|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,875.20 |
$2,875.20 |
$2,875.20 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$274.40 |
$274.40 |
$274.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$320.80 |
$320.80 |
$320.80 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$446.40 |
$446.40 |
$446.40 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$195.20 |
$195.20 |
$195.20 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$450.40 |
$450.40 |
$450.40 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$279.20 |
$279.20 |
$279.20 |
$296.91
|
|
Lung perfusion imaging
|
$1,439.20 |
$1,439.20 |
$1,439.20 |
$1,069.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$18,943.32 |
$18,943.32 |
$18,943.32 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$2,056.80 |
$2,056.80 |
$2,056.80 |
$1,491.70
|
|
Macroscopic exam arthropod
|
$62.40 |
$62.40 |
$62.40 |
$38.58
|
|
Magnesium
|
$41.60 |
$41.60 |
$41.60 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$128.80 |
$128.80 |
$128.80 |
$58.70
|
|
Marker biop eviva buckle ss
|
$187.20 |
$187.20 |
$187.20 |
$1,451.30
|
|
Mastoids complete
|
$336.80 |
$336.80 |
$336.80 |
$299.50
|
|
Mayo aathr protein s free
|
$144.80 |
$144.80 |
$144.80 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$109.60 |
$109.60 |
$109.60 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$49.60 |
$49.60 |
$49.60 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$50.40 |
$50.40 |
$50.40 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$88.80 |
$88.80 |
$88.80 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$38.40 |
$38.40 |
$38.40 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$293.60 |
$293.60 |
$293.60 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$460.00 |
$460.00 |
$460.00 |
$1,860.00
|
|
Mayo androstenedione
|
$68.80 |
$68.80 |
$68.80 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$95.20 |
$95.20 |
$95.20 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$129.60 |
$129.60 |
$129.60 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$50.40 |
$50.40 |
$50.40 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$88.80 |
$88.80 |
$88.80 |
$171.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$353.60 |
$353.60 |
$353.60 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$524.00 |
$524.00 |
$524.00 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$70.40 |
$70.40 |
$70.40 |
$56.00
|
|
Mayo c1 esterase inhibitor
|
$111.20 |
$111.20 |
$111.20 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$50.40 |
$50.40 |
$50.40 |
$81.00
|
|
Mayo ceruloplasmin
|
$57.60 |
$57.60 |
$57.60 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$129.60 |
$129.60 |
$129.60 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$32.80 |
$32.80 |
$32.80 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$54.40 |
$54.40 |
$54.40 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$54.40 |
$54.40 |
$54.40 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$296.00 |
$296.00 |
$296.00 |
$366.94
|
|
Mayo chromium
|
$59.20 |
$59.20 |
$59.20 |
$75.60
|
|
Mayo coccidioides antibody
|
$69.60 |
$69.60 |
$69.60 |
$54.00
|
|
Mayo cortisol free
|
$108.80 |
$108.80 |
$108.80 |
$94.95
|
|
Mayo deoxyribonuclease antibody titer
|
$56.80 |
$56.80 |
$56.80 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$61.60 |
$61.60 |
$61.60 |
$106.47
|
|
Mayo estriol
|
$58.40 |
$58.40 |
$58.40 |
$90.35
|
|
Mayo estrone
|
$60.00 |
$60.00 |
$60.00 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$92.80 |
$92.80 |
$92.80 |
$69.55
|
|
Mayo factor v
|
$156.00 |
$156.00 |
$156.00 |
$129.60
|
|
Mayo factor vii
|
$150.40 |
$150.40 |
$150.40 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$147.20 |
$147.20 |
$147.20 |
$128.80
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$154.40 |
$154.40 |
$154.40 |
$141.30
|
|
Mayo factor x
|
$212.80 |
$212.80 |
$212.80 |
$155.00
|
|
Mayo fat/lipids feces quantitative
|
$57.60 |
$57.60 |
$57.60 |
$76.05
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$67.20 |
$67.20 |
$67.20 |
$52.80
|
|
Mayo hla typing a/b/c single antigen
|
$174.40 |
$174.40 |
$174.40 |
$122.80
|
|
Mayo hydroxyprogesterone 17-d
|
$80.80 |
$80.80 |
$80.80 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$302.40 |
$302.40 |
$302.40 |
$210.80
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$112.80 |
$112.80 |
$112.80 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$52.80 |
$52.80 |
$52.80 |
$108.96
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$64.00 |
$64.00 |
$64.00 |
$89.40
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$104.80 |
$104.80 |
$104.80 |
$230.65
|
|
Mayo inhab inhibin a
|
$148.00 |
$148.00 |
$148.00 |
$80.40
|
|
Mayo iodine
|
$109.60 |
$109.60 |
$109.60 |
$114.05
|
|
Mayo lamotrigine therapeutic drug level
|
$37.60 |
$37.60 |
$37.60 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$58.40 |
$58.40 |
$58.40 |
$52.80
|
|
Mayo legionella antibody
|
$156.80 |
$156.80 |
$156.80 |
$73.50
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$52.80 |
$52.80 |
$52.80 |
$69.55
|
|
Mayo metanephrines plasma
|
$46.40 |
$46.40 |
$46.40 |
$123.87
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$47.20 |
$47.20 |
$47.20 |
$75.00
|
|
Mayo microsomal antibody liver-kidney
|
$78.40 |
$78.40 |
$78.40 |
$81.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$113.60 |
$113.60 |
$113.60 |
$168.84
|
|
Mayo myoglobin
|
$108.00 |
$108.00 |
$108.00 |
$93.12
|
|
Mayo organic acid methylmalonic single quantitative
|
$52.00 |
$52.00 |
$52.00 |
$104.00
|
|
Mayo organic acids qualitative each specimen
|
$57.60 |
$57.60 |
$57.60 |
$112.80
|
|
Mayo oxalate 24 hour urine
|
$57.60 |
$57.60 |
$57.60 |
$67.20
|
|
Mayo parvs parvovirus b19 antibody igg
|
$56.80 |
$56.80 |
$56.80 |
$66.94
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$66.40 |
$66.40 |
$66.40 |
$204.60
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$80.00 |
$80.00 |
$80.00 |
$84.66
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$69.43
|
|
Mayo prmb primidone therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$66.43
|
|
Mayo psaft prostate specific antigen free
|
$104.00 |
$104.00 |
$104.00 |
$90.00
|
|
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative
|
$116.80 |
$116.80 |
$116.80 |
$240.00
|
|
Mayo renin
|
$51.20 |
$51.20 |
$51.20 |
$102.60
|
|
Mayo repu protein electrophoresis urine
|
$96.00 |
$96.00 |
$96.00 |
$96.00
|
|
Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria
|
$166.40 |
$166.40 |
$166.40 |
$140.00
|
|
Mayo serotonin
|
$103.20 |
$103.20 |
$103.20 |
$114.00
|
|
Mayo sirolimus therapeutic drug level
|
$121.60 |
$121.60 |
$121.60 |
$99.85
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$25.60 |
$25.60 |
$25.60 |
$49.28
|
|
Mayo tgrp testosterone total
|
$139.20 |
$139.20 |
$139.20 |
$127.20
|
|
Mayo thyroglobulin
|
$146.40 |
$146.40 |
$146.40 |
$95.55
|
|
Mayo ttfb testosterone bioavailable direct
|
$120.00 |
$120.00 |
$120.00 |
$89.60
|
|
Mayo valpg valproic acid free therapeutic drug level
|
$132.00 |
$132.00 |
$132.00 |
$63.18
|
|
Mayo vitamin b-2 (riboflavin)
|
$66.40 |
$66.40 |
$66.40 |
$91.00
|
|
Mayo vitamin k
|
$180.80 |
$180.80 |
$180.80 |
$94.60
|
|
Measurement post void urine by ultrasound
|
$187.20 |
$187.20 |
$187.20 |
$168.74
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$80.00 |
$80.00 |
$80.00 |
$190.81
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$64.36 |
$64.36 |
$64.36 |
$30.79
|
|
Meropenem 1 gram intravenous solution
|
$62.75 |
$62.75 |
$62.75 |
$55.76
|
|
Metabolic Blood Panel (Basic)
|
$60.80 |
$60.80 |
$60.80 |
$117.50
|
|
Metabolic Blood Panel (Comprehensive)
|
$72.00 |
$72.00 |
$72.00 |
$157.50
|
