|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.37 |
$0.37 |
$0.37 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$159.03 |
$159.03 |
$159.03 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$47.07 |
$47.07 |
$47.07 |
$66.59
|
|
Lidocaine therapeutic drug level
|
$214.74 |
$214.74 |
$214.74 |
$83.85
|
|
Lipase
|
$67.68 |
$67.68 |
$67.68 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$115.65 |
$115.65 |
$115.65 |
$89.52
|
|
Lipoprotein direct measurement hdl
|
$47.34 |
$47.34 |
$47.34 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$31.14 |
$31.14 |
$31.14 |
$60.00
|
|
Lithium therapeutic drug level
|
$55.08 |
$55.08 |
$55.08 |
$67.60
|
|
Liver elastography 91200
|
$248.31 |
$248.31 |
$248.31 |
$291.74
|
|
Liver Function Test
|
$196.29 |
$196.29 |
$196.29 |
$110.50
|
|
Liver/spleen imag w/vasclr flow
|
$605.43 |
$605.43 |
$605.43 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.98 |
$1.98 |
$1.98 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$142.20 |
$142.20 |
$142.20 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$858.87 |
$858.87 |
$858.87 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,623.15 |
$1,623.15 |
$1,623.15 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,382.58 |
$1,382.58 |
$1,382.58 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,962.45 |
$1,962.45 |
$1,962.45 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,053.27 |
$1,053.27 |
$1,053.27 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$917.91 |
$917.91 |
$917.91 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$320.94 |
$320.94 |
$320.94 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$139.14 |
$139.14 |
$139.14 |
$275.88
|
|
L/s ratio fetal lung
|
$302.40 |
$302.40 |
$302.40 |
$168.00
|
|
Lung function test (mbc/mvv)
|
$89.91 |
$89.91 |
$89.91 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$202.32 |
$202.32 |
$202.32 |
$298.50
|
|
Lung perfusion imaging
|
$579.51 |
$579.51 |
$579.51 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$631.98 |
$631.98 |
$631.98 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$252.72 |
$252.72 |
$252.72 |
$266.20
|
|
Lymphocytotoxicity assay
|
$314.28 |
$314.28 |
$314.28 |
$370.20
|
|
Magnesium
|
$134.01 |
$134.01 |
$134.01 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$57.51 |
$57.51 |
$57.51 |
$65.49
|
|
Makena, 10 mg
|
$22.86 |
$22.86 |
$22.86 |
$22.86
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$125.46 |
$125.46 |
$125.46 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$79.74 |
$79.74 |
$79.74 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$8.99 |
$8.99 |
$8.99 |
$40.12
|
|
Mastoids complete
|
$178.29 |
$178.29 |
$178.29 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$158.22 |
$158.22 |
$158.22 |
$66.50
|
|
Mayo aathr protein s free
|
$136.98 |
$136.98 |
$136.98 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$72.54 |
$72.54 |
$72.54 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$101.07 |
$101.07 |
$101.07 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$62.01 |
$62.01 |
$62.01 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$111.06 |
$111.06 |
$111.06 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$111.69 |
$111.69 |
$111.69 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$131.58 |
$131.58 |
$131.58 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$64.53 |
$64.53 |
$64.53 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$111.69 |
$111.69 |
$111.69 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$372.51 |
$372.51 |
$372.51 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$956.97 |
$956.97 |
$956.97 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,785.87 |
$1,785.87 |
$1,785.87 |
$1,909.44
|
|
Mayo androstenedione
|
$119.61 |
$119.61 |
$119.61 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$147.15 |
$147.15 |
$147.15 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$50.22 |
$50.22 |
$50.22 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$102.60 |
$102.60 |
$102.60 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$103.77 |
$103.77 |
$103.77 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$111.69 |
$111.69 |
$111.69 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$12.60 |
$12.60 |
$12.60 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$330.03 |
$330.03 |
$330.03 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$205.11 |
$205.11 |
$205.11 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$47.34 |
$47.34 |
$47.34 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$174.51 |
$174.51 |
$174.51 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$50.04 |
$50.04 |
$50.04 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$104.13 |
$104.13 |
$104.13 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$97.74 |
$97.74 |
$97.74 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$284.85 |
$284.85 |
$284.85 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$1,767.15 |
$1,767.15 |
$1,767.15 |
$274.40
|
|
Mayo ceruloplasmin
|
$55.08 |
$55.08 |
$55.08 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$59.76 |
$59.76 |
$59.76 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$107.37 |
$107.37 |
$107.37 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$47.34 |
$47.34 |
$47.34 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$47.34 |
$47.34 |
$47.34 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$1,209.96 |
$1,209.96 |
$1,209.96 |
$353.99
|
|
Mayo chromium
|
$16.47 |
$16.47 |
$16.47 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$111.69 |
$111.69 |
$111.69 |
$89.53
|
|
Mayo coccidioides antibody
|
$130.95 |
$130.95 |
$130.95 |
$58.37
|
|
Mayo cocou cortisone urine
|
$270.72 |
$270.72 |
$270.72 |
$207.26
|
|
Mayo cortisol free
|
$129.69 |
$129.69 |
$129.69 |
$100.00
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$56.70 |
$56.70 |
$56.70 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$111.69 |
$111.69 |
$111.69 |
$106.70
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$21.87 |
$21.87 |
$21.87 |
$72.14
|
|
Mayo cyanide
|
$124.38 |
$124.38 |
$124.38 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$68.85 |
$68.85 |
$68.85 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$103.95 |
$103.95 |
$103.95 |
$88.45
|
|
Mayo efpo chloride stool
|
$30.69 |
$30.69 |
$30.69 |
$44.20
|
|
Mayo estriol
|
$254.25 |
$254.25 |
$254.25 |
$98.70
|
|
Mayo ethosuximide therapeutic drug level
|
$142.11 |
$142.11 |
$142.11 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$122.67 |
$122.67 |
$122.67 |
$80.50
|
|
Mayo factor ii
|
$185.40 |
$185.40 |
$185.40 |
$93.00
|
|
Mayo factor v
|
$172.08 |
$172.08 |
$172.08 |
$125.48
|
|
Mayo factor vii
|
$161.64 |
$161.64 |
$161.64 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$176.85 |
$176.85 |
$176.85 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$809.73 |
$809.73 |
$809.73 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$351.63 |
$351.63 |
$351.63 |
$129.60
|
|
Mayo factor x
|
$83.88 |
$83.88 |
$83.88 |
$139.50
|
|
Mayo factor xi
|
$130.23 |
$130.23 |
$130.23 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$178.65 |
$178.65 |
$178.65 |
$71.71
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$86.94 |
$86.94 |
$86.94 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$265.14 |
$265.14 |
$265.14 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$57.24 |
$57.24 |
$57.24 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$629.82 |
$629.82 |
$629.82 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$130.68 |
$130.68 |
$130.68 |
$115.20
|