|
Lidocaine therapeutic drug level
|
$37.00 |
$37.00 |
$37.00 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$1,795.00 |
$1,795.00 |
$1,795.00 |
$3,322.80
|
|
Liletta, 52 mg
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$108.50 |
$108.50 |
$108.50 |
$109.20
|
|
Lincomycin injection
|
$49.16 |
$49.16 |
$49.16 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$16.88 |
$16.88 |
$16.88 |
$121.00
|
|
Lipase
|
$78.00 |
$78.00 |
$78.00 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$25.00 |
$25.00 |
$25.00 |
$86.42
|
|
Lipoprotein blood quant
|
$50.00 |
$50.00 |
$50.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$20.50 |
$20.50 |
$20.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$33.00 |
$33.00 |
$33.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$16.00 |
$16.00 |
$16.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$6,099.50 |
$6,099.50 |
$6,099.50 |
$4,113.20
|
|
Liver elastography 91200
|
$191.00 |
$191.00 |
$191.00 |
$280.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Liver imaging
|
$2,101.50 |
$2,101.50 |
$2,101.50 |
$1,143.00
|
|
Liver/spleen imag static only
|
$2,101.50 |
$2,101.50 |
$2,101.50 |
$1,123.50
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$4,372.00 |
$4,372.00 |
$4,372.00 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$10.50 |
$10.50 |
$10.50 |
$37.37
|
|
Low back disk surgery
|
$5,642.50 |
$5,642.50 |
$5,642.50 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,394.00 |
$1,394.00 |
$1,394.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,258.50 |
$1,258.50 |
$1,258.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$735.00 |
$735.00 |
$735.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,259.50 |
$2,259.50 |
$2,259.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,943.00 |
$1,943.00 |
$1,943.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,577.00 |
$1,577.00 |
$1,577.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$217.50 |
$217.50 |
$217.50 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$2,438.08 |
$2,438.08 |
$2,438.08 |
$7,961.97
|
|
Lso flex no ri stays pre ots
|
$245.50 |
$245.50 |
$245.50 |
$164.80
|
|
Lso full corset
|
$322.50 |
$322.50 |
$322.50 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$350.00 |
$350.00 |
$350.00 |
$326.82
|
|
Lso sc r pos/lat pnl pre cst
|
$585.00 |
$585.00 |
$585.00 |
$577.00
|
|
L/s ratio fetal lung
|
$83.50 |
$83.50 |
$83.50 |
$178.36
|
|
Lung function test (mbc/mvv)
|
$100.00 |
$100.00 |
$100.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$281.00 |
$281.00 |
$281.00 |
$295.35
|
|
Lung perfusion imaging
|
$1,478.00 |
$1,478.00 |
$1,478.00 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$24,090.00 |
$24,090.00 |
$24,090.00 |
$19,182.33
|
|
Lutetium lu 177 dotatat ther
|
$333.50 |
$333.50 |
$333.50 |
$333.50
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$271.88
|
|
Lysis of labial adhesions
|
$5,344.50 |
$5,344.50 |
$5,344.50 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$3,505.50 |
$3,505.50 |
$3,505.50 |
$3,274.00
|
|
Macroscopic exam arthropod
|
$14.50 |
$14.50 |
$14.50 |
$38.58
|
|
Magnesium
|
$70.50 |
$70.50 |
$70.50 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$8.89 |
$8.89 |
$8.89 |
$59.88
|
|
Makena, 10 mg
|
$72.50 |
$72.50 |
$72.50 |
$1,405.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$115.50 |
$115.50 |
$115.50 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$97.50 |
$97.50 |
$97.50 |
$160.80
|
|
Marker biop eviva buckle ss
|
$516.50 |
$516.50 |
$516.50 |
$1,451.30
|
|
Mastoids complete
|
$217.50 |
$217.50 |
$217.50 |
$299.50
|
|
Matrion 1 sq cm
|
$583.50 |
$583.50 |
$583.50 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$5,662.45 |
$5,662.45 |
$5,662.45 |
$6,321.66
|
|
M.avium-intra dna dir prob
|
$144.50 |
$144.50 |
$144.50 |
$58.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$32.00 |
$32.00 |
$32.00 |
$65.00
|
|
Mayo aathr protein s free
|
$54.00 |
$54.00 |
$54.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$56.00 |
$56.00 |
$56.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$455.00 |
$455.00 |
$455.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$116.00 |
$116.00 |
$116.00 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$91.00 |
$91.00 |
$91.00 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$1.50 |
$1.50 |
$1.50 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$70.00 |
$70.00 |
$70.00 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$21.00 |
$21.00 |
$21.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$37.50 |
$37.50 |
$37.50 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$62.00 |
$62.00 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$540.00 |
$540.00 |
$540.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$752.50 |
$752.50 |
$752.50 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$510.50 |
$510.50 |
$510.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,591.00 |
$1,591.00 |
$1,591.00 |
$1,860.00
|
|
Mayo androstenedione
|
$160.50 |
$160.50 |
$160.50 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$32.50 |
$32.50 |
$32.50 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$18.50 |
$18.50 |
$18.50 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$112.50 |
$112.50 |
$112.50 |
$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
|
$140.00 |
$140.00 |
$140.00 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$61.00 |
$61.00 |
$61.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$43.50 |
$43.50 |
$43.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$224.50 |
$224.50 |
$224.50 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$19.50 |
$19.50 |
$19.50 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$77.00 |
$77.00 |
$77.00 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$67.50 |
$67.50 |
$67.50 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$142.50 |
$142.50 |
$142.50 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$128.50 |
$128.50 |
$128.50 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$115.00 |
$115.00 |
$115.00 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$125.00 |
$125.00 |
$125.00 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$121.00 |
$121.00 |
$121.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$281.50 |
$281.50 |
$281.50 |
$281.50
|
|
Mayo ceruloplasmin
|
$12.50 |
$12.50 |
$12.50 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$264.00 |
$264.00 |
$264.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$355.00 |
$355.00 |
$355.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$67.00 |
$67.00 |
$67.00 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$35.50 |
$35.50 |
$35.50 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$457.50 |
$457.50 |
$457.50 |
$360.33
|
|
Mayo chromium
|
$57.00 |
$57.00 |
$57.00 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Mayo coccidioides antibody
|
$60.00 |
$60.00 |
$60.00 |
$53.90
|
|
Mayo cocou cortisone urine
|
$550.50 |
$550.50 |
$550.50 |
$213.92
|
|
Mayo cortisol free
|
$66.00 |
$66.00 |
$66.00 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$101.50 |
$101.50 |
$101.50 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$97.50 |
$97.50 |
$97.50 |
$58.10
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$29.50 |
$29.50 |
$29.50 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$29.50 |
$29.50 |
$29.50 |
$66.00
|
