|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,886.40 |
$3,886.40 |
$3,886.40 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,571.20 |
$3,571.20 |
$3,571.20 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$471.20 |
$471.20 |
$471.20 |
$355.32
|
|
Low frequency non-thermal Ultrasound
|
$371.20 |
$371.20 |
$371.20 |
$364.00
|
|
L/s ratio fetal lung
|
$462.40 |
$462.40 |
$462.40 |
$178.36
|
|
Lung Function Test (Spirometry)
|
$278.40 |
$278.40 |
$278.40 |
$296.91
|
|
Lung perfusion imaging
|
$1,283.20 |
$1,283.20 |
$1,283.20 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$1,689.60 |
$1,689.60 |
$1,689.60 |
$1,487.90
|
|
Macroscopic exam arthropod
|
$108.00 |
$108.00 |
$108.00 |
$38.58
|
|
Macroscopic exam parasite
|
$177.60 |
$177.60 |
$177.60 |
$38.50
|
|
Magnesium
|
$162.40 |
$162.40 |
$162.40 |
$73.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$136.00 |
$136.00 |
$136.00 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$136.00 |
$136.00 |
$136.00 |
$157.44
|
|
Marker biop eviva buckle ss
|
$4,476.80 |
$4,476.80 |
$4,476.80 |
$1,282.55
|
|
Mastoids complete
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$299.52
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$330.40 |
$330.40 |
$330.40 |
$65.30
|
|
Mayo aathr protein s free
|
$364.00 |
$364.00 |
$364.00 |
$133.20
|
|
Mayo activated protein c resistance assay
|
$187.20 |
$187.20 |
$187.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$987.20 |
$987.20 |
$987.20 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$244.00 |
$244.00 |
$244.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$172.00 |
$172.00 |
$172.00 |
$116.35
|
|
Mayo alkaline phosphatase isoenzyme
|
$181.60 |
$181.60 |
$181.60 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$217.60 |
$217.60 |
$217.60 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$259.20 |
$259.20 |
$259.20 |
$91.44
|
|
Mayo amikacin trough therapeutic drug level
|
$136.80 |
$136.80 |
$136.80 |
$83.04
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$62.40 |
$62.40 |
$62.40 |
$82.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$184.80 |
$184.80 |
$184.80 |
$80.08
|
|
Mayo analysis gene calr common variants exon 9
|
$1,076.00 |
$1,076.00 |
$1,076.00 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$828.00 |
$828.00 |
$828.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,969.60 |
$1,969.60 |
$1,969.60 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$4,965.60 |
$4,965.60 |
$4,965.60 |
$1,860.00
|
|
Mayo androstenedione
|
$403.20 |
$403.20 |
$403.20 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$204.00 |
$204.00 |
$204.00 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$368.80 |
$368.80 |
$368.80 |
$71.50
|
|
Mayo aspergillus fumigatus antibody
|
$122.40 |
$122.40 |
$122.40 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$613.60 |
$613.60 |
$613.60 |
$170.25
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$47.20 |
$47.20 |
$47.20 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$917.60 |
$917.60 |
$917.60 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$313.60 |
$313.60 |
$313.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$397.60 |
$397.60 |
$397.60 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$477.60 |
$477.60 |
$477.60 |
$326.80
|
|
Mayo blastomyces antibody immunodiffusion
|
$116.00 |
$116.00 |
$116.00 |
$57.77
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$38.40 |
$38.40 |
$38.40 |
$60.15
|
|
Mayo brcmg brucella antibody igm
|
$472.80 |
$472.80 |
$472.80 |
$44.86
|
|
Mayo c1 esterase inhibitor
|
$490.40 |
$490.40 |
$490.40 |
$85.02
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$343.20 |
$343.20 |
$343.20 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$216.80 |
$216.80 |
$216.80 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$456.80 |
$456.80 |
$456.80 |
$115.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$337.60 |
$337.60 |
$337.60 |
$276.00
|
|
Mayo ceruloplasmin
|
$185.60 |
$185.60 |
$185.60 |
$70.20
|
|
Mayo chemiluminescent parathyroid related peptide
|
$488.00 |
$488.00 |
$488.00 |
$121.60
|
|
Mayo chikv chikungunya antibodies igg
|
$506.40 |
$506.40 |
$506.40 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$172.00 |
$172.00 |
$172.00 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$152.00 |
$152.00 |
$152.00 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$716.00 |
$716.00 |
$716.00 |
$355.29
|
|
Mayo chromium
|
$409.60 |
$409.60 |
$409.60 |
$73.30
|
|
Mayo cocaine definitive assay confirmation urine
|
$331.20 |
$331.20 |
$331.20 |
$95.15
|
|
Mayo coccidioides antibody
|
$152.80 |
$152.80 |
$152.80 |
$56.50
|
|
Mayo cocou cortisone urine
|
$1,093.60 |
$1,093.60 |
$1,093.60 |
$210.00
|
|
Mayo cortisol free
|
$478.40 |
$478.40 |
$478.40 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$44.00 |
$44.00 |
$44.00 |
$71.20
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$147.20 |
$147.20 |
$147.20 |
$61.60
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$356.00 |
$356.00 |
$356.00 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$189.60 |
$189.60 |
$189.60 |
$65.35
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$1,100.80 |
$1,100.80 |
$1,100.80 |
$579.50
|
|
Mayo deoxyribonuclease antibody titer
|
$224.00 |
$224.00 |
$224.00 |
$56.50
|
|
Mayo dhea (dehydroepiandrosterone)
|
$248.80 |
$248.80 |
$248.80 |
$108.90
|
|
Mayo dihydrotestosterone
|
$156.80 |
$156.80 |
$156.80 |
$79.56
|
|
Mayo estriol
|
$171.20 |
$171.20 |
$171.20 |
$92.30
|
|
Mayo estrone
|
$382.40 |
$382.40 |
$382.40 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$274.40 |
$274.40 |
$274.40 |
$70.20
|
|
Mayo everolimus therapeutic drug level
|
$749.60 |
$749.60 |
$749.60 |
$97.50
|
|
Mayo factor ii
|
$200.00 |
$200.00 |
$200.00 |
$98.70
|
|
Mayo factor v
|
$200.00 |
$200.00 |
$200.00 |
$127.80
|
|
Mayo factor vii
|
$200.00 |
$200.00 |
$200.00 |
$156.00
|
|
Mayo factor viii vw factor antigen
|
$409.60 |
$409.60 |
$409.60 |
$118.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$216.80 |
$216.80 |
$216.80 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$188.00 |
$188.00 |
$188.00 |
$141.00
|
|
Mayo factor x
|
$562.40 |
$562.40 |
$562.40 |
$155.00
|
|
Mayo factor xi
|
$229.60 |
$229.60 |
$229.60 |
$123.75
|
|
Mayo fat/lipids feces quantitative
|
$422.40 |
$422.40 |
$422.40 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$240.80 |
$240.80 |
$240.80 |
$105.30
|
|
Mayo fdp/fsp paracoagulation
|
$784.00 |
$784.00 |
$784.00 |
$124.80
|
|
Mayo ffspg allergen clam igg
|
$58.40 |
$58.40 |
$58.40 |
$37.00
|
|
Mayo fibrinogen antigen
|
$428.00 |
$428.00 |
$428.00 |
$80.00
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$278.40 |
$278.40 |
$278.40 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$7,648.00 |
$7,648.00 |
$7,648.00 |
$1,369.20
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$165.60 |
$165.60 |
$165.60 |
$169.16
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$70.40 |
$70.40 |
$70.40 |
$122.00
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$194.40 |
$194.40 |
$194.40 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$190.40 |
$190.40 |
$190.40 |
$124.15
|
|
Mayo hvdip HIV 1 antibody
|
$145.60 |
$145.60 |
$145.60 |
$72.80
|
|
Mayo hvdip HIV 2 antibody
|
$140.80 |
$140.80 |
$140.80 |
$75.04
|
|
Mayo hydroxyprogesterone 17-d
|
$268.00 |
$268.00 |
$268.00 |
$106.65
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$1,757.60 |
$1,757.60 |
$1,757.60 |
$208.00
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$108.00 |
$108.00 |
$108.00 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$172.00 |
$172.00 |
$172.00 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$315.20 |
$315.20 |
$315.20 |
$107.50
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$137.60 |
$137.60 |
$137.60 |
$85.10
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$161.60 |
$161.60 |
$161.60 |
$108.00
|
