|
Lo sag rig pnl stays pre cst
|
$85.20 |
$85.20 |
$85.20 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,032.20 |
$2,032.20 |
$2,754.60 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,804.80 |
$1,804.80 |
$2,446.20 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,671.00 |
$1,671.00 |
$2,265.60 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,665.80 |
$2,665.80 |
$3,613.20 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,448.00 |
$2,448.00 |
$3,379.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,448.00 |
$2,448.00 |
$3,379.80 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$489.60 |
$489.60 |
$489.60 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$538.20 |
$538.20 |
$538.20 |
$364.00
|
|
Lumbar diskogram s&i
|
$5,913.60 |
$5,913.60 |
$6,103.20 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$75.60 |
$75.60 |
$102.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$370.80 |
$370.80 |
$370.80 |
$295.35
|
|
Lung perfusion imaging
|
$790.20 |
$790.20 |
$1,299.60 |
$1,059.97
|
|
Lvad shower bag heartmate
|
$2,292.00 |
$2,292.00 |
$2,292.00 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$1,948.20 |
$1,948.20 |
$1,948.20 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$1,792.80 |
$1,792.80 |
$1,792.80 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$5,833.20 |
$5,833.20 |
$5,833.20 |
$3,380.00
|
|
Lysis of labial adhesions
|
$4,480.80 |
$4,480.80 |
$4,480.80 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$2,123.40 |
$2,123.40 |
$2,123.40 |
$3,274.00
|
|
Macroscopic exam arthropod
|
$97.20 |
$97.20 |
$97.20 |
$38.58
|
|
Macroscopic exam parasite
|
$159.00 |
$159.00 |
$159.00 |
$36.55
|
|
Magnesium
|
$37.80 |
$37.80 |
$239.40 |
$72.50
|
|
Magnetic image bone marrow
|
$3,379.80 |
$3,379.80 |
$3,379.80 |
$1,302.80
|
|
Malaria antibody
|
$121.80 |
$121.80 |
$121.80 |
$94.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$80.40 |
$80.40 |
$120.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$86.40 |
$86.40 |
$120.00 |
$160.80
|
|
Mapping functional cort/subcort ea add'l hr
|
$2,458.80 |
$2,458.80 |
$2,458.80 |
$636.50
|
|
Map tachycard site(s)
|
$5,220.60 |
$5,220.60 |
$5,220.60 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$3,357.60 |
$3,357.60 |
$3,357.60 |
$1,451.30
|
|
Mastoids complete
|
$591.60 |
$591.60 |
$591.60 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$195.60 |
$195.60 |
$195.60 |
$65.00
|
|
Mayo aathr protein s free
|
$324.00 |
$324.00 |
$324.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$294.00 |
$294.00 |
$294.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$849.60 |
$849.60 |
$849.60 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$209.40 |
$209.40 |
$209.40 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$422.40 |
$422.40 |
$422.40 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$90.60 |
$90.60 |
$90.60 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$173.40 |
$173.40 |
$173.40 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$66.60 |
$66.60 |
$219.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$12.00 |
$12.00 |
$90.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$51.00 |
$51.00 |
$51.00 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$216.00 |
$216.00 |
$216.00 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$1,477.20 |
$1,477.20 |
$1,477.20 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,308.60 |
$1,308.60 |
$1,308.60 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,687.80 |
$1,687.80 |
$1,687.80 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$5,226.60 |
$5,226.60 |
$5,226.60 |
$1,860.00
|
|
Mayo androstenedione
|
$234.60 |
$234.60 |
$234.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$270.00 |
$270.00 |
$270.00 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$208.20 |
$208.20 |
$208.20 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$187.20 |
$187.20 |
$187.20 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$525.00 |
$525.00 |
$525.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$37.80 |
$37.80 |
$37.80 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$763.20 |
$763.20 |
$763.20 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$100.20 |
$100.20 |
$100.20 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$733.20 |
$733.20 |
$733.20 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$408.60 |
$408.60 |
$408.60 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$96.60 |
$96.60 |
$96.60 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$31.80 |
$31.80 |
$31.80 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$231.60 |
$231.60 |
$231.60 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$382.80 |
$382.80 |
$382.80 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$354.60 |
$354.60 |
$354.60 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$294.60 |
$294.60 |
$294.60 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$243.60 |
$243.60 |
$243.60 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$382.80 |
$382.80 |
$382.80 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$289.20 |
$289.20 |
$289.20 |
$281.50
|
|
Mayo ceruloplasmin
|
$500.40 |
$500.40 |
$500.40 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$382.80 |
$382.80 |
$382.80 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$425.40 |
$425.40 |
$425.40 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$109.20 |
$109.20 |
$109.20 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$109.20 |
$109.20 |
$109.20 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$1,120.20 |
$1,120.20 |
$1,120.20 |
$360.33
|
|
Mayo chromium
|
$305.40 |
$305.40 |
$305.40 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$466.80 |
$466.80 |
$466.80 |
$100.00
|
|
Mayo coccidioides antibody
|
$96.60 |
$96.60 |
$96.60 |
$53.90
|
|
Mayo cocou cortisone urine
|
$681.60 |
$681.60 |
$889.80 |
$213.92
|
|
Mayo cortisol free
|
$355.80 |
$355.80 |
$355.80 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$30.00 |
$30.00 |
$36.00 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$120.60 |
$120.60 |
$120.60 |
$58.10
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$306.00 |
$306.00 |
$306.00 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$382.80 |
$382.80 |
$382.80 |
$66.00
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$1,090.20 |
$1,090.20 |
$1,090.20 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$126.60 |
$126.60 |
$126.60 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$186.00 |
$186.00 |
$186.00 |
$105.60
|
|
Mayo dihydrotestosterone
|
$123.60 |
$123.60 |
$123.60 |
$74.25
|
|
Mayo efpo chloride stool
|
$141.60 |
$141.60 |
$141.60 |
$43.41
|
|
Mayo estriol
|
$147.60 |
$147.60 |
$147.60 |
$90.34
|
|
Mayo estrone
|
$183.60 |
$183.60 |
$183.60 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$183.60 |
$183.60 |
$183.60 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$646.80 |
$646.80 |
$646.80 |
$97.50
|
|
Mayo factor ii
|
$58.20 |
$58.20 |
$585.60 |
$99.06
|
|
Mayo factor v
|
$627.60 |
$627.60 |
$627.60 |
$127.80
|
|
Mayo factor vii
|
$585.60 |
$585.60 |
$585.60 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$465.60 |
$465.60 |
$465.60 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$312.60 |
$312.60 |
$312.60 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$304.20 |
$304.20 |
$304.20 |
$141.00
|
|
Mayo factor x
|
$585.60 |
$585.60 |
$585.60 |
$155.00
|
|
Mayo factor xi
|
$450.00 |
$450.00 |
$450.00 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$193.80 |
$193.80 |
$193.80 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$69.00 |
$69.00 |
$91.20 |
$105.60
|
|
Mayo fdp/fsp paracoagulation
|
$627.00 |
$627.00 |
$627.00 |
$124.80
|
