|
Lidocaine injection
|
$33.74 |
$33.74 |
$33.74 |
$47.23
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$94.83 |
$94.83 |
$94.83 |
$50.70
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$112.13 |
$112.13 |
$112.13 |
$172.25
|
|
Lipase
|
$68.67 |
$68.67 |
$68.67 |
$83.20
|
|
Lipoprotein blood quant
|
$132.00 |
$132.00 |
$132.00 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$156.66 |
$156.66 |
$156.66 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$70.98 |
$70.98 |
$70.98 |
$60.00
|
|
Lithium therapeutic drug level
|
$42.84 |
$42.84 |
$42.84 |
$67.60
|
|
Liver Function Test
|
$249.90 |
$249.90 |
$249.90 |
$110.50
|
|
Liver/spleen imag static only
|
$2,045.30 |
$2,045.30 |
$2,045.30 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$43.26 |
$43.26 |
$43.26 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$25.20 |
$25.20 |
$25.20 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,490.83 |
$3,490.83 |
$3,490.83 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,632.35 |
$2,632.35 |
$2,632.35 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,469.08 |
$2,469.08 |
$2,469.08 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,669.46 |
$4,669.46 |
$4,669.46 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,906.21 |
$3,906.21 |
$3,906.21 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,434.34 |
$3,434.34 |
$3,434.34 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$551.57 |
$551.57 |
$551.57 |
$344.00
|
|
Macroscopic exam arthropod
|
$23.52 |
$23.52 |
$23.52 |
$38.58
|
|
Magnesium
|
$111.72 |
$111.72 |
$111.72 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$76.23 |
$76.23 |
$76.23 |
$69.30
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$287.49 |
$287.49 |
$287.49 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$287.49 |
$287.49 |
$287.49 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$72.00 |
$72.00 |
$72.00 |
$28.48
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$36,087.65 |
$36,087.65 |
$36,087.65 |
$8,622.65
|
|
Mayo aathr protein s free
|
$972.20 |
$972.20 |
$972.20 |
$130.00
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$219.56 |
$219.56 |
$219.56 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$142.38 |
$142.38 |
$142.38 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$98.07 |
$98.07 |
$98.07 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$84.00 |
$84.00 |
$84.00 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$135.75 |
$135.75 |
$135.75 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$998.76 |
$998.76 |
$998.76 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$700.98 |
$700.98 |
$700.98 |
$326.48
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$85.16 |
$85.16 |
$85.16 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$122.12 |
$122.12 |
$122.12 |
$68.90
|
|
Mayo bart bartonella henselae antibody igg
|
$105.42 |
$105.42 |
$105.42 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$1,229.94 |
$1,229.94 |
$1,229.94 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$1,229.94 |
$1,229.94 |
$1,229.94 |
$373.75
|
|
Mayo bordetella pertussis antibody igg
|
$106.31 |
$106.31 |
$106.31 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$74.13 |
$74.13 |
$74.13 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$191.10 |
$191.10 |
$191.10 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$213.47 |
$213.47 |
$213.47 |
$83.97
|
|
Mayo chikv chikungunya antibodies igg
|
$202.81 |
$202.81 |
$202.81 |
$102.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$289.00 |
$289.00 |
$289.00 |
$353.99
|
|
Mayo chromium
|
$319.10 |
$319.10 |
$319.10 |
$70.85
|
|
Mayo cocou cortisone urine
|
$42.00 |
$42.00 |
$42.00 |
$207.26
|
|
Mayo cortisol free
|
$76.97 |
$76.97 |
$76.97 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$98.60 |
$98.60 |
$98.60 |
$72.60
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$133.72 |
$133.72 |
$133.72 |
$72.14
|
|
Mayo deoxyribonuclease antibody titer
|
$248.85 |
$248.85 |
$248.85 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$160.34 |
$160.34 |
$160.34 |
$88.45
|
|
Mayo dihydrotestosterone
|
$364.77 |
$364.77 |
$364.77 |
$81.90
|
|
Mayo estriol
|
$57.00 |
$57.00 |
$57.00 |
$98.70
|
|
Mayo estrone
|
$113.90 |
$113.90 |
$113.90 |
$84.70
|
|
Mayo factor v
|
$295.79 |
$295.79 |
$295.79 |
$125.48
|
|
Mayo factor viii vw factor antigen
|
$448.04 |
$448.04 |
$448.04 |
$110.50
|
|
Mayo factor x
|
$595.56 |
$595.56 |
$595.56 |
$139.50
|
|
Mayo factor xi
|
$467.36 |
$467.36 |
$467.36 |
$117.50
|
|
Mayo ffspg allergen clam igg
|
$391.00 |
$391.00 |
$391.00 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$164.01 |
$164.01 |
$164.01 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$3,990.00 |
$3,990.00 |
$3,990.00 |
$1,446.90
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$169.16 |
$169.16 |
$169.16 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$231.42 |
$231.42 |
$231.42 |
$115.20
|
|
Mayo hla typing a/b/c single antigen
|
$157.50 |
$157.50 |
$157.50 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$161.70 |
$161.70 |
$161.70 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$161.70 |
$161.70 |
$161.70 |
$67.60
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$367.82 |
$367.82 |
$367.82 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$147.74 |
$147.74 |
$147.74 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$188.27 |
$188.27 |
$188.27 |
$112.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$27.00 |
$27.00 |
$27.00 |
$103.20
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$167.79 |
$167.79 |
$167.79 |
$81.04
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$471.00 |
$471.00 |
$471.00 |
$178.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$239.72 |
$239.72 |
$239.72 |
$233.75
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$444.99 |
$444.99 |
$444.99 |
$230.10
|
|
Mayo insft insulin free
|
$127.68 |
$127.68 |
$127.68 |
$57.85
|
|
Mayo lamotrigine therapeutic drug level
|
$21.21 |
$21.21 |
$21.21 |
$66.43
|
|
Mayo metanephrines plasma
|
$160.86 |
$160.86 |
$160.86 |
$104.50
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$259.35 |
$259.35 |
$259.35 |
$65.00
|
|
Mayo microsomal antibody liver-kidney
|
$255.15 |
$255.15 |
$255.15 |
$90.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$141.12 |
$141.12 |
$141.12 |
$167.70
|
|
Mayo muramidase
|
$100.00 |
$100.00 |
$100.00 |
$62.70
|
|
Mayo muscle-specific kinase (musk) antibody
|
$2,362.50 |
$2,362.50 |
$2,362.50 |
$224.64
|
|
Mayo mycophenolic acid therapeutic drug level
|
$197.93 |
$197.93 |
$197.93 |
$77.39
|
|
Mayo organic acid methylmalonic single quantitative
|
$73.50 |
$73.50 |
$73.50 |
$104.13
|
|
Mayo parvs parvovirus b19 antibody igg
|
$136.00 |
$136.00 |
$136.00 |
$56.80
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$391.76 |
$391.76 |
$391.76 |
$190.20
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$919.54 |
$919.54 |
$919.54 |
$184.17
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$202.97 |
$202.97 |
$202.97 |
$80.60
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$97.44 |
$97.44 |
$97.44 |
$71.20
|
|
Mayo pregnenolone
|
$183.65 |
$183.65 |
$183.65 |
$81.00
|
|
Mayo prmb primidone therapeutic drug level
|
$113.72 |
$113.72 |
$113.72 |
$71.20
|
|
Mayo proinsulin
|
$206.01 |
$206.01 |
$206.01 |
$97.50
|
|
Mayo psaft prostate specific antigen free
|
$202.76 |
$202.76 |
$202.76 |
$92.50
|
|
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative
|
$290.64 |
$290.64 |
$290.64 |
$263.97
|
|
Mayo renin
|
$207.38 |
$207.38 |
$207.38 |
$96.60
|
|
Mayo repu protein electrophoresis urine
|
$230.90 |
$230.90 |
$230.90 |
$92.70
|
|
Mayo sfgp rickettsia rickettsii antibody igg
|
$124.74 |
$124.74 |
$124.74 |
$80.00
|
|
Mayo sirolimus therapeutic drug level
|
$416.12 |
$416.12 |
$416.12 |
$88.80
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$96.29 |
$96.29 |
$96.29 |
$48.00
|
