|
Lipoprotein direct measurement ldl
|
$99.45 |
$99.45 |
$99.45 |
$61.60
|
|
Lithium therapeutic drug level
|
$147.30 |
$147.30 |
$147.30 |
$69.42
|
|
Liver Function Test
|
$316.20 |
$316.20 |
$316.20 |
$115.44
|
|
Liver imaging
|
$777.90 |
$777.90 |
$777.90 |
$1,129.68
|
|
Liver imag w/vasclr flow
|
$820.20 |
$820.20 |
$820.20 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,123.00
|
|
Liver/spleen imag w/vasclr flow
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$211.50 |
$211.50 |
$211.50 |
$49.70
|
|
Long tongue stirrup
|
$293.85 |
$293.85 |
$293.85 |
$249.12
|
|
Loop ostmy bridg ster
|
$27.60 |
$27.60 |
$27.60 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$39.61 |
$39.61 |
$39.61 |
$37.25
|
|
Lo sag rig pnl stays pre cst
|
$156.86 |
$156.86 |
$156.86 |
$167.74
|
|
Low cost skin substitute app
|
$933.60 |
$933.60 |
$933.60 |
$933.60
|
|
Low cost skin substitute app
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$2,147.57
|
|
Low cost skin substitute app
|
$933.60 |
$933.60 |
$933.60 |
$1,012.00
|
|
Low cost skin substitute app
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$1,009.49
|
|
Low cost skin substitute app
|
$466.80 |
$466.80 |
$466.80 |
$429.50
|
|
Low cost skin substitute app
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$727.77
|
|
Low cost skin substitute app
|
$466.80 |
$466.80 |
$466.80 |
$408.04
|
|
Low cost skin substitute app
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$1,798.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$3,054.10
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$2,429.00
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$524.40 |
$524.40 |
$524.40 |
$355.85
|
|
Lso flex no ri stays pre ots
|
$135.35 |
$135.35 |
$135.35 |
$164.80
|
|
Lso r post pnl sj-t9 pre cst
|
$326.82 |
$326.82 |
$326.82 |
$326.82
|
|
Lso sagit rigid panel prefab
|
$1,990.83 |
$1,990.83 |
$1,990.83 |
$1,990.83
|
|
Lso sc r pos/lat pnl pre cst
|
$577.00 |
$577.00 |
$577.00 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$598.52 |
$598.52 |
$598.52 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,320.59 |
$2,320.59 |
$2,320.59 |
$2,252.16
|
|
Lumizyme injection
|
$1,909.58 |
$1,909.58 |
$1,909.58 |
$1,738.40
|
|
Lung Function Test (Spirometry)
|
$356.85 |
$356.85 |
$356.85 |
$295.35
|
|
Lung perfusion imaging
|
$1,257.45 |
$1,257.45 |
$1,257.45 |
$1,057.60
|
|
Lymphatics/lymph node imaging
|
$1,654.65 |
$1,654.65 |
$1,654.65 |
$1,463.22
|
|
Magnesium
|
$160.50 |
$160.50 |
$160.50 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$58.70 |
$58.70 |
$58.70 |
$59.88
|
|
Makena, 10 mg
|
$1,589.94 |
$1,589.94 |
$1,589.94 |
$1,405.80
|
|
Mammosite ced
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$82.50 |
$82.50 |
$82.50 |
$131.04
|
|
Manipulation chest wall initial demonstration/evaluation
|
$188.70 |
$188.70 |
$188.70 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.00 |
$9.00 |
$9.00 |
$29.35
|
|
Marker biop eviva buckle ss
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,455.60 |
$2,455.60 |
$2,455.60 |
$1,941.63
|
|
Mastoids complete
|
$300.60 |
$300.60 |
$300.60 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$184.50 |
$184.50 |
$184.50 |
$6,385.03
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$46.20 |
$46.20 |
$46.20 |
$65.00
|
|
Mayo aathr protein s free
|
$180.30 |
$180.30 |
$180.30 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$196.20 |
$196.20 |
$196.20 |
$97.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$37.35 |
$37.35 |
$37.35 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$150.00 |
$150.00 |
$150.00 |
$87.00
|
|
Mayo amikacin trough therapeutic drug level
|
$168.00 |
$168.00 |
$168.00 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$369.00 |
$369.00 |
$369.00 |
$369.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,440.00 |
$1,440.00 |
$1,440.00 |
$1,860.00
|
|
Mayo androstenedione
|
$102.60 |
$102.60 |
$102.60 |
$109.90
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$67.20 |
$67.20 |
$67.20 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$127.95 |
$127.95 |
$127.95 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$169.74 |
$169.74 |
$169.74 |
$65.70
|
|
Mayo avwpr vw factor activity
|
$332.10 |
$332.10 |
$332.10 |
$170.40
|
|
Mayo bart bartonella henselae antibody igg
|
$27.31 |
$27.31 |
$27.31 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$713.40 |
$713.40 |
$713.40 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$207.00 |
$207.00 |
$207.00 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$81.30 |
$81.30 |
$81.30 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$106.65 |
$106.65 |
$106.65 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$20.70 |
$20.70 |
$20.70 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$132.30 |
$132.30 |
$132.30 |
$86.40
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$159.90 |
$159.90 |
$159.90 |
$106.70
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$239.85 |
$239.85 |
$239.85 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$356.70 |
$356.70 |
$356.70 |
$281.50
|
|
Mayo ceruloplasmin
|
$81.30 |
$81.30 |
$81.30 |
$68.25
|
|
Mayo chemiluminescent parathyroid related peptide
|
$78.22 |
$78.22 |
$78.22 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$210.30 |
$210.30 |
$210.30 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$77.55 |
$77.55 |
$77.55 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$77.55 |
$77.55 |
$77.55 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$412.50 |
$412.50 |
$412.50 |
$360.33
|
|
Mayo chromium
|
$479.70 |
$479.70 |
$479.70 |
$73.40
|
|
Mayo coccidioides antibody
|
$179.70 |
$179.70 |
$179.70 |
$54.00
|
|
Mayo cocou cortisone urine
|
$184.50 |
$184.50 |
$184.50 |
$213.92
|
|
Mayo cortisol free
|
$94.95 |
$94.95 |
$94.95 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$103.43 |
$103.43 |
$103.43 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$116.10 |
$116.10 |
$116.10 |
$58.10
|
|
Mayo cyanide
|
$209.10 |
$209.10 |
$209.10 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$25.50 |
$25.50 |
$25.50 |
$56.50
|
|
Mayo dhea (dehydroepiandrosterone)
|
$143.55 |
$143.55 |
$143.55 |
$105.60
|
|
Mayo dihydrotestosterone
|
$49.20 |
$49.20 |
$49.20 |
$74.25
|
|
Mayo efpo chloride stool
|
$99.45 |
$99.45 |
$99.45 |
$42.90
|
|
Mayo estriol
|
$67.20 |
$67.20 |
$67.20 |
$89.60
|
|
Mayo factor ii
|
$253.20 |
$253.20 |
$253.20 |
$99.06
|
|
Mayo factor v
|
$59.10 |
$59.10 |
$59.10 |
$125.58
|
|
Mayo factor vii
|
$175.05 |
$175.05 |
$175.05 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$62.85 |
$62.85 |
$62.85 |
$118.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$127.92 |
$127.92 |
$127.92 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$81.18 |
$81.18 |
$81.18 |
$141.00
|
|
Mayo factor x
|
$70.20 |
$70.20 |
$70.20 |
$154.35
|
|
Mayo factor xi
|
$121.80 |
$121.80 |
$121.80 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$216.60 |
$216.60 |
$216.60 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$232.65 |
$232.65 |
$232.65 |
$104.53
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$45.60 |
$45.60 |
$45.60 |
$66.43
|
