|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$5,237.00 |
$5,237.00 |
$5,237.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$737.00 |
$737.00 |
$737.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$1,033.00 |
$1,033.00 |
$1,033.00 |
$505.83
|
|
Lower Leg (Shin) X-ray (both sides)
|
$6,145.00 |
$6,145.00 |
$6,145.00 |
$338.40
|
|
Lsh uterus 250 g or less
|
$68,531.84 |
$68,531.84 |
$68,531.84 |
$11,378.21
|
|
Lsh w/t/o ut 250 g or less
|
$62,828.90 |
$62,828.90 |
$62,828.90 |
$7,961.97
|
|
Lung Function Test (Spirometry)
|
$402.00 |
$402.00 |
$402.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,924.00 |
$1,924.00 |
$1,924.00 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$25,230.00 |
$25,230.00 |
$25,230.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$37,758.50 |
$37,758.50 |
$37,758.50 |
$22,771.63
|
|
Lvad shower bag heartmate
|
$1,365.66 |
$1,365.66 |
$1,365.66 |
$893.74
|
|
Magnesium
|
$35,147.81 |
$35,147.81 |
$35,147.81 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$522.50 |
$522.50 |
$522.50 |
$58.70
|
|
Mammosite ced
|
$2,211.47 |
$2,211.47 |
$2,211.47 |
$5,031.60
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$8,622.65 |
$8,622.65 |
$8,622.65 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$5,096.73 |
$5,096.73 |
$5,096.73 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,974.59 |
$1,974.59 |
$1,974.59 |
$1,941.63
|
|
Mask full face lg af531
|
$72.83 |
$72.83 |
$72.83 |
$66.00
|
|
Mastopexy
|
$97,242.03 |
$97,242.03 |
$97,242.03 |
$6,839.00
|
|
Mast simple complete
|
$6,174.00 |
$6,174.00 |
$6,174.00 |
$7,127.17
|
|
Matrix bone cryomatrix 2.0ml
|
$10,028.22 |
$10,028.22 |
$10,028.22 |
$6,518.34
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$112.19 |
$112.19 |
$112.19 |
$4,472.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$161.00 |
$161.00 |
$161.00 |
$65.28
|
|
Mayo aathr protein s free
|
$195.00 |
$195.00 |
$195.00 |
$130.00
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$217.00 |
$217.00 |
$217.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$132.00 |
$132.00 |
$132.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$224.00 |
$224.00 |
$224.00 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$396.00 |
$396.00 |
$396.00 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$278.00 |
$278.00 |
$278.00 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$186.00 |
$186.00 |
$186.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$63.00 |
$63.00 |
$63.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$117.00 |
$117.00 |
$117.00 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$261.00 |
$261.00 |
$261.00 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$980.00 |
$980.00 |
$980.00 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$952.00 |
$952.00 |
$952.00 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,480.00 |
$3,480.00 |
$3,480.00 |
$1,860.00
|
|
Mayo androstenedione
|
$212.00 |
$212.00 |
$212.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$176.00 |
$176.00 |
$176.00 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$244.00 |
$244.00 |
$244.00 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$52.00 |
$52.00 |
$52.00 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$1,200.00 |
$1,200.00 |
$1,200.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$108.00 |
$108.00 |
$108.00 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$209.00 |
$209.00 |
$209.00 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$144.00 |
$144.00 |
$144.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$475.00 |
$475.00 |
$475.00 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$644.00 |
$644.00 |
$644.00 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$147.00 |
$147.00 |
$147.00 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$78.00 |
$78.00 |
$78.00 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$156.00 |
$156.00 |
$156.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$174.00 |
$174.00 |
$174.00 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$120.00 |
$120.00 |
$120.00 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$217.00 |
$217.00 |
$217.00 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$187.00 |
$187.00 |
$187.00 |
$81.00
|
|
Mayo ceruloplasmin
|
$196.00 |
$196.00 |
$196.00 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$180.00 |
$180.00 |
$180.00 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$164.00 |
$164.00 |
$164.00 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$125.00 |
$125.00 |
$125.00 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$103.00 |
$103.00 |
$103.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$907.00 |
$907.00 |
$907.00 |
$366.94
|
|
Mayo chromium
|
$167.00 |
$167.00 |
$167.00 |
$75.60
|
|
Mayo cocaine definitive assay confirmation urine
|
$152.00 |
$152.00 |
$152.00 |
$100.00
|
|
Mayo coccidioides antibody
|
$124.00 |
$124.00 |
$124.00 |
$54.00
|
|
Mayo cocou cortisone urine
|
$622.00 |
$622.00 |
$622.00 |
$216.00
|
|
Mayo cortisol free
|
$183.00 |
$183.00 |
$183.00 |
$94.95
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$150.00 |
$150.00 |
$150.00 |
$58.20
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$67.00 |
$67.00 |
$67.00 |
$92.50
|
|
Mayo cyanide
|
$236.00 |
$236.00 |
$236.00 |
$87.60
|
|
Mayo deoxyribonuclease antibody titer
|
$184.00 |
$184.00 |
$184.00 |
$56.80
|
|
Mayo efpo chloride stool
|
$142.00 |
$142.00 |
$142.00 |
$44.20
|
|
Mayo estrone
|
$164.00 |
$164.00 |
$164.00 |
$85.00
|
|
Mayo everolimus therapeutic drug level
|
$305.00 |
$305.00 |
$305.00 |
$97.50
|
|
Mayo factor ii
|
$323.00 |
$323.00 |
$323.00 |
$99.06
|
|
Mayo factor vii
|
$274.00 |
$274.00 |
$274.00 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$366.00 |
$366.00 |
$366.00 |
$128.80
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$101.00 |
$101.00 |
$101.00 |
$141.30
|
|
Mayo factor x
|
$149.00 |
$149.00 |
$149.00 |
$155.00
|
|
Mayo factor xi
|
$155.00 |
$155.00 |
$155.00 |
$123.75
|
|
Mayo fat/lipids feces quantitative
|
$120.00 |
$120.00 |
$120.00 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$289.00 |
$289.00 |
$289.00 |
$106.56
|
|
Mayo ffspg allergen clam igg
|
$23.00 |
$23.00 |
$23.00 |
$35.10
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$121.00 |
$121.00 |
$121.00 |
$65.86
|
|
Mayo gamma-globin full gene sequencing
|
$1,382.00 |
$1,382.00 |
$1,382.00 |
$1,519.25
|
|
Mayo hemosiderin qualitative urine
|
$80.00 |
$80.00 |
$80.00 |
$33.57
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$20.00 |
$20.00 |
$20.00 |
$52.80
|
|
Mayo hvdip HIV 1 antibody
|
$54.00 |
$54.00 |
$54.00 |
$75.40
|
|
Mayo hvdip HIV 2 antibody
|
$78.00 |
$78.00 |
$78.00 |
$78.50
|
|
Mayo hydroxyprogesterone 17-d
|
$272.00 |
$272.00 |
$272.00 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$339.00 |
$339.00 |
$339.00 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$60.00 |
$60.00 |
$60.00 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$236.00 |
$236.00 |
$236.00 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$279.00 |
$279.00 |
$279.00 |
$108.96
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$167.00 |
$167.00 |
$167.00 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$259.00 |
$259.00 |
$259.00 |
$109.08
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$327.00 |
$327.00 |
$327.00 |
$196.56
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$236.00 |
$236.00 |
$236.00 |
$85.80
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$283.00 |
$283.00 |
$283.00 |
$155.00
|
|
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii
|
$320.00 |
$320.00 |
$320.00 |
$134.88
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$431.00 |
$431.00 |
$431.00 |
$230.65
|
|
Mayo infliximab therapeutic drug level
|
$147.00 |
$147.00 |
$147.00 |
$148.80
|
|
Mayo inhab inhibin a
|
$124.00 |
$124.00 |
$124.00 |
$80.40
|
