|
Lorazepam 2 mg/ml injection (wrapper)
|
$319.13 |
$319.13 |
$319.13 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,027.03 |
$5,027.03 |
$5,027.03 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,460.55 |
$4,460.55 |
$4,460.55 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,264.47 |
$2,264.47 |
$2,264.47 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,672.01 |
$4,672.01 |
$4,672.01 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,056.54 |
$4,056.54 |
$4,056.54 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,797.48 |
$2,797.48 |
$2,797.48 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$499.07 |
$499.07 |
$499.07 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,851.25 |
$1,851.25 |
$1,851.25 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$178.48 |
$178.48 |
$178.48 |
$298.50
|
|
Lung perfusion imaging
|
$1,101.44 |
$1,101.44 |
$1,101.44 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$849.72 |
$849.72 |
$849.72 |
$1,543.75
|
|
Macroscopic exam arthropod
|
$63.54 |
$63.54 |
$63.54 |
$38.58
|
|
Magnesium
|
$119.80 |
$119.80 |
$119.80 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$32.01 |
$32.01 |
$32.01 |
$64.61
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$89.24 |
$89.24 |
$89.24 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$124.65 |
$124.65 |
$124.65 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$12.61 |
$12.61 |
$12.61 |
$33.24
|
|
Map tachycard site(s)
|
$6,390.36 |
$6,390.36 |
$6,390.36 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$2,992.45 |
$2,992.45 |
$2,992.45 |
$1,213.20
|
|
Mastoids complete
|
$418.56 |
$418.56 |
$418.56 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$11,125.90 |
$11,125.90 |
$11,125.90 |
$6,522.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$7.76 |
$7.76 |
$7.76 |
$66.50
|
|
Mayo aathr protein s free
|
$14.55 |
$14.55 |
$14.55 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$10.19 |
$10.19 |
$10.19 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$7.60 |
$7.60 |
$7.60 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$4.37 |
$4.37 |
$4.37 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$22.80 |
$22.80 |
$22.80 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$33.95 |
$33.95 |
$33.95 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$388.00 |
$388.00 |
$388.00 |
$1,909.44
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$2.43 |
$2.43 |
$2.43 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$9.05 |
$9.05 |
$9.05 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$4.71 |
$4.71 |
$4.71 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$20.86 |
$20.86 |
$20.86 |
$157.95
|
|
Mayo bart bartonella henselae antibody igg
|
$4.85 |
$4.85 |
$4.85 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$20.21 |
$20.21 |
$20.21 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$20.22 |
$20.22 |
$20.22 |
$373.75
|
|
Mayo bordetella pertussis antibody igg
|
$12.13 |
$12.13 |
$12.13 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$6.01 |
$6.01 |
$6.01 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$8.25 |
$8.25 |
$8.25 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$13.18 |
$13.18 |
$13.18 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$67.76 |
$67.76 |
$67.76 |
$110.00
|
|
Mayo ceruloplasmin
|
$3.40 |
$3.40 |
$3.40 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$7.85 |
$7.85 |
$7.85 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$12.81 |
$12.81 |
$12.81 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$6.81 |
$6.81 |
$6.81 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$3.61 |
$3.61 |
$3.61 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$99.77 |
$99.77 |
$99.77 |
$353.99
|
|
Mayo coccidioides antibody
|
$4.82 |
$4.82 |
$4.82 |
$58.37
|
|
Mayo cocou cortisone urine
|
$12.13 |
$12.13 |
$12.13 |
$207.26
|
|
Mayo cortisol free
|
$7.89 |
$7.89 |
$7.89 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$138.23 |
$138.23 |
$138.23 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$14.09 |
$14.09 |
$14.09 |
$61.02
|
|
Mayo deoxyribonuclease antibody titer
|
$4.43 |
$4.43 |
$4.43 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$5.34 |
$5.34 |
$5.34 |
$88.45
|
|
Mayo dihydrotestosterone
|
$9.70 |
$9.70 |
$9.70 |
$81.90
|
|
Mayo efpo chloride stool
|
$43.17 |
$43.17 |
$43.17 |
$44.20
|
|
Mayo factor v
|
$10.27 |
$10.27 |
$10.27 |
$125.48
|
|
Mayo factor vii
|
$12.83 |
$12.83 |
$12.83 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$12.02 |
$12.02 |
$12.02 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$12.02 |
$12.02 |
$12.02 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$12.61 |
$12.61 |
$12.61 |
$129.60
|
|
Mayo factor x
|
$11.97 |
$11.97 |
$11.97 |
$139.50
|
|
Mayo factor xi
|
$20.54 |
$20.54 |
$20.54 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$12.12 |
$12.12 |
$12.12 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$29.59 |
$29.59 |
$29.59 |
$102.20
|
|
Mayo fdp/fsp paracoagulation
|
$87.79 |
$87.79 |
$87.79 |
$111.03
|
|
Mayo gamma-globin full gene sequencing
|
$834.20 |
$834.20 |
$834.20 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$5.14 |
$5.14 |
$5.14 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$28.60 |
$28.60 |
$28.60 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$28.60 |
$28.60 |
$28.60 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$4.57 |
$4.57 |
$4.57 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$13.10 |
$13.10 |
$13.10 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$110.10 |
$110.10 |
$110.10 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$12.13 |
$12.13 |
$12.13 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$8.75 |
$8.75 |
$8.75 |
$93.45
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$36.28 |
$36.28 |
$36.28 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$155.30 |
$155.30 |
$155.30 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$113.49 |
$113.49 |
$113.49 |
$112.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$13.85 |
$13.85 |
$13.85 |
$103.20
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$8.01 |
$8.01 |
$8.01 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$12.61 |
$12.61 |
$12.61 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$21.83 |
$21.83 |
$21.83 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii
|
$72.75 |
$72.75 |
$72.75 |
$218.40
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$44.82 |
$44.82 |
$44.82 |
$233.75
|
|
Mayo inhab inhibin a
|
$11.70 |
$11.70 |
$11.70 |
$81.60
|
|
Mayo insulin antibodies
|
$12.13 |
$12.13 |
$12.13 |
$91.00
|
|
Mayo iodine
|
$21.83 |
$21.83 |
$21.83 |
$114.05
|
|
Mayo lamotrigine therapeutic drug level
|
$3.40 |
$3.40 |
$3.40 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$4.37 |
$4.37 |
$4.37 |
$55.12
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$7.28 |
$7.28 |
$7.28 |
$69.55
|
|
Mayo metanephrines plasma
|
$10.67 |
$10.67 |
$10.67 |
$104.50
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$72.27 |
$72.27 |
$72.27 |
$95.70
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$9.70 |
$9.70 |
$9.70 |
$65.00
|
|
Mayo microsomal antibody liver-kidney
|
$22.31 |
$22.31 |
$22.31 |
$90.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$80.03 |
$80.03 |
$80.03 |
$167.70
|
|
Mayo myoglobin
|
$5.99 |
$5.99 |
$5.99 |
$94.32
|
|
Mayo organic acid methylmalonic single quantitative
|
$7.28 |
$7.28 |
$7.28 |
$104.13
|
|
Mayo oxalate 24 hour urine
|
$8.77 |
$8.77 |
$8.77 |
$65.00
|
|
Mayo parvs parvovirus b19 antibody igg
|
$6.06 |
$6.06 |
$6.06 |
$56.80
|