|
Knee MRI (without contrast)
|
$2,439.00 |
$2,439.00 |
$2,439.00 |
$2,110.76
|
|
Knee X-ray
|
$242.50 |
$242.50 |
$242.50 |
$425.55
|
|
Kras gene variants exon 2
|
$572.50 |
$572.50 |
$572.50 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$13.12 |
$13.12 |
$13.12 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$176.00 |
$176.00 |
$176.00 |
$55.50
|
|
Lactic acid
|
$370.50 |
$370.50 |
$370.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$51.50 |
$51.50 |
$51.50 |
$81.00
|
|
Laryngeal function studies
|
$431.00 |
$431.00 |
$431.00 |
$335.40
|
|
Laryngoscopic sensory vid
|
$432.00 |
$432.00 |
$432.00 |
$336.00
|
|
Laryngoscopy telescopic
|
$411.50 |
$411.50 |
$411.50 |
$852.80
|
|
Lead capillary
|
$9.00 |
$9.00 |
$9.00 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,714.00 |
$1,714.00 |
$1,714.00 |
$1,092.58
|
|
Leishmania antibody
|
$29.00 |
$29.00 |
$29.00 |
$58.50
|
|
Leukocyte phagocytosis
|
$151.00 |
$151.00 |
$151.00 |
$80.64
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$7.75 |
$7.75 |
$7.75 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$95.00 |
$95.00 |
$95.00 |
$88.92
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$20.75 |
$20.75 |
$20.75 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$12.50 |
$12.50 |
$12.50 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$74.50 |
$74.50 |
$74.50 |
$87.45
|
|
Lipase
|
$158.50 |
$158.50 |
$158.50 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$22.50 |
$22.50 |
$22.50 |
$86.42
|
|
Lipoprotein blood quant
|
$37.50 |
$37.50 |
$37.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$221.00 |
$221.00 |
$221.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$239.00 |
$239.00 |
$239.00 |
$61.60
|
|
Listeria monocytogenes
|
$45.50 |
$45.50 |
$45.50 |
$106.15
|
|
Lithium therapeutic drug level
|
$275.00 |
$275.00 |
$275.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,298.00 |
$1,298.00 |
$1,298.00 |
$4,113.20
|
|
Liver Function Test
|
$288.00 |
$288.00 |
$288.00 |
$115.44
|
|
Liver imaging
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$1,143.00
|
|
Liver/spleen imag static only
|
$892.50 |
$892.50 |
$892.50 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,200.50 |
$1,200.50 |
$1,200.50 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$89.62 |
$89.62 |
$89.62 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$4.50 |
$4.50 |
$4.50 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,943.00 |
$2,943.00 |
$2,943.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,602.00 |
$2,602.00 |
$2,602.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,263.00 |
$2,263.00 |
$2,263.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,191.50 |
$3,191.50 |
$3,191.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,824.00 |
$2,824.00 |
$2,824.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,455.00 |
$2,455.00 |
$2,455.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$467.00 |
$467.00 |
$467.00 |
$356.16
|
|
L/s ratio fetal lung
|
$76.50 |
$76.50 |
$76.50 |
$178.36
|
|
Lumbar diskogram s&i
|
$1,718.00 |
$1,718.00 |
$1,718.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$127.50 |
$127.50 |
$127.50 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$189.50 |
$189.50 |
$189.50 |
$295.35
|
|
Lung perfusion imaging
|
$825.50 |
$825.50 |
$825.50 |
$1,059.97
|
|
Lymphatics/lymph node imaging
|
$2,071.50 |
$2,071.50 |
$2,071.50 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$272.50 |
$272.50 |
$272.50 |
$271.88
|
|
Lymphocytotoxicity assay
|
$624.50 |
$624.50 |
$624.50 |
$379.20
|
|
Lymph vessel x-ray arm/leg
|
$800.50 |
$800.50 |
$800.50 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$946.00 |
$946.00 |
$946.00 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$849.00 |
$849.00 |
$849.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,516.50 |
$2,516.50 |
$2,516.50 |
$3,380.00
|
|
Macro exam dissect molec study ea
|
$37.50 |
$37.50 |
$37.50 |
$67.08
|
|
Macroscopic exam arthropod
|
$12.50 |
$12.50 |
$12.50 |
$38.58
|
|
Macroscopic exam parasite
|
$12.50 |
$12.50 |
$12.50 |
$36.55
|
|
Magnesium
|
$169.50 |
$169.50 |
$169.50 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$27.00 |
$27.00 |
$27.00 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$59.50 |
$59.50 |
$59.50 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$86.00 |
$86.00 |
$86.00 |
$160.80
|
|
Map tachycard site(s)
|
$4,127.00 |
$4,127.00 |
$4,127.00 |
$4,082.82
|
|
Mastoids complete
|
$524.50 |
$524.50 |
$524.50 |
$299.50
|
|
Matrion 1 sq cm
|
$98.12 |
$98.12 |
$98.12 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$26.17 |
$26.17 |
$26.17 |
$6,321.66
|
|
M.avium-intra dna amp prob
|
$141.00 |
$141.00 |
$141.00 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$11.50 |
$11.50 |
$11.50 |
$65.00
|
|
Mayo aathr protein s free
|
$45.50 |
$45.50 |
$45.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$16.00 |
$16.00 |
$16.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$244.00 |
$244.00 |
$244.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$57.50 |
$57.50 |
$57.50 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$132.50 |
$132.50 |
$132.50 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$13.00 |
$13.00 |
$13.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$102.00 |
$102.00 |
$102.00 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$21.00 |
$21.00 |
$21.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$292.00 |
$292.00 |
$292.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$29.50 |
$29.50 |
$29.50 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$38.50 |
$38.50 |
$38.50 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$217.50 |
$217.50 |
$217.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$225.00 |
$225.00 |
$225.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$292.50 |
$292.50 |
$292.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$1,860.00
|
|
Mayo androstenedione
|
$51.00 |
$51.00 |
$51.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$12.50 |
$12.50 |
$12.50 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$203.00 |
$203.00 |
$203.00 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$9.00 |
$9.00 |
$9.00 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$120.00 |
$120.00 |
$120.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$54.50 |
$54.50 |
$54.50 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$101.50 |
$101.50 |
$101.50 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$24.50 |
$24.50 |
$24.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$195.00 |
$195.00 |
$195.00 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$161.00 |
$161.00 |
$161.00 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$10.00 |
$10.00 |
$10.00 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$48.50 |
$48.50 |
$48.50 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$23.50 |
$23.50 |
$23.50 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$33.50 |
$33.50 |
$33.50 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$97.50 |
$97.50 |
$97.50 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$105.50 |
$105.50 |
$105.50 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$23.50 |
$23.50 |
$23.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$73.00 |
$73.00 |
$73.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$779.50 |
$779.50 |
$779.50 |
$281.50
|
|
Mayo ceruloplasmin
|
$53.50 |
$53.50 |
$53.50 |
$68.40
|
