|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$905.70 |
$905.70 |
$905.70 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$643.80 |
$643.80 |
$643.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$561.60 |
$561.60 |
$561.60 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$72.90 |
$72.90 |
$72.90 |
$356.16
|
|
Lso full corset
|
$67.65 |
$67.65 |
$67.65 |
$322.50
|
|
Lung Function Test (Spirometry)
|
$126.30 |
$126.30 |
$126.30 |
$295.35
|
|
Lung perfusion imaging
|
$189.30 |
$189.30 |
$189.30 |
$1,059.97
|
|
Lvad shower bag heartmate
|
$916.50 |
$916.50 |
$916.50 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$279.90 |
$279.90 |
$279.90 |
$1,463.22
|
|
Lymphocytotoxicity assay
|
$69.15 |
$69.15 |
$69.15 |
$379.20
|
|
Lymph vessel x-ray arms/legs
|
$863.25 |
$863.25 |
$863.25 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$863.25 |
$863.25 |
$863.25 |
$2,542.41
|
|
Macroscopic exam parasite
|
$1.50 |
$1.50 |
$1.50 |
$36.55
|
|
Magnesium
|
$41.25 |
$41.25 |
$41.25 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$36.73 |
$36.73 |
$36.73 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$25.80 |
$25.80 |
$25.80 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$39.45 |
$39.45 |
$39.45 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$6.30 |
$6.30 |
$6.30 |
$30.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$148.50 |
$148.50 |
$148.50 |
$636.50
|
|
Map tachycard site(s)
|
$1,838.25 |
$1,838.25 |
$1,838.25 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$163.20 |
$163.20 |
$163.20 |
$1,451.30
|
|
Mastoids complete
|
$93.60 |
$93.60 |
$93.60 |
$299.50
|
|
M.avium-intra dna amp prob
|
$18.90 |
$18.90 |
$18.90 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$55.65 |
$55.65 |
$55.65 |
$65.00
|
|
Mayo aathr protein s free
|
$80.10 |
$80.10 |
$80.10 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$58.65 |
$58.65 |
$58.65 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$18.15 |
$18.15 |
$18.15 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$32.70 |
$32.70 |
$32.70 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$90.45 |
$90.45 |
$90.45 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$43.05 |
$43.05 |
$43.05 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$80.55 |
$80.55 |
$80.55 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$169.20 |
$169.20 |
$169.20 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$85.05 |
$85.05 |
$85.05 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$48.15 |
$48.15 |
$48.15 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$48.15 |
$48.15 |
$48.15 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$70.50 |
$70.50 |
$70.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$153.15 |
$153.15 |
$153.15 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$74.85 |
$74.85 |
$74.85 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$410.25 |
$410.25 |
$410.25 |
$1,860.00
|
|
Mayo androstenedione
|
$99.75 |
$99.75 |
$99.75 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$45.30 |
$45.30 |
$45.30 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$5.10 |
$5.10 |
$5.10 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$53.40 |
$53.40 |
$53.40 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$188.40 |
$188.40 |
$188.40 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$16.95 |
$16.95 |
$16.95 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$48.15 |
$48.15 |
$48.15 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$55.05 |
$55.05 |
$55.05 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$39.45 |
$39.45 |
$39.45 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$78.15 |
$78.15 |
$78.15 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$52.20 |
$52.20 |
$52.20 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$47.55 |
$47.55 |
$47.55 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$31.05 |
$31.05 |
$31.05 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$55.65 |
$55.65 |
$55.65 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$48.15 |
$48.15 |
$48.15 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$83.70 |
$83.70 |
$83.70 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$15.00 |
$15.00 |
$15.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$67.80 |
$67.80 |
$67.80 |
$281.50
|
|
Mayo ceruloplasmin
|
$51.00 |
$51.00 |
$51.00 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$53.70 |
$53.70 |
$53.70 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$93.60 |
$93.60 |
$93.60 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$39.30 |
$39.30 |
$39.30 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$44.40 |
$44.40 |
$44.40 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$152.55 |
$152.55 |
$152.55 |
$360.33
|
|
Mayo chromium
|
$135.15 |
$135.15 |
$135.15 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$48.15 |
$48.15 |
$48.15 |
$100.00
|
|
Mayo coccidioides antibody
|
$39.30 |
$39.30 |
$39.30 |
$53.90
|
|
Mayo cocou cortisone urine
|
$127.20 |
$127.20 |
$127.20 |
$213.92
|
|
Mayo cortisol free
|
$58.65 |
$58.65 |
$58.65 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$27.90 |
$27.90 |
$27.90 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$58.20 |
$58.20 |
$58.20 |
$58.10
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$48.15 |
$48.15 |
$48.15 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$41.85 |
$41.85 |
$41.85 |
$66.00
|
|
Mayo cyanide
|
$43.50 |
$43.50 |
$43.50 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$60.75 |
$60.75 |
$60.75 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$143.10 |
$143.10 |
$143.10 |
$105.60
|
|
Mayo efpo chloride stool
|
$50.10 |
$50.10 |
$50.10 |
$43.41
|
|
Mayo estriol
|
$105.00 |
$105.00 |
$105.00 |
$90.34
|
|
Mayo estrone
|
$89.40 |
$89.40 |
$89.40 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$55.65 |
$55.65 |
$55.65 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$78.15 |
$78.15 |
$78.15 |
$97.50
|
|
Mayo factor ii
|
$92.40 |
$92.40 |
$92.40 |
$99.06
|
|
Mayo factor v
|
$99.15 |
$99.15 |
$99.15 |
$127.80
|
|
Mayo factor vii
|
$112.95 |
$112.95 |
$112.95 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$99.15 |
$99.15 |
$99.15 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$149.55 |
$149.55 |
$149.55 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$136.80 |
$136.80 |
$136.80 |
$141.00
|
|
Mayo factor x
|
$110.25 |
$110.25 |
$110.25 |
$155.00
|
|
Mayo factor xi
|
$105.00 |
$105.00 |
$105.00 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$208.50 |
$208.50 |
$208.50 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$5.10 |
$5.10 |
$5.10 |
$105.60
|
|
Mayo ffspg allergen clam igg
|
$3.60 |
$3.60 |
$3.60 |
$35.10
|
|
Mayo fibrinogen antigen
|
$47.70 |
$47.70 |
$47.70 |
$76.44
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$208.50 |
$208.50 |
$208.50 |
$66.43
|
|
Mayo hemosiderin qualitative urine
|
$22.95 |
$22.95 |
$22.95 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$196.20 |
$196.20 |
$196.20 |
$165.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$69.45 |
$69.45 |
$69.45 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$35.40 |
$35.40 |
$35.40 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$11.70 |
$11.70 |
$11.70 |
$74.25
|
|
Mayo hvdip HIV 2 antibody
|
$37.80 |
$37.80 |
$37.80 |
$77.77
|
|
Mayo hydroxyprogesterone 17-d
|
$95.40 |
$95.40 |
$95.40 |
$106.65
|
