|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$988.00 |
$988.00 |
$988.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$808.50 |
$808.50 |
$808.50 |
$1,798.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$693.00 |
$693.00 |
$693.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$991.00 |
$991.00 |
$991.00 |
$3,054.10
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$879.00 |
$879.00 |
$879.00 |
$2,429.00
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$814.50 |
$814.50 |
$814.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$235.50 |
$235.50 |
$235.50 |
$355.85
|
|
Lung Function Test (Spirometry)
|
$418.50 |
$418.50 |
$418.50 |
$295.35
|
|
Lung perfusion imaging
|
$1,123.50 |
$1,123.50 |
$1,123.50 |
$1,057.60
|
|
Lurbinectedin 4 mg intravenous solution
|
$20,101.00 |
$20,101.00 |
$20,101.00 |
$19,139.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$29,735.86 |
$29,735.86 |
$29,735.86 |
$22,394.40
|
|
Lutetium lu 177 vipivotide
|
$62,354.64 |
$62,354.64 |
$62,354.64 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$1,463.22
|
|
Magnesium
|
$76.50 |
$76.50 |
$76.50 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$96.68 |
$96.68 |
$96.68 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$139.00 |
$139.00 |
$139.00 |
$131.04
|
|
Manipulation chest wall initial demonstration/evaluation
|
$139.00 |
$139.00 |
$139.00 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$32.28 |
$32.28 |
$32.28 |
$29.35
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$5,930.92 |
$5,930.92 |
$5,930.92 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,863.20 |
$1,863.20 |
$1,863.20 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,375.72 |
$2,375.72 |
$2,375.72 |
$1,941.63
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$116.50 |
$116.50 |
$116.50 |
$65.00
|
|
Mayo aathr protein s free
|
$88.50 |
$88.50 |
$88.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$130.50 |
$130.50 |
$130.50 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$106.50 |
$106.50 |
$106.50 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$95.50 |
$95.50 |
$95.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$103.50 |
$103.50 |
$103.50 |
$87.00
|
|
Mayo amikacin trough therapeutic drug level
|
$42.00 |
$42.00 |
$42.00 |
$81.81
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,686.50 |
$1,686.50 |
$1,686.50 |
$1,860.00
|
|
Mayo androstenedione
|
$121.00 |
$121.00 |
$121.00 |
$109.90
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$74.50 |
$74.50 |
$74.50 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$119.00 |
$119.00 |
$119.00 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$32.00 |
$32.00 |
$32.00 |
$65.70
|
|
Mayo avwpr vw factor activity
|
$204.00 |
$204.00 |
$204.00 |
$170.40
|
|
Mayo bart bartonella henselae antibody igg
|
$83.50 |
$83.50 |
$83.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$321.00 |
$321.00 |
$321.00 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$28.50 |
$28.50 |
$28.50 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$130.00 |
$130.00 |
$130.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$84.00 |
$84.00 |
$84.00 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$64.50 |
$64.50 |
$64.50 |
$86.40
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$155.50 |
$155.50 |
$155.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$198.50 |
$198.50 |
$198.50 |
$110.00
|
|
Mayo ceruloplasmin
|
$54.00 |
$54.00 |
$54.00 |
$68.25
|
|
Mayo chemiluminescent parathyroid related peptide
|
$97.50 |
$97.50 |
$97.50 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$117.00 |
$117.00 |
$117.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$48.50 |
$48.50 |
$48.50 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$70.00 |
$70.00 |
$70.00 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$338.50 |
$338.50 |
$338.50 |
$360.33
|
|
Mayo chromium
|
$141.00 |
$141.00 |
$141.00 |
$73.40
|
|
Mayo coccidioides antibody
|
$26.50 |
$26.50 |
$26.50 |
$54.00
|
|
Mayo cocou cortisone urine
|
$114.00 |
$114.00 |
$114.00 |
$213.92
|
|
Mayo cortisol free
|
$135.50 |
$135.50 |
$135.50 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$83.50 |
$83.50 |
$83.50 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$75.50 |
$75.50 |
$75.50 |
$58.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$580.50 |
$580.50 |
$580.50 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$115.00 |
$115.00 |
$115.00 |
$56.50
|
|
Mayo dhea (dehydroepiandrosterone)
|
$136.00 |
$136.00 |
$136.00 |
$105.60
|
|
Mayo dihydrotestosterone
|
$59.50 |
$59.50 |
$59.50 |
$74.25
|
|
Mayo efpo chloride stool
|
$54.50 |
$54.50 |
$54.50 |
$42.90
|
|
Mayo estriol
|
$76.50 |
$76.50 |
$76.50 |
$89.60
|
|
Mayo estrone
|
$130.50 |
$130.50 |
$130.50 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$132.00 |
$132.00 |
$132.00 |
$68.69
|
|
Mayo factor ii
|
$157.50 |
$157.50 |
$157.50 |
$99.06
|
|
Mayo factor v
|
$187.00 |
$187.00 |
$187.00 |
$125.58
|
|
Mayo factor vii
|
$182.00 |
$182.00 |
$182.00 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$151.50 |
$151.50 |
$151.50 |
$118.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$143.50 |
$143.50 |
$143.50 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$142.50 |
$142.50 |
$142.50 |
$141.00
|
|
Mayo factor x
|
$175.50 |
$175.50 |
$175.50 |
$154.35
|
|
Mayo factor xi
|
$153.50 |
$153.50 |
$153.50 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$134.50 |
$134.50 |
$134.50 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$122.50 |
$122.50 |
$122.50 |
$104.53
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$137.50 |
$137.50 |
$137.50 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$987.50 |
$987.50 |
$987.50 |
$1,460.30
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$250.50 |
$250.50 |
$250.50 |
$165.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$30.50 |
$30.50 |
$30.50 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$251.00 |
$251.00 |
$251.00 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$86.00 |
$86.00 |
$86.00 |
$72.80
|
|
Mayo hvdip HIV 2 antibody
|
$86.00 |
$86.00 |
$86.00 |
$76.50
|
|
Mayo hydroxyprogesterone 17-d
|
$137.00 |
$137.00 |
$137.00 |
$106.65
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$56.00 |
$56.00 |
$56.00 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$45.00 |
$45.00 |
$45.00 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$132.00 |
$132.00 |
$132.00 |
$107.14
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$111.50 |
$111.50 |
$111.50 |
$108.96
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$47.00 |
$47.00 |
$47.00 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$105.50 |
$105.50 |
$105.50 |
$108.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$71.50 |
$71.50 |
$71.50 |
$82.83
|
|
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii
|
$108.50 |
$108.50 |
$108.50 |
$140.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$100.50 |
$100.50 |
$100.50 |
$229.45
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$587.50 |
$587.50 |
$587.50 |
$226.20
|
|
Mayo infliximab therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$149.23
|
|
Mayo inhab inhibin a
|
$94.50 |
$94.50 |
$94.50 |
$78.60
|
|
Mayo insulin antibodies
|
$186.50 |
$186.50 |
$186.50 |
$96.50
|
|
Mayo iodine
|
$66.00 |
$66.00 |
$66.00 |
$114.05
|
|
Mayo itraconazole therapeutic drug level
|
$81.00 |
$81.00 |
$81.00 |
$78.47
|
|
Mayo lacosamide therapeutic drug level
|
$125.00 |
$125.00 |
$125.00 |
$102.90
|
|
Mayo lamotrigine therapeutic drug level
|
$137.50 |
$137.50 |
$137.50 |
$66.43
|
|
Mayo legionella antibody
|
$172.50 |
$172.50 |
$172.50 |
$72.89
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$153.50 |
$153.50 |
$153.50 |
$69.55
|
|
Mayo manganese
|
$75.50 |
$75.50 |
$75.50 |
$89.15
|
