|
Leg Vein Ultrasound (DVT study, both legs)
|
$224.84 |
$380.65 |
$888.51 |
|
|
Leishmania antibody
|
$8.00 |
$9.60 |
$20.80 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$47.84 |
$57.41 |
$191.35 |
|
|
Leuprolide acetate injeciton
|
$990.07 |
$1,237.58 |
$3,960.26 |
|
|
Levalbuterol non-comp unit
|
$14.98 |
$14.98 |
$14.98 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$33.15 |
$39.78 |
$212.46 |
|
|
Levetiracetam therapeutic drug level
|
$34.69 |
$78.20 |
$150.75 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$29.56 |
$35.48 |
$118.26 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$13.50 |
$13.50 |
$73.17 |
|
|
Lidocaine therapeutic drug level
|
$9.24 |
$19.80 |
$132.75 |
|
|
Ligation/biopsy of temporal artery 37609
|
$972.30 |
$972.30 |
$972.30 |
|
|
Limited visual field xm
|
$51.24 |
$51.24 |
$51.24 |
|
|
Lincomycin injection
|
$131.85 |
$158.22 |
$527.40 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$34.65 |
$41.58 |
$247.01 |
|
|
Lipase
|
$15.50 |
$39.77 |
$71.60 |
|
|
Lipoprotein blood high res frac & quant
|
$75.24 |
$101.75 |
$136.80 |
|
|
Lipoprotein blood quant
|
$19.09 |
$42.00 |
$70.00 |
|
|
Lipoprotein direct measurement hdl
|
$15.18 |
$35.86 |
$76.50 |
|
|
Lipoprotein direct measurement ldl
|
$6.09 |
$30.20 |
$48.60 |
|
|
Lip surgery procedure
|
$62.40 |
$76.25 |
$135.00 |
|
|
Lithium therapeutic drug level
|
$16.64 |
$43.46 |
$63.00 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,668.48 |
$1,668.48 |
$3,033.60 |
|
|
Liver ds alys 3 bmrk srm alg
|
$314.00 |
$376.80 |
$816.40 |
|
|
Liver Function Test
|
$9.90 |
$89.60 |
$167.79 |
|
|
Liver image (3d) with flow
|
$257.83 |
$257.83 |
$347.00 |
|
|
Liver imaging
|
$181.94 |
$181.94 |
$330.80 |
|
|
Liver imaging (3d)
|
$322.60 |
$322.60 |
$483.92 |
|
|
Liver imag w/vasclr flow
|
$303.40 |
$303.40 |
$380.88 |
|
|
Liver/spleen imag static only
|
$193.40 |
$398.80 |
$650.16 |
|
|
Liver/spleen imag w/vasclr flow
|
$330.05 |
$330.05 |
$358.75 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$30.12 |
$36.15 |
$120.50 |
|
|
Low cost skin substitute app
|
$253.00 |
$370.50 |
$821.76 |
|
|
Low cost skin substitute app
|
$373.38 |
$847.00 |
$2,688.64 |
|
|
Low cost skin substitute app
|
$253.00 |
$321.25 |
$821.76 |
|
|
Low cost skin substitute app
|
$373.38 |
$647.80 |
$821.76 |
|
|
Low cost skin substitute app
|
$66.20 |
$190.67 |
$443.70 |
|
|
Low cost skin substitute app
|
$179.20 |
$444.50 |
$800.10 |
|
|
Low cost skin substitute app
|
$66.20 |
$107.75 |
$193.95 |
|
|
Low cost skin substitute app
|
$179.20 |
$245.70 |
$526.50 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$286.88 |
$776.32 |
$944.40 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$239.14 |
$827.08 |
$1,774.24 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$207.68 |
$755.63 |
$960.44 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$358.82 |
$1,501.92 |
$2,131.65 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$310.86 |
$1,142.87 |
$1,535.10 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$263.12 |
$992.68 |
$1,214.10 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$70.75 |
$123.76 |
$201.60 |
|
|
Low frequency non-thermal Ultrasound
|
$59.60 |
$59.60 |
$71.52 |
|
|
L/s ratio fetal lung
|
$88.80 |
$136.50 |
$301.60 |
|
|
Lumbar diskogram s&i
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
|
|
Lung function test (mbc/mvv)
|
$73.60 |
$73.60 |
$73.60 |
|
|
Lung Function Test (Spirometry)
|
$73.70 |
$133.56 |
$202.08 |
|
|
Lung perfusion imaging
|
$240.46 |
$418.88 |
$511.77 |
|
|
Lymphatics/lymph node imaging
|
$253.00 |
$327.52 |
$579.36 |
|
|
Lymphocyte transformation mitogen
|
$85.10 |
$88.80 |
$341.67 |
|
|
Macroscopic exam arthropod
|
$3.57 |
$3.57 |
$3.57 |
|
|
Macroscopic exam parasite
|
$2.52 |
$6.24 |
$25.92 |
|
|
Magnesium
|
$4.84 |
$41.40 |
$196.25 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$48.97 |
$58.77 |
$195.90 |
|
|
Malaria antibody
|
$61.87 |
$61.87 |
$61.87 |
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$17.22 |
$40.80 |
$93.18 |
|
|
Manipulation chest wall initial demonstration/evaluation
|
$19.53 |
$48.25 |
$157.44 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$8.40 |
$10.08 |
$40.00 |
|
|
Manual diff wbc count b-coat
|
$15.12 |
$15.12 |
$15.12 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$320.04 |
$320.04 |
$320.04 |
|
|
Map tachycard site(s)
|
$734.58 |
$2,334.60 |
$2,945.84 |
|
|
Marker biop eviva buckle ss
|
$299.20 |
$423.25 |
$869.76 |
|
|
Mastectomy partial
|
$544.00 |
$544.00 |
$544.00 |
|
|
Mast mod rad
|
$1,509.76 |
$1,509.76 |
$1,509.76 |
|
|
Mastoids complete
|
$68.86 |
$109.41 |
$128.50 |
|
|
Mast simple complete
|
$1,203.20 |
$1,203.20 |
$1,203.20 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6.00 |
$6.00 |
$6.00 |
|
|
M.avium-intra dna amp prob
|
$30.13 |
$30.13 |
$31.50 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$13.02 |
$42.40 |
$165.83 |
|
|
Mayo aathr protein s free
|
$27.04 |
$130.18 |
$243.20 |
|
|
Mayo activated protein c resistance assay
|
$17.22 |
$60.48 |
$106.00 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$24.20 |
$30.25 |
$76.80 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$43.60 |
$50.14 |
$113.36 |
|
|
Mayo alcohol definitive assay volatile screen
|
$32.56 |
$63.00 |
$166.92 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$12.39 |
$36.57 |
$84.60 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$26.04 |
$107.40 |
$166.92 |
|
|
Mayo alpha 1 antitrypsin
|
$11.88 |
$85.28 |
$396.24 |
|
|
Mayo amikacin trough therapeutic drug level
|
$33.28 |
$66.00 |
$132.75 |
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$15.58 |
$67.41 |
$166.92 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$64.20 |
$73.83 |
$144.45 |
|
|
Mayo analysis gene calr common variants exon 9
|
$71.82 |
$108.48 |
$261.50 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$99.88 |
$214.41 |
$459.45 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$99.80 |
$119.76 |
$259.48 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$498.54 |
$656.40 |
$1,434.80 |
|
|
Mayo androstenedione
|
$29.19 |
$62.55 |
$277.25 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$19.32 |
$69.46 |
$130.56 |
|
|
Mayo antithrombin iii antigen
|
$6.80 |
$11.07 |
$60.06 |
|
|
Mayo aspergillus fumigatus antibody
|
$21.34 |
$47.75 |
$84.87 |
|
|
Mayo avwpr vw factor activity
|
$22.88 |
$118.80 |
$434.25 |
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$22.60 |
$27.12 |
$58.76 |
|
|
Mayo barbiturates definitive assay confirmation urine
|
$13.23 |
$69.70 |
$166.92 |
|
|
Mayo bart bartonella henselae antibody igg
|
$14.70 |
$28.70 |
$200.40 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$55.23 |
$129.26 |
$427.20 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$112.64 |
$118.65 |
$204.80 |
|
|
Mayo blastomyces antibody immunodiffusion
|
$20.46 |
$40.75 |
$83.52 |
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$30.36 |
$55.20 |
$80.25 |
|
