|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$542.40 |
$542.40 |
$542.40 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$582.60 |
$582.60 |
$582.60 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$582.60 |
$582.60 |
$582.60 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$240.00 |
$240.00 |
$240.00 |
$328.23
|
|
L/s ratio fetal lung
|
$82.80 |
$82.80 |
$163.80 |
$173.55
|
|
Lumbar diskogram s&i
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$2,358.23
|
|
Lumizyme injection
|
$1,594.90 |
$1,594.90 |
$1,594.90 |
$1,048.95
|
|
Lung function test (mbc/mvv)
|
$229.20 |
$229.20 |
$229.20 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$556.80 |
$556.80 |
$556.80 |
$290.89
|
|
Lung perfusion imaging
|
$1,709.40 |
$1,709.40 |
$1,709.40 |
$919.75
|
|
Lurbinectedin 4 mg intravenous solution
|
$298.13 |
$298.13 |
$298.13 |
$298.13
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$237.20 |
$237.20 |
$237.20 |
$68.76
|
|
Lutetium lu 177 vipivotide
|
$365.28 |
$365.28 |
$365.28 |
$332.80
|
|
Lvad shower bag heartmate
|
$972.60 |
$972.60 |
$972.60 |
$1,059.75
|
|
Lymphatics/lymph node imaging
|
$2,593.80 |
$2,593.80 |
$2,593.80 |
$1,330.00
|
|
Lymphocytotoxicity assay
|
$408.00 |
$408.00 |
$408.00 |
$379.20
|
|
Lymph vessel x-ray trunk
|
$588.60 |
$588.60 |
$588.60 |
$2,494.49
|
|
Lymph vessel x-ray trunk
|
$1,176.60 |
$1,176.60 |
$1,176.60 |
$2,643.68
|
|
Macro exam dissect molec study ea
|
$175.20 |
$175.20 |
$175.20 |
$76.70
|
|
Macroscopic exam arthropod
|
$85.80 |
$85.80 |
$85.80 |
$38.50
|
|
Macroscopic exam parasite
|
$52.20 |
$52.20 |
$52.20 |
$35.98
|
|
Magnesium
|
$145.20 |
$145.20 |
$145.20 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$64.61 |
$64.61 |
$118.81 |
$39.81
|
|
Magnetic image bone marrow
|
$582.60 |
$582.60 |
$582.60 |
$880.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$129.00 |
$129.00 |
$129.00 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$142.20 |
$142.20 |
$142.20 |
$147.72
|
|
Mannitol 12.5 gm/50 ml inj
|
$40.12 |
$40.12 |
$40.12 |
$33.24
|
|
Manual diff wbc count b-coat
|
$75.60 |
$75.60 |
$75.60 |
$22.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$403.80 |
$403.80 |
$403.80 |
$705.82
|
|
Map tachycard site(s)
|
$6,303.60 |
$6,303.60 |
$6,303.60 |
$3,875.95
|
|
Marker biop eviva buckle ss
|
$2,700.60 |
$2,700.60 |
$2,700.60 |
$1,126.34
|
|
Mastoids complete
|
$390.00 |
$390.00 |
$390.00 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$3,901.80 |
$3,901.80 |
$3,901.80 |
$4,371.37
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$277.20 |
$277.20 |
$277.20 |
$76.70
|
|
Mayo aathr protein s free
|
$587.40 |
$587.40 |
$587.40 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$1,128.00 |
$1,128.00 |
$1,128.00 |
$100.26
|
|
Mayo alkaline phosphatase isoenzyme
|
$111.60 |
$111.60 |
$111.60 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$283.20 |
$283.20 |
$283.20 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$231.00 |
$231.00 |
$231.00 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$642.00 |
$642.00 |
$642.00 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$633.60 |
$633.60 |
$633.60 |
$343.20
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$1,922.13
|
|
Mayo androstenedione
|
$204.60 |
$204.60 |
$204.60 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$331.20 |
$331.20 |
$331.20 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$525.60 |
$525.60 |
$525.60 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$82.80 |
$82.80 |
$82.80 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$304.20 |
$304.20 |
$304.20 |
$159.66
|
|
Mayo bart bartonella henselae antibody igg
|
$190.80 |
$190.80 |
$190.80 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$418.20 |
$418.20 |
$418.20 |
$364.90
|
|
Mayo blastomyces antibody immunodiffusion
|
$207.00 |
$207.00 |
$207.00 |
$67.60
|
|
Mayo bordetella pertussis antibody igg
|
$51.00 |
$51.00 |
$51.00 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$131.40 |
$131.40 |
$131.40 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$240.60 |
$240.60 |
$240.60 |
$124.80
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$189.00 |
$189.00 |
$189.00 |
$104.55
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$174.60 |
$174.60 |
$174.60 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$318.00 |
$318.00 |
$318.00 |
$274.40
|
|
Mayo ceruloplasmin
|
$208.80 |
$208.80 |
$208.80 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$73.20 |
$73.20 |
$73.20 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$268.80 |
$268.80 |
$268.80 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$49.20 |
$49.20 |
$49.20 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$49.20 |
$49.20 |
$49.20 |
$54.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$296.40 |
$296.40 |
$296.40 |
$380.40
|
|
Mayo chromium
|
$145.20 |
$145.20 |
$145.20 |
$89.25
|
|
Mayo coccidioides antibody
|
$214.20 |
$214.20 |
$214.20 |
$61.10
|
|
Mayo cocou cortisone urine
|
$406.20 |
$406.20 |
$406.20 |
$222.62
|
|
Mayo cortisol free
|
$130.80 |
$130.80 |
$130.80 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$79.80 |
$79.80 |
$79.80 |
$77.63
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$145.20 |
$145.20 |
$145.20 |
$67.80
|
|
Mayo cyanide
|
$204.60 |
$204.60 |
$204.60 |
$98.40
|
|
Mayo deoxyribonuclease antibody titer
|
$119.40 |
$119.40 |
$119.40 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$217.80 |
$217.80 |
$217.80 |
$113.10
|
|
Mayo efpo chloride stool
|
$106.20 |
$106.20 |
$106.20 |
$45.00
|
|
Mayo estriol
|
$190.20 |
$190.20 |
$190.20 |
$102.50
|
|
Mayo estrone
|
$186.60 |
$186.60 |
$186.60 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$136.80 |
$136.80 |
$136.80 |
$81.60
|
|
Mayo everolimus therapeutic drug level
|
$234.00 |
$234.00 |
$234.00 |
$107.00
|
|
Mayo factor ii
|
$255.00 |
$255.00 |
$255.00 |
$96.76
|
|
Mayo factor v
|
$446.40 |
$446.40 |
$446.40 |
$119.60
|
|
Mayo factor vii
|
$664.20 |
$664.20 |
$664.20 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$433.80 |
$433.80 |
$433.80 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$217.20 |
$217.20 |
$217.20 |
$147.63
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$320.40 |
$320.40 |
$320.40 |
$133.25
|
|
Mayo factor x
|
$458.40 |
$458.40 |
$458.40 |
$130.65
|
|
Mayo factor xi
|
$266.40 |
$266.40 |
$266.40 |
$120.96
|
|
Mayo fat/lipids feces quantitative
|
$314.40 |
$314.40 |
$314.40 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$255.00 |
$255.00 |
$255.00 |
$91.65
|
|
Mayo fdp/fsp paracoagulation
|
$124.80 |
$124.80 |
$124.80 |
$115.53
|
|
Mayo ffspg allergen clam igg
|
$147.00 |
$147.00 |
$147.00 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$346.80 |
$346.80 |
$346.80 |
$80.00
|
|
Mayo gamma-globin full gene sequencing
|
$532.80 |
$532.80 |
$532.80 |
$1,634.10
|
|
Mayo hemosiderin qualitative urine
|
$227.40 |
$227.40 |
$227.40 |
$38.35
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$415.80 |
$415.80 |
$415.80 |
$170.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$121.20 |
$121.20 |
$121.20 |
$121.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$226.20 |
$226.20 |
$226.20 |
$61.75
|
|
Mayo hla typing a/b/c single antigen
|
$483.00 |
$483.00 |
$483.00 |
$142.00
|
|
Mayo hvdip HIV 1 antibody
|
$246.60 |
$246.60 |
$246.60 |
$69.60
|
|
Mayo hvdip HIV 2 antibody
|
$64.80 |
$64.80 |
$64.80 |
$80.00
|
|
Mayo hydroxyprogesterone 17-d
|
$195.00 |
$195.00 |
$195.00 |
$120.75
|
