|
Lipoprotein direct measurement hdl
|
$70.00 |
$70.00 |
$70.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$58.50 |
$58.50 |
$58.50 |
$61.60
|
|
Lip surgery procedure
|
$213.50 |
$213.50 |
$213.50 |
$335.50
|
|
Lithium therapeutic drug level
|
$50.00 |
$50.00 |
$50.00 |
$69.42
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,392.00 |
$1,392.00 |
$1,392.00 |
$1,714.14
|
|
Liver Function Test
|
$80.50 |
$80.50 |
$80.50 |
$115.44
|
|
Lmtd oph exam general anes
|
$72.00 |
$72.00 |
$72.00 |
$2,590.36
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$533.50 |
$533.50 |
$533.50 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$4.66 |
$4.66 |
$4.66 |
$37.25
|
|
Low back disk surgery
|
$4,834.00 |
$4,834.00 |
$4,834.00 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$71.00 |
$71.00 |
$71.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,519.50 |
$1,519.50 |
$1,519.50 |
$1,798.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$957.00 |
$957.00 |
$957.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,156.00 |
$2,156.00 |
$2,156.00 |
$3,054.10
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$222.00 |
$222.00 |
$222.00 |
$355.85
|
|
Lsh w/t/o ut 250 g or less
|
$896.50 |
$896.50 |
$896.50 |
$7,961.97
|
|
Lumbar diskogram s&i
|
$49.00 |
$49.00 |
$49.00 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$207.00 |
$207.00 |
$207.00 |
$295.35
|
|
Lutetium lu 177 dotatat ther
|
$278.00 |
$278.00 |
$278.00 |
$333.50
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$267.30
|
|
Lysis penil circumic lesion
|
$224.00 |
$224.00 |
$224.00 |
$3,274.00
|
|
Magnesium
|
$54.00 |
$54.00 |
$54.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$4.76 |
$4.76 |
$4.76 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$179.00 |
$179.00 |
$179.00 |
$131.04
|
|
Manipulation chest wall initial demonstration/evaluation
|
$127.50 |
$127.50 |
$127.50 |
$160.80
|
|
Manipulat palm cord post inj
|
$87.50 |
$87.50 |
$87.50 |
$521.60
|
|
Mapping io sentinel lymph node
|
$151.50 |
$151.50 |
$151.50 |
$650.00
|
|
Marker biop eviva buckle ss
|
$144.75 |
$144.75 |
$144.75 |
$1,451.30
|
|
Mastectomy partial
|
$768.00 |
$768.00 |
$768.00 |
$4,531.42
|
|
Mast mod rad
|
$1,367.50 |
$1,367.50 |
$1,367.50 |
$7,127.17
|
|
Mast radical
|
$1,330.50 |
$1,330.50 |
$1,330.50 |
$1,780.80
|
|
Mast simple complete
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$6,174.00
|
|
Matrion 1 sq cm
|
$583.50 |
$583.50 |
$583.50 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$6,385.03
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$98.00 |
$98.00 |
$98.00 |
$65.00
|
|
Mayo aathr protein s free
|
$220.00 |
$220.00 |
$220.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$47.60 |
$47.60 |
$47.60 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$105.00 |
$105.00 |
$105.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$117.50 |
$117.50 |
$117.50 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$91.00 |
$91.00 |
$91.00 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$64.50 |
$64.50 |
$64.50 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$70.00 |
$70.00 |
$70.00 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$61.50 |
$61.50 |
$61.50 |
$87.00
|
|
Mayo amikacin trough therapeutic drug level
|
$73.50 |
$73.50 |
$73.50 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$62.00 |
$62.00 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$387.00 |
$387.00 |
$387.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$682.50 |
$682.50 |
$682.50 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$510.50 |
$510.50 |
$510.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,860.00
|
|
Mayo androstenedione
|
$152.00 |
$152.00 |
$152.00 |
$109.90
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$63.50 |
$63.50 |
$63.50 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$75.00 |
$75.00 |
$75.00 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$55.00 |
$55.00 |
$55.00 |
$65.70
|
|
Mayo avwpr vw factor activity
|
$66.00 |
$66.00 |
$66.00 |
$170.40
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$133.00 |
$133.00 |
$133.00 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$60.00 |
$60.00 |
$60.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$232.00 |
$232.00 |
$232.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$52.50 |
$52.50 |
$52.50 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$7.00 |
$7.00 |
$7.00 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$5.00 |
$5.00 |
$5.00 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$261.00 |
$261.00 |
$261.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$21.50 |
$21.50 |
$21.50 |
$44.10
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$115.00 |
$115.00 |
$115.00 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$64.00 |
$64.00 |
$64.00 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$115.00 |
$115.00 |
$115.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$58.00 |
$58.00 |
$58.00 |
$281.50
|
|
Mayo ceruloplasmin
|
$62.50 |
$62.50 |
$62.50 |
$68.25
|
|
Mayo chemiluminescent parathyroid related peptide
|
$87.50 |
$87.50 |
$87.50 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$112.50 |
$112.50 |
$112.50 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$10.50 |
$10.50 |
$10.50 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$10.50 |
$10.50 |
$10.50 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$284.38 |
$284.38 |
$284.38 |
$360.33
|
|
Mayo chromium
|
$54.00 |
$54.00 |
$54.00 |
$73.40
|
|
Mayo cocaine definitive assay confirmation urine
|
$100.00 |
$100.00 |
$100.00 |
$99.09
|
|
Mayo coccidioides antibody
|
$60.00 |
$60.00 |
$60.00 |
$54.00
|
|
Mayo cocou cortisone urine
|
$550.50 |
$550.50 |
$550.50 |
$213.92
|
|
Mayo cortisol free
|
$129.50 |
$129.50 |
$129.50 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$72.50 |
$72.50 |
$72.50 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$34.00 |
$34.00 |
$34.00 |
$58.10
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$5.00 |
$5.00 |
$5.00 |
$66.00
|
|
Mayo cyanide
|
$14.00 |
$14.00 |
$14.00 |
$87.50
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$979.50 |
$979.50 |
$979.50 |
$578.82
|
|
Mayo dhea (dehydroepiandrosterone)
|
$152.00 |
$152.00 |
$152.00 |
$105.60
|
|
Mayo dihydrotestosterone
|
$26.00 |
$26.00 |
$26.00 |
$74.25
|
|
Mayo ethosuximide therapeutic drug level
|
$9.00 |
$9.00 |
$9.00 |
$68.69
|
|
Mayo factor viii vw factor antigen
|
$218.50 |
$218.50 |
$218.50 |
$118.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$50.00 |
$50.00 |
$50.00 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$42.50 |
$42.50 |
$42.50 |
$141.00
|
|
Mayo factor x
|
$207.50 |
$207.50 |
$207.50 |
$154.35
|
|
Mayo fat/lipids feces quantitative
|
$101.50 |
$101.50 |
$101.50 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$120.00 |
$120.00 |
$120.00 |
$104.53
|
|
Mayo ffspg allergen clam igg
|
$37.00 |
$37.00 |
$37.00 |
$35.10
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$28.00 |
$28.00 |
$28.00 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$1,547.00 |
$1,547.00 |
$1,547.00 |
$1,460.30
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$91.00 |
$91.00 |
$91.00 |
$165.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$7.00 |
$7.00 |
$7.00 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$58.00 |
$58.00 |
$58.00 |
$122.80
|
|
Mayo hydroxyprogesterone 17-d
|
$152.00 |
$152.00 |
$152.00 |
$106.65
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$399.00 |
$399.00 |
$399.00 |
$210.80
|
