|
Lso sagittal rigid panel cus
|
$2,145.47 |
$2,849.78 |
$2,849.78 |
|
|
Lso sc r pos/lat pnl pre cst
|
$453.71 |
$602.73 |
$602.73 |
|
|
Lso s/c shell/panel custom
|
$1,655.81 |
$2,199.46 |
$4,195.91 |
|
|
Lso s/c shell/panel prefab
|
$2,050.05 |
$2,723.11 |
$2,723.11 |
|
|
Lumbar bolster pad
|
$123.87 |
$169.29 |
$169.29 |
|
|
Lumbar derotation pad
|
$143.92 |
$196.62 |
$196.62 |
|
|
Lumbar diskogram s&i
|
$568.03 |
$1,049.22 |
$3,970.40 |
|
|
Lumbar or lumbar rib pad
|
$140.28 |
$191.69 |
$191.69 |
|
|
Lumbar sling
|
$159.26 |
$217.56 |
$217.56 |
|
|
Lung Function Test Before and After an Inhaler
|
$279.17 |
$419.72 |
$688.80 |
|
|
Lung function test (mbc/mvv)
|
$95.20 |
$175.73 |
$175.73 |
|
|
Lung Function Test (Spirometry)
|
$84.56 |
$220.08 |
$358.40 |
|
|
Lung perfusion imaging
|
$446.45 |
$1,185.60 |
$1,500.80 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$8,727.88 |
$12,942.48 |
$13,030.08 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$6,353.22 |
$18,943.32 |
$19,359.00 |
|
|
Lutetium lu 177 vipivotide
|
$324.34 |
$324.34 |
$324.34 |
|
|
Lvad shower bag heartmate
|
$821.28 |
$958.16 |
$958.16 |
|
|
Lwr ext dynamic prosth pylon
|
$447.72 |
$594.72 |
$594.72 |
|
|
Lymphatics/lymph node imaging
|
$1,213.60 |
$1,921.98 |
$2,588.04 |
|
|
Lymphocyte transformation mitogen
|
$585.60 |
$585.60 |
$585.60 |
|
|
Lymph vessel x-ray arm/leg
|
$921.98 |
$921.98 |
$921.98 |
|
|
Lymph vessel x-ray arms/legs
|
$1,006.18 |
$1,006.18 |
$1,006.18 |
|
|
Lymph vessel x-ray trunk
|
$950.16 |
$950.16 |
$950.16 |
|
|
Lymph vessel x-ray trunk
|
$1,104.43 |
$1,104.43 |
$1,104.43 |
|
|
Macroscopic exam arthropod
|
$20.80 |
$95.62 |
$120.46 |
|
|
Macroscopic exam parasite
|
$23.20 |
$56.11 |
$116.00 |
|
|
Magnesium
|
$34.85 |
$40.66 |
$88.80 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$54.36 |
$69.96 |
$180.45 |
|
|
Magnetic image bone marrow
|
$2,075.98 |
$2,075.98 |
$2,075.98 |
|
|
Makena, 10 mg
|
$243.53 |
$1,332.10 |
$1,727.28 |
|
|
Mammosite ced
|
$4,557.28 |
$5,811.96 |
$5,811.96 |
|
|
Manipulate finger w/anesth
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$50.65 |
$50.65 |
$64.00 |
|
|
Man's shoe oxford brace
|
$116.82 |
$159.54 |
$159.54 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$173.57 |
$212.91 |
$212.91 |
|
|
Mapping io sentinel lymph node
|
$350.98 |
$783.16 |
$1,035.55 |
|
|
Map tachycard site(s)
|
$5,756.00 |
$10,715.88 |
$10,715.88 |
|
|
Marker biop eviva buckle ss
|
$187.20 |
$4,901.14 |
$5,717.99 |
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,120.56 |
$1,307.32 |
$1,307.32 |
|
|
Mastoids complete
|
$135.70 |
$336.80 |
$420.00 |
|
|
Matrion 1 sq cm
|
$164.16 |
$191.52 |
$191.52 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$29.60 |
$70.56 |
$101.18 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$45.65 |
$53.26 |
$208.80 |
|
|
Mayo aathr protein s free
|
$80.00 |
$117.65 |
$501.60 |
|
|
Mayo activated protein c resistance assay
|
$67.26 |
$71.86 |
$243.20 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$114.05 |
$133.06 |
$238.40 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$70.40 |
$96.80 |
$115.20 |
|
|
Mayo alcohol definitive assay volatile screen
|
$45.60 |
$155.20 |
$184.00 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$29.06 |
$31.06 |
$55.20 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$88.80 |
$88.80 |
$88.80 |
|
|
Mayo alpha 1 antitrypsin
|
$45.65 |
$53.26 |
$155.20 |
|
|
Mayo amikacin trough therapeutic drug level
|
$38.40 |
$40.90 |
$51.52 |
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$58.40 |
$58.40 |
$58.40 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$73.60 |
$73.60 |
$88.00 |
|
|
Mayo analysis gene calr common variants exon 9
|
$440.00 |
$918.91 |
$1,129.24 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$250.40 |
$918.91 |
$1,129.24 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$590.06 |
$673.96 |
$725.09 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$460.00 |
$2,765.06 |
$3,718.62 |
|
|
Mayo androstenedione
|
$51.20 |
$81.22 |
$102.31 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$79.20 |
$95.76 |
$218.40 |
|
|
Mayo antithrombin iii antigen
|
$112.00 |
$122.40 |
$193.60 |
|
|
Mayo aspergillus fumigatus antibody
|
$45.47 |
$49.01 |
$111.20 |
|
|
Mayo avwpr vw factor activity
|
$79.20 |
$334.32 |
$502.88 |
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$160.55 |
$160.55 |
$206.86 |
|
|
Mayo barbiturates definitive assay confirmation urine
|
$48.00 |
$117.60 |
$170.40 |
|
|
Mayo bart bartonella henselae antibody igg
|
$28.94 |
$33.77 |
$91.20 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$247.35 |
$353.60 |
$748.05 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$190.74 |
$220.70 |
$524.00 |
|
|
Mayo blastomyces antibody immunodiffusion
|
$45.65 |
$53.26 |
$70.40 |
|
|
Mayo bordetella pertussis antibody igg
|
$86.40 |
$230.50 |
$305.60 |
|
|
Mayo brcmg brucella antibody igm
|
$38.45 |
$44.86 |
$56.80 |
|
|
Mayo c1 esterase inhibitor
|
$40.10 |
$46.37 |
$287.20 |
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$65.60 |
$84.00 |
$151.20 |
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$38.74 |
$45.19 |
$52.00 |
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$24.62 |
$113.29 |
$298.40 |
|
|
Mayo ceruloplasmin
|
$37.52 |
$41.09 |
$131.20 |
|
|
Mayo chemiluminescent parathyroid related peptide
|
$128.00 |
$285.89 |
$351.29 |
|
|
Mayo chikv chikungunya antibodies igg
|
$32.80 |
$122.64 |
$168.00 |
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$19.63 |
$21.50 |
$148.00 |
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$54.40 |
$54.40 |
$148.00 |
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$296.00 |
$653.18 |
$1,018.81 |
|
|
Mayo chromium
|
$58.18 |
$64.80 |
$73.30 |
|
|
Mayo cocaine definitive assay confirmation urine
|
$96.00 |
$96.00 |
$96.00 |
|
|
Mayo coccidioides antibody
|
$57.60 |
$137.93 |
$175.06 |
|
|
Mayo cocou cortisone urine
|
$63.20 |
$1,529.86 |
$1,941.58 |
|
|
Mayo cortisol free
|
$46.22 |
$53.93 |
$108.80 |
|
|
Mayo covid-19 antibody nucleocapsid total
|
$71.20 |
$84.84 |
$107.35 |
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$35.20 |
$51.69 |
$150.24 |
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$74.40 |
$74.40 |
$74.40 |
|
|
Mayo cyanide
|
$74.09 |
$74.09 |
$121.60 |
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$325.19 |
$525.78 |
$1,308.80 |
|
|
Mayo deoxyribonuclease antibody titer
|
$48.10 |
$56.11 |
$71.20 |
|
|
Mayo dhea (dehydroepiandrosterone)
|
$61.60 |
$62.50 |
$78.74 |
|
|
Mayo dihydrotestosterone
|
$71.20 |
$89.71 |
$96.88 |
|
|
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid
|
$669.31 |
$819.90 |
$843.36 |
|
|
Mayo efpo chloride stool
|
$28.80 |
$28.80 |
$28.80 |
|
|
Mayo estriol
|
$48.55 |
$130.09 |
$264.00 |
|
|
Mayo estrone
|
$60.00 |
$104.16 |
$135.07 |
|
|
Mayo ethosuximide therapeutic drug level
|
$40.90 |
$47.71 |
$132.00 |
|
|
Mayo everolimus therapeutic drug level
|
$69.70 |
$81.31 |
$87.81 |
|
