|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,094.10 |
$1,389.50 |
$2,864.50 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$714.84 |
$1,177.50 |
$2,670.70 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,312.38 |
$1,966.02 |
$4,401.30 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,430.03 |
$1,695.54 |
$3,965.25 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,144.02 |
$1,424.64 |
$3,965.25 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$149.50 |
$311.22 |
$450.76 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$234.14 |
$423.50 |
$617.95 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$201.48 |
$458.00 |
$1,055.70 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$190.99 |
$214.20 |
$317.42 |
|
|
Low frequency non-thermal Ultrasound
|
$190.50 |
$190.50 |
$265.35 |
|
|
Lso flex no ri stays pre ots
|
$260.18 |
$284.96 |
$526.55 |
|
|
L/s ratio fetal lung
|
$87.15 |
$341.88 |
$528.70 |
|
|
Lumbar diskogram s&i
|
$1,723.00 |
$2,306.22 |
$2,306.22 |
|
|
Lung Function Test Before and After an Inhaler
|
$247.50 |
$435.54 |
$698.86 |
|
|
Lung function test (mbc/mvv)
|
$63.94 |
$180.50 |
$220.21 |
|
|
Lung Function Test (Spirometry)
|
$173.46 |
$208.00 |
$365.50 |
|
|
Lung perfusion imaging
|
$256.22 |
$734.34 |
$1,237.69 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$3,173.23 |
$14,486.48 |
$29,317.86 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$5,455.71 |
$24,906.47 |
$50,405.94 |
|
|
Lutetium lu 177 dotatat ther
|
$21,850.00 |
$99,750.00 |
$201,875.00 |
|
|
Lymphatics/lymph node imaging
|
$956.34 |
$1,081.41 |
$1,537.81 |
|
|
Lymph vessel x-ray trunk
|
$977.22 |
$977.22 |
$977.22 |
|
|
Lymph vessel x-ray trunk
|
$883.89 |
$2,097.90 |
$2,097.90 |
|
|
Lysis of labial adhesions
|
$4,273.66 |
$4,273.66 |
$4,273.66 |
|
|
Macroscopic exam arthropod
|
$8.93 |
$41.58 |
$63.75 |
|
|
Macroscopic exam parasite
|
$22.00 |
$41.58 |
$67.15 |
|
|
Magnesium
|
$22.08 |
$63.00 |
$126.99 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$1.49 |
$86.84 |
$175.74 |
|
|
Magnetic image bone marrow
|
$1,635.86 |
$1,635.86 |
$1,635.86 |
|
|
Mammosite ced
|
$4,227.30 |
$5,032.50 |
$9,240.18 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.06 |
$41.79 |
$84.58 |
|
|
Manual diff wbc count b-coat
|
$31.74 |
$56.28 |
$103.70 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$201.18 |
$201.18 |
$201.18 |
|
|
Map tachycard site(s)
|
$1,108.00 |
$4,082.82 |
$4,082.82 |
|
|
Marker biop eviva buckle ss
|
$2,231.08 |
$2,898.00 |
$5,355.00 |
|
|
Mastectomy partial
|
$1,479.89 |
$3,715.32 |
$3,759.55 |
|
|
Mast mod rad
|
$2,644.38 |
$2,676.24 |
$2,708.10 |
|
|
Mastoids complete
|
$205.84 |
$235.50 |
$363.80 |
|
|
Mast radical
|
$2,571.34 |
$2,602.32 |
$2,633.30 |
|
|
Mast rad urban type
|
$2,739.00 |
$2,772.00 |
$2,805.00 |
|
|
Mast simple complete
|
$2,141.40 |
$2,167.20 |
$2,193.00 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$73.22 |
$4,413.24 |
$8,154.90 |
|
|
M.avium-intra dna amp prob
|
$185.49 |
$185.49 |
$185.49 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$15.77 |
$66.36 |
$261.80 |
|
|
Mayo aathr protein s free
|
$39.73 |
$128.10 |
$485.35 |
|
|
Mayo activated protein c resistance assay
|
$39.73 |
$49.98 |
$174.30 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$96.85 |
$96.85 |
$96.85 |
|
|
Mayo alcohol definitive assay volatile screen
|
$40.26 |
$160.44 |
$255.85 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$34.94 |
$94.50 |
$127.50 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$28.06 |
$138.18 |
$224.93 |
|
|
Mayo alpha 1 antitrypsin
|
$15.77 |
$65.52 |
$120.70 |
|
|
Mayo amikacin trough therapeutic drug level
|
$34.50 |
$102.90 |
$153.85 |
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$84.37 |
$108.78 |
$185.30 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$10.08 |
$10.08 |
$142.78 |
|
|
Mayo analysis gene calr common variants exon 9
|
$269.00 |
$269.00 |
$269.00 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$27.39 |
$519.54 |
$899.30 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,564.76 |
$2,564.76 |
$2,564.76 |
|
|
Mayo androstenedione
|
$17.43 |
$114.66 |
$246.50 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$18.26 |
$73.08 |
$172.55 |
|
|
Mayo antithrombin iii antigen
|
$40.94 |
$204.54 |
$234.60 |
|
|
Mayo aspergillus fumigatus antibody
|
$40.02 |
$119.70 |
$137.70 |
|
|
Mayo avwpr vw factor activity
|
$98.73 |
$163.38 |
$281.35 |
|
|
Mayo barbiturates definitive assay confirmation urine
|
$15.77 |
$107.94 |
$210.80 |
|
|
Mayo bart bartonella henselae antibody igg
|
$34.04 |
$47.04 |
$93.79 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$320.59 |
$320.59 |
$320.59 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$474.63 |
$474.63 |
$474.63 |
|
|
Mayo blastomyces antibody immunodiffusion
|
$15.86 |
$164.22 |
$167.45 |
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$34.33 |
$34.33 |
$34.33 |
|
|
Mayo bordetella pertussis antibody igg
|
$29.89 |
$80.22 |
$157.70 |
|
|
Mayo brcmg brucella antibody igm
|
$44.10 |
$51.46 |
$105.40 |
|
|
Mayo c1 esterase inhibitor
|
$27.00 |
$160.86 |
$252.52 |
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$46.61 |
$125.58 |
$424.00 |
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$35.69 |
$54.00 |
$141.95 |
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$64.26 |
$70.38 |
$126.99 |
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$270.48 |
$270.48 |
$270.48 |
|
|
Mayo ceruloplasmin
|
$7.47 |
$50.82 |
$123.25 |
|
|
Mayo chemiluminescent parathyroid related peptide
|
$31.54 |
$110.88 |
$243.67 |
|
|
Mayo chikv chikungunya antibodies igg
|
$49.50 |
$186.06 |
$198.90 |
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$7.32 |
$79.80 |
$95.20 |
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$12.50 |
$105.00 |
$307.44 |
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$197.75 |
$389.76 |
$707.20 |
|
|
Mayo chromium
|
$28.22 |
$93.66 |
$202.00 |
|
|
Mayo cocaine definitive assay confirmation urine
|
$91.34 |
$91.34 |
$91.34 |
|
|
Mayo coccidioides antibody
|
$31.00 |
$90.72 |
$119.70 |
|
|
Mayo cocou cortisone urine
|
$35.69 |
$374.22 |
$717.40 |
|
|
Mayo cortisol free
|
$33.71 |
$66.78 |
$170.00 |
|
|
Mayo covid-19 antibody nucleocapsid total
|
$41.86 |
$48.00 |
$97.54 |
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$21.84 |
$35.28 |
$60.18 |
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$15.86 |
$126.00 |
$177.65 |
|
|
Mayo cyanide
|
$54.29 |
$233.52 |
$362.10 |
|
|
Mayo deoxyribonuclease antibody titer
|
$5.88 |
$15.50 |
$133.45 |
|
|
Mayo dhea (dehydroepiandrosterone)
|
$9.96 |
$97.02 |
$199.75 |
|
|
Mayo dihydrotestosterone
|
$53.94 |
$53.94 |
$53.94 |
|
|
Mayo efpo chloride stool
|
$20.00 |
$32.34 |
$56.95 |
|
|
Mayo estriol
|
$20.00 |
$94.50 |
$190.40 |
|
|
Mayo estrone
|
$32.45 |
$59.22 |
$241.96 |
|
|
Mayo ethosuximide therapeutic drug level
|
$25.00 |
$98.70 |
$141.10 |
|
|
Mayo everolimus therapeutic drug level
|
$15.25 |
$142.80 |
$286.45 |
|
|
Mayo factor ii
|
$38.53 |
$98.70 |
$217.46 |
|
|
Mayo factor v
|
$45.15 |
$125.58 |
$315.40 |
|
