|
Liver/spleen imag static only
|
$254.76 |
$254.76 |
$254.76 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$202.29 |
$202.29 |
$202.29 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$120.60 |
$120.60 |
$120.60 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$31,851.75 |
$31,851.75 |
$31,851.75 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$14.46 |
$14.46 |
$14.46 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$897.93 |
$897.93 |
$897.93 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$598.62 |
$598.62 |
$598.62 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$598.62 |
$598.62 |
$598.62 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$953.70 |
$953.70 |
$953.70 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$775.50 |
$775.50 |
$775.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$775.50 |
$775.50 |
$775.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$82.83 |
$82.83 |
$82.83 |
$356.16
|
|
Lung function test (mbc/mvv)
|
$43.89 |
$43.89 |
$43.89 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$109.23 |
$109.23 |
$109.23 |
$295.35
|
|
Lung perfusion imaging
|
$235.95 |
$235.95 |
$235.95 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$9,278.28 |
$9,278.28 |
$9,278.28 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$13,877.35 |
$13,877.35 |
$13,877.35 |
$22,210.87
|
|
Lymphatics/lymph node imaging
|
$285.12 |
$285.12 |
$285.12 |
$1,463.22
|
|
Magnesium
|
$44.22 |
$44.22 |
$44.22 |
$72.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$67.32 |
$67.32 |
$67.32 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$67.32 |
$67.32 |
$67.32 |
$160.80
|
|
Marker biop eviva buckle ss
|
$283.72 |
$283.72 |
$283.72 |
$1,451.30
|
|
Mastoids complete
|
$114.51 |
$114.51 |
$114.51 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$25.08 |
$25.08 |
$25.08 |
$65.00
|
|
Mayo aathr protein s free
|
$34.65 |
$34.65 |
$34.65 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$39.93 |
$39.93 |
$39.93 |
$97.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$16.50 |
$16.50 |
$16.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$12.21 |
$12.21 |
$12.21 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$49.17 |
$49.17 |
$49.17 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$341.55 |
$341.55 |
$341.55 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$78.54 |
$78.54 |
$78.54 |
$369.00
|
|
Mayo androstenedione
|
$23.76 |
$23.76 |
$23.76 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$56.43 |
$56.43 |
$56.43 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$35.64 |
$35.64 |
$35.64 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$13.86 |
$13.86 |
$13.86 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$87.45 |
$87.45 |
$87.45 |
$171.50
|
|
Mayo bart bartonella henselae antibody igg
|
$9.57 |
$9.57 |
$9.57 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$33.33 |
$33.33 |
$33.33 |
$55.04
|
|
Mayo brcmg brucella antibody igm
|
$25.08 |
$25.08 |
$25.08 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$24.75 |
$24.75 |
$24.75 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$30.36 |
$30.36 |
$30.36 |
$80.16
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$108.57 |
$108.57 |
$108.57 |
$281.50
|
|
Mayo ceruloplasmin
|
$9.57 |
$9.57 |
$9.57 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$28.71 |
$28.71 |
$28.71 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$13.86 |
$13.86 |
$13.86 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$11.22 |
$11.22 |
$11.22 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$12.21 |
$12.21 |
$12.21 |
$49.29
|
|
Mayo chromium
|
$17.49 |
$17.49 |
$17.49 |
$74.94
|
|
Mayo coccidioides antibody
|
$10.89 |
$10.89 |
$10.89 |
$53.90
|
|
Mayo cocou cortisone urine
|
$78.21 |
$78.21 |
$78.21 |
$213.92
|
|
Mayo cortisol free
|
$31.68 |
$31.68 |
$31.68 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.57 |
$42.57 |
$42.57 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$46.53 |
$46.53 |
$46.53 |
$58.10
|
|
Mayo deoxyribonuclease antibody titer
|
$11.88 |
$11.88 |
$11.88 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$27.72 |
$27.72 |
$27.72 |
$105.60
|
|
Mayo dihydrotestosterone
|
$44.88 |
$44.88 |
$44.88 |
$74.25
|
|
Mayo estriol
|
$14.19 |
$14.19 |
$14.19 |
$90.34
|
|
Mayo estrone
|
$19.80 |
$19.80 |
$19.80 |
$85.00
|
|
Mayo factor ii
|
$47.19 |
$47.19 |
$47.19 |
$99.06
|
|
Mayo factor v
|
$56.76 |
$56.76 |
$56.76 |
$127.80
|
|
Mayo factor vii
|
$41.58 |
$41.58 |
$41.58 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$38.61 |
$38.61 |
$38.61 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$48.18 |
$48.18 |
$48.18 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$28.71 |
$28.71 |
$28.71 |
$141.00
|
|
Mayo factor x
|
$96.69 |
$96.69 |
$96.69 |
$155.00
|
|
Mayo factor xi
|
$71.28 |
$71.28 |
$71.28 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$29.70 |
$29.70 |
$29.70 |
$76.05
|
|
Mayo fdp/fsp paracoagulation
|
$94.05 |
$94.05 |
$94.05 |
$124.80
|
|
Mayo ffspg allergen clam igg
|
$29.70 |
$29.70 |
$29.70 |
$35.10
|
|
Mayo fibrinogen antigen
|
$102.63 |
$102.63 |
$102.63 |
$76.44
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$21.45 |
$21.45 |
$21.45 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$1,727.55 |
$1,727.55 |
$1,727.55 |
$1,460.30
|
|
Mayo hemosiderin qualitative urine
|
$26.40 |
$26.40 |
$26.40 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$23.10 |
$23.10 |
$23.10 |
$165.55
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$23.10 |
$23.10 |
$23.10 |
$122.00
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$11.88 |
$11.88 |
$11.88 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$32.67 |
$32.67 |
$32.67 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$7.92 |
$7.92 |
$7.92 |
$74.25
|
|
Mayo hvdip HIV 2 antibody
|
$12.21 |
$12.21 |
$12.21 |
$77.77
|
|
Mayo hydroxyprogesterone 17-d
|
$11.88 |
$11.88 |
$11.88 |
$106.65
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$123.09 |
$123.09 |
$123.09 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$83.82 |
$83.82 |
$83.82 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$70.29 |
$70.29 |
$70.29 |
$107.14
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$21.78 |
$21.78 |
$21.78 |
$108.96
|
|
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance
|
$62.37 |
$62.37 |
$62.37 |
$98.00
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$36.96 |
$36.96 |
$36.96 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$49.50 |
$49.50 |
$49.50 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$48.18 |
$48.18 |
$48.18 |
$196.20
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$31.68 |
$31.68 |
$31.68 |
$155.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$51.15 |
$51.15 |
$51.15 |
$230.65
|
|
Mayo inhab inhibin a
|
$22.44 |
$22.44 |
$22.44 |
$79.95
|
|
Mayo insulin antibodies
|
$42.57 |
$42.57 |
$42.57 |
$97.80
|
|
Mayo iodine
|
$114.18 |
$114.18 |
$114.18 |
$114.60
|
|
Mayo lacosamide therapeutic drug level
|
$66.66 |
$66.66 |
$66.66 |
$104.00
|
|
Mayo lamotrigine therapeutic drug level
|
$14.19 |
$14.19 |
$14.19 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$9.57 |
$9.57 |
$9.57 |
$52.50
|
|
Mayo legionella antibody
|
$16.17 |
$16.17 |
$16.17 |
$72.89
|
|
Mayo leptospira antibody igm
|
$64.68 |
$64.68 |
$64.68 |
$81.06
|
|
Mayo lipoprotein electrophoresis
|
$10.23 |
$10.23 |
$10.23 |
$50.70
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$11.22 |
$11.22 |
$11.22 |
$69.55
|
