|
Lorazepam 2 mg/ml injection (wrapper)
|
$34.39 |
$34.39 |
$34.39 |
$41.76
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$20,101.89 |
$20,101.89 |
$20,101.89 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$20,242.88 |
$20,242.88 |
$20,242.88 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$19,628.17 |
$19,628.17 |
$19,628.17 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$9,972.86 |
$9,972.86 |
$9,972.86 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$9,192.63 |
$9,192.63 |
$9,192.63 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$8,714.32 |
$8,714.32 |
$8,714.32 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$3,177.91 |
$3,177.91 |
$3,177.91 |
$344.00
|
|
Lung perfusion imaging
|
$7,135.46 |
$7,135.46 |
$7,135.46 |
$1,082.75
|
|
Lvad shower bag heartmate
|
$1,201.07 |
$1,201.07 |
$1,201.07 |
$1,059.75
|
|
Lymphatics/lymph node imaging
|
$6,046.76 |
$6,046.76 |
$6,046.76 |
$1,526.38
|
|
Lymphocyte transformation mitogen
|
$248.79 |
$248.79 |
$248.79 |
$266.20
|
|
Macroscopic exam arthropod
|
$180.09 |
$180.09 |
$180.09 |
$38.58
|
|
Macroscopic exam parasite
|
$72.36 |
$72.36 |
$72.36 |
$36.86
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$187.66 |
$187.66 |
$187.66 |
$140.87
|
|
Manipulation chest wall initial demonstration/evaluation
|
$164.34 |
$164.34 |
$164.34 |
$170.00
|
|
Mannitol 12.5 gm/50 ml inj
|
$114.15 |
$114.15 |
$114.15 |
$40.12
|
|
M.avium-intra dna dir prob
|
$52.00 |
$52.00 |
$52.00 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$10.00 |
$10.00 |
$10.00 |
$67.00
|
|
Mayo activated protein c resistance assay
|
$379.16 |
$379.16 |
$379.16 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$150.00 |
$150.00 |
$150.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$135.00 |
$135.00 |
$135.00 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$10.80 |
$10.80 |
$10.80 |
$116.00
|
|
Mayo alkaline phosphatase isoenzyme
|
$2.70 |
$2.70 |
$2.70 |
$66.30
|
|
Mayo analysis gene calr common variants exon 9
|
$175.00 |
$175.00 |
$175.00 |
$497.50
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$116.55 |
$116.55 |
$116.55 |
$338.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$135.00 |
$135.00 |
$135.00 |
$322.30
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,508.76 |
$1,508.76 |
$1,508.76 |
$1,922.13
|
|
Mayo androstenedione
|
$10.80 |
$10.80 |
$10.80 |
$103.89
|
|
Mayo antithrombin iii antigen
|
$8.15 |
$8.15 |
$8.15 |
$67.13
|
|
Mayo avwpr vw factor activity
|
$135.00 |
$135.00 |
$135.00 |
$159.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$81.00 |
$81.00 |
$81.00 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$13.20 |
$13.20 |
$13.20 |
$57.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$20.00 |
$20.00 |
$20.00 |
$85.17
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$1.00 |
$1.00 |
$1.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$93.61 |
$93.61 |
$93.61 |
$278.20
|
|
Mayo ceruloplasmin
|
$5.07 |
$5.07 |
$5.07 |
$64.80
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$106.45 |
$106.45 |
$106.45 |
$349.47
|
|
Mayo chromium
|
$6.00 |
$6.00 |
$6.00 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$25.23 |
$25.23 |
$25.23 |
$85.80
|
|
Mayo cortisol free
|
$11.24 |
$11.24 |
$11.24 |
$101.40
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.13 |
$42.13 |
$42.13 |
$72.60
|
|
Mayo cyanide
|
$39.96 |
$39.96 |
$39.96 |
$87.10
|
|
Mayo dhea (dehydroepiandrosterone)
|
$5.28 |
$5.28 |
$5.28 |
$90.06
|
|
Mayo efpo chloride stool
|
$2.16 |
$2.16 |
$2.16 |
$42.60
|
|
Mayo estriol
|
$8.22 |
$8.22 |
$8.22 |
$98.70
|
|
Mayo estrone
|
$10.00 |
$10.00 |
$10.00 |
$83.20
|
|
Mayo factor ii
|
$153.41 |
$153.41 |
$153.41 |
$92.30
|
|
Mayo factor v
|
$72.89 |
$72.89 |
$72.89 |
$127.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$65.09 |
$65.09 |
$65.09 |
$125.00
|
|
Mayo factor x
|
$116.97 |
$116.97 |
$116.97 |
$139.50
|
|
Mayo factor xi
|
$109.35 |
$109.35 |
$109.35 |
$117.50
|
|
Mayo ffspg allergen clam igg
|
$24.25 |
$24.25 |
$24.25 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$8.80 |
$8.80 |
$8.80 |
$69.55
|
|
Mayo gamma-globin full gene sequencing
|
$72.69 |
$72.69 |
$72.69 |
$1,460.30
|
|
Mayo hemosiderin qualitative urine
|
$25.38 |
$25.38 |
$25.38 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$86.09 |
$86.09 |
$86.09 |
$165.00
|
|
Mayo hla typing a/b/c single antigen
|
$462.14 |
$462.14 |
$462.14 |
$118.33
|
|
Mayo hydroxyprogesterone 17-d
|
$10.80 |
$10.80 |
$10.80 |
$93.45
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$38.00 |
$38.00 |
$38.00 |
$109.85
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$106.50 |
$106.50 |
$106.50 |
$170.95
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$202.33 |
$202.33 |
$202.33 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$84.24 |
$84.24 |
$84.24 |
$233.75
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$90.00 |
$90.00 |
$90.00 |
$230.10
|
|
Mayo infliximab therapeutic drug level
|
$170.00 |
$170.00 |
$170.00 |
$160.55
|
|
Mayo inhab inhibin a
|
$8.22 |
$8.22 |
$8.22 |
$81.95
|
|
Mayo insulin antibodies
|
$19.70 |
$19.70 |
$19.70 |
$91.20
|
|
Mayo iodine
|
$45.00 |
$45.00 |
$45.00 |
$118.95
|
|
Mayo lacosamide therapeutic drug level
|
$50.00 |
$50.00 |
$50.00 |
$106.00
|
|
Mayo lamotrigine therapeutic drug level
|
$9.68 |
$9.68 |
$9.68 |
$69.75
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$21.60 |
$21.60 |
$21.60 |
$57.20
|
|
Mayo leptospira antibody igm
|
$75.00 |
$75.00 |
$75.00 |
$76.05
|
|
Mayo lipoprotein electrophoresis
|
$2.60 |
$2.60 |
$2.60 |
$50.40
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$9.39 |
$9.39 |
$9.39 |
$69.55
|
|
Mayo methadone definitive assay confirmation urine
|
$25.00 |
$25.00 |
$25.00 |
$97.20
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$90.00 |
$90.00 |
$90.00 |
$107.86
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$11.40 |
$11.40 |
$11.40 |
$65.00
|
|
Mayo molecular pathology procedure level 2 apoe genotype
|
$13.39 |
$13.39 |
$13.39 |
$447.20
|
|
Mayo muramidase
|
$5.40 |
$5.40 |
$5.40 |
$63.25
|
|
Mayo mycophenolic acid therapeutic drug level
|
$40.00 |
$40.00 |
$40.00 |
$77.65
|
|
Mayo organic acid methylmalonic single quantitative
|
$12.18 |
$12.18 |
$12.18 |
$104.13
|
|
Mayo organic acids qualitative each specimen
|
$20.00 |
$20.00 |
$20.00 |
$105.30
|
|
Mayo oxalate 24 hour urine
|
$9.00 |
$9.00 |
$9.00 |
$65.00
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$63.72 |
$63.72 |
$63.72 |
$188.50
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$10.80 |
$10.80 |
$10.80 |
$82.20
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$7.28 |
$7.28 |
$7.28 |
$70.95
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$77.85 |
$77.85 |
$77.85 |
$44.73
|
|
Mayo pregnenolone
|
$28.33 |
$28.33 |
$28.33 |
$81.54
|
|
Mayo prmb primidone therapeutic drug level
|
$11.75 |
$11.75 |
$11.75 |
$71.20
|
|
Mayo proinsulin
|
$30.75 |
$30.75 |
$30.75 |
$97.50
|
|
Mayo psaft prostate specific antigen free
|
$6.48 |
$6.48 |
$6.48 |
$92.50
|
|
Mayo receptor assay transferrin soluble
|
$26.40 |
$26.40 |
$26.40 |
$125.34
|
|
Mayo renin
|
$5.00 |
$5.00 |
$5.00 |
$96.60
|
|
Mayo selenium
|
$28.51 |
$28.51 |
$28.51 |
$64.80
|
|
Mayo serotonin
|
$13.20 |
$13.20 |
$13.20 |
$133.10
|
|
Mayo sirolimus therapeutic drug level
|
$16.86 |
$16.86 |
$16.86 |
$94.72
|
|
Mayo tau phosphorylated 217 each
|
$332.00 |
$332.00 |
$332.00 |
$297.70
|
|
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification
|
$174.92 |
$174.92 |
$174.92 |
$501.75
|
|
Mayo ttfb testosterone bioavailable direct
|
$6.52 |
$6.52 |
$6.52 |
$84.02
|
|
Mayo tulab francisella tularensis antibody igg
|
$64.15 |
$64.15 |
$64.15 |
$56.98
|
