|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,403.60 |
$2,403.60 |
$2,403.60 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,239.00 |
$4,239.00 |
$4,239.00 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,491.40 |
$3,491.40 |
$3,491.40 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,997.60 |
$2,997.60 |
$2,997.60 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$415.80 |
$415.80 |
$415.80 |
$355.00
|
|
Low frequency non-thermal Ultrasound
|
$278.40 |
$278.40 |
$278.40 |
$364.00
|
|
Lumbar diskogram s&i
|
$5,983.80 |
$5,983.80 |
$5,983.80 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$57.60 |
$57.60 |
$57.60 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$216.00 |
$216.00 |
$216.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,349.40 |
$1,349.40 |
$1,349.40 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,411.80 |
$1,411.80 |
$1,411.80 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$75.60 |
$75.60 |
$75.60 |
$38.58
|
|
Macroscopic exam parasite
|
$127.20 |
$127.20 |
$127.20 |
$37.05
|
|
Magnesium
|
$196.80 |
$196.80 |
$196.80 |
$73.00
|
|
Magnetic image bone marrow
|
$2,445.00 |
$2,445.00 |
$2,445.00 |
$1,331.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$102.00 |
$102.00 |
$102.00 |
$130.32
|
|
Manipulation chest wall initial demonstration/evaluation
|
$102.00 |
$102.00 |
$102.00 |
$159.05
|
|
Marker biop eviva buckle ss
|
$3,357.60 |
$3,357.60 |
$3,357.60 |
$1,304.40
|
|
Mastoids complete
|
$723.60 |
$723.60 |
$723.60 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$141.00 |
$141.00 |
$141.00 |
$65.00
|
|
Mayo aathr protein s free
|
$391.20 |
$391.20 |
$391.20 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$139.20 |
$139.20 |
$139.20 |
$96.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$657.00 |
$657.00 |
$657.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$190.20 |
$190.20 |
$190.20 |
$99.50
|
|
Mayo alcohol definitive assay volatile screen
|
$274.80 |
$274.80 |
$274.80 |
$115.05
|
|
Mayo alkaline phosphatase isoenzyme
|
$88.20 |
$88.20 |
$88.20 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$126.60 |
$126.60 |
$126.60 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$135.00 |
$135.00 |
$135.00 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$81.60 |
$81.60 |
$81.60 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$45.00 |
$45.00 |
$45.00 |
$73.83
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$167.40 |
$167.40 |
$167.40 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$1,435.20 |
$1,435.20 |
$1,435.20 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,289.40 |
$1,289.40 |
$1,289.40 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$4,807.80 |
$4,807.80 |
$4,807.80 |
$1,860.00
|
|
Mayo androstenedione
|
$198.60 |
$198.60 |
$198.60 |
$106.40
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$184.80 |
$184.80 |
$184.80 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$145.20 |
$145.20 |
$145.20 |
$70.80
|
|
Mayo aspergillus fumigatus antibody
|
$183.00 |
$183.00 |
$183.00 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$469.20 |
$469.20 |
$469.20 |
$170.00
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$34.20 |
$34.20 |
$34.20 |
$95.45
|
|
Mayo barbiturates definitive assay confirmation urine
|
$614.40 |
$614.40 |
$614.40 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$122.40 |
$122.40 |
$122.40 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$349.80 |
$349.80 |
$349.80 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$420.00 |
$420.00 |
$420.00 |
$338.65
|
|
Mayo blastomyces antibody immunodiffusion
|
$113.40 |
$113.40 |
$113.40 |
$57.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$28.20 |
$28.20 |
$28.20 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$238.20 |
$238.20 |
$238.20 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$406.80 |
$406.80 |
$406.80 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$363.60 |
$363.60 |
$363.60 |
$85.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$268.20 |
$268.20 |
$268.20 |
$106.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$321.00 |
$321.00 |
$321.00 |
$79.20
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$393.00 |
$393.00 |
$393.00 |
$114.18
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$296.40 |
$296.40 |
$296.40 |
$274.40
|
|
Mayo ceruloplasmin
|
$74.40 |
$74.40 |
$74.40 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$341.40 |
$341.40 |
$341.40 |
$117.00
|
|
Mayo chikv chikungunya antibodies igg
|
$436.80 |
$436.80 |
$436.80 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$144.00 |
$144.00 |
$144.00 |
$52.80
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$126.00 |
$126.00 |
$126.00 |
$49.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$787.80 |
$787.80 |
$787.80 |
$353.99
|
|
Mayo chromium
|
$273.00 |
$273.00 |
$273.00 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$331.80 |
$331.80 |
$331.80 |
$95.66
|
|
Mayo coccidioides antibody
|
$93.00 |
$93.00 |
$93.00 |
$55.20
|
|
Mayo cocou cortisone urine
|
$814.20 |
$814.20 |
$814.20 |
$204.10
|
|
Mayo cortisol free
|
$318.00 |
$318.00 |
$318.00 |
$92.80
|
|
Mayo covid-19 antibody nucleocapsid total
|
$31.80 |
$31.80 |
$31.80 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$107.40 |
$107.40 |
$107.40 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$277.20 |
$277.20 |
$277.20 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$279.60 |
$279.60 |
$279.60 |
$66.00
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$798.60 |
$798.60 |
$798.60 |
$579.50
|
|
Mayo deoxyribonuclease antibody titer
|
$117.60 |
$117.60 |
$117.60 |
$56.11
|
|
Mayo dhea (dehydroepiandrosterone)
|
$166.20 |
$166.20 |
$166.20 |
$108.90
|
|
Mayo dihydrotestosterone
|
$103.80 |
$103.80 |
$103.80 |
$78.00
|
|
Mayo efpo chloride stool
|
$72.60 |
$72.60 |
$72.60 |
$44.20
|
|
Mayo estriol
|
$157.20 |
$157.20 |
$157.20 |
$90.34
|
|
Mayo estrone
|
$241.80 |
$241.80 |
$241.80 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$201.60 |
$201.60 |
$201.60 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$499.20 |
$499.20 |
$499.20 |
$88.20
|
|
Mayo factor ii
|
$151.80 |
$151.80 |
$151.80 |
$96.76
|
|
Mayo factor v
|
$223.20 |
$223.20 |
$223.20 |
$125.58
|
|
Mayo factor vii
|
$151.80 |
$151.80 |
$151.80 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$316.20 |
$316.20 |
$316.20 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$272.40 |
$272.40 |
$272.40 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$268.80 |
$268.80 |
$268.80 |
$138.00
|
|
Mayo factor x
|
$430.80 |
$430.80 |
$430.80 |
$151.22
|
|
Mayo factor xi
|
$178.20 |
$178.20 |
$178.20 |
$121.80
|
|
Mayo fat/lipids feces quantitative
|
$99.60 |
$99.60 |
$99.60 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$262.80 |
$262.80 |
$262.80 |
$104.53
|
|
Mayo fdp/fsp paracoagulation
|
$582.00 |
$582.00 |
$582.00 |
$124.80
|
|
Mayo ffspg allergen clam igg
|
$297.60 |
$297.60 |
$297.60 |
$37.00
|
|
Mayo fibrinogen antigen
|
$318.00 |
$318.00 |
$318.00 |
$78.60
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$177.60 |
$177.60 |
$177.60 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$6,264.00 |
$6,264.00 |
$6,264.00 |
$1,317.60
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$126.60 |
$126.60 |
$126.60 |
$165.55
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$52.80 |
$52.80 |
$52.80 |
$118.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$213.00 |
$213.00 |
$213.00 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$129.00 |
$129.00 |
$129.00 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$285.60 |
$285.60 |
$285.60 |
$70.85
|
|
Mayo hvdip HIV 2 antibody
|
$216.60 |
$216.60 |
$216.60 |
$75.04
|
|
Mayo hydroxyprogesterone 17-d
|
$178.80 |
$178.80 |
$178.80 |
$107.25
|
