|
Low cost skin substitute app
|
$1,762.50 |
$1,762.50 |
$1,762.50 |
$1,016.16
|
|
Low cost skin substitute app
|
$880.55 |
$880.55 |
$880.55 |
$466.80
|
|
Low cost skin substitute app
|
$2,587.45 |
$2,587.45 |
$2,587.45 |
$757.90
|
|
Low cost skin substitute app
|
$880.55 |
$880.55 |
$880.55 |
$408.45
|
|
Low cost skin substitute app
|
$880.55 |
$880.55 |
$880.55 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$2,107.70 |
$2,107.70 |
$2,107.70 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,104.70 |
$3,104.70 |
$3,104.70 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,481.90 |
$2,481.90 |
$2,481.90 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,107.70 |
$2,107.70 |
$2,107.70 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,730.55 |
$8,730.55 |
$8,730.55 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,713.95 |
$4,713.95 |
$4,713.95 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,362.00 |
$4,362.00 |
$4,362.00 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$534.95 |
$534.95 |
$534.95 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$861.90 |
$861.90 |
$861.90 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$924.25 |
$924.25 |
$924.25 |
$535.91
|
|
Lower Leg (Shin) X-ray (both sides)
|
$393.95 |
$393.95 |
$393.95 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$368.40 |
$368.40 |
$368.40 |
$364.77
|
|
Lso flex no ri stays pre ots
|
$198.80 |
$198.80 |
$198.80 |
$164.80
|
|
Lso sagit rigid panel prefab
|
$2,400.50 |
$2,400.50 |
$2,400.50 |
$1,990.83
|
|
Lumbar diskogram s&i
|
$5,936.70 |
$5,936.70 |
$5,936.70 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$745.00 |
$745.00 |
$745.00 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$418.40 |
$418.40 |
$418.40 |
$296.91
|
|
Lung perfusion imaging
|
$2,251.60 |
$2,251.60 |
$2,251.60 |
$1,067.57
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$43,411.60 |
$43,411.60 |
$43,411.60 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$717.13 |
$717.13 |
$717.13 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$528.88 |
$528.88 |
$528.88 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$2,676.85 |
$2,676.85 |
$2,676.85 |
$1,487.90
|
|
Lymph vessel x-ray arm/leg
|
$1,737.35 |
$1,737.35 |
$1,737.35 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$3,263.95 |
$3,263.95 |
$3,263.95 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$2,759.55 |
$2,759.55 |
$2,759.55 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$11,261.40 |
$11,261.40 |
$11,261.40 |
$3,483.84
|
|
Lysis of labial adhesions
|
$403.60 |
$403.60 |
$403.60 |
$4,383.99
|
|
Macro exam dissect molec study ea
|
$109.90 |
$109.90 |
$109.90 |
$67.08
|
|
Macroscopic exam parasite
|
$92.75 |
$92.75 |
$92.75 |
$37.05
|
|
Magnesium
|
$135.85 |
$135.85 |
$135.85 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$164.91 |
$164.91 |
$164.91 |
$58.70
|
|
Magnetic image bone marrow
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,329.39
|
|
Mammosite ced
|
$10,058.90 |
$10,058.90 |
$10,058.90 |
$5,031.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$32.58 |
$32.58 |
$32.58 |
$26.29
|
|
Map tachycard site(s)
|
$3,836.95 |
$3,836.95 |
$3,836.95 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$9,315.10 |
$9,315.10 |
$9,315.10 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,663.25 |
$1,663.25 |
$1,663.25 |
$1,501.50
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$783.00 |
$783.00 |
$783.00 |
$1,941.63
|
|
Mastoids complete
|
$1,396.95 |
$1,396.95 |
$1,396.95 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$4,784.00 |
$4,784.00 |
$4,784.00 |
$4,472.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$190.95 |
$190.95 |
$190.95 |
$65.30
|
|
Mayo aathr protein s free
|
$256.80 |
$256.80 |
$256.80 |
$130.00
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$434.55 |
$434.55 |
$434.55 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$219.60 |
$219.60 |
$219.60 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$198.40 |
$198.40 |
$198.40 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$163.60 |
$163.60 |
$163.60 |
$66.79
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$163.00 |
$163.00 |
$163.00 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$233.70 |
$233.70 |
$233.70 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$227.75 |
$227.75 |
$227.75 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$267.35 |
$267.35 |
$267.35 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$1,065.65 |
$1,065.65 |
$1,065.65 |
$475.92
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$611.55 |
$611.55 |
$611.55 |
$374.40
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,104.85 |
$1,104.85 |
$1,104.85 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,304.10 |
$2,304.10 |
$2,304.10 |
$1,860.00
|
|
Mayo androstenedione
|
$353.10 |
$353.10 |
$353.10 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$275.35 |
$275.35 |
$275.35 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$255.85 |
$255.85 |
$255.85 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$293.60 |
$293.60 |
$293.60 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$328.40 |
$328.40 |
$328.40 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$358.65 |
$358.65 |
$358.65 |
$94.25
|
|
Mayo bart bartonella henselae antibody igg
|
$108.30 |
$108.30 |
$108.30 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$641.70 |
$641.70 |
$641.70 |
$335.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$576.05 |
$576.05 |
$576.05 |
$312.98
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$18.00 |
$18.00 |
$18.00 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$43.65 |
$43.65 |
$43.65 |
$69.20
|
|
Mayo c1 esterase inhibitor
|
$149.85 |
$149.85 |
$149.85 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$328.80 |
$328.80 |
$328.80 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$592.45 |
$592.45 |
$592.45 |
$81.83
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$176.05 |
$176.05 |
$176.05 |
$112.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$289.05 |
$289.05 |
$289.05 |
$283.70
|
|
Mayo ceruloplasmin
|
$146.30 |
$146.30 |
$146.30 |
$69.55
|
|
Mayo chemiluminescent parathyroid related peptide
|
$153.20 |
$153.20 |
$153.20 |
$121.60
|
|
Mayo chikv chikungunya antibodies igg
|
$177.10 |
$177.10 |
$177.10 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$106.00 |
$106.00 |
$106.00 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$106.00 |
$106.00 |
$106.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$361.75 |
$361.75 |
$361.75 |
$365.54
|
|
Mayo chromium
|
$225.80 |
$225.80 |
$225.80 |
$78.00
|
|
Mayo cocaine definitive assay confirmation urine
|
$336.95 |
$336.95 |
$336.95 |
$100.00
|
|
Mayo coccidioides antibody
|
$367.35 |
$367.35 |
$367.35 |
$54.06
|
|
Mayo cocou cortisone urine
|
$537.95 |
$537.95 |
$537.95 |
$214.20
|
|
Mayo cortisol free
|
$184.35 |
$184.35 |
$184.35 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$84.85 |
$84.85 |
$84.85 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$139.35 |
$139.35 |
$139.35 |
$58.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$341.60 |
$341.60 |
$341.60 |
$66.00
|
|
Mayo deoxyribonuclease antibody titer
|
$190.35 |
$190.35 |
$190.35 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$408.20 |
$408.20 |
$408.20 |
$106.47
|
|
Mayo dihydrotestosterone
|
$260.35 |
$260.35 |
$260.35 |
$78.00
|
|
Mayo estriol
|
$266.15 |
$266.15 |
$266.15 |
$90.50
|
|
Mayo estrone
|
$314.00 |
$314.00 |
$314.00 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$702.55 |
$702.55 |
$702.55 |
$70.20
|
|
Mayo everolimus therapeutic drug level
|
$702.55 |
$702.55 |
$702.55 |
$97.50
|
|
Mayo factor ii
|
$401.35 |
$401.35 |
$401.35 |
$99.06
|
|
Mayo factor v
|
$466.60 |
$466.60 |
$466.60 |
$129.60
|
|
Mayo factor vii
|
$944.35 |
$944.35 |
$944.35 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$366.40 |
$366.40 |
$366.40 |
$128.80
|
