|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$14,431.75 |
$14,431.75 |
$14,431.75 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$13,879.50 |
$13,879.50 |
$13,879.50 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$20,835.75 |
$20,835.75 |
$20,835.75 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$17,581.75 |
$17,581.75 |
$17,581.75 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$6,223.25 |
$6,223.25 |
$6,223.25 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$2,951.75 |
$2,951.75 |
$2,951.75 |
$344.00
|
|
L/s ratio fetal lung
|
$107.75 |
$107.75 |
$107.75 |
$168.00
|
|
Lumbar diskogram s&i
|
$3,129.50 |
$3,129.50 |
$3,129.50 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$383.75 |
$383.75 |
$383.75 |
$182.91
|
|
Lung perfusion imaging
|
$10,167.50 |
$10,167.50 |
$10,167.50 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$5,907.00 |
$5,907.00 |
$5,907.00 |
$1,543.75
|
|
Magnetic image bone marrow
|
$16,813.00 |
$16,813.00 |
$16,813.00 |
$1,152.80
|
|
Map tachycard site(s)
|
$5,564.50 |
$5,564.50 |
$5,564.50 |
$3,960.00
|
|
M.avium-intra dna dir prob
|
$58.25 |
$58.25 |
$58.25 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$13.75 |
$13.75 |
$13.75 |
$66.50
|
|
Mayo activated protein c resistance assay
|
$42.75 |
$42.75 |
$42.75 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$7.50 |
$7.50 |
$7.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$81.00 |
$81.00 |
$81.00 |
$87.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$145.75 |
$145.75 |
$145.75 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,866.25 |
$1,866.25 |
$1,866.25 |
$1,909.44
|
|
Mayo androstenedione
|
$21.00 |
$21.00 |
$21.00 |
$105.30
|
|
Mayo antithrombin iii antigen
|
$77.25 |
$77.25 |
$77.25 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$54.75 |
$54.75 |
$54.75 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$170.25 |
$170.25 |
$170.25 |
$157.95
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$176.00 |
$176.00 |
$176.00 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$46.75 |
$46.75 |
$46.75 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$20.50 |
$20.50 |
$20.50 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$27.00 |
$27.00 |
$27.00 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$34.25 |
$34.25 |
$34.25 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$138.00 |
$138.00 |
$138.00 |
$110.00
|
|
Mayo ceruloplasmin
|
$5.50 |
$5.50 |
$5.50 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$170.75 |
$170.75 |
$170.75 |
$123.73
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$201.25 |
$201.25 |
$201.25 |
$353.99
|
|
Mayo chromium
|
$43.00 |
$43.00 |
$43.00 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$19.75 |
$19.75 |
$19.75 |
$89.53
|
|
Mayo coccidioides antibody
|
$46.75 |
$46.75 |
$46.75 |
$58.37
|
|
Mayo cocou cortisone urine
|
$193.50 |
$193.50 |
$193.50 |
$207.26
|
|
Mayo cortisol free
|
$11.50 |
$11.50 |
$11.50 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$25.75 |
$25.75 |
$25.75 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$19.50 |
$19.50 |
$19.50 |
$61.02
|
|
Mayo cyanide
|
$81.50 |
$81.50 |
$81.50 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$21.00 |
$21.00 |
$21.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$7.00 |
$7.00 |
$7.00 |
$88.45
|
|
Mayo dihydrotestosterone
|
$27.75 |
$27.75 |
$27.75 |
$81.90
|
|
Mayo estrone
|
$26.75 |
$26.75 |
$26.75 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$13.25 |
$13.25 |
$13.25 |
$70.40
|
|
Mayo factor ii
|
$197.25 |
$197.25 |
$197.25 |
$93.00
|
|
Mayo factor viii vw factor multimetric analysis
|
$85.75 |
$85.75 |
$85.75 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$283.50 |
$283.50 |
$283.50 |
$129.60
|
|
Mayo factor x
|
$150.50 |
$150.50 |
$150.50 |
$139.50
|
|
Mayo factor xi
|
$134.00 |
$134.00 |
$134.00 |
$117.50
|
|
Mayo ffspg allergen clam igg
|
$50.75 |
$50.75 |
$50.75 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$11.50 |
$11.50 |
$11.50 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$379.00 |
$379.00 |
$379.00 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$8.00 |
$8.00 |
$8.00 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$98.75 |
$98.75 |
$98.75 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$83.00 |
$83.00 |
$83.00 |
$115.20
|
|
Mayo hvdip HIV 2 antibody
|
$139.75 |
$139.75 |
$139.75 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$22.50 |
$22.50 |
$22.50 |
$93.45
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$241.50 |
$241.50 |
$241.50 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$85.50 |
$85.50 |
$85.50 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$218.50 |
$218.50 |
$218.50 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$97.00 |
$97.00 |
$97.00 |
$233.75
|
|
Mayo inhab inhibin a
|
$7.75 |
$7.75 |
$7.75 |
$81.60
|
|
Mayo iodine
|
$58.25 |
$58.25 |
$58.25 |
$114.05
|
|
Mayo lacosamide therapeutic drug level
|
$58.25 |
$58.25 |
$58.25 |
$99.20
|
|
Mayo lamotrigine therapeutic drug level
|
$13.00 |
$13.00 |
$13.00 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$8.75 |
$8.75 |
$8.75 |
$55.12
|
|
Mayo leptospira antibody igm
|
$111.75 |
$111.75 |
$111.75 |
$76.05
|
|
Mayo lipoprotein electrophoresis
|
$13.75 |
$13.75 |
$13.75 |
$50.40
|
|
Mayo manganese
|
$48.25 |
$48.25 |
$48.25 |
$89.15
|
|
Mayo methadone definitive assay confirmation urine
|
$16.50 |
$16.50 |
$16.50 |
$101.14
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$97.25 |
$97.25 |
$97.25 |
$95.70
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$35.25 |
$35.25 |
$35.25 |
$65.00
|
|
Mayo muramidase
|
$17.50 |
$17.50 |
$17.50 |
$62.70
|
|
Mayo mycophenolic acid therapeutic drug level
|
$93.50 |
$93.50 |
$93.50 |
$77.39
|
|
Mayo opatu opiates definitive assay >=1
|
$22.75 |
$22.75 |
$22.75 |
$99.00
|
|
Mayo organic acid methylmalonic single quantitative
|
$13.25 |
$13.25 |
$13.25 |
$104.13
|
|
Mayo organic acids qualitative each specimen
|
$112.50 |
$112.50 |
$112.50 |
$105.30
|
|
Mayo oxalate 24 hour urine
|
$130.25 |
$130.25 |
$130.25 |
$65.00
|
|
Mayo parvs parvovirus b19 antibody igg
|
$16.25 |
$16.25 |
$16.25 |
$56.80
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$87.50 |
$87.50 |
$87.50 |
$184.17
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$9.75 |
$9.75 |
$9.75 |
$71.20
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$7.75 |
$7.75 |
$7.75 |
$46.20
|
|
Mayo pregnenolone
|
$37.50 |
$37.50 |
$37.50 |
$81.00
|
|
Mayo prmb primidone therapeutic drug level
|
$33.00 |
$33.00 |
$33.00 |
$71.20
|
|
Mayo proinsulin
|
$40.75 |
$40.75 |
$40.75 |
$97.50
|
|
Mayo rbcme osmotic fragility rbc incubated
|
$24.50 |
$24.50 |
$24.50 |
$101.20
|
|
Mayo renin
|
$11.50 |
$11.50 |
$11.50 |
$96.60
|
|
Mayo selenium
|
$45.75 |
$45.75 |
$45.75 |
$64.35
|
|
Mayo serotonin
|
$26.75 |
$26.75 |
$26.75 |
$126.75
|
|
Mayo sirolimus therapeutic drug level
|
$24.00 |
$24.00 |
$24.00 |
$88.80
|
|
Mayo tgrp testosterone free
|
$3.75 |
$3.75 |
$3.75 |
$96.05
|
|
Mayo thyroglobulin
|
$29.00 |
$29.00 |
$29.00 |
$106.85
|
|
Mayo tulab francisella tularensis antibody igg
|
$145.75 |
$145.75 |
$145.75 |
$56.98
|
|
Mayo vasoactive intestinal peptide
|
$59.25 |
$59.25 |
$59.25 |
$134.55
|
|
Mayo vitamin b-2 (riboflavin)
|
$48.25 |
$48.25 |
$48.25 |
$91.00
|
|
Mayo vitamin k
|
$204.00 |
$204.00 |
$204.00 |
$98.88
|
|
Mechlorethamine hcl inj
|
$814.50 |
$814.50 |
$814.50 |
$487.85
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$342.00 |
$342.00 |
$342.00 |
$303.33
|
