|
Lipase
|
$32.00 |
$32.00 |
$32.00 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$23.55 |
$23.55 |
$23.55 |
$60.00
|
|
Lipoprotein direct measurement ldl
|
$32.00 |
$32.00 |
$32.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$54.40 |
$54.40 |
$54.40 |
$70.58
|
|
Liver Function Test
|
$89.60 |
$89.60 |
$89.60 |
$115.44
|
|
Liver/spleen imag static only
|
$438.59 |
$438.59 |
$438.59 |
$1,140.78
|
|
Low cost skin substitute app
|
$821.76 |
$821.76 |
$821.76 |
$880.50
|
|
Low cost skin substitute app
|
$2,688.64 |
$2,688.64 |
$2,688.64 |
$2,154.21
|
|
Low cost skin substitute app
|
$821.76 |
$821.76 |
$821.76 |
$933.60
|
|
Low cost skin substitute app
|
$821.76 |
$821.76 |
$821.76 |
$923.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$776.32 |
$776.32 |
$776.32 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$749.44 |
$749.44 |
$749.44 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$746.88 |
$746.88 |
$746.88 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,093.76 |
$1,093.76 |
$1,093.76 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$846.72 |
$846.72 |
$846.72 |
$2,445.00
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$836.48 |
$836.48 |
$836.48 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$201.60 |
$201.60 |
$201.60 |
$363.66
|
|
Lung function test (mbc/mvv)
|
$73.60 |
$73.60 |
$73.60 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$158.72 |
$158.72 |
$158.72 |
$298.50
|
|
Lung perfusion imaging
|
$418.88 |
$418.88 |
$418.88 |
$1,087.20
|
|
Lymphatics/lymph node imaging
|
$451.84 |
$451.84 |
$451.84 |
$1,463.22
|
|
Magnesium
|
$44.80 |
$44.80 |
$44.80 |
$73.15
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$93.18 |
$93.18 |
$93.18 |
$129.36
|
|
Manipulation chest wall initial demonstration/evaluation
|
$157.44 |
$157.44 |
$157.44 |
$158.60
|
|
Mastectomy partial
|
$544.00 |
$544.00 |
$544.00 |
$4,531.42
|
|
Mast mod rad
|
$1,509.76 |
$1,509.76 |
$1,509.76 |
$7,127.17
|
|
Mastoids complete
|
$81.73 |
$81.73 |
$81.73 |
$299.52
|
|
Mast simple complete
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
$6,052.48
|
|
Mayo aathr protein s free
|
$243.20 |
$243.20 |
$243.20 |
$134.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$76.80 |
$76.80 |
$76.80 |
$180.00
|
|
Mayo alkaline phosphatase isoenzyme
|
$23.36 |
$23.36 |
$23.36 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$26.88 |
$26.88 |
$26.88 |
$92.00
|
|
Mayo androstenedione
|
$163.84 |
$163.84 |
$163.84 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$30.40 |
$30.40 |
$30.40 |
$73.08
|
|
Mayo ceruloplasmin
|
$73.60 |
$73.60 |
$73.60 |
$71.28
|
|
Mayo chemiluminescent parathyroid related peptide
|
$37.12 |
$37.12 |
$37.12 |
$119.62
|
|
Mayo chikv chikungunya antibodies igg
|
$73.60 |
$73.60 |
$73.60 |
$109.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$196.80 |
$196.80 |
$196.80 |
$353.50
|
|
Mayo coccidioides antibody
|
$12.80 |
$12.80 |
$12.80 |
$55.02
|
|
Mayo cocou cortisone urine
|
$115.20 |
$115.20 |
$115.20 |
$206.34
|
|
Mayo covid-19 antibody nucleocapsid total
|
$44.80 |
$44.80 |
$44.80 |
$70.20
|
|
Mayo dhea (dehydroepiandrosterone)
|
$66.56 |
$66.56 |
$66.56 |
$112.80
|
|
Mayo ethosuximide therapeutic drug level
|
$48.00 |
$48.00 |
$48.00 |
$71.16
|
|
Mayo hla typing a/b/c single antigen
|
$180.10 |
$180.10 |
$180.10 |
$124.15
|
|
Mayo hvdip HIV 1 antibody
|
$92.93 |
$92.93 |
$92.93 |
$70.85
|
|
Mayo hvdip HIV 2 antibody
|
$105.60 |
$105.60 |
$105.60 |
$75.04
|
|
Mayo hydroxyprogesterone 17-d
|
$16.00 |
$16.00 |
$16.00 |
$108.00
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$151.04 |
$151.04 |
$151.04 |
$210.80
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$37.12 |
$37.12 |
$37.12 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$42.75 |
$42.75 |
$42.75 |
$107.50
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$201.60 |
$201.60 |
$201.60 |
$230.65
|
|
Mayo infliximab therapeutic drug level
|
$73.60 |
$73.60 |
$73.60 |
$150.40
|
|
Mayo inhab inhibin a
|
$55.04 |
$55.04 |
$55.04 |
$77.55
|
|
Mayo insulin antibodies
|
$56.96 |
$56.96 |
$56.96 |
$99.22
|
|
Mayo lacosamide therapeutic drug level
|
$57.60 |
$57.60 |
$57.60 |
$105.00
|
|
Mayo lamotrigine therapeutic drug level
|
$34.56 |
$34.56 |
$34.56 |
$69.75
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$22.40 |
$22.40 |
$22.40 |
$70.00
|
|
Mayo metanephrines plasma
|
$97.47 |
$97.47 |
$97.47 |
$124.20
|
|
Mayo microsomal antibody liver-kidney
|
$25.60 |
$25.60 |
$25.60 |
$82.50
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$80.64 |
$80.64 |
$80.64 |
$167.61
|
|
Mayo mycophenolic acid therapeutic drug level
|
$47.36 |
$47.36 |
$47.36 |
$77.00
|
|
Mayo myoglobin
|
$89.60 |
$89.60 |
$89.60 |
$97.32
|
|
Mayo organic acid methylmalonic single quantitative
|
$137.60 |
$137.60 |
$137.60 |
$104.13
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$172.80 |
$172.80 |
$172.80 |
$207.27
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$133.12 |
$133.12 |
$133.12 |
$49.80
|
|
Mayo prmb primidone therapeutic drug level
|
$42.24 |
$42.24 |
$42.24 |
$68.00
|
|
Mayo psaft prostate specific antigen free
|
$76.80 |
$76.80 |
$76.80 |
$90.00
|
|
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative
|
$145.92 |
$145.92 |
$145.92 |
$239.20
|
|
Mayo receptor assay transferrin soluble
|
$201.60 |
$201.60 |
$201.60 |
$115.00
|
|
Mayo renin
|
$179.20 |
$179.20 |
$179.20 |
$102.60
|
|
Mayo repu protein electrophoresis urine
|
$16.00 |
$16.00 |
$16.00 |
$94.98
|
|
Mayo serotonin
|
$80.64 |
$80.64 |
$80.64 |
$120.00
|
|
Mayo sfgp rickettsia rickettsii antibody igg
|
$28.80 |
$28.80 |
$28.80 |
$74.40
|
|
Mayo sirolimus therapeutic drug level
|
$236.80 |
$236.80 |
$236.80 |
$100.10
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$17.28 |
$17.28 |
$17.28 |
$48.57
|
|
Mayo tgrp testosterone free
|
$44.80 |
$44.80 |
$44.80 |
$102.50
|
|
Mayo tgrp testosterone total
|
$48.00 |
$48.00 |
$48.00 |
$127.26
|
|
Mayo thyroglobulin
|
$69.12 |
$69.12 |
$69.12 |
$95.00
|
|
Mayo vitamin b-2 (riboflavin)
|
$51.84 |
$51.84 |
$51.84 |
$91.00
|
|
Mayo vitamin k
|
$268.80 |
$268.80 |
$268.80 |
$94.60
|
|
Mayo zonisamide therapeutic drug level
|
$48.00 |
$48.00 |
$48.00 |
$86.40
|
|
Md inr test revie inter mgmt
|
$8.96 |
$8.96 |
$8.96 |
$13.73
|
|
Measurement post void urine by ultrasound
|
$93.44 |
$93.44 |
$93.44 |
$171.60
|
|
Meropenem 1 gram intravenous solution
|
$54.41 |
$54.41 |
$54.41 |
$60.44
|
|
Metabolic Blood Panel (Basic)
|
$89.60 |
$89.60 |
$89.60 |
$117.50
|
|
Metabolic Blood Panel (Comprehensive)
|
$105.60 |
$105.60 |
$105.60 |
$157.50
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$35.95 |
$35.95 |
$35.95 |
$136.22
|
|
Methyldopate hcl injection
|
$151.76 |
$151.76 |
$151.76 |
$96.82
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$788.45 |
$788.45 |
$788.45 |
$1,132.12
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$76.95 |
$76.95 |
$76.95 |
$60.89
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$397.11 |
$397.11 |
$397.11 |
$193.00
|
|
Micafungin 100 mg intravenous solution
|
$643.40 |
$643.40 |
$643.40 |
$329.53
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$56.13 |
$56.13 |
$56.13 |
$91.50
|
|
Mitomycin 40 mg intravenous solution
|
$3,154.78 |
$3,154.78 |
$3,154.78 |
$1,680.80
|
|
Mnpj anes sho jt fixj aprats
|
$372.64 |
$372.64 |
$372.64 |
$1,893.86
|
|
Monovisc inj per dose
|
$5,391.36 |
$5,391.36 |
$5,391.36 |
$1,705.31
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$106.24 |
$106.24 |
$106.24 |
$335.28
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$77.44 |
$77.44 |
$77.44 |
$315.90
|
|
M/phmtrc alys skeletal musc
|
$124.16 |
$124.16 |
$124.16 |
$274.49
|
|
MRA chest w IV cont
|
$831.42 |
$831.42 |
$831.42 |
$1,859.50
|
