|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,794.22 |
$3,794.22 |
$3,794.22 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,402.18 |
$3,402.18 |
$3,402.18 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,271.21 |
$3,271.21 |
$3,271.21 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,805.78 |
$3,805.78 |
$3,805.78 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,918.11 |
$2,918.11 |
$2,918.11 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,416.49 |
$2,416.49 |
$2,416.49 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$485.78 |
$485.78 |
$485.78 |
$344.00
|
|
Lumbar diskogram s&i
|
$3,076.47 |
$3,076.47 |
$3,076.47 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$357.38 |
$357.38 |
$357.38 |
$298.50
|
|
Lung perfusion imaging
|
$1,449.64 |
$1,449.64 |
$1,449.64 |
$1,100.39
|
|
Lutetium lu 177 vipivotide
|
$356.96 |
$356.96 |
$356.96 |
$332.80
|
|
Lymphatics/lymph node imaging
|
$1,600.30 |
$1,600.30 |
$1,600.30 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$243.96 |
$243.96 |
$243.96 |
$266.20
|
|
Lymph vessel x-ray arms/legs
|
$2,964.33 |
$2,964.33 |
$2,964.33 |
$2,229.24
|
|
Macroscopic exam arthropod
|
$32.96 |
$32.96 |
$32.96 |
$38.58
|
|
Macroscopic exam parasite
|
$19.69 |
$19.69 |
$19.69 |
$38.50
|
|
Magnesium
|
$151.52 |
$151.52 |
$151.52 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$51.36 |
$51.36 |
$51.36 |
$69.30
|
|
Magnetic image bone marrow
|
$1,866.51 |
$1,866.51 |
$1,866.51 |
$1,152.80
|
|
Malaria antibody
|
$24.40 |
$24.40 |
$24.40 |
$38.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$41.52 |
$41.52 |
$41.52 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$42.80 |
$42.80 |
$42.80 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$23.12 |
$23.12 |
$23.12 |
$28.48
|
|
Map tachycard site(s)
|
$752.00 |
$752.00 |
$752.00 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$2,103.20 |
$2,103.20 |
$2,103.20 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,617.84 |
$1,617.84 |
$1,617.84 |
$1,753.29
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$7,817.85 |
$7,817.85 |
$7,817.85 |
$6,321.00
|
|
M.avium-intra dna dir prob
|
$42.80 |
$42.80 |
$42.80 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$10.85 |
$10.85 |
$10.85 |
$66.50
|
|
Mayo aathr protein s free
|
$77.79 |
$77.79 |
$77.79 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$77.79 |
$77.79 |
$77.79 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$63.13 |
$63.13 |
$63.13 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$12.84 |
$12.84 |
$12.84 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$37.33 |
$37.33 |
$37.33 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$29.96 |
$29.96 |
$29.96 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$342.40 |
$342.40 |
$342.40 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$279.49 |
$279.49 |
$279.49 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$166.92 |
$166.92 |
$166.92 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$732.42 |
$732.42 |
$732.42 |
$1,909.44
|
|
Mayo androstenedione
|
$29.43 |
$29.43 |
$29.43 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$8.56 |
$8.56 |
$8.56 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$7.98 |
$7.98 |
$7.98 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$39.49 |
$39.49 |
$39.49 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$72.34 |
$72.34 |
$72.34 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$29.96 |
$29.96 |
$29.96 |
$105.00
|
|
Mayo bart bartonella henselae antibody igg
|
$4.28 |
$4.28 |
$4.28 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$72.76 |
$72.76 |
$72.76 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$17.84 |
$17.84 |
$17.84 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$4.66 |
$4.66 |
$4.66 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$10.70 |
$10.70 |
$10.70 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$5.30 |
$5.30 |
$5.30 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$62.06 |
$62.06 |
$62.06 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$23.94 |
$23.94 |
$23.94 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$44.68 |
$44.68 |
$44.68 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$94.16 |
$94.16 |
$94.16 |
$274.40
|
|
Mayo ceruloplasmin
|
$3.00 |
$3.00 |
$3.00 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$101.69 |
$101.69 |
$101.69 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$52.52 |
$52.52 |
$52.52 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$47.08 |
$47.08 |
$47.08 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$290.62 |
$290.62 |
$290.62 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$166.92 |
$166.92 |
$166.92 |
$353.99
|
|
Mayo chromium
|
$117.28 |
$117.28 |
$117.28 |
$70.85
|
|
Mayo coccidioides antibody
|
$41.95 |
$41.95 |
$41.95 |
$58.37
|
|
Mayo cocou cortisone urine
|
$222.56 |
$222.56 |
$222.56 |
$207.26
|
|
Mayo cortisol free
|
$12.84 |
$12.84 |
$12.84 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$80.90 |
$80.90 |
$80.90 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$27.12 |
$27.12 |
$27.12 |
$61.02
|
|
Mayo cyanide
|
$36.38 |
$36.38 |
$36.38 |
$87.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$168.36 |
$168.36 |
$168.36 |
$611.60
|
|
Mayo deoxyribonuclease antibody titer
|
$3.91 |
$3.91 |
$3.91 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$29.42 |
$29.42 |
$29.42 |
$88.45
|
|
Mayo dihydrotestosterone
|
$87.74 |
$87.74 |
$87.74 |
$81.90
|
|
Mayo efpo chloride stool
|
$9.85 |
$9.85 |
$9.85 |
$44.20
|
|
Mayo estriol
|
$5.04 |
$5.04 |
$5.04 |
$98.70
|
|
Mayo estrone
|
$10.70 |
$10.70 |
$10.70 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$6.42 |
$6.42 |
$6.42 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$8.56 |
$8.56 |
$8.56 |
$80.50
|
|
Mayo factor ii
|
$16.24 |
$16.24 |
$16.24 |
$93.00
|
|
Mayo factor v
|
$32.10 |
$32.10 |
$32.10 |
$125.48
|
|
Mayo factor vii
|
$80.52 |
$80.52 |
$80.52 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$51.13 |
$51.13 |
$51.13 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$25.15 |
$25.15 |
$25.15 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$11.13 |
$11.13 |
$11.13 |
$129.60
|
|
Mayo factor x
|
$78.58 |
$78.58 |
$78.58 |
$139.50
|
|
Mayo factor xi
|
$93.30 |
$93.30 |
$93.30 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$12.15 |
$12.15 |
$12.15 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$13.23 |
$13.23 |
$13.23 |
$102.20
|
|
Mayo fdp/fsp paracoagulation
|
$51.13 |
$51.13 |
$51.13 |
$111.03
|
|
Mayo ffspg allergen clam igg
|
$31.30 |
$31.30 |
$31.30 |
$37.05
|
|
Mayo fibrinogen antigen
|
$54.83 |
$54.83 |
$54.83 |
$94.50
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$6.99 |
$6.99 |
$6.99 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$1,498.00 |
$1,498.00 |
$1,498.00 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$4.54 |
$4.54 |
$4.54 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$98.19 |
$98.19 |
$98.19 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$25.24 |
$25.24 |
$25.24 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$4.41 |
$4.41 |
$4.41 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$11.56 |
$11.56 |
$11.56 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$10.70 |
$10.70 |
$10.70 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$10.70 |
$10.70 |
$10.70 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$79.18 |
$79.18 |
$79.18 |
$93.45
|
