|
Low cost skin substitute app
|
$2,865.52 |
$2,865.52 |
$2,865.52 |
$1,214.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$820.40 |
$820.40 |
$820.40 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$716.24 |
$716.24 |
$716.24 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$651.28 |
$651.28 |
$651.28 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,562.00 |
$2,562.00 |
$2,562.00 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,624.56 |
$1,624.56 |
$1,624.56 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,347.36 |
$1,347.36 |
$1,347.36 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$153.44 |
$153.44 |
$153.44 |
$328.23
|
|
Low frequency non-thermal Ultrasound
|
$187.04 |
$187.04 |
$187.04 |
$275.88
|
|
L/s ratio fetal lung
|
$49.28 |
$49.28 |
$49.28 |
$173.55
|
|
Lung Function Test (Spirometry)
|
$152.88 |
$152.88 |
$152.88 |
$290.89
|
|
Lung perfusion imaging
|
$528.64 |
$528.64 |
$528.64 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$759.92 |
$759.92 |
$759.92 |
$1,330.00
|
|
Magnesium
|
$26.32 |
$26.32 |
$26.32 |
$64.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$111.44 |
$111.44 |
$111.44 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$141.12 |
$141.12 |
$141.12 |
$147.72
|
|
Mapping functional cort/subcort ea add'l hr
|
$210.56 |
$210.56 |
$210.56 |
$705.82
|
|
Map tachycard site(s)
|
$4,487.28 |
$4,487.28 |
$4,487.28 |
$3,875.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$133.28 |
$133.28 |
$133.28 |
$4,371.37
|
|
Mayo aathr protein s free
|
$18.48 |
$18.48 |
$18.48 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$28.56 |
$28.56 |
$28.56 |
$100.26
|
|
Mayo alkaline phosphatase isoenzyme
|
$47.60 |
$47.60 |
$47.60 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$62.72 |
$62.72 |
$62.72 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$47.04 |
$47.04 |
$47.04 |
$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
|
$336.00 |
$336.00 |
$336.00 |
$343.20
|
|
Mayo androstenedione
|
$72.24 |
$72.24 |
$72.24 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$47.60 |
$47.60 |
$47.60 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$15.68 |
$15.68 |
$15.68 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$19.60 |
$19.60 |
$19.60 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$91.84 |
$91.84 |
$91.84 |
$159.66
|
|
Mayo bart bartonella henselae antibody igg
|
$13.26 |
$13.26 |
$13.26 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$162.40 |
$162.40 |
$162.40 |
$364.90
|
|
Mayo blastomyces antibody immunodiffusion
|
$25.20 |
$25.20 |
$25.20 |
$67.60
|
|
Mayo bordetella pertussis antibody igg
|
$39.20 |
$39.20 |
$39.20 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$10.26 |
$10.26 |
$10.26 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$61.60 |
$61.60 |
$61.60 |
$124.80
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$5.60 |
$5.60 |
$5.60 |
$84.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$14.56 |
$14.56 |
$14.56 |
$104.55
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$34.72 |
$34.72 |
$34.72 |
$110.02
|
|
Mayo ceruloplasmin
|
$26.88 |
$26.88 |
$26.88 |
$70.85
|
|
Mayo chikv chikungunya antibodies igg
|
$26.88 |
$26.88 |
$26.88 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$34.72 |
$34.72 |
$34.72 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$33.60 |
$33.60 |
$33.60 |
$54.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$100.80 |
$100.80 |
$100.80 |
$380.40
|
|
Mayo chromium
|
$8.96 |
$8.96 |
$8.96 |
$89.25
|
|
Mayo cocaine definitive assay confirmation urine
|
$5.60 |
$5.60 |
$5.60 |
$89.00
|
|
Mayo coccidioides antibody
|
$25.20 |
$25.20 |
$25.20 |
$61.10
|
|
Mayo cocou cortisone urine
|
$205.07 |
$205.07 |
$205.07 |
$222.62
|
|
Mayo cortisol free
|
$7.56 |
$7.56 |
$7.56 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$35.28 |
$35.28 |
$35.28 |
$77.63
|
|
Mayo cyanide
|
$11.20 |
$11.20 |
$11.20 |
$98.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$36.40 |
$36.40 |
$36.40 |
$113.10
|
|
Mayo efpo chloride stool
|
$20.72 |
$20.72 |
$20.72 |
$45.00
|
|
Mayo estriol
|
$30.80 |
$30.80 |
$30.80 |
$102.50
|
|
Mayo factor v
|
$34.72 |
$34.72 |
$34.72 |
$119.60
|
|
Mayo factor vii
|
$44.24 |
$44.24 |
$44.24 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$42.00 |
$42.00 |
$42.00 |
$116.40
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$36.96 |
$36.96 |
$36.96 |
$133.25
|
|
Mayo factor x
|
$36.96 |
$36.96 |
$36.96 |
$130.65
|
|
Mayo factor xi
|
$36.96 |
$36.96 |
$36.96 |
$120.96
|
|
Mayo fat/lipids feces quantitative
|
$10.64 |
$10.64 |
$10.64 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$60.48 |
$60.48 |
$60.48 |
$91.65
|
|
Mayo ffspg allergen clam igg
|
$5.60 |
$5.60 |
$5.60 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$8.96 |
$8.96 |
$8.96 |
$80.00
|
|
Mayo gamma-globin full gene sequencing
|
$252.00 |
$252.00 |
$252.00 |
$1,634.10
|
|
Mayo hemosiderin qualitative urine
|
$11.76 |
$11.76 |
$11.76 |
$38.35
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$80.08 |
$80.08 |
$80.08 |
$170.57
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$25.20 |
$25.20 |
$25.20 |
$61.75
|
|
Mayo hla typing a/b/c single antigen
|
$35.84 |
$35.84 |
$35.84 |
$142.00
|
|
Mayo hvdip HIV 1 antibody
|
$25.76 |
$25.76 |
$25.76 |
$69.60
|
|
Mayo hvdip HIV 2 antibody
|
$25.20 |
$25.20 |
$25.20 |
$80.00
|
|
Mayo hydroxyprogesterone 17-d
|
$20.16 |
$20.16 |
$20.16 |
$120.75
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$130.67 |
$130.67 |
$130.67 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$36.96 |
$36.96 |
$36.96 |
$83.40
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$47.04 |
$47.04 |
$47.04 |
$117.20
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$17.36 |
$17.36 |
$17.36 |
$120.71
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$31.36 |
$31.36 |
$31.36 |
$76.20
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$47.04 |
$47.04 |
$47.04 |
$129.60
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$61.60 |
$61.60 |
$61.60 |
$195.60
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$51.97 |
$51.97 |
$51.97 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$49.84 |
$49.84 |
$49.84 |
$259.80
|
|
Mayo inhab inhibin a
|
$20.16 |
$20.16 |
$20.16 |
$87.00
|
|
Mayo insulin antibodies
|
$23.30 |
$23.30 |
$23.30 |
$105.00
|
|
Mayo iodine
|
$98.00 |
$98.00 |
$98.00 |
$148.20
|
|
Mayo lamotrigine therapeutic drug level
|
$24.64 |
$24.64 |
$24.64 |
$83.85
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$16.80 |
$16.80 |
$16.80 |
$64.28
|
|
Mayo legionella antibody
|
$24.08 |
$24.08 |
$24.08 |
$87.00
|
|
Mayo leptospira antibody igm
|
$25.20 |
$25.20 |
$25.20 |
$80.00
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$58.24 |
$58.24 |
$58.24 |
$86.40
|
|
Mayo manganese
|
$25.20 |
$25.20 |
$25.20 |
$105.60
|
|
Mayo metanephrines plasma
|
$103.04 |
$103.04 |
$103.04 |
$126.75
|
|
Mayo methadone definitive assay confirmation urine
|
$5.60 |
$5.60 |
$5.60 |
$96.39
|
|
Mayo microsomal antibody liver-kidney
|
$75.60 |
$75.60 |
$75.60 |
$100.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$87.36 |
$87.36 |
$87.36 |
$195.55
|
|
Mayo molecular pathology procedure level 2 apoe genotype
|
$428.40 |
$428.40 |
$428.40 |
$480.60
|
|
Mayo myoglobin
|
$7.71 |
$7.71 |
$7.71 |
$100.08
|
|
Mayo nickel
|
$29.12 |
$29.12 |
$29.12 |
$89.40
|
|
Mayo opatu opiates definitive assay >=1
|
$5.60 |
$5.60 |
$5.60 |
$96.70
|
|
Mayo organic acid methylmalonic single quantitative
|
$29.68 |
$29.68 |
$29.68 |
$118.20
|
