|
Levetiracetam therapeutic drug level
|
$431.23 |
$431.23 |
$431.23 |
$88.92
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$646.35 |
$646.35 |
$646.35 |
$385.62
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$293.47 |
$293.47 |
$293.47 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$987.49 |
$987.49 |
$987.49 |
$89.70
|
|
Limited ankle motion ea jnt
|
$701.00 |
$701.00 |
$701.00 |
$123.05
|
|
Liver imaging
|
$3,680.28 |
$3,680.28 |
$3,680.28 |
$1,093.50
|
|
Liver imag w/vasclr flow
|
$5,706.28 |
$5,706.28 |
$5,706.28 |
$1,238.65
|
|
Liver/spleen imag static only
|
$4,339.48 |
$4,339.48 |
$4,339.48 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$7,190.56 |
$7,190.56 |
$7,190.56 |
$1,067.48
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$18,940.82 |
$18,940.82 |
$18,940.82 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$14,350.23 |
$14,350.23 |
$14,350.23 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$13,307.48 |
$13,307.48 |
$13,307.48 |
$2,096.84
|
|
Lso full corset
|
$1,598.00 |
$1,598.00 |
$1,598.00 |
$320.92
|
|
Lso sagittal rigid panel cus
|
$5,508.00 |
$5,508.00 |
$5,508.00 |
$3,092.00
|
|
Lso s/c shell/panel prefab
|
$20,187.00 |
$20,187.00 |
$20,187.00 |
$1,332.80
|
|
L/s ratio fetal lung
|
$13,384.03 |
$13,384.03 |
$13,384.03 |
$176.15
|
|
Lung function test (mbc/mvv)
|
$519.31 |
$519.31 |
$519.31 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$3,878.61 |
$3,878.61 |
$3,878.61 |
$295.35
|
|
Lung perfusion imaging
|
$5,358.02 |
$5,358.02 |
$5,358.02 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$6,257.71 |
$6,257.71 |
$6,257.71 |
$1,448.00
|
|
Macroscopic exam parasite
|
$18.64 |
$18.64 |
$18.64 |
$36.40
|
|
Mannitol 12.5 gm/50 ml inj
|
$119.91 |
$119.91 |
$119.91 |
$27.81
|
|
Manual diff wbc count b-coat
|
$577.11 |
$577.11 |
$577.11 |
$30.68
|
|
Map tachycard site(s)
|
$11,764.45 |
$11,764.45 |
$11,764.45 |
$3,875.95
|
|
Mastoids complete
|
$930.50 |
$930.50 |
$930.50 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$112.21 |
$112.21 |
$112.21 |
$66.36
|
|
Mayo activated protein c resistance assay
|
$722.97 |
$722.97 |
$722.97 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$510.77 |
$510.77 |
$510.77 |
$172.90
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$1,413.92 |
$1,413.92 |
$1,413.92 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$743.83 |
$743.83 |
$743.83 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$1,486.05 |
$1,486.05 |
$1,486.05 |
$82.80
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,481.23 |
$1,481.23 |
$1,481.23 |
$359.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$751.07 |
$751.07 |
$751.07 |
$361.50
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$6,772.96 |
$6,772.96 |
$6,772.96 |
$1,860.00
|
|
Mayo androstenedione
|
$1,758.57 |
$1,758.57 |
$1,758.57 |
$110.00
|
|
Mayo antithrombin iii antigen
|
$1,712.07 |
$1,712.07 |
$1,712.07 |
$72.35
|
|
Mayo avwpr vw factor activity
|
$641.24 |
$641.24 |
$641.24 |
$165.78
|
|
Mayo barbiturates definitive assay confirmation urine
|
$92.98 |
$92.98 |
$92.98 |
$91.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$299.77 |
$299.77 |
$299.77 |
$57.85
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$137.87 |
$137.87 |
$137.87 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$1,622.31 |
$1,622.31 |
$1,622.31 |
$82.68
|
|
Mayo ceruloplasmin
|
$1,118.92 |
$1,118.92 |
$1,118.92 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$1,583.83 |
$1,583.83 |
$1,583.83 |
$113.88
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$641.24 |
$641.24 |
$641.24 |
$50.88
|
|
Mayo chromium
|
$230.84 |
$230.84 |
$230.84 |
$70.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$58.81 |
$58.81 |
$58.81 |
$70.20
|
|
Mayo cyanide
|
$973.07 |
$973.07 |
$973.07 |
$90.00
|
|
Mayo deoxyribonuclease antibody titer
|
$602.75 |
$602.75 |
$602.75 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$1,037.19 |
$1,037.19 |
$1,037.19 |
$113.10
|
|
Mayo estriol
|
$143.18 |
$143.18 |
$143.18 |
$92.30
|
|
Mayo estrone
|
$343.04 |
$343.04 |
$343.04 |
$84.60
|
|
Mayo ethosuximide therapeutic drug level
|
$509.78 |
$509.78 |
$509.78 |
$72.80
|
|
Mayo factor ii
|
$900.93 |
$900.93 |
$900.93 |
$96.76
|
|
Mayo factor v
|
$2,550.47 |
$2,550.47 |
$2,550.47 |
$125.58
|
|
Mayo factor vii
|
$2,282.78 |
$2,282.78 |
$2,282.78 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$1,696.03 |
$1,696.03 |
$1,696.03 |
$112.75
|
|
Mayo factor viii vw factor multimetric analysis
|
$2,495.97 |
$2,495.97 |
$2,495.97 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$1,571.01 |
$1,571.01 |
$1,571.01 |
$140.40
|
|
Mayo factor x
|
$846.42 |
$846.42 |
$846.42 |
$155.00
|
|
Mayo factor xi
|
$2,282.78 |
$2,282.78 |
$2,282.78 |
$121.80
|
|
Mayo fat/lipids feces quantitative
|
$1,064.43 |
$1,064.43 |
$1,064.43 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$1,101.30 |
$1,101.30 |
$1,101.30 |
$104.53
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$150.69 |
$150.69 |
$150.69 |
$69.00
|
|
Mayo gamma-globin full gene sequencing
|
$822.34 |
$822.34 |
$822.34 |
$1,264.25
|
|
Mayo hemosiderin qualitative urine
|
$177.94 |
$177.94 |
$177.94 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$1,607.88 |
$1,607.88 |
$1,607.88 |
$165.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$620.39 |
$620.39 |
$620.39 |
$52.80
|
|
Mayo hvdip HIV 2 antibody
|
$830.38 |
$830.38 |
$830.38 |
$75.04
|
|
Mayo hydroxyprogesterone 17-d
|
$1,336.96 |
$1,336.96 |
$1,336.96 |
$109.63
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$1,524.52 |
$1,524.52 |
$1,524.52 |
$195.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$1,412.29 |
$1,412.29 |
$1,412.29 |
$155.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$3,105.14 |
$3,105.14 |
$3,105.14 |
$230.65
|
|
Mayo infliximab therapeutic drug level
|
$209.95 |
$209.95 |
$209.95 |
$148.80
|
|
Mayo insulin antibodies
|
$610.77 |
$610.77 |
$610.77 |
$98.82
|
|
Mayo itraconazole therapeutic drug level
|
$329.95 |
$329.95 |
$329.95 |
$79.80
|
|
Mayo lacosamide therapeutic drug level
|
$97.78 |
$97.78 |
$97.78 |
$105.00
|
|
Mayo lamotrigine therapeutic drug level
|
$431.23 |
$431.23 |
$431.23 |
$69.75
|
|
Mayo leptospira antibody igm
|
$1,409.11 |
$1,409.11 |
$1,409.11 |
$80.00
|
|
Mayo lipoprotein electrophoresis
|
$915.35 |
$915.35 |
$915.35 |
$50.70
|
|
Mayo methadone definitive assay confirmation urine
|
$32.89 |
$32.89 |
$32.89 |
$97.20
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$846.42 |
$846.42 |
$846.42 |
$85.40
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$85.84 |
$85.84 |
$85.84 |
$65.00
|
|
Mayo muramidase
|
$432.81 |
$432.81 |
$432.81 |
$59.00
|
|
Mayo mycophenolic acid therapeutic drug level
|
$219.29 |
$219.29 |
$219.29 |
$77.39
|
|
Mayo opatu opiates definitive assay >=1
|
$375.12 |
$375.12 |
$375.12 |
$98.15
|
|
Mayo opatu oxycodone definitive assay
|
$375.12 |
$375.12 |
$375.12 |
$93.00
|
|
Mayo organic acids qualitative each specimen
|
$1,357.78 |
$1,357.78 |
$1,357.78 |
$112.80
|
|
Mayo oxalate 24 hour urine
|
$710.15 |
$710.15 |
$710.15 |
$65.00
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$1,211.92 |
$1,211.92 |
$1,211.92 |
$147.64
|
|
Mayo parvs parvovirus b19 antibody igg
|
$1,639.93 |
$1,639.93 |
$1,639.93 |
$67.50
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$2,991.32 |
$2,991.32 |
$2,991.32 |
$184.17
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$504.98 |
$504.98 |
$504.98 |
$50.16
|
|
Mayo pregnenolone
|
$155.30 |
$155.30 |
$155.30 |
$78.00
|
|
Mayo prmb primidone therapeutic drug level
|
$1,139.78 |
$1,139.78 |
$1,139.78 |
$69.09
|
|
Mayo proinsulin
|
$1,930.08 |
$1,930.08 |
$1,930.08 |
$97.50
|
|
Mayo psaft prostate specific antigen free
|
$1,822.68 |
$1,822.68 |
$1,822.68 |
$90.00
|
|
Mayo rbcme osmotic fragility rbc incubated
|
$655.67 |
$655.67 |
$655.67 |
$123.60
|
|
Mayo receptor assay transferrin soluble
|
$2,560.09 |
$2,560.09 |
$2,560.09 |
$115.70
|
|
Mayo renin
|
$1,319.33 |
$1,319.33 |
$1,319.33 |
$102.60
|
|
Mayo selenium
|
$1,282.46 |
$1,282.46 |
$1,282.46 |
$79.75
|
