|
Lithotripsy transluminal coronary percutaneous
|
$7,816.23 |
$7,816.23 |
$7,816.23 |
$4,371.12
|
|
Liver elastography 91200
|
$51.20 |
$51.20 |
$51.20 |
$291.74
|
|
Liver Function Test
|
$109.82 |
$109.82 |
$109.82 |
$110.50
|
|
Liver/spleen imag static only
|
$1,489.94 |
$1,489.94 |
$1,489.94 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$52.69 |
$52.69 |
$52.69 |
$43.95
|
|
Low back disk surgery
|
$1,450.61 |
$1,450.61 |
$1,450.61 |
$7,907.11
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,196.01 |
$4,196.01 |
$4,196.01 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,140.89 |
$3,140.89 |
$3,140.89 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,935.36 |
$2,935.36 |
$2,935.36 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,943.73 |
$3,943.73 |
$3,943.73 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,878.44 |
$3,878.44 |
$3,878.44 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,462.92 |
$3,462.92 |
$3,462.92 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$658.16 |
$658.16 |
$658.16 |
$344.00
|
|
Lumbar diskogram s&i
|
$6,467.28 |
$6,467.28 |
$6,467.28 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$2,447.86 |
$2,447.86 |
$2,447.86 |
$6,311.00
|
|
Lung Function Test (Spirometry)
|
$299.77 |
$299.77 |
$299.77 |
$298.50
|
|
Lung perfusion imaging
|
$1,360.09 |
$1,360.09 |
$1,360.09 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$2,592.55 |
$2,592.55 |
$2,592.55 |
$1,543.75
|
|
Macro exam dissect molec study ea
|
$77.17 |
$77.17 |
$77.17 |
$75.00
|
|
Magnesium
|
$102.40 |
$102.40 |
$102.40 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$51.20 |
$51.20 |
$51.20 |
$69.30
|
|
Manipulate finger w/anesth
|
$557.99 |
$557.99 |
$557.99 |
$1,893.86
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$150.63 |
$150.63 |
$150.63 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$297.55 |
$297.55 |
$297.55 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$31.17 |
$31.17 |
$31.17 |
$28.48
|
|
Mapping io sentinel lymph node
|
$209.99 |
$209.99 |
$209.99 |
$468.21
|
|
Map tachycard site(s)
|
$7,621.83 |
$7,621.83 |
$7,621.83 |
$3,960.00
|
|
Mastectomy partial
|
$1,021.74 |
$1,021.74 |
$1,021.74 |
$4,509.59
|
|
Mast mod rad
|
$1,824.58 |
$1,824.58 |
$1,824.58 |
$5,886.40
|
|
Mastoids complete
|
$890.40 |
$890.40 |
$890.40 |
$271.95
|
|
Mastopexy
|
$1,228.01 |
$1,228.01 |
$1,228.01 |
$5,774.26
|
|
Mast simple complete
|
$1,481.04 |
$1,481.04 |
$1,481.04 |
$5,419.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$65.30 |
$65.30 |
$65.30 |
$66.50
|
|
Mayo aathr protein s free
|
$130.60 |
$130.60 |
$130.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$147.66 |
$147.66 |
$147.66 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$89.04 |
$89.04 |
$89.04 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$39.89 |
$39.89 |
$39.89 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$44.76 |
$44.76 |
$44.76 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$326.48 |
$326.48 |
$326.48 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,155.73 |
$3,155.73 |
$3,155.73 |
$1,909.44
|
|
Mayo androstenedione
|
$86.91 |
$86.91 |
$86.91 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$118.72 |
$118.72 |
$118.72 |
$72.46
|
|
Mayo aspergillus fumigatus antibody
|
$138.02 |
$138.02 |
$138.02 |
$67.60
|
|
Mayo bart bartonella henselae antibody igg
|
$92.75 |
$92.75 |
$92.75 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$839.95 |
$839.95 |
$839.95 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$637.00 |
$637.00 |
$637.00 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$38.29 |
$38.29 |
$38.29 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$127.63 |
$127.63 |
$127.63 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$70.49 |
$70.49 |
$70.49 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$210.73 |
$210.73 |
$210.73 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$255.99 |
$255.99 |
$255.99 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$165.47 |
$165.47 |
$165.47 |
$110.00
|
|
Mayo ceruloplasmin
|
$31.88 |
$31.88 |
$31.88 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$783.56 |
$783.56 |
$783.56 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$137.27 |
$137.27 |
$137.27 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$167.70 |
$167.70 |
$167.70 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$110.56 |
$110.56 |
$110.56 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$882.98 |
$882.98 |
$882.98 |
$353.99
|
|
Mayo chromium
|
$141.73 |
$141.73 |
$141.73 |
$70.85
|
|
Mayo coccidioides antibody
|
$34.05 |
$34.05 |
$34.05 |
$58.37
|
|
Mayo cocou cortisone urine
|
$391.78 |
$391.78 |
$391.78 |
$207.26
|
|
Mayo cortisol free
|
$89.04 |
$89.04 |
$89.04 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$125.05 |
$125.05 |
$125.05 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$89.04 |
$89.04 |
$89.04 |
$61.02
|
|
Mayo cyanide
|
$234.48 |
$234.48 |
$234.48 |
$87.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$388.81 |
$388.81 |
$388.81 |
$611.60
|
|
Mayo deoxyribonuclease antibody titer
|
$152.86 |
$152.86 |
$152.86 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$75.01 |
$75.01 |
$75.01 |
$88.45
|
|
Mayo dihydrotestosterone
|
$86.91 |
$86.91 |
$86.91 |
$81.90
|
|
Mayo efpo chloride stool
|
$86.08 |
$86.08 |
$86.08 |
$44.20
|
|
Mayo estriol
|
$404.39 |
$404.39 |
$404.39 |
$98.70
|
|
Mayo estrone
|
$74.20 |
$74.20 |
$74.20 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$177.34 |
$177.34 |
$177.34 |
$70.40
|
|
Mayo factor ii
|
$540.18 |
$540.18 |
$540.18 |
$93.00
|
|
Mayo factor vii
|
$78.48 |
$78.48 |
$78.48 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$69.26 |
$69.26 |
$69.26 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$174.35 |
$174.35 |
$174.35 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$233.73 |
$233.73 |
$233.73 |
$129.60
|
|
Mayo factor x
|
$304.97 |
$304.97 |
$304.97 |
$139.50
|
|
Mayo factor xi
|
$252.28 |
$252.28 |
$252.28 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$84.24 |
$84.24 |
$84.24 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$172.89 |
$172.89 |
$172.89 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$46.01 |
$46.01 |
$46.01 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$107.59 |
$107.59 |
$107.59 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$1,982.63 |
$1,982.63 |
$1,982.63 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$77.91 |
$77.91 |
$77.91 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$297.75 |
$297.75 |
$297.75 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$295.32 |
$295.32 |
$295.32 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$40.93 |
$40.93 |
$40.93 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$80.14 |
$80.14 |
$80.14 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$122.43 |
$122.43 |
$122.43 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$134.31 |
$134.31 |
$134.31 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$206.28 |
$206.28 |
$206.28 |
$93.45
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$1,434.54 |
$1,434.54 |
$1,434.54 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$157.04 |
$157.04 |
$157.04 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$61.77 |
$61.77 |
$61.77 |
$112.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$504.56 |
$504.56 |
$504.56 |
$103.20
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$48.98 |
$48.98 |
$48.98 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$77.17 |
$77.17 |
$77.17 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$140.98 |
$140.98 |
$140.98 |
$178.00
|
