|
Laryngoscopy w/fb removal
|
$784.55 |
$784.55 |
$784.55 |
$3,505.20
|
|
Lead capillary
|
$90.35 |
$90.35 |
$90.35 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,074.45 |
$1,074.45 |
$1,074.45 |
$1,053.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$286.00 |
$286.00 |
$286.00 |
$115.27
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$7,088.72 |
$7,088.72 |
$7,088.72 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$14,832.12 |
$14,832.12 |
$14,832.12 |
$4,308.91
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$60.12 |
$60.12 |
$60.12 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$131.95 |
$131.95 |
$131.95 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.39 |
$43.39 |
$43.39 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$343.13 |
$343.13 |
$343.13 |
$343.13
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$22.75 |
$22.75 |
$22.75 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$130.00 |
$130.00 |
$130.00 |
$82.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$61.42 |
$61.42 |
$61.42 |
$84.28
|
|
Lipase
|
$106.60 |
$106.60 |
$106.60 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$104.65 |
$104.65 |
$104.65 |
$90.60
|
|
Lipoprotein blood quant
|
$143.65 |
$143.65 |
$143.65 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$69.55 |
$69.55 |
$69.55 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$68.25 |
$68.25 |
$68.25 |
$61.60
|
|
Lithium therapeutic drug level
|
$94.90 |
$94.90 |
$94.90 |
$62.40
|
|
Liver elastography 91200
|
$445.25 |
$445.25 |
$445.25 |
$312.00
|
|
Liver Function Test
|
$148.85 |
$148.85 |
$148.85 |
$92.85
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$57.51 |
$57.51 |
$57.51 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,921.40 |
$1,921.40 |
$1,921.40 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,793.35 |
$1,793.35 |
$1,793.35 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,422.85 |
$1,422.85 |
$1,422.85 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,631.85 |
$2,631.85 |
$2,631.85 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,702.05 |
$2,702.05 |
$2,702.05 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,003.30 |
$2,003.30 |
$2,003.30 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$308.10 |
$308.10 |
$308.10 |
$328.23
|
|
L/s ratio fetal lung
|
$222.30 |
$222.30 |
$222.30 |
$173.55
|
|
Lung function test (mbc/mvv)
|
$163.15 |
$163.15 |
$163.15 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$273.65 |
$273.65 |
$273.65 |
$290.89
|
|
Lung perfusion imaging
|
$1,052.35 |
$1,052.35 |
$1,052.35 |
$919.75
|
|
Lurbinectedin 4 mg intravenous solution
|
$21,982.48 |
$21,982.48 |
$21,982.48 |
$298.13
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$32,894.79 |
$32,894.79 |
$32,894.79 |
$68.76
|
|
Lymphatics/lymph node imaging
|
$1,201.20 |
$1,201.20 |
$1,201.20 |
$1,330.00
|
|
Macro exam dissect molec study ea
|
$71.50 |
$71.50 |
$71.50 |
$76.70
|
|
Macroscopic exam arthropod
|
$46.15 |
$46.15 |
$46.15 |
$38.50
|
|
Macroscopic exam parasite
|
$46.80 |
$46.80 |
$46.80 |
$35.98
|
|
Magnesium
|
$84.50 |
$84.50 |
$84.50 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$40.95 |
$40.95 |
$40.95 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$90.35 |
$90.35 |
$90.35 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$118.95 |
$118.95 |
$118.95 |
$147.72
|
|
Mastectomy partial
|
$529.10 |
$529.10 |
$529.10 |
$4,306.52
|
|
Mastoids complete
|
$239.85 |
$239.85 |
$239.85 |
$271.95
|
|
Mast simple complete
|
$767.65 |
$767.65 |
$767.65 |
$5,582.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$135.85 |
$135.85 |
$135.85 |
$76.70
|
|
Mayo aathr protein s free
|
$211.25 |
$211.25 |
$211.25 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$174.20 |
$174.20 |
$174.20 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$208.00 |
$208.00 |
$208.00 |
$172.80
|
|
Mayo alcohol definitive assay volatile screen
|
$115.05 |
$115.05 |
$115.05 |
$118.40
|
|
Mayo alkaline phosphatase isoenzyme
|
$109.85 |
$109.85 |
$109.85 |
$83.85
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$144.30 |
$144.30 |
$144.30 |
$96.10
|
|
Mayo alpha 1 antitrypsin
|
$135.85 |
$135.85 |
$135.85 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$98.15 |
$98.15 |
$98.15 |
$112.89
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$109.85 |
$109.85 |
$109.85 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$696.80 |
$696.80 |
$696.80 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$334.75 |
$334.75 |
$334.75 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$536.90 |
$536.90 |
$536.90 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,418.30 |
$1,418.30 |
$1,418.30 |
$1,922.13
|
|
Mayo androstenedione
|
$152.10 |
$152.10 |
$152.10 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$125.45 |
$125.45 |
$125.45 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$109.20 |
$109.20 |
$109.20 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$98.80 |
$98.80 |
$98.80 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$249.60 |
$249.60 |
$249.60 |
$159.66
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$251.55 |
$251.55 |
$251.55 |
$147.20
|
|
Mayo barbiturates definitive assay confirmation urine
|
$73.45 |
$73.45 |
$73.45 |
$80.39
|
|
Mayo bart bartonella henselae antibody igg
|
$96.20 |
$96.20 |
$96.20 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$436.80 |
$436.80 |
$436.80 |
$364.90
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$400.40 |
$400.40 |
$400.40 |
$381.55
|
|
Mayo blastomyces antibody immunodiffusion
|
$92.30 |
$92.30 |
$92.30 |
$67.60
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$27.30 |
$27.30 |
$27.30 |
$60.15
|
|
Mayo bordetella pertussis antibody igg
|
$92.30 |
$92.30 |
$92.30 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$99.45 |
$99.45 |
$99.45 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$159.90 |
$159.90 |
$159.90 |
$124.80
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$107.25 |
$107.25 |
$107.25 |
$84.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$163.15 |
$163.15 |
$163.15 |
$104.55
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$104.00 |
$104.00 |
$104.00 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$318.50 |
$318.50 |
$318.50 |
$274.40
|
|
Mayo ceruloplasmin
|
$96.20 |
$96.20 |
$96.20 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$151.45 |
$151.45 |
$151.45 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$127.40 |
$127.40 |
$127.40 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$71.50 |
$71.50 |
$71.50 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$66.95 |
$66.95 |
$66.95 |
$54.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$347.75 |
$347.75 |
$347.75 |
$380.40
|
|
Mayo chromium
|
$88.40 |
$88.40 |
$88.40 |
$89.25
|
|
Mayo cocaine definitive assay confirmation urine
|
$98.80 |
$98.80 |
$98.80 |
$89.00
|
|
Mayo coccidioides antibody
|
$74.10 |
$74.10 |
$74.10 |
$61.10
|
|
Mayo cocou cortisone urine
|
$213.85 |
$213.85 |
$213.85 |
$222.62
|
|
Mayo cortisol free
|
$143.65 |
$143.65 |
$143.65 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$68.90 |
$68.90 |
$68.90 |
$77.63
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$96.85 |
$96.85 |
$96.85 |
$67.80
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$521.95 |
$521.95 |
$521.95 |
$780.00
|
|
Mayo deoxyribonuclease antibody titer
|
$99.45 |
$99.45 |
$99.45 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$172.90 |
$172.90 |
$172.90 |
$113.10
|
|
Mayo dihydrotestosterone
|
$120.90 |
$120.90 |
$120.90 |
$94.90
|
|
Mayo efpo chloride stool
|
$66.95 |
$66.95 |
$66.95 |
$45.00
|
|
Mayo estriol
|
$115.70 |
$115.70 |
$115.70 |
$102.50
|
|
Mayo estrone
|
$128.70 |
$128.70 |
$128.70 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$113.10 |
$113.10 |
$113.10 |
$81.60
|
