|
Knee MRI (without contrast)
|
$956.04 |
$956.04 |
$956.04 |
$2,130.88
|
|
Knee X-ray
|
$275.16 |
$275.16 |
$275.16 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$201.75 |
$201.75 |
$201.75 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$201.75 |
$201.75 |
$201.75 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$201.75 |
$201.75 |
$201.75 |
$251.20
|
|
Ko rigid without joints pre ots
|
$249.87 |
$249.87 |
$249.87 |
$215.32
|
|
Ko single upright pre cst
|
$1,680.18 |
$1,680.18 |
$1,680.18 |
$988.40
|
|
Ko w adj flex/ext rotat mold
|
$2,418.09 |
$2,418.09 |
$2,418.09 |
$2,418.09
|
|
Kras gene addl variants
|
$566.48 |
$566.48 |
$566.48 |
$387.20
|
|
Kras gene variants exon 2
|
$566.48 |
$566.48 |
$566.48 |
$536.20
|
|
Kyleena, 19.5 mg
|
$2,565.91 |
$2,565.91 |
$2,565.91 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$25.68 |
$25.68 |
$25.68 |
$109.20
|
|
Lactate dehydrogenase (ldh)
|
$21.83 |
$21.83 |
$21.83 |
$55.50
|
|
Lactated ringers intravenous solution
|
$11.54 |
$11.54 |
$11.54 |
$43.74
|
|
Lactic acid
|
$38.67 |
$38.67 |
$38.67 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$71.06 |
$71.06 |
$71.06 |
$82.16
|
|
Lactoferrin fecal quant
|
$71.06 |
$71.06 |
$71.06 |
$108.93
|
|
Lanthanum carbonate oral 5mg
|
$0.03 |
$0.03 |
$0.03 |
$14.53
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$318.37 |
$318.37 |
$318.37 |
$740.40
|
|
Laryngoscopy telescopic
|
$913.45 |
$913.45 |
$913.45 |
$852.80
|
|
Lead capillary
|
$43.81 |
$43.81 |
$43.81 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$666.26 |
$666.26 |
$666.26 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$799.16 |
$799.16 |
$799.16 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$499.36 |
$499.36 |
$499.36 |
$1,372.50
|
|
Legion pneumo dna dir prob
|
$47.22 |
$47.22 |
$47.22 |
$49.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$666.26 |
$666.26 |
$666.26 |
$1,092.58
|
|
Leishmania antibody
|
$44.32 |
$44.32 |
$44.32 |
$58.50
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$362.47 |
$362.47 |
$362.47 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,686.90 |
$3,686.90 |
$3,686.90 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$34.18 |
$34.18 |
$34.18 |
$1,322.50
|
|
Levetiracetam therapeutic drug level
|
$47.96 |
$47.96 |
$47.96 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$6,095.95 |
$6,095.95 |
$6,095.95 |
$6,104.00
|
|
Lidocaine therapeutic drug level
|
$53.18 |
$53.18 |
$53.18 |
$87.45
|
|
Lig/band angioaccess av fistula
|
$5,765.71 |
$5,765.71 |
$5,765.71 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,968.28 |
$1,968.28 |
$1,968.28 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$88.37 |
$88.37 |
$88.37 |
$108.64
|
|
Lipase
|
$24.96 |
$24.96 |
$24.96 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$99.26 |
$99.26 |
$99.26 |
$87.00
|
|
Lipoprotein blood quant
|
$114.17 |
$114.17 |
$114.17 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$29.67 |
$29.67 |
$29.67 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$34.54 |
$34.54 |
$34.54 |
$61.60
|
|
Listeria monocytogenes
|
$47.72 |
$47.72 |
$47.72 |
$100.40
|
|
Lithium therapeutic drug level
|
$23.92 |
$23.92 |
$23.92 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$8,313.00 |
$8,313.00 |
$8,313.00 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$610.08 |
$610.08 |
$610.08 |
$365.28
|
|
Liver Function Test
|
$29.58 |
$29.58 |
$29.58 |
$115.44
|
|
Liver/spleen imag static only
|
$812.30 |
$812.30 |
$812.30 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.20 |
$0.20 |
$0.20 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.44 |
$1.44 |
$1.44 |
$37.20
|
|
Lo sag rig pnl stays pre cst
|
$145.94 |
$145.94 |
$145.94 |
$167.74
|
|
Low cost skin substitute app
|
$1,256.37 |
$1,256.37 |
$1,256.37 |
$1,016.16
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$215.09 |
$215.09 |
$215.09 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,623.89 |
$1,623.89 |
$1,623.89 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,623.89 |
$1,623.89 |
$1,623.89 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$499.36 |
$499.36 |
$499.36 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,510.60 |
$1,510.60 |
$1,510.60 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,510.60 |
$1,510.60 |
$1,510.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$956.04 |
$956.04 |
$956.04 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$275.16 |
$275.16 |
$275.16 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$275.16 |
$275.16 |
$275.16 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$275.16 |
$275.16 |
$275.16 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$201.75 |
$201.75 |
$201.75 |
$338.40
|
|
Lso sc r pos/lat pnl pre cst
|
$536.98 |
$536.98 |
$536.98 |
$577.00
|
|
Lso s/c shell/panel custom
|
$1,959.48 |
$1,959.48 |
$1,959.48 |
$2,252.16
|
|
Lso s/c shell/panel prefab
|
$2,011.64 |
$2,011.64 |
$2,011.64 |
$1,332.80
|
|
Lung Function Test Before and After an Inhaler
|
$662.54 |
$662.54 |
$662.54 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$255.27 |
$255.27 |
$255.27 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$367.00 |
$367.00 |
$367.00 |
$296.91
|
|
Lung perfusion imaging
|
$812.30 |
$812.30 |
$812.30 |
$1,069.25
|
|
Lutetium lu 177 vipivotide
|
$361.46 |
$361.46 |
$361.46 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$859.59 |
$859.59 |
$859.59 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$177.43 |
$177.43 |
$177.43 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$5,491.15 |
$5,491.15 |
$5,491.15 |
$2,634.45
|
|
Macroscopic exam arthropod
|
$15.44 |
$15.44 |
$15.44 |
$38.58
|
|
Macroscopic exam parasite
|
$15.44 |
$15.44 |
$15.44 |
$37.05
|
|
Magnesium
|
$24.24 |
$24.24 |
$24.24 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$3.42 |
$3.42 |
$3.42 |
$58.70
|
|
Makena, 10 mg
|
$21.95 |
$21.95 |
$21.95 |
$1,405.80
|
|
Malaria antibody
|
$47.72 |
$47.72 |
$47.72 |
$94.80
|
|
Manipulate finger w/anesth
|
$3,188.88 |
$3,188.88 |
$3,188.88 |
$1,749.06
|
|
Manipulat palm cord post inj
|
$495.44 |
$495.44 |
$495.44 |
$521.60
|
|
Manual diff wbc count b-coat
|
$14.87 |
$14.87 |
$14.87 |
$25.74
|
|
Marker biop eviva buckle ss
|
$238.31 |
$238.31 |
$238.31 |
$1,451.30
|
|
M.avium-intra dna dir prob
|
$80.00 |
$80.00 |
$80.00 |
$58.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$52.34 |
$52.34 |
$52.34 |
$65.28
|
|
Mayo aathr protein s free
|
$55.47 |
$55.47 |
$55.47 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$55.47 |
$55.47 |
$55.47 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$43.07 |
$43.07 |
$43.07 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$95.81 |
$95.81 |
$95.81 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$141.13 |
$141.13 |
$141.13 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$53.50 |
$53.50 |
$53.50 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$190.95 |
$190.95 |
$190.95 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$48.63 |
$48.63 |
$48.63 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$54.55 |
$54.55 |
$54.55 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$65.23 |
$65.23 |
$65.23 |
$72.14
|
|
Mayo analysis gene calr common variants exon 9
|
$440.16 |
$440.16 |
$440.16 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$331.74 |
$331.74 |
$331.74 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$401.59 |
$401.59 |
$401.59 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,400.29 |
$3,400.29 |
$3,400.29 |
$1,860.00
|
|
Mayo androstenedione
|
$105.94 |
$105.94 |
$105.94 |
$110.00
|