|
Lipoprotein direct measurement hdl
|
$102.60 |
$102.60 |
$102.60 |
$60.00
|
|
Lipoprotein direct measurement ldl
|
$118.20 |
$118.20 |
$118.20 |
$61.60
|
|
Lithium therapeutic drug level
|
$120.00 |
$120.00 |
$120.00 |
$70.58
|
|
Lithotripsy transluminal coronary percutaneous
|
$289.20 |
$289.20 |
$289.20 |
$4,295.40
|
|
Liver elastography 91200
|
$280.20 |
$280.20 |
$280.20 |
$288.00
|
|
Liver Function Test
|
$186.00 |
$186.00 |
$186.00 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$163.20 |
$163.20 |
$163.20 |
$45.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$4.20 |
$4.20 |
$4.20 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,918.40 |
$2,918.40 |
$2,918.40 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,464.20 |
$2,464.20 |
$2,464.20 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,789.80 |
$1,789.80 |
$1,789.80 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,051.80 |
$4,051.80 |
$4,051.80 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,384.60 |
$3,384.60 |
$3,384.60 |
$2,445.00
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,295.20 |
$3,295.20 |
$3,295.20 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$280.20 |
$280.20 |
$280.20 |
$363.66
|
|
Lung perfusion imaging
|
$684.60 |
$684.60 |
$684.60 |
$1,087.20
|
|
Lurbinectedin 4 mg intravenous solution
|
$23,212.20 |
$23,212.20 |
$23,212.20 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$36,126.00 |
$36,126.00 |
$36,126.00 |
$21,867.91
|
|
Lymphatics/lymph node imaging
|
$792.60 |
$792.60 |
$792.60 |
$1,463.22
|
|
Magnesium
|
$205.20 |
$205.20 |
$205.20 |
$73.15
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$28.20 |
$28.20 |
$28.20 |
$58.77
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$88.80 |
$88.80 |
$88.80 |
$129.36
|
|
Manipulation chest wall initial demonstration/evaluation
|
$133.80 |
$133.80 |
$133.80 |
$158.60
|
|
Mastoidectomy complete 69502
|
$1,801.20 |
$1,801.20 |
$1,801.20 |
$6,969.40
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$82.79 |
$82.79 |
$82.79 |
$5,852.34
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$28.80 |
$28.80 |
$28.80 |
$66.36
|
|
Mayo aathr protein s free
|
$208.20 |
$208.20 |
$208.20 |
$134.50
|
|
Mayo activated protein c resistance assay
|
$273.00 |
$273.00 |
$273.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$1,053.00 |
$1,053.00 |
$1,053.00 |
$180.00
|
|
Mayo alkaline phosphatase isoenzyme
|
$183.60 |
$183.60 |
$183.60 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$349.80 |
$349.80 |
$349.80 |
$92.00
|
|
Mayo amikacin trough therapeutic drug level
|
$100.80 |
$100.80 |
$100.80 |
$84.27
|
|
Mayo analysis gene calr common variants exon 9
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$277.20 |
$277.20 |
$277.20 |
$361.50
|
|
Mayo androstenedione
|
$383.40 |
$383.40 |
$383.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$302.40 |
$302.40 |
$302.40 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$135.00 |
$135.00 |
$135.00 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$118.20 |
$118.20 |
$118.20 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$545.40 |
$545.40 |
$545.40 |
$170.00
|
|
Mayo bart bartonella henselae antibody igg
|
$91.20 |
$91.20 |
$91.20 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$101.40 |
$101.40 |
$101.40 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$172.80 |
$172.80 |
$172.80 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$13.80 |
$13.80 |
$13.80 |
$44.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$37.20 |
$37.20 |
$37.20 |
$81.83
|
|
Mayo ceruloplasmin
|
$208.20 |
$208.20 |
$208.20 |
$71.28
|
|
Mayo chemiluminescent parathyroid related peptide
|
$275.40 |
$275.40 |
$275.40 |
$119.62
|
|
Mayo chikv chikungunya antibodies igg
|
$110.40 |
$110.40 |
$110.40 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$42.60 |
$42.60 |
$42.60 |
$53.30
|
|
Mayo chromium
|
$240.60 |
$240.60 |
$240.60 |
$74.16
|
|
Mayo coccidioides antibody
|
$82.80 |
$82.80 |
$82.80 |
$55.02
|
|
Mayo cortisol free
|
$84.60 |
$84.60 |
$84.60 |
$94.95
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$101.40 |
$101.40 |
$101.40 |
$92.50
|
|
Mayo deoxyribonuclease antibody titer
|
$28.20 |
$28.20 |
$28.20 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$213.00 |
$213.00 |
$213.00 |
$112.80
|
|
Mayo estrone
|
$533.40 |
$533.40 |
$533.40 |
$84.24
|
|
Mayo factor ii
|
$147.00 |
$147.00 |
$147.00 |
$99.06
|
|
Mayo factor v
|
$627.00 |
$627.00 |
$627.00 |
$129.60
|
|
Mayo factor vii
|
$627.00 |
$627.00 |
$627.00 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$414.00 |
$414.00 |
$414.00 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$91.20 |
$91.20 |
$91.20 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$316.20 |
$316.20 |
$316.20 |
$140.00
|
|
Mayo factor x
|
$627.00 |
$627.00 |
$627.00 |
$156.13
|
|
Mayo factor xi
|
$627.00 |
$627.00 |
$627.00 |
$130.23
|
|
Mayo ffspg allergen clam igg
|
$12.60 |
$12.60 |
$12.60 |
$37.00
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$334.20 |
$334.20 |
$334.20 |
$67.20
|
|
Mayo gamma-globin full gene sequencing
|
$221.40 |
$221.40 |
$221.40 |
$1,372.00
|
|
Mayo hydroxyprogesterone 17-d
|
$655.80 |
$655.80 |
$655.80 |
$108.00
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$291.60 |
$291.60 |
$291.60 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$70.20 |
$70.20 |
$70.20 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$90.60 |
$90.60 |
$90.60 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$171.00 |
$171.00 |
$171.00 |
$107.50
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$414.60 |
$414.60 |
$414.60 |
$84.05
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$133.20 |
$133.20 |
$133.20 |
$108.55
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$25.80 |
$25.80 |
$25.80 |
$85.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$514.20 |
$514.20 |
$514.20 |
$230.65
|
|
Mayo infliximab therapeutic drug level
|
$57.00 |
$57.00 |
$57.00 |
$150.40
|
|
Mayo insft insulin free
|
$61.20 |
$61.20 |
$61.20 |
$55.00
|
|
Mayo insulin antibodies
|
$150.00 |
$150.00 |
$150.00 |
$99.22
|
|
Mayo iodine
|
$82.80 |
$82.80 |
$82.80 |
$114.18
|
|
Mayo lamotrigine therapeutic drug level
|
$334.20 |
$334.20 |
$334.20 |
$69.75
|
|
Mayo legionella antibody
|
$118.20 |
$118.20 |
$118.20 |
$73.50
|
|
Mayo leptospira antibody igm
|
$137.40 |
$137.40 |
$137.40 |
$80.00
|
|
Mayo lipoprotein electrophoresis
|
$237.60 |
$237.60 |
$237.60 |
$50.70
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$78.00 |
$78.00 |
$78.00 |
$70.00
|
|
Mayo manganese
|
$105.00 |
$105.00 |
$105.00 |
$89.15
|
|
Mayo metanephrines plasma
|
$214.20 |
$214.20 |
$214.20 |
$124.20
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$25.80 |
$25.80 |
$25.80 |
$70.56
|
|
Mayo microsomal antibody liver-kidney
|
$203.40 |
$203.40 |
$203.40 |
$82.50
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$17.40 |
$17.40 |
$17.40 |
$167.61
|
|
Mayo molecular pathology procedure level 2 apoe genotype
|
$123.00 |
$123.00 |
$123.00 |
$426.40
|
|
Mayo muramidase
|
$118.20 |
$118.20 |
$118.20 |
$57.60
|
|
Mayo mycophenolic acid therapeutic drug level
|
$195.60 |
$195.60 |
$195.60 |
$77.00
|
|
Mayo myoglobin
|
$274.20 |
$274.20 |
$274.20 |
$97.32
|
|
Mayo opatu opiates definitive assay >=1
|
$63.00 |
$63.00 |
$63.00 |
$98.15
|
|
Mayo organic acid methylmalonic single quantitative
|
$484.20 |
$484.20 |
$484.20 |
$104.13
|
|
Mayo parvs parvovirus b19 antibody igg
|
$39.00 |
$39.00 |
$39.00 |
$67.44
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$110.40 |
$110.40 |
$110.40 |
$207.27
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$634.80 |
$634.80 |
$634.80 |
$184.17
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$88.80 |
$88.80 |
$88.80 |
$88.80
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$195.60 |
$195.60 |
$195.60 |
$71.00
|
