|
Liver/spleen imag static only
|
$580.86 |
$580.86 |
$580.86 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$480.06 |
$480.06 |
$480.06 |
$1,069.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$41.79 |
$41.79 |
$41.79 |
$37.37
|
|
Lo sag rig pnl stays pre cst
|
$79.43 |
$79.43 |
$79.43 |
$167.74
|
|
Low cost skin substitute app
|
$363.72 |
$363.72 |
$363.72 |
$933.60
|
|
Low cost skin substitute app
|
$1,219.26 |
$1,219.26 |
$1,219.26 |
$2,147.57
|
|
Low cost skin substitute app
|
$363.72 |
$363.72 |
$363.72 |
$1,012.00
|
|
Low cost skin substitute app
|
$363.72 |
$363.72 |
$363.72 |
$1,009.49
|
|
Low cost skin substitute app
|
$349.44 |
$349.44 |
$349.44 |
$428.35
|
|
Low cost skin substitute app
|
$1,178.94 |
$1,178.94 |
$1,178.94 |
$727.77
|
|
Low cost skin substitute app
|
$349.44 |
$349.44 |
$349.44 |
$408.04
|
|
Low cost skin substitute app
|
$349.44 |
$349.44 |
$349.44 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,150.38 |
$1,150.38 |
$1,150.38 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,094.10 |
$1,094.10 |
$1,094.10 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$935.34 |
$935.34 |
$935.34 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,966.02 |
$1,966.02 |
$1,966.02 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,695.54 |
$1,695.54 |
$1,695.54 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,424.64 |
$1,424.64 |
$1,424.64 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$311.22 |
$311.22 |
$311.22 |
$356.16
|
|
Lso flex no ri stays pre ots
|
$260.18 |
$260.18 |
$260.18 |
$164.80
|
|
L/s ratio fetal lung
|
$341.88 |
$341.88 |
$341.88 |
$178.36
|
|
Lumbar diskogram s&i
|
$2,306.22 |
$2,306.22 |
$2,306.22 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$173.46 |
$173.46 |
$173.46 |
$295.35
|
|
Lung perfusion imaging
|
$614.04 |
$614.04 |
$614.04 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$14,486.48 |
$14,486.48 |
$14,486.48 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$24,906.47 |
$24,906.47 |
$24,906.47 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$99,750.00 |
$99,750.00 |
$99,750.00 |
$333.50
|
|
Lymphatics/lymph node imaging
|
$956.34 |
$956.34 |
$956.34 |
$1,463.22
|
|
Lymph vessel x-ray trunk
|
$2,097.90 |
$2,097.90 |
$2,097.90 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$41.58 |
$41.58 |
$41.58 |
$38.58
|
|
Macroscopic exam parasite
|
$41.58 |
$41.58 |
$41.58 |
$36.55
|
|
Magnesium
|
$63.00 |
$63.00 |
$63.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$86.84 |
$86.84 |
$86.84 |
$59.88
|
|
Mammosite ced
|
$4,227.30 |
$4,227.30 |
$4,227.30 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$64.68 |
$64.68 |
$64.68 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$126.84 |
$126.84 |
$126.84 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$41.79 |
$41.79 |
$41.79 |
$30.75
|
|
Manual diff wbc count b-coat
|
$56.28 |
$56.28 |
$56.28 |
$25.74
|
|
Mapping functional cort/subcort ea add'l hr
|
$201.18 |
$201.18 |
$201.18 |
$636.50
|
|
Map tachycard site(s)
|
$4,082.82 |
$4,082.82 |
$4,082.82 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,646.00 |
$2,646.00 |
$2,646.00 |
$1,451.30
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$4,029.48 |
$4,029.48 |
$4,029.48 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$66.36 |
$66.36 |
$66.36 |
$65.00
|
|
Mayo aathr protein s free
|
$128.10 |
$128.10 |
$128.10 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$49.98 |
$49.98 |
$49.98 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$160.44 |
$160.44 |
$160.44 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$94.50 |
$94.50 |
$94.50 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$138.18 |
$138.18 |
$138.18 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$65.52 |
$65.52 |
$65.52 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$102.90 |
$102.90 |
$102.90 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$108.78 |
$108.78 |
$108.78 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$10.08 |
$10.08 |
$10.08 |
$75.90
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$519.54 |
$519.54 |
$519.54 |
$369.00
|
|
Mayo androstenedione
|
$114.66 |
$114.66 |
$114.66 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$73.08 |
$73.08 |
$73.08 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$204.54 |
$204.54 |
$204.54 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$119.70 |
$119.70 |
$119.70 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$163.38 |
$163.38 |
$163.38 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$107.94 |
$107.94 |
$107.94 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$47.04 |
$47.04 |
$47.04 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$164.22 |
$164.22 |
$164.22 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$80.22 |
$80.22 |
$80.22 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$44.10 |
$44.10 |
$44.10 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$160.86 |
$160.86 |
$160.86 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$125.58 |
$125.58 |
$125.58 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$39.06 |
$39.06 |
$39.06 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$64.26 |
$64.26 |
$64.26 |
$110.00
|
|
Mayo ceruloplasmin
|
$50.82 |
$50.82 |
$50.82 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$110.88 |
$110.88 |
$110.88 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$186.06 |
$186.06 |
$186.06 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$79.80 |
$79.80 |
$79.80 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$307.44 |
$307.44 |
$307.44 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$389.76 |
$389.76 |
$389.76 |
$360.33
|
|
Mayo chromium
|
$93.66 |
$93.66 |
$93.66 |
$74.94
|
|
Mayo coccidioides antibody
|
$119.70 |
$119.70 |
$119.70 |
$53.90
|
|
Mayo cocou cortisone urine
|
$374.22 |
$374.22 |
$374.22 |
$213.92
|
|
Mayo cortisol free
|
$66.78 |
$66.78 |
$66.78 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.84 |
$42.84 |
$42.84 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$21.84 |
$21.84 |
$21.84 |
$58.10
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$126.00 |
$126.00 |
$126.00 |
$66.00
|
|
Mayo cyanide
|
$233.52 |
$233.52 |
$233.52 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$5.88 |
$5.88 |
$5.88 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$97.02 |
$97.02 |
$97.02 |
$105.60
|
|
Mayo efpo chloride stool
|
$32.34 |
$32.34 |
$32.34 |
$43.41
|
|
Mayo estriol
|
$94.50 |
$94.50 |
$94.50 |
$90.34
|
|
Mayo estrone
|
$59.22 |
$59.22 |
$59.22 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$98.70 |
$98.70 |
$98.70 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$142.80 |
$142.80 |
$142.80 |
$97.50
|
|
Mayo factor ii
|
$98.70 |
$98.70 |
$98.70 |
$99.06
|
|
Mayo factor v
|
$125.58 |
$125.58 |
$125.58 |
$127.80
|
|
Mayo factor vii
|
$357.00 |
$357.00 |
$357.00 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$91.14 |
$91.14 |
$91.14 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$138.60 |
$138.60 |
$138.60 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$154.56 |
$154.56 |
$154.56 |
$141.00
|
|
Mayo factor x
|
$115.92 |
$115.92 |
$115.92 |
$155.00
|
|
Mayo factor xi
|
$274.26 |
$274.26 |
$274.26 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$205.38 |
$205.38 |
$205.38 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$180.18 |
$180.18 |
$180.18 |
$105.60
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$33.60 |
$33.60 |
$33.60 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$123.48 |
$123.48 |
$123.48 |
$1,460.30
|
