|
Lipoprotein direct measurement ldl
|
$45.00 |
$45.00 |
$45.00 |
$61.60
|
|
Listeria monocytogenes
|
$126.60 |
$126.60 |
$126.60 |
$117.52
|
|
Lithium therapeutic drug level
|
$82.20 |
$82.20 |
$82.20 |
$69.42
|
|
Liver Function Test
|
$106.20 |
$106.20 |
$106.20 |
$115.44
|
|
Liver imaging
|
$814.80 |
$814.80 |
$814.80 |
$1,093.50
|
|
Liver imag w/vasclr flow
|
$957.60 |
$957.60 |
$957.60 |
$1,238.65
|
|
Liver/spleen imag static only
|
$1,372.80 |
$1,372.80 |
$1,372.80 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$7.50 |
$7.50 |
$7.50 |
$37.20
|
|
Lo rig pos pnl l1-l5 pre ots
|
$408.17 |
$408.17 |
$408.17 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$167.74 |
$167.74 |
$167.74 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,842.60 |
$1,842.60 |
$1,842.60 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,209.60 |
$1,209.60 |
$1,209.60 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,259.20 |
$3,259.20 |
$3,259.20 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,814.00 |
$2,814.00 |
$2,814.00 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,053.20 |
$2,053.20 |
$2,053.20 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$531.00 |
$531.00 |
$531.00 |
$352.32
|
|
Lso corset front
|
$249.04 |
$249.04 |
$249.04 |
$172.04
|
|
Lso flex no ri stays pre ots
|
$269.09 |
$269.09 |
$269.09 |
$195.00
|
|
Lso full corset
|
$353.77 |
$353.77 |
$353.77 |
$320.92
|
|
Lso r post pnl sj-t9 pre cst
|
$401.51 |
$401.51 |
$401.51 |
$326.82
|
|
Lso sag-coronal panel custom
|
$3,970.45 |
$3,970.45 |
$3,970.45 |
$2,440.98
|
|
Lso sag-co shell pnl pre ots
|
$3,065.30 |
$3,065.30 |
$3,065.30 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$383.24 |
$383.24 |
$383.24 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$2,364.26 |
$2,364.26 |
$2,364.26 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$3,207.92 |
$3,207.92 |
$3,207.92 |
$3,092.00
|
|
Lso sc r pos/lat pnl pre cst
|
$617.19 |
$617.19 |
$617.19 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$678.49 |
$678.49 |
$678.49 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,252.16 |
$2,252.16 |
$2,252.16 |
$2,252.16
|
|
L/s ratio fetal lung
|
$145.80 |
$145.80 |
$145.80 |
$176.15
|
|
Lumbar bolster pad
|
$185.27 |
$185.27 |
$185.27 |
$185.27
|
|
Lumbar derotation pad
|
$215.18 |
$215.18 |
$215.18 |
$215.18
|
|
Lumbar diskogram s&i
|
$1,700.40 |
$1,700.40 |
$1,700.40 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$209.78 |
$209.78 |
$209.78 |
$209.78
|
|
Lumbar sling
|
$238.10 |
$238.10 |
$238.10 |
$238.10
|
|
Lung function test (mbc/mvv)
|
$179.40 |
$179.40 |
$179.40 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$362.40 |
$362.40 |
$362.40 |
$295.35
|
|
Lung perfusion imaging
|
$1,363.20 |
$1,363.20 |
$1,363.20 |
$1,075.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$45,902.46 |
$45,902.46 |
$45,902.46 |
$21,867.91
|
|
Lvad shower bag heartmate
|
$787.27 |
$787.27 |
$787.27 |
$887.68
|
|
Lymphatics/lymph node imaging
|
$1,550.40 |
$1,550.40 |
$1,550.40 |
$1,448.00
|
|
Lymphocyte culture mixed
|
$60.00 |
$60.00 |
$60.00 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$217.20 |
$217.20 |
$217.20 |
$266.20
|
|
Macroscopic exam arthropod
|
$50.40 |
$50.40 |
$50.40 |
$38.50
|
|
Macroscopic exam parasite
|
$37.80 |
$37.80 |
$37.80 |
$36.40
|
|
Magnesium
|
$78.00 |
$78.00 |
$78.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$55.92 |
$55.92 |
$55.92 |
$58.70
|
|
Malaria antibody
|
$94.80 |
$94.80 |
$94.80 |
$94.80
|
|
Mammosite ced
|
$7,938.26 |
$7,938.26 |
$7,938.26 |
$5,152.06
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$154.20 |
$154.20 |
$154.20 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$113.40 |
$113.40 |
$113.40 |
$152.54
|
|
Man's shoe oxford brace
|
$174.64 |
$174.64 |
$174.64 |
$175.11
|
|
Marker biop eviva buckle ss
|
$14,826.85 |
$14,826.85 |
$14,826.85 |
$1,152.48
|
|
Mastoids complete
|
$216.00 |
$216.00 |
$216.00 |
$299.50
|
|
Matrion 1 sq cm
|
$20,298.34 |
$20,298.34 |
$20,298.34 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$85,260.91 |
$85,260.91 |
$85,260.91 |
$5,065.63
|
|
M.avium-intra dna amp prob
|
$103.80 |
$103.80 |
$103.80 |
$132.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$48.60 |
$48.60 |
$48.60 |
$66.36
|
|
Mayo aathr protein s free
|
$183.60 |
$183.60 |
$183.60 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$129.00 |
$129.00 |
$129.00 |
$97.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$133.20 |
$133.20 |
$133.20 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$103.20 |
$103.20 |
$103.20 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$97.80 |
$97.80 |
$97.80 |
$82.80
|
|
Mayo analysis gene calr common variants exon 9
|
$352.80 |
$352.80 |
$352.80 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$301.20 |
$301.20 |
$301.20 |
$359.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$226.20 |
$226.20 |
$226.20 |
$361.50
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,069.60 |
$3,069.60 |
$3,069.60 |
$1,860.00
|
|
Mayo androstenedione
|
$332.40 |
$332.40 |
$332.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$175.80 |
$175.80 |
$175.80 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$120.60 |
$120.60 |
$120.60 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$96.00 |
$96.00 |
$96.00 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$52.20 |
$52.20 |
$52.20 |
$165.78
|
|
Mayo bart bartonella henselae antibody igg
|
$51.60 |
$51.60 |
$51.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$385.80 |
$385.80 |
$385.80 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$310.20 |
$310.20 |
$310.20 |
$347.00
|
|
Mayo blastomyces antibody immunodiffusion
|
$58.80 |
$58.80 |
$58.80 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$40.80 |
$40.80 |
$40.80 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$139.20 |
$139.20 |
$139.20 |
$44.14
|
|
Mayo c1 esterase inhibitor
|
$25.20 |
$25.20 |
$25.20 |
$85.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$51.60 |
$51.60 |
$51.60 |
$82.68
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$51.00 |
$51.00 |
$51.00 |
$113.50
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$327.00 |
$327.00 |
$327.00 |
$274.40
|
|
Mayo ceruloplasmin
|
$122.40 |
$122.40 |
$122.40 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$28.80 |
$28.80 |
$28.80 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$124.20 |
$124.20 |
$124.20 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$153.60 |
$153.60 |
$153.60 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$26.40 |
$26.40 |
$26.40 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$653.40 |
$653.40 |
$653.40 |
$346.32
|
|
Mayo chromium
|
$17.40 |
$17.40 |
$17.40 |
$70.85
|
|
Mayo coccidioides antibody
|
$66.00 |
$66.00 |
$66.00 |
$55.20
|
|
Mayo cocou cortisone urine
|
$42.60 |
$42.60 |
$42.60 |
$207.26
|
|
Mayo cortisol free
|
$161.40 |
$161.40 |
$161.40 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$80.40 |
$80.40 |
$80.40 |
$70.20
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$60.60 |
$60.60 |
$60.60 |
$61.80
|
|
Mayo cyanide
|
$187.20 |
$187.20 |
$187.20 |
$90.00
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$613.20 |
$613.20 |
$613.20 |
$591.00
|
|
Mayo deoxyribonuclease antibody titer
|
$262.80 |
$262.80 |
$262.80 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$152.40 |
$152.40 |
$152.40 |
$113.10
|
|
Mayo dihydrotestosterone
|
$55.80 |
$55.80 |
$55.80 |
$78.00
|
|
Mayo efpo chloride stool
|
$14.40 |
$14.40 |
$14.40 |
$44.20
|
