|
Liver elastography 91200
|
$466.00 |
$466.00 |
$466.00 |
$285.18
|
|
Liver Function Test
|
$30.00 |
$30.00 |
$30.00 |
$115.44
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$273.00 |
$273.00 |
$273.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,934.00 |
$2,934.00 |
$2,934.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,858.00 |
$2,858.00 |
$2,858.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,401.00 |
$2,401.00 |
$2,401.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,869.00 |
$5,869.00 |
$5,869.00 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$423.00 |
$423.00 |
$423.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$610.00 |
$610.00 |
$610.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$705.00 |
$705.00 |
$705.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$377.11 |
$377.11 |
$377.11 |
$338.40
|
|
Lumbar diskogram s&i
|
$7,533.00 |
$7,533.00 |
$7,533.00 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$964.00 |
$964.00 |
$964.00 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$220.00 |
$220.00 |
$220.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$527.00 |
$527.00 |
$527.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,564.00 |
$1,564.00 |
$1,564.00 |
$1,069.25
|
|
Lutetium lu 177 dotatat ther
|
$784.24 |
$784.24 |
$784.24 |
$347.50
|
|
Lymphatics/lymph node imaging
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$116.00 |
$116.00 |
$116.00 |
$271.88
|
|
Lymph vessel x-ray arms/legs
|
$4,660.00 |
$4,660.00 |
$4,660.00 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$6,305.00 |
$6,305.00 |
$6,305.00 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$3,452.15
|
|
Lysis of labial adhesions
|
$10,851.00 |
$10,851.00 |
$10,851.00 |
$4,383.99
|
|
Macroscopic exam arthropod
|
$38.00 |
$38.00 |
$38.00 |
$38.58
|
|
Macroscopic exam parasite
|
$11.00 |
$11.00 |
$11.00 |
$37.05
|
|
Magnesium
|
$57.00 |
$57.00 |
$57.00 |
$73.00
|
|
Mapping functional cort/subcort ea add'l hr
|
$931.00 |
$931.00 |
$931.00 |
$584.80
|
|
Map tachycard site(s)
|
$4,373.00 |
$4,373.00 |
$4,373.00 |
$4,082.82
|
|
Mastoids complete
|
$442.00 |
$442.00 |
$442.00 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$63.00 |
$63.00 |
$63.00 |
$65.28
|
|
Mayo aathr protein s free
|
$50.00 |
$50.00 |
$50.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$32.00 |
$32.00 |
$32.00 |
$97.50
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$96.59 |
$96.59 |
$96.59 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$148.00 |
$148.00 |
$148.00 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$163.00 |
$163.00 |
$163.00 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$155.00 |
$155.00 |
$155.00 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$55.00 |
$55.00 |
$55.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$144.00 |
$144.00 |
$144.00 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$670.00 |
$670.00 |
$670.00 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$359.00 |
$359.00 |
$359.00 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$110.00 |
$110.00 |
$110.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,860.00
|
|
Mayo androstenedione
|
$21.12 |
$21.12 |
$21.12 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$58.00 |
$58.00 |
$58.00 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$13.40 |
$13.40 |
$13.40 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$110.00 |
$110.00 |
$110.00 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$37.00 |
$37.00 |
$37.00 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$6.50 |
$6.50 |
$6.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$363.00 |
$363.00 |
$363.00 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$143.54 |
$143.54 |
$143.54 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$14.15 |
$14.15 |
$14.15 |
$56.00
|
|
Mayo bordetella pertussis antibody igg
|
$30.52 |
$30.52 |
$30.52 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$12.94 |
$12.94 |
$12.94 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$22.60 |
$22.60 |
$22.60 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$60.00 |
$60.00 |
$60.00 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$25.95 |
$25.95 |
$25.95 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$45.67 |
$45.67 |
$45.67 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$254.00 |
$254.00 |
$254.00 |
$283.40
|
|
Mayo ceruloplasmin
|
$47.00 |
$47.00 |
$47.00 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$31.91 |
$31.91 |
$31.91 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$127.63 |
$127.63 |
$127.63 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$12.93 |
$12.93 |
$12.93 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$13.87 |
$13.87 |
$13.87 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$584.00 |
$584.00 |
$584.00 |
$366.94
|
|
Mayo chromium
|
$13.00 |
$13.00 |
$13.00 |
$75.60
|
|
Mayo cocaine definitive assay confirmation urine
|
$49.00 |
$49.00 |
$49.00 |
$100.00
|
|
Mayo coccidioides antibody
|
$11.37 |
$11.37 |
$11.37 |
$54.00
|
|
Mayo cocou cortisone urine
|
$140.85 |
$140.85 |
$140.85 |
$216.00
|
|
Mayo cortisol free
|
$110.00 |
$110.00 |
$110.00 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$62.00 |
$62.00 |
$62.00 |
$72.50
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$245.00 |
$245.00 |
$245.00 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$60.00 |
$60.00 |
$60.00 |
$66.00
|
|
Mayo deoxyribonuclease antibody titer
|
$10.00 |
$10.00 |
$10.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$18.58 |
$18.58 |
$18.58 |
$106.47
|
|
Mayo efpo chloride stool
|
$10.00 |
$10.00 |
$10.00 |
$44.20
|
|
Mayo estriol
|
$51.00 |
$51.00 |
$51.00 |
$90.35
|
|
Mayo estrone
|
$17.55 |
$17.55 |
$17.55 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$73.00 |
$73.00 |
$73.00 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$107.00 |
$107.00 |
$107.00 |
$97.50
|
|
Mayo factor ii
|
$46.00 |
$46.00 |
$46.00 |
$99.06
|
|
Mayo factor v
|
$76.00 |
$76.00 |
$76.00 |
$129.60
|
|
Mayo factor vii
|
$76.00 |
$76.00 |
$76.00 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$83.00 |
$83.00 |
$83.00 |
$128.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$55.00 |
$55.00 |
$55.00 |
$130.20
|
|
Mayo factor x
|
$76.00 |
$76.00 |
$76.00 |
$155.00
|
|
Mayo factor xi
|
$69.00 |
$69.00 |
$69.00 |
$123.75
|
|
Mayo fat/lipids feces quantitative
|
$27.70 |
$27.70 |
$27.70 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$69.00 |
$69.00 |
$69.00 |
$106.56
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$56.00 |
$56.00 |
$56.00 |
$65.86
|
|
Mayo hemosiderin qualitative urine
|
$10.00 |
$10.00 |
$10.00 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$165.00 |
$165.00 |
$165.00 |
$165.60
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$278.04 |
$278.04 |
$278.04 |
$122.82
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$12.28 |
$12.28 |
$12.28 |
$52.80
|
|
Mayo hla typing a/b/c single antigen
|
$162.00 |
$162.00 |
$162.00 |
$122.80
|
|
Mayo hydroxyprogesterone 17-d
|
$12.20 |
$12.20 |
$12.20 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$95.00 |
$95.00 |
$95.00 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$38.75 |
$38.75 |
$38.75 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$202.00 |
$202.00 |
$202.00 |
$107.50
|
