|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$766.08 |
$766.08 |
$766.08 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$590.24 |
$590.24 |
$590.24 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$542.08 |
$542.08 |
$542.08 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,312.08 |
$1,312.08 |
$1,312.08 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,148.00 |
$1,148.00 |
$1,148.00 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$983.92 |
$983.92 |
$983.92 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$154.00 |
$154.00 |
$154.00 |
$328.23
|
|
Low frequency non-thermal Ultrasound
|
$162.40 |
$162.40 |
$162.40 |
$275.88
|
|
L/s ratio fetal lung
|
$51.58 |
$51.58 |
$51.58 |
$173.55
|
|
Lumbar diskogram s&i
|
$494.48 |
$494.48 |
$494.48 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$198.24 |
$198.24 |
$198.24 |
$290.89
|
|
Lung perfusion imaging
|
$519.68 |
$519.68 |
$519.68 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$602.00 |
$602.00 |
$602.00 |
$1,330.00
|
|
Lymphocyte transformation mitogen
|
$142.24 |
$142.24 |
$142.24 |
$235.56
|
|
Lymphocytotoxicity assay
|
$70.00 |
$70.00 |
$70.00 |
$379.20
|
|
Macro exam dissect molec study ea
|
$46.48 |
$46.48 |
$46.48 |
$76.70
|
|
Macroscopic exam arthropod
|
$19.04 |
$19.04 |
$19.04 |
$38.50
|
|
Macroscopic exam parasite
|
$19.04 |
$19.04 |
$19.04 |
$35.98
|
|
Magnesium
|
$19.04 |
$19.04 |
$19.04 |
$64.80
|
|
Makena, 10 mg
|
$13.94 |
$13.94 |
$13.94 |
$22.86
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$136.64 |
$136.64 |
$136.64 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$136.64 |
$136.64 |
$136.64 |
$147.72
|
|
Mapping functional cort/subcort ea add'l hr
|
$201.04 |
$201.04 |
$201.04 |
$705.82
|
|
Map tachycard site(s)
|
$3,578.96 |
$3,578.96 |
$3,578.96 |
$3,875.95
|
|
Marker biop eviva buckle ss
|
$1,152.48 |
$1,152.48 |
$1,152.48 |
$1,126.34
|
|
Mastoids complete
|
$253.68 |
$253.68 |
$253.68 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$133.28 |
$133.28 |
$133.28 |
$4,371.37
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$16.80 |
$16.80 |
$16.80 |
$76.70
|
|
Mayo aathr protein s free
|
$18.48 |
$18.48 |
$18.48 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$18.48 |
$18.48 |
$18.48 |
$100.26
|
|
Mayo alkaline phosphatase isoenzyme
|
$31.92 |
$31.92 |
$31.92 |
$83.85
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$87.36 |
$87.36 |
$87.36 |
$96.10
|
|
Mayo alpha 1 antitrypsin
|
$57.12 |
$57.12 |
$57.12 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$49.84 |
$49.84 |
$49.84 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$156.80 |
$156.80 |
$156.80 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$162.40 |
$162.40 |
$162.40 |
$343.20
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$971.04 |
$971.04 |
$971.04 |
$1,922.13
|
|
Mayo androstenedione
|
$91.26 |
$91.26 |
$91.26 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$16.80 |
$16.80 |
$16.80 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$12.88 |
$12.88 |
$12.88 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$38.64 |
$38.64 |
$38.64 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$36.40 |
$36.40 |
$36.40 |
$159.66
|
|
Mayo bart bartonella henselae antibody igg
|
$11.76 |
$11.76 |
$11.76 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$110.32 |
$110.32 |
$110.32 |
$364.90
|
|
Mayo blastomyces antibody immunodiffusion
|
$48.16 |
$48.16 |
$48.16 |
$67.60
|
|
Mayo bordetella pertussis antibody igg
|
$18.23 |
$18.23 |
$18.23 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$10.64 |
$10.64 |
$10.64 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$38.62 |
$38.62 |
$38.62 |
$124.80
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$22.57 |
$22.57 |
$22.57 |
$104.55
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$20.16 |
$20.16 |
$20.16 |
$110.02
|
|
Mayo ceruloplasmin
|
$16.80 |
$16.80 |
$16.80 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$57.12 |
$57.12 |
$57.12 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$50.40 |
$50.40 |
$50.40 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$14.00 |
$14.00 |
$14.00 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$14.56 |
$14.56 |
$14.56 |
$54.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$96.87 |
$96.87 |
$96.87 |
$380.40
|
|
Mayo chromium
|
$24.08 |
$24.08 |
$24.08 |
$89.25
|
|
Mayo coccidioides antibody
|
$39.76 |
$39.76 |
$39.76 |
$61.10
|
|
Mayo cocou cortisone urine
|
$90.44 |
$90.44 |
$90.44 |
$222.62
|
|
Mayo cortisol free
|
$19.60 |
$19.60 |
$19.60 |
$109.85
|
|
Mayo cyanide
|
$30.24 |
$30.24 |
$30.24 |
$98.40
|
|
Mayo deoxyribonuclease antibody titer
|
$15.68 |
$15.68 |
$15.68 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$78.71 |
$78.71 |
$78.71 |
$113.10
|
|
Mayo efpo chloride stool
|
$38.02 |
$38.02 |
$38.02 |
$45.00
|
|
Mayo estriol
|
$89.60 |
$89.60 |
$89.60 |
$102.50
|
|
Mayo estrone
|
$89.60 |
$89.60 |
$89.60 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$19.60 |
$19.60 |
$19.60 |
$81.60
|
|
Mayo everolimus therapeutic drug level
|
$15.68 |
$15.68 |
$15.68 |
$107.00
|
|
Mayo factor ii
|
$21.32 |
$21.32 |
$21.32 |
$96.76
|
|
Mayo factor v
|
$20.72 |
$20.72 |
$20.72 |
$119.60
|
|
Mayo factor vii
|
$36.96 |
$36.96 |
$36.96 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$42.17 |
$42.17 |
$42.17 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$26.88 |
$26.88 |
$26.88 |
$147.63
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$29.23 |
$29.23 |
$29.23 |
$133.25
|
|
Mayo factor x
|
$31.36 |
$31.36 |
$31.36 |
$130.65
|
|
Mayo factor xi
|
$31.36 |
$31.36 |
$31.36 |
$120.96
|
|
Mayo fat/lipids feces quantitative
|
$47.74 |
$47.74 |
$47.74 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$55.44 |
$55.44 |
$55.44 |
$91.65
|
|
Mayo fdp/fsp paracoagulation
|
$21.70 |
$21.70 |
$21.70 |
$115.53
|
|
Mayo ffspg allergen clam igg
|
$16.22 |
$16.22 |
$16.22 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$25.20 |
$25.20 |
$25.20 |
$80.00
|
|
Mayo gamma-globin full gene sequencing
|
$473.20 |
$473.20 |
$473.20 |
$1,634.10
|
|
Mayo hemosiderin qualitative urine
|
$6.16 |
$6.16 |
$6.16 |
$38.35
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$33.60 |
$33.60 |
$33.60 |
$170.57
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$39.76 |
$39.76 |
$39.76 |
$61.75
|
|
Mayo hla typing a/b/c single antigen
|
$12.59 |
$12.59 |
$12.59 |
$142.00
|
|
Mayo hvdip HIV 1 antibody
|
$47.04 |
$47.04 |
$47.04 |
$69.60
|
|
Mayo hvdip HIV 2 antibody
|
$33.24 |
$33.24 |
$33.24 |
$80.00
|
|
Mayo hydroxyprogesterone 17-d
|
$84.38 |
$84.38 |
$84.38 |
$120.75
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$140.00 |
$140.00 |
$140.00 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$128.45 |
$128.45 |
$128.45 |
$83.40
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$32.48 |
$32.48 |
$32.48 |
$117.20
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$57.12 |
$57.12 |
$57.12 |
$120.71
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$28.56 |
$28.56 |
$28.56 |
$76.20
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$28.00 |
$28.00 |
$28.00 |
$129.60
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$151.12 |
$151.12 |
$151.12 |
$195.60
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$41.44 |
$41.44 |
$41.44 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$123.20 |
$123.20 |
$123.20 |
$259.80
|
|
Mayo inhab inhibin a
|
$28.00 |
$28.00 |
$28.00 |
$87.00
|
|
Mayo insft insulin free
|
$15.12 |
$15.12 |
$15.12 |
$69.75
|
