|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$8,990.00 |
$8,990.00 |
$8,990.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$19,019.00 |
$19,019.00 |
$19,019.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$14,260.00 |
$14,260.00 |
$14,260.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$11,264.00 |
$11,264.00 |
$11,264.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$2,527.00 |
$2,527.00 |
$2,527.00 |
$344.85
|
|
L/s ratio fetal lung
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$168.00
|
|
Lumbar diskogram s&i
|
$5,465.00 |
$5,465.00 |
$5,465.00 |
$2,358.23
|
|
Lung perfusion imaging
|
$4,078.00 |
$4,078.00 |
$4,078.00 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$4,390.00 |
$4,390.00 |
$4,390.00 |
$1,526.38
|
|
Lymphocytotoxicity assay
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$370.20
|
|
Macroscopic exam parasite
|
$44.00 |
$44.00 |
$44.00 |
$38.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$142.98
|
|
Manipulation chest wall initial demonstration/evaluation
|
$1,304.00 |
$1,304.00 |
$1,304.00 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$239.00 |
$239.00 |
$239.00 |
$40.12
|
|
Map tachycard site(s)
|
$28,228.00 |
$28,228.00 |
$28,228.00 |
$3,928.16
|
|
Mastoids complete
|
$4,831.00 |
$4,831.00 |
$4,831.00 |
$272.00
|
|
M.avium-intra dna dir prob
|
$305.00 |
$305.00 |
$305.00 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$680.00 |
$680.00 |
$680.00 |
$66.50
|
|
Mayo activated protein c resistance assay
|
$440.00 |
$440.00 |
$440.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$139.00 |
$139.00 |
$139.00 |
$172.90
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$286.00 |
$286.00 |
$286.00 |
$112.00
|
|
Mayo analysis gene calr common variants exon 9
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$486.50
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$758.00 |
$758.00 |
$758.00 |
$317.40
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$223.00 |
$223.00 |
$223.00 |
$1,909.44
|
|
Mayo androstenedione
|
$832.00 |
$832.00 |
$832.00 |
$103.89
|
|
Mayo antithrombin iii antigen
|
$241.00 |
$241.00 |
$241.00 |
$68.90
|
|
Mayo avwpr vw factor activity
|
$422.00 |
$422.00 |
$422.00 |
$158.08
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$836.00 |
$836.00 |
$836.00 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$305.00 |
$305.00 |
$305.00 |
$57.85
|
|
Mayo c1 esterase inhibitor
|
$328.00 |
$328.00 |
$328.00 |
$88.05
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$1,651.00 |
$1,651.00 |
$1,651.00 |
$83.97
|
|
Mayo ceruloplasmin
|
$139.00 |
$139.00 |
$139.00 |
$64.80
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$711.00 |
$711.00 |
$711.00 |
$352.00
|
|
Mayo chromium
|
$266.00 |
$266.00 |
$266.00 |
$70.85
|
|
Mayo coccidioides antibody
|
$350.00 |
$350.00 |
$350.00 |
$58.37
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$592.00 |
$592.00 |
$592.00 |
$61.60
|
|
Mayo cyanide
|
$235.00 |
$235.00 |
$235.00 |
$87.10
|
|
Mayo dhea (dehydroepiandrosterone)
|
$477.00 |
$477.00 |
$477.00 |
$89.70
|
|
Mayo dihydrotestosterone
|
$410.00 |
$410.00 |
$410.00 |
$80.36
|
|
Mayo efpo chloride stool
|
$572.00 |
$572.00 |
$572.00 |
$43.41
|
|
Mayo estrone
|
$554.00 |
$554.00 |
$554.00 |
$82.40
|
|
Mayo ethosuximide therapeutic drug level
|
$206.00 |
$206.00 |
$206.00 |
$70.20
|
|
Mayo factor ii
|
$449.00 |
$449.00 |
$449.00 |
$94.90
|
|
Mayo factor v
|
$449.00 |
$449.00 |
$449.00 |
$127.80
|
|
Mayo factor vii
|
$449.00 |
$449.00 |
$449.00 |
$141.70
|
|
Mayo factor viii vw factor antigen
|
$449.00 |
$449.00 |
$449.00 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$837.00 |
$837.00 |
$837.00 |
$125.00
|
|
Mayo factor x
|
$449.00 |
$449.00 |
$449.00 |
$139.50
|
|
Mayo factor xi
|
$449.00 |
$449.00 |
$449.00 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$239.00 |
$239.00 |
$239.00 |
$70.67
|
|
Mayo fbl culture fungi blood
|
$1,709.00 |
$1,709.00 |
$1,709.00 |
$101.38
|
|
Mayo fibrinogen antigen
|
$102.00 |
$102.00 |
$102.00 |
$94.50
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$1,079.00 |
$1,079.00 |
$1,079.00 |
$70.39
|
|
Mayo hemosiderin qualitative urine
|
$154.00 |
$154.00 |
$154.00 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$663.00 |
$663.00 |
$663.00 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$586.00 |
$586.00 |
$586.00 |
$114.23
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$178.00 |
$178.00 |
$178.00 |
$52.15
|
|
Mayo hla typing a/b/c single antigen
|
$396.00 |
$396.00 |
$396.00 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$178.00 |
$178.00 |
$178.00 |
$67.60
|
|
Mayo hvdip HIV 2 antibody
|
$154.00 |
$154.00 |
$154.00 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$446.00 |
$446.00 |
$446.00 |
$93.45
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$240.00 |
$240.00 |
$240.00 |
$108.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$664.00 |
$664.00 |
$664.00 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$586.00 |
$586.00 |
$586.00 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$1,338.00 |
$1,338.00 |
$1,338.00 |
$233.75
|
|
Mayo infliximab therapeutic drug level
|
$184.00 |
$184.00 |
$184.00 |
$158.12
|
|
Mayo inhab inhibin a
|
$482.00 |
$482.00 |
$482.00 |
$81.60
|
|
Mayo insft insulin free
|
$144.00 |
$144.00 |
$144.00 |
$57.85
|
|
Mayo insulin antibodies
|
$300.00 |
$300.00 |
$300.00 |
$90.40
|
|
Mayo lacosamide therapeutic drug level
|
$30.00 |
$30.00 |
$30.00 |
$103.12
|
|
Mayo lamotrigine therapeutic drug level
|
$422.00 |
$422.00 |
$422.00 |
$69.75
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$2,308.00 |
$2,308.00 |
$2,308.00 |
$55.12
|
|
Mayo leptospira antibody igm
|
$171.00 |
$171.00 |
$171.00 |
$76.70
|
|
Mayo lipoprotein electrophoresis
|
$139.00 |
$139.00 |
$139.00 |
$50.40
|
|
Mayo manganese
|
$548.00 |
$548.00 |
$548.00 |
$89.15
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$325.00 |
$325.00 |
$325.00 |
$65.00
|
|
Mayo muramidase
|
$265.00 |
$265.00 |
$265.00 |
$62.70
|
|
Mayo muscle-specific kinase (musk) antibody
|
$325.00 |
$325.00 |
$325.00 |
$224.64
|
|
Mayo opatu opiates definitive assay >=1
|
$433.00 |
$433.00 |
$433.00 |
$99.00
|
|
Mayo organic acids qualitative each specimen
|
$980.00 |
$980.00 |
$980.00 |
$105.30
|
|
Mayo oxalate 24 hour urine
|
$155.00 |
$155.00 |
$155.00 |
$65.00
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$239.00 |
$239.00 |
$239.00 |
$156.00
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$664.00 |
$664.00 |
$664.00 |
$184.17
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$178.00 |
$178.00 |
$178.00 |
$80.60
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$1,651.00 |
$1,651.00 |
$1,651.00 |
$71.20
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$327.00 |
$327.00 |
$327.00 |
$44.73
|
|
Mayo pregnenolone
|
$131.00 |
$131.00 |
$131.00 |
$79.30
|
|
Mayo prmb primidone therapeutic drug level
|
$206.00 |
$206.00 |
$206.00 |
$71.20
|
|
Mayo proinsulin
|
$1,396.00 |
$1,396.00 |
$1,396.00 |
$97.50
|
|
Mayo psaft prostate specific antigen free
|
$473.00 |
$473.00 |
$473.00 |
$91.31
|
|
Mayo receptor assay transferrin soluble
|
$1,040.00 |
$1,040.00 |
$1,040.00 |
$125.34
|
|
Mayo renin
|
$252.00 |
$252.00 |
$252.00 |
$96.60
|
|
Mayo serotonin
|
$622.00 |
$622.00 |
$622.00 |
$126.75
|
|
Mayo sirolimus therapeutic drug level
|
$286.00 |
$286.00 |
$286.00 |
$91.27
|
|
Mayo tgrp testosterone free
|
$382.00 |
$382.00 |
$382.00 |
$95.25
|
|
Mayo thyroglobulin
|
$264.00 |
$264.00 |
$264.00 |
$106.20
|
|
Mayo ttfb testosterone bioavailable direct
|
$146.00 |
$146.00 |
$146.00 |
$87.78
|
|
Mayo tulab francisella tularensis antibody igg
|
$245.00 |
$245.00 |
$245.00 |
$56.98
|
|
Mayo vasoactive intestinal peptide
|
$477.00 |
$477.00 |
$477.00 |
$130.15
|
|
Mayo vitamin b-2 (riboflavin)
|
$128.00 |
$128.00 |
$128.00 |
$91.00
|
