|
Kras gene variants exon 2
|
$962.50 |
$962.50 |
$962.50 |
$509.00
|
|
Lacer molded to patient mode
|
$1,029.50 |
$1,029.50 |
$1,029.50 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$62.50 |
$62.50 |
$62.50 |
$55.50
|
|
Lactic acid
|
$154.00 |
$154.00 |
$154.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$61.00 |
$61.00 |
$61.00 |
$81.00
|
|
Laryngoscopy telescopic
|
$369.50 |
$369.50 |
$369.50 |
$852.80
|
|
Lead acuity x4 spiral l 86cm
|
$9,132.50 |
$9,132.50 |
$9,132.50 |
$5,534.00
|
|
Lead capillary
|
$67.00 |
$67.00 |
$67.00 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$14,400.00 |
$14,400.00 |
$14,400.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$420.00 |
$420.00 |
$420.00 |
$1,092.58
|
|
Lengthen metacarpal/finger
|
$5,645.50 |
$5,645.50 |
$5,645.50 |
$6,273.00
|
|
Lens, intraocular (new tech)
|
$1,321.50 |
$1,321.50 |
$1,321.50 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,902.50 |
$2,902.50 |
$2,902.50 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$4,935.00 |
$4,935.00 |
$4,935.00 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$2,923.00 |
$2,923.00 |
$2,923.00 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$403.50 |
$403.50 |
$403.50 |
$88.92
|
|
Liberta rc ipg
|
$65,216.50 |
$65,216.50 |
$65,216.50 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$70.50 |
$70.50 |
$70.50 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$231.50 |
$231.50 |
$231.50 |
$133.50
|
|
Limited ankle motion ea jnt
|
$125.00 |
$125.00 |
$125.00 |
$109.20
|
|
Lipase
|
$82.00 |
$82.00 |
$82.00 |
$91.65
|
|
Lipoprotein blood quant
|
$98.00 |
$98.00 |
$98.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$75.50 |
$75.50 |
$75.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$68.50 |
$68.50 |
$68.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$76.00 |
$76.00 |
$76.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$12,679.50 |
$12,679.50 |
$12,679.50 |
$4,113.20
|
|
Liver elastography 91200
|
$368.50 |
$368.50 |
$368.50 |
$280.00
|
|
Liver Function Test
|
$164.50 |
$164.50 |
$164.50 |
$115.44
|
|
Liver/spleen imag static only
|
$647.50 |
$647.50 |
$647.50 |
$1,123.50
|
|
Low cost skin substitute app
|
$2,504.50 |
$2,504.50 |
$2,504.50 |
$933.60
|
|
Low cost skin substitute app
|
$1,796.50 |
$1,796.50 |
$1,796.50 |
$2,147.57
|
|
Low cost skin substitute app
|
$1,462.50 |
$1,462.50 |
$1,462.50 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,462.50 |
$1,462.50 |
$1,462.50 |
$1,009.49
|
|
Low cost skin substitute app
|
$330.00 |
$330.00 |
$330.00 |
$428.35
|
|
Low cost skin substitute app
|
$2,029.00 |
$2,029.00 |
$2,029.00 |
$727.77
|
|
Low cost skin substitute app
|
$1,037.50 |
$1,037.50 |
$1,037.50 |
$408.04
|
|
Low cost skin substitute app
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,431.00 |
$1,431.00 |
$1,431.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,176.50 |
$1,176.50 |
$1,176.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,094.00 |
$1,094.00 |
$1,094.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,202.50 |
$1,202.50 |
$1,202.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,003.00 |
$1,003.00 |
$1,003.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$331.00 |
$331.00 |
$331.00 |
$356.16
|
|
Lso corset front
|
$304.00 |
$304.00 |
$304.00 |
$207.32
|
|
Lso s/c shell/panel custom
|
$2,835.00 |
$2,835.00 |
$2,835.00 |
$2,252.16
|
|
Lumbar diskogram s&i
|
$2,869.00 |
$2,869.00 |
$2,869.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$141.50 |
$141.50 |
$141.50 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$180.50 |
$180.50 |
$180.50 |
$295.35
|
|
Lung perfusion imaging
|
$494.00 |
$494.00 |
$494.00 |
$1,059.97
|
|
Lvad shower bag heartmate
|
$1,405.50 |
$1,405.50 |
$1,405.50 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$618.00 |
$618.00 |
$618.00 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$380.50 |
$380.50 |
$380.50 |
$271.88
|
|
Magnesium
|
$107.00 |
$107.00 |
$107.00 |
$72.50
|
|
Mammosite ced
|
$6,629.00 |
$6,629.00 |
$6,629.00 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$77.00 |
$77.00 |
$77.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$157.50 |
$157.50 |
$157.50 |
$160.80
|
|
Map tachycard site(s)
|
$2,762.00 |
$2,762.00 |
$2,762.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,872.50 |
$2,872.50 |
$2,872.50 |
$1,451.30
|
|
Mastoids complete
|
$280.50 |
$280.50 |
$280.50 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$57.00 |
$57.00 |
$57.00 |
$65.00
|
|
Mayo aathr protein s free
|
$274.50 |
$274.50 |
$274.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$109.00 |
$109.00 |
$109.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$526.00 |
$526.00 |
$526.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$186.50 |
$186.50 |
$186.50 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$429.00 |
$429.00 |
$429.00 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$140.50 |
$140.50 |
$140.50 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$328.00 |
$328.00 |
$328.00 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$172.50 |
$172.50 |
$172.50 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$76.00 |
$76.00 |
$76.00 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$106.50 |
$106.50 |
$106.50 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$403.50 |
$403.50 |
$403.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$737.00 |
$737.00 |
$737.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$970.00 |
$970.00 |
$970.00 |
$1,860.00
|
|
Mayo androstenedione
|
$142.00 |
$142.00 |
$142.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$77.50 |
$77.50 |
$77.50 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$52.50 |
$52.50 |
$52.50 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$69.00 |
$69.00 |
$69.00 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$458.00 |
$458.00 |
$458.00 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$117.50 |
$117.50 |
$117.50 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$76.00 |
$76.00 |
$76.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$440.50 |
$440.50 |
$440.50 |
$328.20
|
|
Mayo bordetella pertussis antibody igg
|
$68.50 |
$68.50 |
$68.50 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$61.50 |
$61.50 |
$61.50 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$38.50 |
$38.50 |
$38.50 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$196.00 |
$196.00 |
$196.00 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$200.50 |
$200.50 |
$200.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$119.50 |
$119.50 |
$119.50 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$290.50 |
$290.50 |
$290.50 |
$281.50
|
|
Mayo ceruloplasmin
|
$96.00 |
$96.00 |
$96.00 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$178.00 |
$178.00 |
$178.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$114.00 |
$114.00 |
$114.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$93.50 |
$93.50 |
$93.50 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$54.50 |
$54.50 |
$54.50 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$593.00 |
$593.00 |
$593.00 |
$360.33
|
|
Mayo chromium
|
$93.50 |
$93.50 |
$93.50 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$51.50 |
$51.50 |
$51.50 |
$100.00
|
|
Mayo coccidioides antibody
|
$49.00 |
$49.00 |
$49.00 |
$53.90
|
