|
Liver abs/cyst dr opn 1-2 stge
|
$2,713.27 |
$2,713.27 |
$2,713.27 |
$1,714.14
|
|
Liver Function Test
|
$134.46 |
$134.46 |
$134.46 |
$115.44
|
|
Liver/spleen imag static only
|
$1,689.88 |
$1,689.88 |
$1,689.88 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$2.09 |
$2.09 |
$2.09 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,431.07 |
$2,431.07 |
$2,431.07 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,133.10 |
$2,133.10 |
$2,133.10 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,927.56 |
$3,927.56 |
$3,927.56 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,992.15 |
$2,992.15 |
$2,992.15 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,116.65 |
$3,116.65 |
$3,116.65 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$244.85 |
$244.85 |
$244.85 |
$356.16
|
|
Lso flex no ri stays pre ots
|
$514.17 |
$514.17 |
$514.17 |
$164.80
|
|
L/s ratio fetal lung
|
$87.15 |
$87.15 |
$87.15 |
$178.36
|
|
Lung Function Test (Spirometry)
|
$345.28 |
$345.28 |
$345.28 |
$295.35
|
|
Lung perfusion imaging
|
$1,208.48 |
$1,208.48 |
$1,208.48 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$5,725.61 |
$5,725.61 |
$5,725.61 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$9,843.99 |
$9,843.99 |
$9,843.99 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$39,425.00 |
$39,425.00 |
$39,425.00 |
$333.50
|
|
Macroscopic exam parasite
|
$28.22 |
$28.22 |
$28.22 |
$36.55
|
|
Magnesium
|
$126.99 |
$126.99 |
$126.99 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$2.68 |
$2.68 |
$2.68 |
$59.88
|
|
Mammosite ced
|
$8,353.95 |
$8,353.95 |
$8,353.95 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$249.83 |
$249.83 |
$249.83 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$249.83 |
$249.83 |
$249.83 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.10 |
$0.10 |
$0.10 |
$30.75
|
|
Manual diff wbc count b-coat
|
$40.67 |
$40.67 |
$40.67 |
$25.74
|
|
Marker biop eviva buckle ss
|
$5,229.00 |
$5,229.00 |
$5,229.00 |
$1,451.30
|
|
Mastectomy partial
|
$1,479.89 |
$1,479.89 |
$1,479.89 |
$4,531.42
|
|
Mast mod rad
|
$2,644.38 |
$2,644.38 |
$2,644.38 |
$7,127.17
|
|
Mastoids complete
|
$205.84 |
$205.84 |
$205.84 |
$299.50
|
|
Mast radical
|
$2,571.34 |
$2,571.34 |
$2,571.34 |
$1,780.80
|
|
Mast rad urban type
|
$2,739.00 |
$2,739.00 |
$2,739.00 |
$2,772.00
|
|
Mast simple complete
|
$2,141.40 |
$2,141.40 |
$2,141.40 |
$6,174.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$7,963.02 |
$7,963.02 |
$7,963.02 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$15.77 |
$15.77 |
$15.77 |
$65.00
|
|
Mayo aathr protein s free
|
$261.45 |
$261.45 |
$261.45 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$174.30 |
$174.30 |
$174.30 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$131.14 |
$131.14 |
$131.14 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$107.07 |
$107.07 |
$107.07 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$224.93 |
$224.93 |
$224.93 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$15.77 |
$15.77 |
$15.77 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$146.91 |
$146.91 |
$146.91 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$99.60 |
$99.60 |
$99.60 |
$75.90
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$27.39 |
$27.39 |
$27.39 |
$369.00
|
|
Mayo androstenedione
|
$17.43 |
$17.43 |
$17.43 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$18.26 |
$18.26 |
$18.26 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$141.93 |
$141.93 |
$141.93 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$59.76 |
$59.76 |
$59.76 |
$66.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$15.77 |
$15.77 |
$15.77 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$93.79 |
$93.79 |
$93.79 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$78.02 |
$78.02 |
$78.02 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$157.70 |
$157.70 |
$157.70 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$56.44 |
$56.44 |
$56.44 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$146.08 |
$146.08 |
$146.08 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$99.60 |
$99.60 |
$99.60 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$35.69 |
$35.69 |
$35.69 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$126.99 |
$126.99 |
$126.99 |
$110.00
|
|
Mayo ceruloplasmin
|
$7.47 |
$7.47 |
$7.47 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$31.54 |
$31.54 |
$31.54 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$188.41 |
$188.41 |
$188.41 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$53.12 |
$53.12 |
$53.12 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$53.12 |
$53.12 |
$53.12 |
$49.29
|
|
Mayo chromium
|
$28.22 |
$28.22 |
$28.22 |
$74.94
|
|
Mayo coccidioides antibody
|
$52.29 |
$52.29 |
$52.29 |
$53.90
|
|
Mayo cocou cortisone urine
|
$35.69 |
$35.69 |
$35.69 |
$213.92
|
|
Mayo cortisol free
|
$36.52 |
$36.52 |
$36.52 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$91.30 |
$91.30 |
$91.30 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$36.52 |
$36.52 |
$36.52 |
$58.10
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$102.92 |
$102.92 |
$102.92 |
$66.00
|
|
Mayo deoxyribonuclease antibody titer
|
$34.86 |
$34.86 |
$34.86 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$9.96 |
$9.96 |
$9.96 |
$105.60
|
|
Mayo efpo chloride stool
|
$26.56 |
$26.56 |
$26.56 |
$43.41
|
|
Mayo estriol
|
$67.23 |
$67.23 |
$67.23 |
$90.34
|
|
Mayo ethosuximide therapeutic drug level
|
$77.19 |
$77.19 |
$77.19 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$159.36 |
$159.36 |
$159.36 |
$97.50
|
|
Mayo factor ii
|
$217.46 |
$217.46 |
$217.46 |
$99.06
|
|
Mayo factor v
|
$315.40 |
$315.40 |
$315.40 |
$127.80
|
|
Mayo factor vii
|
$103.75 |
$103.75 |
$103.75 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$44.82 |
$44.82 |
$44.82 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$27.39 |
$27.39 |
$27.39 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$328.68 |
$328.68 |
$328.68 |
$141.00
|
|
Mayo factor x
|
$255.64 |
$255.64 |
$255.64 |
$155.00
|
|
Mayo fat/lipids feces quantitative
|
$6.64 |
$6.64 |
$6.64 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$90.47 |
$90.47 |
$90.47 |
$105.60
|
|
Mayo ffspg allergen clam igg
|
$14.11 |
$14.11 |
$14.11 |
$35.10
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$57.27 |
$57.27 |
$57.27 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$386.78 |
$386.78 |
$386.78 |
$1,460.30
|
|
Mayo hemosiderin qualitative urine
|
$62.25 |
$62.25 |
$62.25 |
$33.57
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$52.29 |
$52.29 |
$52.29 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$96.28 |
$96.28 |
$96.28 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$106.24 |
$106.24 |
$106.24 |
$74.25
|
|
Mayo hydroxyprogesterone 17-d
|
$67.23 |
$67.23 |
$67.23 |
$106.65
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$176.79 |
$176.79 |
$176.79 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$52.29 |
$52.29 |
$52.29 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$141.93 |
$141.93 |
$141.93 |
$107.14
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$135.29 |
$135.29 |
$135.29 |
$108.96
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$93.79 |
$93.79 |
$93.79 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$425.79 |
$425.79 |
$425.79 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$190.07 |
$190.07 |
$190.07 |
$196.20
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$163.51 |
$163.51 |
$163.51 |
$82.83
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$244.85 |
$244.85 |
$244.85 |
$155.00
|
