|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,717.00 |
$3,717.00 |
$3,717.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,506.30 |
$3,506.30 |
$3,506.30 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,083.50 |
$3,083.50 |
$3,083.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,706.80 |
$4,706.80 |
$4,706.80 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,172.70 |
$4,172.70 |
$4,172.70 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,837.40 |
$3,837.40 |
$3,837.40 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$651.70 |
$651.70 |
$651.70 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$419.30 |
$419.30 |
$419.30 |
$364.00
|
|
L/s ratio fetal lung
|
$672.70 |
$672.70 |
$672.70 |
$178.36
|
|
Lumbar diskogram s&i
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$405.30 |
$405.30 |
$405.30 |
$295.35
|
|
Lung perfusion imaging
|
$739.90 |
$739.90 |
$739.90 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$44,872.62 |
$44,872.62 |
$44,872.62 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$22,394.40 |
$22,394.40 |
$22,394.40 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$923.30 |
$923.30 |
$923.30 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$526.40 |
$526.40 |
$526.40 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$940.10 |
$940.10 |
$940.10 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$704.90 |
$704.90 |
$704.90 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,635.90 |
$1,635.90 |
$1,635.90 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$898.10 |
$898.10 |
$898.10 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,283.40 |
$2,283.40 |
$2,283.40 |
$3,380.00
|
|
Lysis penil circumic lesion
|
$10,455.35 |
$10,455.35 |
$10,455.35 |
$3,274.00
|
|
Macro exam dissect molec study ea
|
$31,641.38 |
$31,641.38 |
$31,641.38 |
$67.08
|
|
Macroscopic exam arthropod
|
$101.50 |
$101.50 |
$101.50 |
$38.58
|
|
Macroscopic exam parasite
|
$152.60 |
$152.60 |
$152.60 |
$36.55
|
|
Magnesium
|
$81.20 |
$81.20 |
$81.20 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$319.37 |
$319.37 |
$319.37 |
$59.88
|
|
Manipulation chest wall initial demonstration/evaluation
|
$86.80 |
$86.80 |
$86.80 |
$160.80
|
|
Mapping io sentinel lymph node
|
$47,754.03 |
$47,754.03 |
$47,754.03 |
$650.00
|
|
Map tachycard site(s)
|
$8,255.80 |
$8,255.80 |
$8,255.80 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,079.70 |
$2,079.70 |
$2,079.70 |
$1,451.30
|
|
Mastoids complete
|
$531.30 |
$531.30 |
$531.30 |
$299.50
|
|
M.avium-intra dna amp prob
|
$235.90 |
$235.90 |
$235.90 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$89.60 |
$89.60 |
$89.60 |
$65.00
|
|
Mayo aathr protein s free
|
$399.00 |
$399.00 |
$399.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$135.80 |
$135.80 |
$135.80 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$395.50 |
$395.50 |
$395.50 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$206.50 |
$206.50 |
$206.50 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$290.50 |
$290.50 |
$290.50 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$81.90 |
$81.90 |
$81.90 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$229.60 |
$229.60 |
$229.60 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$93.80 |
$93.80 |
$93.80 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$105.70 |
$105.70 |
$105.70 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$39.20 |
$39.20 |
$39.20 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$45.50 |
$45.50 |
$45.50 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$525.00 |
$525.00 |
$525.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$574.00 |
$574.00 |
$574.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$893.90 |
$893.90 |
$893.90 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,071.60 |
$3,071.60 |
$3,071.60 |
$1,860.00
|
|
Mayo androstenedione
|
$124.60 |
$124.60 |
$124.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$98.70 |
$98.70 |
$98.70 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$138.60 |
$138.60 |
$138.60 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$119.00 |
$119.00 |
$119.00 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$194.60 |
$194.60 |
$194.60 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$99.40 |
$99.40 |
$99.40 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$40.60 |
$40.60 |
$40.60 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$175.70 |
$175.70 |
$175.70 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$416.50 |
$416.50 |
$416.50 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$308.00 |
$308.00 |
$308.00 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$88.20 |
$88.20 |
$88.20 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$59.50 |
$59.50 |
$59.50 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$60.20 |
$60.20 |
$60.20 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$93.80 |
$93.80 |
$93.80 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$238.00 |
$238.00 |
$238.00 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$189.00 |
$189.00 |
$189.00 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$198.10 |
$198.10 |
$198.10 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$326.20 |
$326.20 |
$326.20 |
$281.50
|
|
Mayo ceruloplasmin
|
$69.30 |
$69.30 |
$69.30 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$617.40 |
$617.40 |
$617.40 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$168.00 |
$168.00 |
$168.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$57.40 |
$57.40 |
$57.40 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$56.00 |
$56.00 |
$56.00 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$491.40 |
$491.40 |
$491.40 |
$360.33
|
|
Mayo chromium
|
$186.20 |
$186.20 |
$186.20 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$207.20 |
$207.20 |
$207.20 |
$100.00
|
|
Mayo coccidioides antibody
|
$56.00 |
$56.00 |
$56.00 |
$53.90
|
|
Mayo cocou cortisone urine
|
$1,499.40 |
$1,499.40 |
$1,499.40 |
$213.92
|
|
Mayo cortisol free
|
$426.30 |
$426.30 |
$426.30 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$123.20 |
$123.20 |
$123.20 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$58.10 |
$58.10 |
$58.10 |
$58.10
|
|
Mayo cyanide
|
$84.70 |
$84.70 |
$84.70 |
$87.50
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$697.20 |
$697.20 |
$697.20 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$63.00 |
$63.00 |
$63.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$111.30 |
$111.30 |
$111.30 |
$105.60
|
|
Mayo dihydrotestosterone
|
$68.60 |
$68.60 |
$68.60 |
$74.25
|
|
Mayo efpo chloride stool
|
$51.80 |
$51.80 |
$51.80 |
$43.41
|
|
Mayo estriol
|
$93.10 |
$93.10 |
$93.10 |
$90.34
|
|
Mayo estrone
|
$89.60 |
$89.60 |
$89.60 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$105.00 |
$105.00 |
$105.00 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$143.50 |
$143.50 |
$143.50 |
$97.50
|
|
Mayo factor ii
|
$132.30 |
$132.30 |
$132.30 |
$99.06
|
|
Mayo factor v
|
$191.80 |
$191.80 |
$191.80 |
$127.80
|
|
Mayo factor vii
|
$293.30 |
$293.30 |
$293.30 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$1,486.80 |
$1,486.80 |
$1,486.80 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$168.00 |
$168.00 |
$168.00 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$250.60 |
$250.60 |
$250.60 |
$141.00
|
|
Mayo factor x
|
$170.10 |
$170.10 |
$170.10 |
$155.00
|
|
Mayo factor xi
|
$178.50 |
$178.50 |
$178.50 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$103.60 |
$103.60 |
$103.60 |
$76.05
|
