|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$998.82 |
$998.82 |
$998.82 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$933.26 |
$933.26 |
$933.26 |
$2,013.08
|
|
Lower Back (Lumbar Spine) X-ray
|
$298.40 |
$298.40 |
$298.40 |
$341.64
|
|
Low frequency non-thermal Ultrasound
|
$254.53 |
$254.53 |
$254.53 |
$272.22
|
|
Lumbar diskogram s&i
|
$1,764.32 |
$1,764.32 |
$1,764.32 |
$2,358.23
|
|
Lumizyme injection
|
$2,923.43 |
$2,923.43 |
$2,923.43 |
$1,283.52
|
|
Lung Function Test (Spirometry)
|
$122.93 |
$122.93 |
$122.93 |
$295.35
|
|
Lung perfusion imaging
|
$427.59 |
$427.59 |
$427.59 |
$1,082.75
|
|
Lurbinectedin 4 mg intravenous solution
|
$23,020.93 |
$23,020.93 |
$23,020.93 |
$20,566.53
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$34,234.49 |
$34,234.49 |
$34,234.49 |
$29,435.46
|
|
Lymphocyte transformation mitogen
|
$865.77 |
$865.77 |
$865.77 |
$266.20
|
|
Lysis of labial adhesions
|
$1,028.23 |
$1,028.23 |
$1,028.23 |
$3,762.53
|
|
Macroscopic exam arthropod
|
$79.54 |
$79.54 |
$79.54 |
$38.58
|
|
Magnesium
|
$55.92 |
$55.92 |
$55.92 |
$72.57
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$48.71 |
$48.71 |
$48.71 |
$57.51
|
|
Malaria antibody
|
$206.32 |
$206.32 |
$206.32 |
$38.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$32.30 |
$32.30 |
$32.30 |
$136.64
|
|
Manipulation chest wall initial demonstration/evaluation
|
$52.55 |
$52.55 |
$52.55 |
$163.15
|
|
Mannitol 12.5 gm/50 ml inj
|
$26.45 |
$26.45 |
$26.45 |
$40.12
|
|
Marker biop eviva buckle ss
|
$108.47 |
$108.47 |
$108.47 |
$848.10
|
|
Mastoids complete
|
$172.10 |
$172.10 |
$172.10 |
$271.95
|
|
Matrix bone cryomatrix 2.0ml
|
$1,446.17 |
$1,446.17 |
$1,446.17 |
$1,205.03
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$122.45 |
$122.45 |
$122.45 |
$71.78
|
|
Mayo aathr protein s free
|
$41.94 |
$41.94 |
$41.94 |
$134.55
|
|
Mayo activated protein c resistance assay
|
$29.89 |
$29.89 |
$29.89 |
$100.10
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$48.69 |
$48.69 |
$48.69 |
$176.00
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$85.33 |
$85.33 |
$85.33 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$122.45 |
$122.45 |
$122.45 |
$105.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$40.02 |
$40.02 |
$40.02 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$300.81 |
$300.81 |
$300.81 |
$137.80
|
|
Mayo alpha 1 antitrypsin
|
$69.42 |
$69.42 |
$69.42 |
$85.80
|
|
Mayo amikacin trough therapeutic drug level
|
$135.94 |
$135.94 |
$135.94 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$8.68 |
$8.68 |
$8.68 |
$87.00
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$133.05 |
$133.05 |
$133.05 |
$73.32
|
|
Mayo analysis gene calr common variants exon 9
|
$147.03 |
$147.03 |
$147.03 |
$507.43
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$132.09 |
$132.09 |
$132.09 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$176.44 |
$176.44 |
$176.44 |
$322.30
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$463.74 |
$463.74 |
$463.74 |
$1,927.61
|
|
Mayo androstenedione
|
$79.54 |
$79.54 |
$79.54 |
$106.20
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$120.52 |
$120.52 |
$120.52 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$115.70 |
$115.70 |
$115.70 |
$67.13
|
|
Mayo aspergillus fumigatus antibody
|
$50.62 |
$50.62 |
$50.62 |
$67.60
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$42.43 |
$42.43 |
$42.43 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$345.16 |
$345.16 |
$345.16 |
$94.25
|
|
Mayo bart bartonella henselae antibody igg
|
$57.85 |
$57.85 |
$57.85 |
$45.82
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$394.33 |
$394.33 |
$394.33 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$199.09 |
$199.09 |
$199.09 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$82.44 |
$82.44 |
$82.44 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$6.75 |
$6.75 |
$6.75 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$191.86 |
$191.86 |
$191.86 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$97.86 |
$97.86 |
$97.86 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$68.46 |
$68.46 |
$68.46 |
$90.30
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$123.41 |
$123.41 |
$123.41 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$80.51 |
$80.51 |
$80.51 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$129.68 |
$129.68 |
$129.68 |
$110.00
|
|
Mayo ceruloplasmin
|
$65.08 |
$65.08 |
$65.08 |
$64.80
|
|
Mayo chemiluminescent parathyroid related peptide
|
$16.88 |
$16.88 |
$16.88 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$66.53 |
$66.53 |
$66.53 |
$112.45
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$117.63 |
$117.63 |
$117.63 |
$55.65
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$117.14 |
$117.14 |
$117.14 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$268.51 |
$268.51 |
$268.51 |
$352.00
|
|
Mayo chromium
|
$53.03 |
$53.03 |
$53.03 |
$75.00
|
|
Mayo cocaine definitive assay confirmation urine
|
$135.94 |
$135.94 |
$135.94 |
$85.80
|
|
Mayo coccidioides antibody
|
$50.62 |
$50.62 |
$50.62 |
$61.10
|
|
Mayo cocou cortisone urine
|
$129.68 |
$129.68 |
$129.68 |
$217.10
|
|
Mayo cortisol free
|
$130.16 |
$130.16 |
$130.16 |
$105.30
|
|
Mayo covid-19 antibody nucleocapsid total
|
$38.09 |
$38.09 |
$38.09 |
$72.52
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$65.08 |
$65.08 |
$65.08 |
$61.60
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$270.44 |
$270.44 |
$270.44 |
$106.70
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$32.30 |
$32.30 |
$32.30 |
$72.14
|
|
Mayo cyanide
|
$97.86 |
$97.86 |
$97.86 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$32.78 |
$32.78 |
$32.78 |
$59.15
|
|
Mayo dhea (dehydroepiandrosterone)
|
$78.10 |
$78.10 |
$78.10 |
$99.45
|
|
Mayo dihydrotestosterone
|
$47.25 |
$47.25 |
$47.25 |
$79.56
|
|
Mayo estriol
|
$88.22 |
$88.22 |
$88.22 |
$98.70
|
|
Mayo estrone
|
$127.27 |
$127.27 |
$127.27 |
$82.37
|
|
Mayo ethosuximide therapeutic drug level
|
$88.22 |
$88.22 |
$88.22 |
$73.00
|
|
Mayo everolimus therapeutic drug level
|
$28.93 |
$28.93 |
$28.93 |
$81.25
|
|
Mayo factor ii
|
$154.26 |
$154.26 |
$154.26 |
$91.65
|
|
Mayo factor v
|
$52.07 |
$52.07 |
$52.07 |
$130.49
|
|
Mayo factor vii
|
$101.24 |
$101.24 |
$101.24 |
$145.73
|
|
Mayo factor viii vw factor antigen
|
$81.95 |
$81.95 |
$81.95 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$132.09 |
$132.09 |
$132.09 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$53.03 |
$53.03 |
$53.03 |
$130.40
|
|
Mayo factor x
|
$52.07 |
$52.07 |
$52.07 |
$145.73
|
|
Mayo factor xi
|
$119.55 |
$119.55 |
$119.55 |
$119.09
|
|
Mayo fat/lipids feces quantitative
|
$185.11 |
$185.11 |
$185.11 |
$70.67
|
|
Mayo fbl culture fungi blood
|
$49.17 |
$49.17 |
$49.17 |
$96.46
|
|
Mayo ffspg allergen clam igg
|
$285.86 |
$285.86 |
$285.86 |
$39.24
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$59.78 |
$59.78 |
$59.78 |
$69.55
|
|
Mayo gamma-globin full gene sequencing
|
$59.30 |
$59.30 |
$59.30 |
$1,519.25
|
|
Mayo hemosiderin qualitative urine
|
$43.39 |
$43.39 |
$43.39 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$504.23 |
$504.23 |
$504.23 |
$165.00
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$118.59 |
$118.59 |
$118.59 |
$52.22
|
|
Mayo hla typing a/b/c single antigen
|
$163.42 |
$163.42 |
$163.42 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$131.12 |
$131.12 |
$131.12 |
$71.50
|
|
Mayo hvdip HIV 2 antibody
|
$152.33 |
$152.33 |
$152.33 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$156.19 |
$156.19 |
$156.19 |
$96.33
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$181.74 |
$181.74 |
$181.74 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$59.30 |
$59.30 |
$59.30 |
$86.84
|
