|
Lipoprotein blood high res frac & quant
|
$68.90 |
$83.85 |
$202.15 |
|
|
Lipoprotein blood quant
|
$83.25 |
$136.50 |
$159.25 |
|
|
Lipoprotein direct measurement hdl
|
$29.25 |
$69.55 |
$111.15 |
|
|
Lipoprotein direct measurement ldl
|
$33.80 |
$59.15 |
$111.15 |
|
|
Lithium therapeutic drug level
|
$24.00 |
$91.65 |
$159.90 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$13,861.25 |
$13,861.25 |
$13,861.25 |
|
|
Liver elastography 91200
|
$445.25 |
$445.25 |
$445.25 |
|
|
Liver Function Test
|
$46.50 |
$161.20 |
$222.30 |
|
|
Liver imaging
|
$980.20 |
$47,298.41 |
$86,489.96 |
|
|
Liver imag w/vasclr flow
|
$1,027.00 |
$1,658.15 |
$2,147.60 |
|
|
Liver/spleen imag static only
|
$945.10 |
$1,149.85 |
$1,244.10 |
|
|
Liver/spleen imag w/vasclr flow
|
$934.05 |
$949.00 |
$1,865.50 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$169.21 |
$169.21 |
$169.21 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$63,220.12 |
$63,220.12 |
$63,220.12 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.00 |
$55.64 |
$86.74 |
|
|
Low back disk surgery
|
$18,724.62 |
$18,724.62 |
$31,367.87 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,361.10 |
$2,045.55 |
$2,141.10 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,329.90 |
$1,793.35 |
$2,191.15 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$60.75 |
$1,422.85 |
$1,834.30 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$257.25 |
$2,631.85 |
$3,112.20 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,450.15 |
$2,332.20 |
$2,702.05 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$87.75 |
$1,862.90 |
$2,332.20 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$123.75 |
$276.25 |
$439.40 |
|
|
Lsh w/t/o ut 250 g or less
|
$29,270.13 |
$29,270.13 |
$29,270.13 |
|
|
L/s ratio fetal lung
|
$169.65 |
$191.10 |
$234.65 |
|
|
Lumbar diskogram s&i
|
$1,786.85 |
$1,786.85 |
$7,066.80 |
|
|
Lung function test (mbc/mvv)
|
$98.15 |
$163.15 |
$193.70 |
|
|
Lung Function Test (Spirometry)
|
$33.00 |
$271.70 |
$466.70 |
|
|
Lung perfusion imaging
|
$775.45 |
$1,030.25 |
$1,336.40 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$13,674.05 |
$20,507.17 |
$21,982.48 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$6,825.32 |
$27,414.17 |
$32,894.79 |
|
|
Lutetium lu 177 dotatat ther
|
$774.80 |
$774.80 |
$774.80 |
|
|
Lutetium lu 177 vipivotide
|
$433.55 |
$433.55 |
$542.10 |
|
|
Lvad shower bag heartmate
|
$391.95 |
$391.95 |
$391.95 |
|
|
Lymphatics/lymph node imaging
|
$1,201.20 |
$1,589.25 |
$28,053.83 |
|
|
Lysis of labial adhesions
|
$8,817.20 |
$8,817.20 |
$8,817.20 |
|
|
Lysis penil circumic lesion
|
$5,564.65 |
$5,564.65 |
$9,947.25 |
|
|
Macro exam dissect molec study ea
|
$71.50 |
$71.50 |
$81.90 |
|
|
Macroscopic exam arthropod
|
$18.20 |
$42.25 |
$46.15 |
|
|
Macroscopic exam parasite
|
$18.20 |
$40.95 |
$46.80 |
|
|
Magnesium
|
$21.75 |
$87.75 |
$192.40 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$27.04 |
$40.95 |
$50.37 |
|
|
Male sling procedure
|
$37,985.92 |
$37,985.92 |
$37,985.92 |
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$71.50 |
$91.00 |
$137.80 |
|
|
Manipulation chest wall initial demonstration/evaluation
|
$99.45 |
$118.95 |
$228.80 |
|
|
Mapping io sentinel lymph node
|
$17,025.43 |
$17,025.43 |
$28,796.99 |
|
|
Map tachycard site(s)
|
$8,735.35 |
$8,735.35 |
$8,735.35 |
|
|
Mastectomy partial
|
$529.10 |
$529.10 |
$1,297.40 |
|
|
Mast mod rad
|
$2,364.70 |
$2,364.70 |
$2,364.70 |
|
|
Mastoids complete
|
$235.30 |
$239.85 |
$542.75 |
|
|
Mastoid surgery revision
|
$19,149.16 |
$19,149.16 |
$19,149.16 |
|
|
Mast simple complete
|
$767.65 |
$767.65 |
$767.65 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$46.80 |
$46.80 |
$46.80 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$40.95 |
$74.10 |
$135.85 |
|
|
Mayo aathr protein s free
|
$47.25 |
$211.25 |
$386.75 |
|
|
Mayo activated protein c resistance assay
|
$102.70 |
$128.70 |
$174.20 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$117.00 |
$200.85 |
$226.20 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$18.20 |
$18.20 |
$167.70 |
|
|
Mayo alcohol definitive assay volatile screen
|
$25.50 |
$115.05 |
$119.60 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$42.25 |
$94.25 |
$155.35 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$67.50 |
$94.25 |
$144.30 |
|
|
Mayo alpha 1 antitrypsin
|
$46.50 |
$127.40 |
$174.20 |
|
|
Mayo amikacin trough therapeutic drug level
|
$50.05 |
$111.15 |
$247.00 |
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$72.80 |
$89.70 |
$109.20 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$55.25 |
$97.50 |
$109.85 |
|
|
Mayo analysis gene calr common variants exon 9
|
$269.75 |
$610.35 |
$696.80 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$302.90 |
$334.75 |
$462.15 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$314.60 |
$516.10 |
$1,014.00 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,370.85 |
$1,458.60 |
$2,065.05 |
|
|
Mayo androstenedione
|
$90.00 |
$152.10 |
$250.90 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$88.50 |
$120.90 |
$151.45 |
|
|
Mayo antithrombin iii antigen
|
$58.50 |
$113.75 |
$133.90 |
|
|
Mayo aspergillus fumigatus antibody
|
$70.20 |
$83.85 |
$179.40 |
|
|
Mayo avwpr vw factor activity
|
$132.60 |
$161.85 |
$249.60 |
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$39.00 |
$147.55 |
$251.55 |
|
|
Mayo barbiturates definitive assay confirmation urine
|
$72.80 |
$73.45 |
$140.40 |
|
|
Mayo bart bartonella henselae antibody igg
|
$31.50 |
$63.70 |
$182.65 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$186.55 |
$416.00 |
$457.60 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$68.90 |
$386.75 |
$646.10 |
|
|
Mayo blastomyces antibody immunodiffusion
|
$26.65 |
$67.60 |
$92.30 |
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$20.15 |
$23.40 |
$27.30 |
|
|
Mayo bordetella pertussis antibody igg
|
$44.20 |
$81.90 |
$98.15 |
|
|
Mayo brcmg brucella antibody igm
|
$62.40 |
$80.60 |
$109.20 |
|
|
Mayo c1 esterase inhibitor
|
$51.35 |
$154.05 |
$257.25 |
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$91.00 |
$91.65 |
$107.25 |
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$110.50 |
$163.15 |
$302.90 |
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$55.90 |
$94.90 |
$109.85 |
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$185.90 |
$267.15 |
$356.85 |
|
|
Mayo ceruloplasmin
|
$65.25 |
$96.20 |
$131.95 |
|
|
Mayo chemiluminescent parathyroid related peptide
|
$105.95 |
$145.50 |
$168.35 |
|
|
Mayo chikv chikungunya antibodies igg
|
$94.90 |
$120.90 |
$163.80 |
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$45.50 |
$52.65 |
$157.30 |
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$46.15 |
$50.05 |
$66.95 |
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$173.55 |
$323.70 |
$357.50 |
|
|
Mayo chromium
|
$50.70 |
$79.95 |
$88.40 |
|
|
Mayo cocaine definitive assay confirmation urine
|
$22.10 |
$54.60 |
$98.80 |
|
|
Mayo coccidioides antibody
|
$36.40 |
$53.30 |
$74.10 |
|
|
Mayo cocou cortisone urine
|
$173.25 |
$204.10 |
$438.75 |
|
|
Mayo cortisol free
|
$133.25 |
$143.65 |
$220.35 |
|
|
Mayo covid-19 antibody nucleocapsid total
|
$55.90 |
$62.40 |
$68.90 |
|
