|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$740.00
|
|
Knee arthroscopy/surgery
|
$891.50 |
$891.50 |
$891.50 |
$3,986.00
|
|
Knee arthroscopy/surgery
|
$659.50 |
$659.50 |
$659.50 |
$3,839.54
|
|
Knee MRI (with and without contrast)
|
$1,854.00 |
$1,854.00 |
$1,854.00 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$1,381.50 |
$1,381.50 |
$1,381.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,206.50 |
$1,206.50 |
$1,206.50 |
$2,169.60
|
|
Knee X-ray
|
$173.00 |
$173.00 |
$173.00 |
$434.50
|
|
Kyleena, 19.5 mg
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,125.00
|
|
Lactate dehydrogenase (ldh)
|
$36.50 |
$36.50 |
$36.50 |
$55.65
|
|
Lactated ringers intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$46.35
|
|
Lactic acid
|
$79.50 |
$79.50 |
$79.50 |
$108.88
|
|
Lactoferrin fecal qualitative
|
$90.50 |
$90.50 |
$90.50 |
$82.16
|
|
Lap sleeve gastrectomy
|
$1,207.50 |
$1,207.50 |
$1,207.50 |
$2,733.60
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$158.00 |
$158.00 |
$158.00 |
$2,480.71
|
|
Laser surgery eye strands
|
$333.50 |
$333.50 |
$333.50 |
$1,513.20
|
|
Lead capillary
|
$66.50 |
$66.50 |
$66.50 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$666.50 |
$666.50 |
$666.50 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$77.00 |
$77.00 |
$77.00 |
$1,065.00
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$256.50 |
$256.50 |
$256.50 |
$6,404.22
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,607.50 |
$2,607.50 |
$2,607.50 |
$9,611.85
|
|
Levalbuterol non-comp unit
|
$2.00 |
$2.00 |
$2.00 |
$6.00
|
|
Levetiracetam therapeutic drug level
|
$31.00 |
$31.00 |
$31.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$3.50 |
$3.50 |
$3.50 |
$55.60
|
|
Ligation/biopsy of temporal artery 37609
|
$216.00 |
$216.00 |
$216.00 |
$3,322.80
|
|
Liletta, 52 mg
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$1,453.50
|
|
Limited visual field xm
|
$17.50 |
$17.50 |
$17.50 |
$79.20
|
|
Lincomycin injection
|
$23.00 |
$23.00 |
$23.00 |
$64.31
|
|
Lipase
|
$42.00 |
$42.00 |
$42.00 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$134.00 |
$134.00 |
$134.00 |
$89.52
|
|
Lipoprotein blood quant
|
$50.00 |
$50.00 |
$50.00 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$35.00 |
$35.00 |
$35.00 |
$60.00
|
|
Lipoprotein direct measurement ldl
|
$19.50 |
$19.50 |
$19.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$56.50 |
$56.50 |
$56.50 |
$70.58
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$340.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Lmtd oph exam general anes
|
$66.00 |
$66.00 |
$66.00 |
$2,590.36
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$935.00 |
$935.00 |
$935.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$850.50 |
$850.50 |
$850.50 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$615.50 |
$615.50 |
$615.50 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,854.50 |
$1,854.50 |
$1,854.50 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,205.50 |
$1,205.50 |
$1,205.50 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$222.50 |
$222.50 |
$222.50 |
$363.66
|
|
Lumbar diskogram s&i
|
$1,870.50 |
$1,870.50 |
$1,870.50 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$191.00 |
$191.00 |
$191.00 |
$298.50
|
|
Lutetium lu 177 dotatat ther
|
$278.00 |
$278.00 |
$278.00 |
$312.69
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$267.30
|
|
Magnesium
|
$41.00 |
$41.00 |
$41.00 |
$73.15
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$104.50 |
$104.50 |
$104.50 |
$129.36
|
|
Manipulation chest wall initial demonstration/evaluation
|
$110.00 |
$110.00 |
$110.00 |
$158.60
|
|
Manipulat palm cord post inj
|
$81.00 |
$81.00 |
$81.00 |
$521.60
|
|
Marker biop eviva buckle ss
|
$153.00 |
$153.00 |
$153.00 |
$1,213.20
|
|
Matrion 1 sq cm
|
$119.50 |
$119.50 |
$119.50 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$5,852.34
|
|
M.avium-intra dna amp prob
|
$132.00 |
$132.00 |
$132.00 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$34.50 |
$34.50 |
$34.50 |
$66.36
|
|
Mayo aathr protein s free
|
$47.50 |
$47.50 |
$47.50 |
$134.50
|
|
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 |
$180.00
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$20.00 |
$20.00 |
$20.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$56.00 |
$56.00 |
$56.00 |
$116.35
|
|
Mayo alkaline phosphatase isoenzyme
|
$1.50 |
$1.50 |
$1.50 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$47.50 |
$47.50 |
$47.50 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$92.50 |
$92.50 |
$92.50 |
$92.00
|
|
Mayo amikacin trough therapeutic drug level
|
$125.50 |
$125.50 |
$125.50 |
$84.27
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$62.00 |
$62.00 |
$80.08
|
|
Mayo analysis gene calr common variants exon 9
|
$387.00 |
$387.00 |
$387.00 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$650.00 |
$650.00 |
$650.00 |
$361.50
|
|
Mayo analysis gene smn1 dosage/deletion
|
$300.00 |
$300.00 |
$300.00 |
$355.95
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,860.00
|
|
Mayo androstenedione
|
$57.00 |
$57.00 |
$57.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$9.00 |
$9.00 |
$9.00 |
$73.08
|
|
Mayo aspergillus fumigatus antibody
|
$112.50 |
$112.50 |
$112.50 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$132.50 |
$132.50 |
$132.50 |
$170.00
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$133.00 |
$133.00 |
$133.00 |
$95.45
|
|
Mayo barbiturates definitive assay confirmation urine
|
$60.00 |
$60.00 |
$60.00 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$37.00 |
$37.00 |
$37.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$50.00 |
$50.00 |
$50.00 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$11.00 |
$11.00 |
$11.00 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$72.50 |
$72.50 |
$72.50 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$21.50 |
$21.50 |
$21.50 |
$44.10
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$115.00 |
$115.00 |
$115.00 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$18.50 |
$18.50 |
$18.50 |
$81.83
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$115.00 |
$115.00 |
$115.00 |
$115.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$29.00 |
$29.00 |
$29.00 |
$281.82
|
|
Mayo ceruloplasmin
|
$80.00 |
$80.00 |
$80.00 |
$71.28
|
|
Mayo chemiluminescent parathyroid related peptide
|
$87.50 |
$87.50 |
$87.50 |
$119.62
|
|
Mayo chikv chikungunya antibodies igg
|
$74.00 |
$74.00 |
$74.00 |
$109.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$428.00 |
$428.00 |
$428.00 |
$353.50
|
|
Mayo chromium
|
$54.00 |
$54.00 |
$54.00 |
$74.16
|
|
Mayo cocaine definitive assay confirmation urine
|
$100.00 |
$100.00 |
$100.00 |
$95.15
|
|
Mayo coccidioides antibody
|
$60.00 |
$60.00 |
$60.00 |
$55.02
|
|
Mayo cocou cortisone urine
|
$550.50 |
$550.50 |
$550.50 |
$206.34
|
|
Mayo cortisol free
|
$50.00 |
$50.00 |
$50.00 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$65.00 |
$65.00 |
$65.00 |
$70.20
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$29.50 |
$29.50 |
$29.50 |
$61.80
|
|
Mayo cyanide
|
$14.00 |
$14.00 |
$14.00 |
$90.00
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$200.00 |
$200.00 |
$200.00 |
$588.00
|
|
Mayo dhea (dehydroepiandrosterone)
|
$14.50 |
$14.50 |
$14.50 |
$112.80
|
|
Mayo dihydrotestosterone
|
$26.00 |
$26.00 |
$26.00 |
$78.00
|
