|
Liver Function Test
|
$175.20 |
$175.20 |
$175.20 |
$115.44
|
|
Liver imaging
|
$1,852.80 |
$1,852.80 |
$1,852.80 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$1,864.80 |
$1,864.80 |
$1,864.80 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,676.00 |
$1,676.00 |
$1,676.00 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$1,992.80 |
$1,992.80 |
$1,992.80 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$20.00 |
$20.00 |
$20.00 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$60.81 |
$60.81 |
$60.81 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,769.60 |
$2,769.60 |
$2,769.60 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,592.00 |
$2,592.00 |
$2,592.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,399.20 |
$4,399.20 |
$4,399.20 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,508.00 |
$3,508.00 |
$3,508.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,189.60 |
$3,189.60 |
$3,189.60 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$501.60 |
$501.60 |
$501.60 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$710.40 |
$710.40 |
$710.40 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$756.00 |
$756.00 |
$756.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$456.00 |
$456.00 |
$456.00 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$663.20 |
$663.20 |
$663.20 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$277.60 |
$277.60 |
$277.60 |
$296.91
|
|
Lung perfusion imaging
|
$1,500.80 |
$1,500.80 |
$1,500.80 |
$1,069.25
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$18,943.32 |
$18,943.32 |
$18,943.32 |
$22,771.63
|
|
Macroscopic exam arthropod
|
$40.00 |
$40.00 |
$40.00 |
$38.58
|
|
Macroscopic exam parasite
|
$116.00 |
$116.00 |
$116.00 |
$37.05
|
|
Magnesium
|
$88.80 |
$88.80 |
$88.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$71.07 |
$71.07 |
$71.07 |
$58.70
|
|
Marker biop eviva buckle ss
|
$339.20 |
$339.20 |
$339.20 |
$1,451.30
|
|
Mastoids complete
|
$420.00 |
$420.00 |
$420.00 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$48.80 |
$48.80 |
$48.80 |
$65.28
|
|
Mayo aathr protein s free
|
$501.60 |
$501.60 |
$501.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$243.20 |
$243.20 |
$243.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$204.00 |
$204.00 |
$204.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$115.20 |
$115.20 |
$115.20 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$155.20 |
$155.20 |
$155.20 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$50.40 |
$50.40 |
$50.40 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$88.80 |
$88.80 |
$88.80 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$155.20 |
$155.20 |
$155.20 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$40.00 |
$40.00 |
$40.00 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$88.00 |
$88.00 |
$88.00 |
$78.10
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$250.40 |
$250.40 |
$250.40 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,120.80 |
$2,120.80 |
$2,120.80 |
$1,860.00
|
|
Mayo androstenedione
|
$51.20 |
$51.20 |
$51.20 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$218.40 |
$218.40 |
$218.40 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$111.20 |
$111.20 |
$111.20 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$192.80 |
$192.80 |
$192.80 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$117.60 |
$117.60 |
$117.60 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$91.20 |
$91.20 |
$91.20 |
$45.50
|
|
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
|
$51.20 |
$51.20 |
$51.20 |
$56.00
|
|
Mayo bordetella pertussis antibody igg
|
$305.60 |
$305.60 |
$305.60 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$56.80 |
$56.80 |
$56.80 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$148.80 |
$148.80 |
$148.80 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$84.00 |
$84.00 |
$84.00 |
$106.70
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$298.40 |
$298.40 |
$298.40 |
$283.40
|
|
Mayo ceruloplasmin
|
$131.20 |
$131.20 |
$131.20 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$146.40 |
$146.40 |
$146.40 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$147.20 |
$147.20 |
$147.20 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$148.00 |
$148.00 |
$148.00 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$148.00 |
$148.00 |
$148.00 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$296.00 |
$296.00 |
$296.00 |
$366.94
|
|
Mayo chromium
|
$64.80 |
$64.80 |
$64.80 |
$75.60
|
|
Mayo cocaine definitive assay confirmation urine
|
$96.00 |
$96.00 |
$96.00 |
$100.00
|
|
Mayo coccidioides antibody
|
$111.20 |
$111.20 |
$111.20 |
$54.00
|
|
Mayo cocou cortisone urine
|
$63.20 |
$63.20 |
$63.20 |
$216.00
|
|
Mayo cortisol free
|
$108.80 |
$108.80 |
$108.80 |
$94.95
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$35.20 |
$35.20 |
$35.20 |
$58.20
|
|
Mayo deoxyribonuclease antibody titer
|
$71.20 |
$71.20 |
$71.20 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$61.60 |
$61.60 |
$61.60 |
$106.47
|
|
Mayo estriol
|
$264.00 |
$264.00 |
$264.00 |
$90.35
|
|
Mayo ethosuximide therapeutic drug level
|
$130.40 |
$130.40 |
$130.40 |
$69.55
|
|
Mayo factor ii
|
$272.00 |
$272.00 |
$272.00 |
$99.06
|
|
Mayo factor v
|
$295.20 |
$295.20 |
$295.20 |
$129.60
|
|
Mayo factor vii
|
$100.80 |
$100.80 |
$100.80 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$199.20 |
$199.20 |
$199.20 |
$128.80
|
|
Mayo factor x
|
$250.40 |
$250.40 |
$250.40 |
$155.00
|
|
Mayo fat/lipids feces quantitative
|
$57.60 |
$57.60 |
$57.60 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$123.20 |
$123.20 |
$123.20 |
$106.56
|
|
Mayo ffspg allergen clam igg
|
$34.40 |
$34.40 |
$34.40 |
$35.10
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$65.86
|
|
Mayo gamma-globin full gene sequencing
|
$256.00 |
$256.00 |
$256.00 |
$1,519.25
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$360.00 |
$360.00 |
$360.00 |
$165.60
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$165.60 |
$165.60 |
$165.60 |
$122.82
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$111.20 |
$111.20 |
$111.20 |
$52.80
|
|
Mayo hla typing a/b/c single antigen
|
$261.60 |
$261.60 |
$261.60 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$72.80 |
$72.80 |
$72.80 |
$75.40
|
|
Mayo hvdip HIV 2 antibody
|
$84.00 |
$84.00 |
$84.00 |
$78.50
|
|
Mayo hydroxyprogesterone 17-d
|
$87.20 |
$87.20 |
$87.20 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$436.00 |
$436.00 |
$436.00 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$52.80 |
$52.80 |
$52.80 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$101.60 |
$101.60 |
$101.60 |
$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
|
$188.00 |
$188.00 |
$188.00 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$40.80 |
$40.80 |
$40.80 |
$109.08
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$143.20 |
$143.20 |
$143.20 |
$85.80
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$104.80 |
$104.80 |
$104.80 |
$230.65
|
|
Mayo inhab inhibin a
|
$56.80 |
$56.80 |
$56.80 |
$80.40
|
|
Mayo iodine
|
$240.00 |
$240.00 |
$240.00 |
$114.05
|
|
Mayo itraconazole therapeutic drug level
|
$71.20 |
$71.20 |
$71.20 |
$77.85
|
|
Mayo lamotrigine therapeutic drug level
|
$37.60 |
$37.60 |
$37.60 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$216.00 |
$216.00 |
$216.00 |
$52.80
|
|
Mayo legionella antibody
|
$244.00 |
$244.00 |
$244.00 |
$73.50
|
