|
Lidocaine therapeutic drug level
|
$243.60 |
$243.60 |
$243.60 |
$88.40
|
|
Lift heel adj small gl60404sm
|
$148.39 |
$148.39 |
$148.39 |
$136.66
|
|
Liletta, 52 mg
|
$1,100.85 |
$1,100.85 |
$1,100.85 |
$1,453.50
|
|
Limited ankle motion ea jnt
|
$123.05 |
$123.05 |
$123.05 |
$108.64
|
|
Limited motion knee joint
|
$278.92 |
$278.92 |
$278.92 |
$274.07
|
|
Lincomycin injection
|
$64.31 |
$64.31 |
$64.31 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$83.16 |
$83.16 |
$83.16 |
$122.21
|
|
Lipase
|
$160.50 |
$160.50 |
$160.50 |
$91.80
|
|
Lipoprotein direct measurement hdl
|
$221.10 |
$221.10 |
$221.10 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$99.45 |
$99.45 |
$99.45 |
$61.60
|
|
Lithium therapeutic drug level
|
$147.30 |
$147.30 |
$147.30 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,847.75 |
$5,847.75 |
$5,847.75 |
$4,113.20
|
|
Liver Function Test
|
$316.20 |
$316.20 |
$316.20 |
$115.44
|
|
Liver imaging
|
$777.90 |
$777.90 |
$777.90 |
$1,093.50
|
|
Liver imag w/vasclr flow
|
$820.20 |
$820.20 |
$820.20 |
$1,255.15
|
|
Liver/spleen imag static only
|
$1,069.20 |
$1,069.20 |
$1,069.20 |
$1,140.78
|
|
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 |
$44.10
|
|
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 |
$37.44
|
|
Lo sag rig pnl stays pre cst
|
$156.86 |
$156.86 |
$156.86 |
$167.74
|
|
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 |
$1,815.45
|
|
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 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$524.40 |
$524.40 |
$524.40 |
$355.32
|
|
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 |
$298.50
|
|
Lung perfusion imaging
|
$1,257.45 |
$1,257.45 |
$1,257.45 |
$1,072.46
|
|
Lymphatics/lymph node imaging
|
$1,654.65 |
$1,654.65 |
$1,654.65 |
$1,463.22
|
|
Lymph vessel x-ray trunk
|
$5,479.20 |
$5,479.20 |
$5,479.20 |
$3,521.00
|
|
Magnesium
|
$160.50 |
$160.50 |
$160.50 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$58.70 |
$58.70 |
$58.70 |
$58.77
|
|
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 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$82.50 |
$82.50 |
$82.50 |
$130.81
|
|
Manipulation chest wall initial demonstration/evaluation
|
$188.70 |
$188.70 |
$188.70 |
$159.25
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.00 |
$9.00 |
$9.00 |
$27.81
|
|
Map tachycard site(s)
|
$7,396.05 |
$7,396.05 |
$7,396.05 |
$4,183.00
|
|
Marker biop eviva buckle ss
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$1,382.40
|
|
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 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$25.95 |
$25.95 |
$25.95 |
$65.00
|
|
Mayo aathr protein s free
|
$161.85 |
$161.85 |
$161.85 |
$130.18
|
|
Mayo activated protein c resistance assay
|
$196.20 |
$196.20 |
$196.20 |
$96.50
|
|
Mayo alcohol definitive assay volatile screen
|
$57.90 |
$57.90 |
$57.90 |
$115.05
|
|
Mayo alkaline phosphatase isoenzyme
|
$73.80 |
$73.80 |
$73.80 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$150.00 |
$150.00 |
$150.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$168.00 |
$168.00 |
$168.00 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$106.50 |
$106.50 |
$106.50 |
$78.00
|
|
Mayo analysis gene calr common variants exon 9
|
$492.00 |
$492.00 |
$492.00 |
$492.00
|
|
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 angiotensin 1 converting enzyme (ace) csf
|
$67.20 |
$67.20 |
$67.20 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$127.95 |
$127.95 |
$127.95 |
$71.20
|
|
Mayo aspergillus fumigatus antibody
|
$172.65 |
$172.65 |
$172.65 |
$66.75
|
|
Mayo avwpr vw factor activity
|
$332.10 |
$332.10 |
$332.10 |
$170.00
|
|
Mayo bart bartonella henselae antibody igg
|
$115.20 |
$115.20 |
$115.20 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$207.00 |
$207.00 |
$207.00 |
$326.40
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$207.00 |
$207.00 |
$207.00 |
$327.76
|
|
Mayo blastomyces antibody immunodiffusion
|
$81.30 |
$81.30 |
$81.30 |
$57.00
|
|
Mayo bordetella pertussis antibody igg
|
$106.65 |
$106.65 |
$106.65 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$20.70 |
$20.70 |
$20.70 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$132.30 |
$132.30 |
$132.30 |
$85.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$65.85 |
$65.85 |
$65.85 |
$79.20
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$129.72 |
$129.72 |
$129.72 |
$114.18
|
|
Mayo ceruloplasmin
|
$81.30 |
$81.30 |
$81.30 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$45.15 |
$45.15 |
$45.15 |
$117.00
|
|
Mayo chikv chikungunya antibodies igg
|
$338.40 |
$338.40 |
$338.40 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$77.55 |
$77.55 |
$77.55 |
$52.80
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$77.55 |
$77.55 |
$77.55 |
$49.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$412.50 |
$412.50 |
$412.50 |
$353.99
|
|
Mayo chromium
|
$479.70 |
$479.70 |
$479.70 |
$70.85
|
|
Mayo coccidioides antibody
|
$179.70 |
$179.70 |
$179.70 |
$55.80
|
|
Mayo cocou cortisone urine
|
$184.50 |
$184.50 |
$184.50 |
$205.07
|
|
Mayo cortisol free
|
$94.95 |
$94.95 |
$94.95 |
$93.60
|
|
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 |
$60.90
|
|
Mayo cyanide
|
$209.10 |
$209.10 |
$209.10 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$25.50 |
$25.50 |
$25.50 |
$56.11
|
|
Mayo dhea (dehydroepiandrosterone)
|
$143.55 |
$143.55 |
$143.55 |
$108.90
|
|
Mayo efpo chloride stool
|
$99.45 |
$99.45 |
$99.45 |
$44.33
|
|
Mayo estrone
|
$73.80 |
$73.80 |
$73.80 |
$85.00
|
|
Mayo factor ii
|
$253.20 |
$253.20 |
$253.20 |
$96.88
|
|
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 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$127.92 |
$127.92 |
$127.92 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$81.18 |
$81.18 |
$81.18 |
$140.00
|
|
Mayo factor x
|
$70.20 |
$70.20 |
$70.20 |
$154.35
|
