|
Liletta, 52 mg
|
$2,200.00 |
$2,200.00 |
$2,200.00 |
$1,790.04
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$2,284.00 |
$2,284.00 |
$2,284.00 |
$172.25
|
|
Lipoprotein blood quant
|
$530.00 |
$530.00 |
$530.00 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$617.00 |
$617.00 |
$617.00 |
$55.90
|
|
Lithium therapeutic drug level
|
$661.00 |
$661.00 |
$661.00 |
$67.60
|
|
Liver Function Test
|
$889.00 |
$889.00 |
$889.00 |
$110.50
|
|
Liver/spleen imag static only
|
$4,152.00 |
$4,152.00 |
$4,152.00 |
$1,140.78
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$10,668.00 |
$10,668.00 |
$10,668.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$8,511.00 |
$8,511.00 |
$8,511.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$7,214.00 |
$7,214.00 |
$7,214.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$11,037.00 |
$11,037.00 |
$11,037.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$9,731.00 |
$9,731.00 |
$9,731.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$6,017.00 |
$6,017.00 |
$6,017.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$344.00
|
|
L/s ratio fetal lung
|
$899.00 |
$899.00 |
$899.00 |
$168.00
|
|
Lung perfusion imaging
|
$4,577.00 |
$4,577.00 |
$4,577.00 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$4,605.00 |
$4,605.00 |
$4,605.00 |
$1,543.75
|
|
Macroscopic exam arthropod
|
$387.00 |
$387.00 |
$387.00 |
$38.58
|
|
Macroscopic exam parasite
|
$387.00 |
$387.00 |
$387.00 |
$38.50
|
|
M.avium-intra dna amp prob
|
$494.00 |
$494.00 |
$494.00 |
$113.31
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$406.00 |
$406.00 |
$406.00 |
$66.50
|
|
Mayo activated protein c resistance assay
|
$837.00 |
$837.00 |
$837.00 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$456.00 |
$456.00 |
$456.00 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$742.00 |
$742.00 |
$742.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$189.00 |
$189.00 |
$189.00 |
$87.60
|
|
Mayo analysis gene smn1 dosage/deletion
|
$2,136.00 |
$2,136.00 |
$2,136.00 |
$328.80
|
|
Mayo androstenedione
|
$622.00 |
$622.00 |
$622.00 |
$105.30
|
|
Mayo antithrombin iii antigen
|
$693.00 |
$693.00 |
$693.00 |
$68.90
|
|
Mayo avwpr vw factor activity
|
$842.00 |
$842.00 |
$842.00 |
$157.95
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$647.00 |
$647.00 |
$647.00 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$246.00 |
$246.00 |
$246.00 |
$57.85
|
|
Mayo c1 esterase inhibitor
|
$189.00 |
$189.00 |
$189.00 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$491.00 |
$491.00 |
$491.00 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$682.00 |
$682.00 |
$682.00 |
$110.00
|
|
Mayo ceruloplasmin
|
$386.00 |
$386.00 |
$386.00 |
$65.08
|
|
Mayo chromium
|
$356.00 |
$356.00 |
$356.00 |
$70.85
|
|
Mayo coccidioides antibody
|
$705.00 |
$705.00 |
$705.00 |
$58.37
|
|
Mayo covid-19 antibody nucleocapsid total
|
$62.00 |
$62.00 |
$62.00 |
$72.60
|
|
Mayo cyanide
|
$271.00 |
$271.00 |
$271.00 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$550.00 |
$550.00 |
$550.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$400.00 |
$400.00 |
$400.00 |
$88.45
|
|
Mayo dihydrotestosterone
|
$610.00 |
$610.00 |
$610.00 |
$81.90
|
|
Mayo efpo chloride stool
|
$139.00 |
$139.00 |
$139.00 |
$44.20
|
|
Mayo estrone
|
$926.00 |
$926.00 |
$926.00 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$326.00 |
$326.00 |
$326.00 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$445.00 |
$445.00 |
$445.00 |
$80.50
|
|
Mayo factor ii
|
$406.00 |
$406.00 |
$406.00 |
$93.00
|
|
Mayo factor v
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$125.48
|
|
Mayo factor vii
|
$486.00 |
$486.00 |
$486.00 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$630.00 |
$630.00 |
$630.00 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$129.60
|
|
Mayo factor x
|
$962.00 |
$962.00 |
$962.00 |
$139.50
|
|
Mayo factor xi
|
$962.00 |
$962.00 |
$962.00 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$493.00 |
$493.00 |
$493.00 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$128.00 |
$128.00 |
$128.00 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$117.00 |
$117.00 |
$117.00 |
$37.05
|
|
Mayo fibrinogen antigen
|
$196.00 |
$196.00 |
$196.00 |
$94.50
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$1,125.00 |
$1,125.00 |
$1,125.00 |
$69.96
|
|
Mayo hemosiderin qualitative urine
|
$293.00 |
$293.00 |
$293.00 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$1,402.00 |
$1,402.00 |
$1,402.00 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$122.00 |
$122.00 |
$122.00 |
$115.20
|
|
Mayo hla typing a/b/c single antigen
|
$357.00 |
$357.00 |
$357.00 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$950.00 |
$950.00 |
$950.00 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$201.00 |
$201.00 |
$201.00 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$831.00 |
$831.00 |
$831.00 |
$93.45
|
|
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance
|
$94.00 |
$94.00 |
$94.00 |
$115.79
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$131.00 |
$131.00 |
$131.00 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$505.00 |
$505.00 |
$505.00 |
$85.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$157.30
|
|
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii
|
$94.00 |
$94.00 |
$94.00 |
$218.40
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$1,390.00 |
$1,390.00 |
$1,390.00 |
$233.75
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$2,948.00 |
$2,948.00 |
$2,948.00 |
$230.10
|
|
Mayo infliximab therapeutic drug level
|
$606.00 |
$606.00 |
$606.00 |
$155.35
|
|
Mayo inhab inhibin a
|
$1,709.00 |
$1,709.00 |
$1,709.00 |
$81.60
|
|
Mayo insft insulin free
|
$184.00 |
$184.00 |
$184.00 |
$57.85
|
|
Mayo insulin antibodies
|
$280.00 |
$280.00 |
$280.00 |
$91.00
|
|
Mayo iodine
|
$163.00 |
$163.00 |
$163.00 |
$114.05
|
|
Mayo itraconazole therapeutic drug level
|
$378.00 |
$378.00 |
$378.00 |
$83.05
|
|
Mayo lacosamide therapeutic drug level
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$99.20
|
|
Mayo lamotrigine therapeutic drug level
|
$1,283.00 |
$1,283.00 |
$1,283.00 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$518.00 |
$518.00 |
$518.00 |
$55.12
|
|
Mayo leptospira antibody igm
|
$737.00 |
$737.00 |
$737.00 |
$76.05
|
|
Mayo lipoprotein electrophoresis
|
$363.00 |
$363.00 |
$363.00 |
$50.40
|
|
Mayo manganese
|
$363.00 |
$363.00 |
$363.00 |
$89.15
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$1,456.00 |
$1,456.00 |
$1,456.00 |
$95.70
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$54.00 |
$54.00 |
$54.00 |
$65.00
|
|
Mayo mpl sequence analysis exon 10
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$427.05
|
|
Mayo muramidase
|
$157.00 |
$157.00 |
$157.00 |
$62.70
|
|
Mayo muscle-specific kinase (musk) antibody
|
$54.00 |
$54.00 |
$54.00 |
$224.64
|
|
Mayo mycophenolic acid therapeutic drug level
|
$230.00 |
$230.00 |
$230.00 |
$77.39
|
|
Mayo nickel
|
$534.00 |
$534.00 |
$534.00 |
$84.70
|
|
Mayo organic acid methylmalonic single quantitative
|
$746.00 |
$746.00 |
$746.00 |
$104.13
|
|
Mayo organic acids qualitative each specimen
|
$553.00 |
$553.00 |
$553.00 |
$105.30
|
|
Mayo oxalate 24 hour urine
|
$163.00 |
$163.00 |
$163.00 |
$65.00
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$1,663.00 |
$1,663.00 |
$1,663.00 |
$156.00
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$2,293.00 |
$2,293.00 |
$2,293.00 |
$184.17
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$754.00 |
$754.00 |
$754.00 |
$80.60
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$193.00 |
$193.00 |
$193.00 |
$71.20
|
