323.40 |
$323.40 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$92.40 |
$92.40 |
$92.40 |
$82.80
|
|
Mayo analysis gene calr common variants exon 9
|
$1,233.60 |
$1,233.60 |
$1,233.60 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$372.60 |
$372.60 |
$372.60 |
$359.00
|
|
Mayo androstenedione
|
$353.40 |
$353.40 |
$353.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$279.00 |
$279.00 |
$279.00 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$133.20 |
$133.20 |
$133.20 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$55.80 |
$55.80 |
$55.80 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$285.60 |
$285.60 |
$285.60 |
$165.78
|
|
Mayo bart bartonella henselae antibody igg
|
$41.40 |
$41.40 |
$41.40 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$75.60 |
$75.60 |
$75.60 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$156.60 |
$156.60 |
$156.60 |
$69.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$101.40 |
$101.40 |
$101.40 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$37.20 |
$37.20 |
$37.20 |
$82.68
|
|
Mayo ceruloplasmin
|
$150.60 |
$150.60 |
$150.60 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$266.40 |
$266.40 |
$266.40 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$112.80 |
$112.80 |
$112.80 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$31.80 |
$31.80 |
$31.80 |
$53.30
|
|
Mayo chromium
|
$240.60 |
$240.60 |
$240.60 |
$70.85
|
|
Mayo coccidioides antibody
|
$57.60 |
$57.60 |
$57.60 |
$55.20
|
|
Mayo cocou cortisone urine
|
$40.20 |
$40.20 |
$40.20 |
$207.26
|
|
Mayo cortisol free
|
$77.40 |
$77.40 |
$77.40 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$96.00 |
$96.00 |
$96.00 |
$70.20
|
|
Mayo deoxyribonuclease antibody titer
|
$26.40 |
$26.40 |
$26.40 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$198.00 |
$198.00 |
$198.00 |
$113.10
|
|
Mayo dihydrotestosterone
|
$49.80 |
$49.80 |
$49.80 |
$78.00
|
|
Mayo estriol
|
$118.20 |
$118.20 |
$118.20 |
$92.30
|
|
Mayo estrone
|
$514.80 |
$514.80 |
$514.80 |
$84.60
|
|
Mayo everolimus therapeutic drug level
|
$579.00 |
$579.00 |
$579.00 |
$91.99
|
|
Mayo factor ii
|
$135.00 |
$135.00 |
$135.00 |
$96.76
|
|
Mayo factor v
|
$581.40 |
$581.40 |
$581.40 |
$125.58
|
|
Mayo factor vii
|
$581.40 |
$581.40 |
$581.40 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$402.00 |
$402.00 |
$402.00 |
$112.75
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$292.20 |
$292.20 |
$292.20 |
$140.40
|
|
Mayo factor x
|
$581.40 |
$581.40 |
$581.40 |
$155.00
|
|
Mayo ffspg allergen clam igg
|
$40.80 |
$40.80 |
$40.80 |
$37.00
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$266.40 |
$266.40 |
$266.40 |
$69.00
|
|
Mayo gamma-globin full gene sequencing
|
$221.40 |
$221.40 |
$221.40 |
$1,264.25
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$22.20 |
$22.20 |
$22.20 |
$52.80
|
|
Mayo hydroxyprogesterone 17-d
|
$76.80 |
$76.80 |
$76.80 |
$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
|
$70.20 |
$70.20 |
$70.20 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$205.80 |
$205.80 |
$205.80 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$78.60 |
$78.60 |
$78.60 |
$107.50
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$30.00 |
$30.00 |
$30.00 |
$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
|
$476.40 |
$476.40 |
$476.40 |
$230.65
|
|
Mayo infliximab therapeutic drug level
|
$57.00 |
$57.00 |
$57.00 |
$148.80
|
|
Mayo insft insulin free
|
$58.80 |
$58.80 |
$58.80 |
$55.00
|
|
Mayo insulin antibodies
|
$82.20 |
$82.20 |
$82.20 |
$98.82
|
|
Mayo iodine
|
$40.20 |
$40.20 |
$40.20 |
$114.60
|
|
Mayo itraconazole therapeutic drug level
|
$91.20 |
$91.20 |
$91.20 |
$79.80
|
|
Mayo lamotrigine therapeutic drug level
|
$266.40 |
$266.40 |
$266.40 |
$69.75
|
|
Mayo lipoprotein electrophoresis
|
$174.60 |
$174.60 |
$174.60 |
$50.70
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$72.00 |
$72.00 |
$72.00 |
$70.00
|
|
Mayo metanephrines plasma
|
$279.00 |
$279.00 |
$279.00 |
$122.40
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$168.00 |
$168.00 |
$168.00 |
$85.40
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$25.80 |
$25.80 |
$25.80 |
$65.00
|
