|
Knee MRI (with contrast)
|
$2,566.69 |
$2,566.69 |
$2,566.69 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,053.01 |
$2,053.01 |
$2,053.01 |
$2,130.88
|
|
Knee X-ray
|
$448.11 |
$448.11 |
$448.11 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$241.29 |
$241.29 |
$241.29 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$294.14 |
$294.14 |
$294.14 |
$363.60
|
|
Kras gene addl variants
|
$417.02 |
$417.02 |
$417.02 |
$387.20
|
|
Kras gene variants exon 2
|
$417.02 |
$417.02 |
$417.02 |
$536.20
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$59.60 |
$59.60 |
$59.60 |
$109.20
|
|
Lactate dehydrogenase (ldh)
|
$36.59 |
$36.59 |
$36.59 |
$55.50
|
|
Lactated ringers intravenous solution
|
$1.46 |
$1.46 |
$1.46 |
$43.74
|
|
Lactic acid
|
$82.82 |
$82.82 |
$82.82 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$62.92 |
$62.92 |
$62.92 |
$82.16
|
|
Lactoferrin fecal quant
|
$130.97 |
$130.97 |
$130.97 |
$108.93
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$908.21 |
$908.21 |
$908.21 |
$740.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$197.67 |
$197.67 |
$197.67 |
$2,514.60
|
|
Lead capillary
|
$50.72 |
$50.72 |
$50.72 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$2,040.12 |
$2,040.12 |
$2,040.12 |
$2,928.00
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,040.11 |
$1,040.11 |
$1,040.11 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,350.29 |
$1,350.29 |
$1,350.29 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,080.10 |
$1,080.10 |
$1,080.10 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,199.48 |
$1,199.48 |
$1,199.48 |
$1,092.58
|
|
Levetiracetam therapeutic drug level
|
$40.45 |
$40.45 |
$40.45 |
$88.92
|
|
Lifileucel til/dose 7.5b-72b snij
|
$3,036,889.74 |
$3,036,889.74 |
$3,036,889.74 |
$30,744.64
|
|
Lipase
|
$37.24 |
$37.24 |
$37.24 |
$93.58
|
|
Lipoprotein blood quant
|
$66.13 |
$66.13 |
$66.13 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$41.09 |
$41.09 |
$41.09 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$60.35 |
$60.35 |
$60.35 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$66.13 |
$66.13 |
$66.13 |
$47.18
|
|
Lithium therapeutic drug level
|
$33.38 |
$33.38 |
$33.38 |
$69.75
|
|
Liver Function Test
|
$69.34 |
$69.34 |
$69.34 |
$115.44
|
|
Liver/spleen imag static only
|
$1,055.56 |
$1,055.56 |
$1,055.56 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$500.74 |
$500.74 |
$500.74 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.81 |
$1.81 |
$1.81 |
$49.70
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$361.79 |
$361.79 |
$361.79 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,090.05 |
$3,090.05 |
$3,090.05 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,575.37 |
$2,575.37 |
$2,575.37 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,060.03 |
$2,060.03 |
$2,060.03 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,736.87 |
$1,736.87 |
$1,736.87 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,447.39 |
$1,447.39 |
$1,447.39 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,157.91 |
$1,157.91 |
$1,157.91 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$287.25 |
$287.25 |
$287.25 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$642.67 |
$642.67 |
$642.67 |
$505.83
|
|
Lower Leg (Shin) X-ray (both sides)
|
$203.76 |
$203.76 |
$203.76 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$207.00 |
$207.00 |
$207.00 |
$364.77
|
|
Lung Function Test Before and After an Inhaler
|
$286.46 |
$286.46 |
$286.46 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$224.97 |
$224.97 |
$224.97 |
$296.91
|
|
Lung perfusion imaging
|
$841.38 |
$841.38 |
$841.38 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,239.05 |
$1,239.05 |
$1,239.05 |
$1,491.70
|
|
Magnesium
|
$56.50 |
$56.50 |
$56.50 |
$73.00
|
|
Marker biop eviva buckle ss
|
$449.66 |
$449.66 |
$449.66 |
$1,451.30
|
|
Mastoids complete
|
$251.25 |
$251.25 |
$251.25 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$83.35 |
$83.35 |
$83.35 |
$4,472.40
|
|
M.avium-intra dna amp prob
|
$191.16 |
$191.16 |
$191.16 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$40.45 |
$40.45 |
$40.45 |
$65.28
|
|
Mayo aathr protein s free
|
$42.04 |
$42.04 |
$42.04 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$42.04 |
$42.04 |
$42.04 |
$97.50
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$101.44 |
$101.44 |
$101.44 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$86.03 |
$86.03 |
$86.03 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$36.59 |
$36.59 |
$36.59 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$77.68 |
$77.68 |
$77.68 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$37.88 |
$37.88 |
$37.88 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$39.80 |
$39.80 |
$39.80 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$44.94 |
$44.94 |
$44.94 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$262.44 |
$262.44 |
$262.44 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$197.72 |
$197.72 |
$197.72 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,502.12 |
$2,502.12 |
$2,502.12 |
$1,860.00
|
|
Mayo androstenedione
|
$56.50 |
$56.50 |
$56.50 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$39.16 |
$39.16 |
$39.16 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$43.95 |
$43.95 |
$43.95 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$65.06 |
$65.06 |
$65.06 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$104.47 |
$104.47 |
$104.47 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$101.44 |
$101.44 |
$101.44 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$73.35 |
$73.35 |
$73.35 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$312.76 |
$312.76 |
$312.76 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$463.04 |
$463.04 |
$463.04 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$92.27 |
$92.27 |
$92.27 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$35.95 |
$35.95 |
$35.95 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$82.81 |
$82.81 |
$82.81 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$79.26 |
$79.26 |
$79.26 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$46.22 |
$46.22 |
$46.22 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$53.93 |
$53.93 |
$53.93 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$73.83 |
$73.83 |
$73.83 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$110.02 |
$110.02 |
$110.02 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$263.87 |
$263.87 |
$263.87 |
$283.40
|
|
Mayo ceruloplasmin
|
$34.03 |
$34.03 |
$34.03 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$44.94 |
$44.94 |
$44.94 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$120.67 |
$120.67 |
$120.67 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$95.82 |
$95.82 |
$95.82 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$72.16 |
$72.16 |
$72.16 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$148.40 |
$148.40 |
$148.40 |
$366.94
|
|
Mayo chromium
|
$39.16 |
$39.16 |
$39.16 |
$75.60
|
|
Mayo cocaine definitive assay confirmation urine
|
$95.66 |
$95.66 |
$95.66 |
$100.00
|
|
Mayo coccidioides antibody
|
$78.08 |
$78.08 |
$78.08 |
$54.00
|
|
Mayo cocou cortisone urine
|
$583.58 |
$583.58 |
$583.58 |
$216.00
|
|
Mayo cortisol free
|
$35.31 |
$35.31 |
$35.31 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$150.24 |
$150.24 |
$150.24 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$67.43 |
$67.43 |
$67.43 |
$58.20
|
|
Mayo deoxyribonuclease antibody titer
|
$47.32 |
$47.32 |
$47.32 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$48.79 |
$48.79 |
$48.79 |
$106.47
|
|
Mayo dihydrotestosterone
|
$56.50 |
$56.50 |
$56.50 |
$78.00
|