|
Liver ds alys 3 bmrk srm alg
|
$660.00 |
$660.00 |
$660.00 |
$365.28
|
|
Liver elastography 91200
|
$312.00 |
$312.00 |
$312.00 |
$285.18
|
|
Liver Function Test
|
$193.52 |
$193.52 |
$370.20 |
$115.44
|
|
Liver image (3d) with flow
|
$1,198.66 |
$1,198.66 |
$1,198.66 |
$1,505.81
|
|
Liver imaging
|
$777.90 |
$777.90 |
$1,279.10 |
$1,109.00
|
|
Liver imaging (3d)
|
$1,198.66 |
$1,198.66 |
$1,198.66 |
$1,198.66
|
|
Liver imag w/vasclr flow
|
$820.20 |
$820.20 |
$1,255.15 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,069.20 |
$1,069.20 |
$1,471.52 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$504.82 |
$504.82 |
$1,069.20 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$161.06 |
$161.06 |
$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)
|
$12.92 |
$12.92 |
$39.61 |
$37.20
|
|
Lo sag rig pnl stays pre cst
|
$156.86 |
$156.86 |
$156.86 |
$167.74
|
|
Low cost skin substitute app
|
$933.60 |
$933.60 |
$1,126.12 |
$933.60
|
|
Low cost skin substitute app
|
$1,584.24 |
$1,584.24 |
$2,710.80 |
$2,164.64
|
|
Low cost skin substitute app
|
$933.60 |
$933.60 |
$1,313.06 |
$1,012.00
|
|
Low cost skin substitute app
|
$2,710.80 |
$2,710.80 |
$2,710.80 |
$1,016.16
|
|
Low cost skin substitute app
|
$466.80 |
$466.80 |
$693.49 |
$466.80
|
|
Low cost skin substitute app
|
$769.45 |
$769.45 |
$1,355.40 |
$756.00
|
|
Low cost skin substitute app
|
$466.80 |
$466.80 |
$2,428.65 |
$408.45
|
|
Low cost skin substitute app
|
$1,355.40 |
$1,355.40 |
$1,355.40 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$184.05 |
$184.05 |
$231.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,677.35 |
$1,677.35 |
$3,264.90 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,381.40 |
$2,381.40 |
$2,612.85 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,054.79 |
$2,054.79 |
$2,394.15 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,196.33 |
$3,196.33 |
$3,264.90 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,181.58 |
$2,181.58 |
$2,612.85 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,190.02 |
$2,190.02 |
$2,394.15 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$337.54 |
$337.54 |
$524.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$475.04 |
$475.04 |
$652.50 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$425.55 |
$425.55 |
$535.91 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$306.47 |
$306.47 |
$345.75 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$364.77 |
$364.77 |
$364.77 |
$364.77
|
|
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
|
$1,513.13 |
$1,513.13 |
$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
|
|
L/s ratio fetal lung
|
$254.12 |
$254.12 |
$254.12 |
$176.15
|
|
Lumbar diskogram s&i
|
$2,358.23 |
$2,358.23 |
$2,358.23 |
$2,358.23
|
|
Lumizyme injection
|
$1,735.97 |
$1,735.97 |
$1,909.58 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$454.65 |
$454.65 |
$628.51 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$214.94 |
$214.94 |
$214.94 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$356.85 |
$356.85 |
$405.67 |
$296.91
|
|
Lung perfusion imaging
|
$1,257.45 |
$1,257.45 |
$1,348.42 |
$1,069.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$21,365.20 |
$21,365.20 |
$21,365.20 |
$22,771.63
|
|
Lvad shower bag heartmate
|
$837.59 |
$837.59 |
$837.59 |
$893.74
|
|
Lymphatics/lymph node imaging
|
$1,654.65 |
$1,654.65 |
$1,939.47 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$196.80 |
$196.80 |
$1,239.31 |
$271.88
|
|
Lymphocytotoxicity assay
|
$370.20 |
$370.20 |
$370.20 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$700.80 |
$700.80 |
$700.80 |
$972.06
|
|
Lymph vessel x-ray trunk
|
$2,694.05 |
$2,694.05 |
$2,694.05 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$1,238.59 |
$1,238.59 |
$1,238.59 |
$3,452.15
|
|
Macro exam dissect molec study ea
|
$101.29 |
$101.29 |
$559.20 |
$67.08
|
|
Macroscopic exam arthropod
|
$45.36 |
$45.36 |
$45.36 |
$38.58
|
|
Macroscopic exam parasite
|
$39.30 |
$39.30 |
$48.74 |
$37.05
|
|
Magnesium
|
$92.35 |
$92.35 |
$160.50 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$58.32 |
$58.32 |
$58.70 |
$58.70
|
|
Magnetic image bone marrow
|
$1,349.86 |
$1,349.86 |
$1,349.86 |
$1,329.39
|
|
Makena, 10 mg
|
$1,445.40 |
$1,445.40 |
$1,589.94 |
$1,405.80
|
|
Malaria antibody
|
$126.00 |
$126.00 |
$126.00 |
$94.80
|
|
Mammosite ced
|
$2,000.16 |
$2,000.16 |
$6,600.00 |
$5,031.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.00 |
$9.00 |
$17.82 |
$26.29
|
|
Man's shoe oxford brace
|
$175.11 |
$175.11 |
$175.11 |
$175.11
|
|
Manual diff wbc count b-coat
|
$44.14 |
$44.14 |
$44.14 |
$25.74
|
|
Mapping io sentinel lymph node
|
$468.21 |
$468.21 |
$468.21 |
$650.00
|
|
Map tachycard site(s)
|
$7,396.05 |
$7,396.05 |
$7,600.81 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,880.00 |
$2,880.00 |
$6,369.00 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,753.29 |
$1,753.29 |
$2,455.60 |
$1,941.63
|
|
Mastoids complete
|
$238.14 |
$238.14 |
$300.60 |
$299.50
|
|
Matrion 1 sq cm
|
$361.00 |
$361.00 |
$361.00 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$184.50 |
$184.50 |
$6,522.00 |
$4,472.40
|
|
M.avium-intra dna amp prob
|
$289.80 |
$289.80 |
$289.80 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$46.20 |
$46.20 |
$112.58 |
$65.28
|
|
Mayo aathr protein s free
|
$180.30 |
$180.30 |
$200.93 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$164.66 |
$164.66 |
$196.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$645.00 |
$645.00 |
$645.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$152.13 |
$152.13 |
$237.62 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$84.63 |
$84.63 |
$84.63 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$73.80 |
$73.80 |
$106.69 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$83.43 |
$83.43 |
$83.43 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$115.67 |
$115.67 |
$150.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$122.94 |
$122.94 |
$168.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$156.82 |
$156.82 |
$156.82 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$144.00 |
$144.00 |
$144.00 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$298.80 |
$298.80 |
$953.69 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$369.00 |
$369.00 |
$481.34 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$476.25 |
$476.25 |
$476.25 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,860.00 |
$1,860.00 |
$2,214.83 |
$1,860.00
|
|
Mayo androstenedione
|
$102.60 |
$102.60 |
$162.46 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$67.20 |
$67.20 |
$127.75 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$67.13 |
$67.13 |
$127.95 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$78.73 |
$78.73 |
$169.74 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$226.68 |
$226.68 |
$332.10 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$174.00 |
$174.00 |
$174.00 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$80.39 |
$80.39 |
$80.39 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$27.31 |
$27.31 |
$57.30 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$693.60 |
$693.60 |
$713.40 |
$333.60
|
