|
Lactate dehydrogenase (ldh)
|
$66.40 |
$66.40 |
$66.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$86.40 |
$86.40 |
$86.40 |
$43.74
|
|
Lactic acid
|
$57.60 |
$57.60 |
$57.60 |
$107.10
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$971.20 |
$971.20 |
$971.20 |
$740.40
|
|
Lead capillary
|
$122.40 |
$122.40 |
$122.40 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,441.60 |
$1,441.60 |
$1,441.60 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,866.40 |
$1,866.40 |
$1,866.40 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,060.80 |
$2,060.80 |
$2,060.80 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$1,092.58
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$72.24 |
$72.24 |
$72.24 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$4,396.20 |
$4,396.20 |
$4,396.20 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,525.68 |
$1,525.68 |
$1,525.68 |
$8,348.12
|
|
Levalbuterol non-comp unit
|
$10.77 |
$10.77 |
$10.77 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$60.98 |
$60.98 |
$60.98 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$73.60 |
$73.60 |
$73.60 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$107.54 |
$107.54 |
$107.54 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$191.67 |
$191.67 |
$191.67 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$62.29 |
$62.29 |
$62.29 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$106.26 |
$106.26 |
$106.26 |
$39.75
|
|
Lipase
|
$107.20 |
$107.20 |
$107.20 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$66.40 |
$66.40 |
$66.40 |
$57.50
|
|
Lithium therapeutic drug level
|
$84.80 |
$84.80 |
$84.80 |
$69.75
|
|
Liver Function Test
|
$114.40 |
$114.40 |
$114.40 |
$115.44
|
|
Liver imaging
|
$1,680.80 |
$1,680.80 |
$1,680.80 |
$1,109.00
|
|
Liver/spleen imag static only
|
$1,682.40 |
$1,682.40 |
$1,682.40 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$20.00 |
$20.00 |
$20.00 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$61.42 |
$61.42 |
$61.42 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,624.80 |
$2,624.80 |
$2,624.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,637.60 |
$2,637.60 |
$2,637.60 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,447.20 |
$2,447.20 |
$2,447.20 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,217.60 |
$4,217.60 |
$4,217.60 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,407.20 |
$3,407.20 |
$3,407.20 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,237.60 |
$3,237.60 |
$3,237.60 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$425.60 |
$425.60 |
$425.60 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$551.20 |
$551.20 |
$551.20 |
$505.83
|
|
Lower Leg (Shin) X-ray (both sides)
|
$338.40 |
$338.40 |
$338.40 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$688.80 |
$688.80 |
$688.80 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$358.40 |
$358.40 |
$358.40 |
$296.91
|
|
Lung perfusion imaging
|
$1,398.40 |
$1,398.40 |
$1,398.40 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,928.80 |
$1,928.80 |
$1,928.80 |
$1,491.70
|
|
Macroscopic exam parasite
|
$33.60 |
$33.60 |
$33.60 |
$37.05
|
|
Magnesium
|
$80.00 |
$80.00 |
$80.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$106.42 |
$106.42 |
$106.42 |
$58.70
|
|
Makena, 10 mg
|
$257.65 |
$257.65 |
$257.65 |
$1,405.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$64.00 |
$64.00 |
$64.00 |
$26.29
|
|
Marker biop eviva buckle ss
|
$437.60 |
$437.60 |
$437.60 |
$1,451.30
|
|
Mayo aathr protein s free
|
$244.00 |
$244.00 |
$244.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$200.00 |
$200.00 |
$200.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$170.40 |
$170.40 |
$170.40 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$70.40 |
$70.40 |
$70.40 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$77.60 |
$77.60 |
$77.60 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$55.20 |
$55.20 |
$55.20 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$92.00 |
$92.00 |
$92.00 |
$89.05
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$73.60 |
$73.60 |
$73.60 |
$78.10
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$250.40 |
$250.40 |
$250.40 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$460.00 |
$460.00 |
$460.00 |
$1,860.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$135.20 |
$135.20 |
$135.20 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$193.60 |
$193.60 |
$193.60 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$68.80 |
$68.80 |
$68.80 |
$67.20
|
|
Mayo barbiturates definitive assay confirmation urine
|
$72.80 |
$72.80 |
$72.80 |
$93.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$353.60 |
$353.60 |
$353.60 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$524.00 |
$524.00 |
$524.00 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$68.80 |
$68.80 |
$68.80 |
$56.00
|
|
Mayo bordetella pertussis antibody igg
|
$86.40 |
$86.40 |
$86.40 |
$69.20
|
|
Mayo c1 esterase inhibitor
|
$181.60 |
$181.60 |
$181.60 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$77.60 |
$77.60 |
$77.60 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$52.00 |
$52.00 |
$52.00 |
$81.00
|
|
Mayo ceruloplasmin
|
$52.00 |
$52.00 |
$52.00 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$129.60 |
$129.60 |
$129.60 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$168.00 |
$168.00 |
$168.00 |
$109.54
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$296.00 |
$296.00 |
$296.00 |
$366.94
|
|
Mayo chromium
|
$72.00 |
$72.00 |
$72.00 |
$75.60
|
|
Mayo coccidioides antibody
|
$64.80 |
$64.80 |
$64.80 |
$54.00
|
|
Mayo cocou cortisone urine
|
$63.20 |
$63.20 |
$63.20 |
$216.00
|
|
Mayo cortisol free
|
$81.60 |
$81.60 |
$81.60 |
$94.95
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$60.00 |
$60.00 |
$60.00 |
$58.20
|
|
Mayo deoxyribonuclease antibody titer
|
$56.80 |
$56.80 |
$56.80 |
$56.80
|
|
Mayo estriol
|
$137.60 |
$137.60 |
$137.60 |
$90.35
|
|
Mayo estrone
|
$60.00 |
$60.00 |
$60.00 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$93.60 |
$93.60 |
$93.60 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$97.50
|
|
Mayo fat/lipids feces quantitative
|
$57.60 |
$57.60 |
$57.60 |
$76.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$65.86
|
|
Mayo gamma-globin full gene sequencing
|
$113.60 |
$113.60 |
$113.60 |
$1,519.25
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$193.60 |
$193.60 |
$193.60 |
$165.60
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$65.60 |
$65.60 |
$65.60 |
$52.80
|
|
Mayo hla typing a/b/c single antigen
|
$203.20 |
$203.20 |
$203.20 |
$122.80
|
|
Mayo hydroxyprogesterone 17-d
|
$108.80 |
$108.80 |
$108.80 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$200.00 |
$200.00 |
$200.00 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$58.40 |
$58.40 |
$58.40 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$101.60 |
$101.60 |
$101.60 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$52.80 |
$52.80 |
$52.80 |
$108.96
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$104.80 |
$104.80 |
$104.80 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$121.60 |
$121.60 |
$121.60 |
$109.08
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$206.40 |
$206.40 |
$206.40 |
$155.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$104.80 |
$104.80 |
$104.80 |
$230.65
|
|
Mayo infliximab therapeutic drug level
|
$150.40 |
$150.40 |
$150.40 |
$148.80
|
|
Mayo inhab inhibin a
|
$56.80 |
$56.80 |
$56.80 |
$80.40
|
|
Mayo insulin antibodies
|
$54.40 |
$54.40 |
$54.40 |
$99.00
|
|
Mayo iodine
|
$88.00 |
$88.00 |
$88.00 |
$114.05
|