|
Lip surgery procedure
|
$135.00 |
$135.00 |
$135.00 |
$334.50
|
|
Lithium therapeutic drug level
|
$47.70 |
$47.70 |
$47.70 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$706.50 |
$706.50 |
$706.50 |
$340.00
|
|
Liver Function Test
|
$72.00 |
$72.00 |
$72.00 |
$115.44
|
|
Liver/spleen imag static only
|
$515.70 |
$515.70 |
$515.70 |
$1,123.50
|
|
Low cost skin substitute app
|
$666.90 |
$666.90 |
$666.90 |
$909.35
|
|
Low cost skin substitute app
|
$880.20 |
$880.20 |
$880.20 |
$2,164.64
|
|
Low cost skin substitute app
|
$578.25 |
$578.25 |
$578.25 |
$933.60
|
|
Low cost skin substitute app
|
$800.10 |
$800.10 |
$800.10 |
$1,016.16
|
|
Low cost skin substitute app
|
$443.70 |
$443.70 |
$443.70 |
$429.50
|
|
Low cost skin substitute app
|
$800.10 |
$800.10 |
$800.10 |
$659.75
|
|
Low cost skin substitute app
|
$193.95 |
$193.95 |
$193.95 |
$349.44
|
|
Low cost skin substitute app
|
$526.50 |
$526.50 |
$526.50 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$863.10 |
$863.10 |
$863.10 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,535.40 |
$1,535.40 |
$1,535.40 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$829.35 |
$829.35 |
$829.35 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,131.65 |
$2,131.65 |
$2,131.65 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,332.90 |
$1,332.90 |
$1,332.90 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,214.10 |
$1,214.10 |
$1,214.10 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$153.45 |
$153.45 |
$153.45 |
$352.32
|
|
Lung Function Test (Spirometry)
|
$123.75 |
$123.75 |
$123.75 |
$295.35
|
|
Lung perfusion imaging
|
$473.40 |
$473.40 |
$473.40 |
$1,075.25
|
|
Macroscopic exam parasite
|
$5.40 |
$5.40 |
$5.40 |
$36.40
|
|
Magnesium
|
$41.40 |
$41.40 |
$41.40 |
$73.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$36.90 |
$36.90 |
$36.90 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$41.85 |
$41.85 |
$41.85 |
$152.54
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$27.90 |
$27.90 |
$27.90 |
$66.36
|
|
Mayo aathr protein s free
|
$180.90 |
$180.90 |
$180.90 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$18.90 |
$18.90 |
$18.90 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$54.45 |
$54.45 |
$54.45 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$63.00 |
$63.00 |
$63.00 |
$112.85
|
|
Mayo alkaline phosphatase isoenzyme
|
$84.60 |
$84.60 |
$84.60 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$144.45 |
$144.45 |
$144.45 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$93.60 |
$93.60 |
$93.60 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$93.60 |
$93.60 |
$93.60 |
$82.80
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$17.10 |
$17.10 |
$17.10 |
$82.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$144.45 |
$144.45 |
$144.45 |
$80.08
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$459.45 |
$459.45 |
$459.45 |
$359.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$224.55 |
$224.55 |
$224.55 |
$361.50
|
|
Mayo androstenedione
|
$62.55 |
$62.55 |
$62.55 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$99.90 |
$99.90 |
$99.90 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$12.15 |
$12.15 |
$12.15 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$75.60 |
$75.60 |
$75.60 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$118.80 |
$118.80 |
$118.80 |
$165.78
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$50.85 |
$50.85 |
$50.85 |
$95.45
|
|
Mayo barbiturates definitive assay confirmation urine
|
$76.50 |
$76.50 |
$76.50 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$31.50 |
$31.50 |
$31.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$118.35 |
$118.35 |
$118.35 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$75.60 |
$75.60 |
$75.60 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$165.60 |
$165.60 |
$165.60 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$22.50 |
$22.50 |
$22.50 |
$44.14
|
|
Mayo c1 esterase inhibitor
|
$142.65 |
$142.65 |
$142.65 |
$85.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$144.45 |
$144.45 |
$144.45 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$109.35 |
$109.35 |
$109.35 |
$82.68
|
|
Mayo ceruloplasmin
|
$27.45 |
$27.45 |
$27.45 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$140.40 |
$140.40 |
$140.40 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$118.35 |
$118.35 |
$118.35 |
$109.20
|
|
Mayo chromium
|
$56.70 |
$56.70 |
$56.70 |
$70.85
|
|
Mayo coccidioides antibody
|
$80.55 |
$80.55 |
$80.55 |
$55.20
|
|
Mayo cocou cortisone urine
|
$202.05 |
$202.05 |
$202.05 |
$207.26
|
|
Mayo cortisol free
|
$89.55 |
$89.55 |
$89.55 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$83.70 |
$83.70 |
$83.70 |
$70.20
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$125.55 |
$125.55 |
$125.55 |
$65.35
|
|
Mayo cyanide
|
$33.75 |
$33.75 |
$33.75 |
$90.00
|
|
Mayo deoxyribonuclease antibody titer
|
$54.45 |
$54.45 |
$54.45 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$126.90 |
$126.90 |
$126.90 |
$113.10
|
|
Mayo efpo chloride stool
|
$140.40 |
$140.40 |
$140.40 |
$44.20
|
|
Mayo estriol
|
$107.10 |
$107.10 |
$107.10 |
$92.30
|
|
Mayo estrone
|
$80.55 |
$80.55 |
$80.55 |
$84.60
|
|
Mayo ethosuximide therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$72.80
|
|
Mayo everolimus therapeutic drug level
|
$100.80 |
$100.80 |
$100.80 |
$91.99
|
|
Mayo factor v
|
$80.55 |
$80.55 |
$80.55 |
$125.58
|
|
Mayo factor vii
|
$123.30 |
$123.30 |
$123.30 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$123.75 |
$123.75 |
$123.75 |
$112.75
|
|
Mayo factor x
|
$232.65 |
$232.65 |
$232.65 |
$155.00
|
|
Mayo fat/lipids feces quantitative
|
$109.35 |
$109.35 |
$109.35 |
$76.05
|
|
Mayo ffspg allergen clam igg
|
$10.35 |
$10.35 |
$10.35 |
$37.00
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$109.35 |
$109.35 |
$109.35 |
$69.00
|
|
Mayo gamma-globin full gene sequencing
|
$26.55 |
$26.55 |
$26.55 |
$1,264.25
|
|
Mayo hemosiderin qualitative urine
|
$23.85 |
$23.85 |
$23.85 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$182.70 |
$182.70 |
$182.70 |
$165.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$80.55 |
$80.55 |
$80.55 |
$52.80
|
|
Mayo hla typing a/b/c single antigen
|
$131.85 |
$131.85 |
$131.85 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$144.45 |
$144.45 |
$144.45 |
$67.24
|
|
Mayo hvdip HIV 2 antibody
|
$22.50 |
$22.50 |
$22.50 |
$75.04
|
|
Mayo hydroxyprogesterone 17-d
|
$31.05 |
$31.05 |
$31.05 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$133.65 |
$133.65 |
$133.65 |
$204.48
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$88.65 |
$88.65 |
$88.65 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$136.35 |
$136.35 |
$136.35 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$58.95 |
$58.95 |
$58.95 |
$107.50
|
|
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance
|
$27.45 |
$27.45 |
$27.45 |
$72.80
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$95.40 |
$95.40 |
$95.40 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$27.00 |
$27.00 |
$27.00 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$95.40 |
$95.40 |
$95.40 |
$155.00
|
|
Mayo infectious agent nucleic acid amplified probe pneumocystis jirovecii
|
$27.45 |
$27.45 |
$27.45 |
$126.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$321.30 |
$321.30 |
$321.30 |
$230.65
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$105.75 |
$105.75 |
$105.75 |
$211.86
|
|
Mayo infliximab therapeutic drug level
|
$58.95 |
$58.95 |
$58.95 |
$148.80
|
|
Mayo inhab inhibin a
|
$70.20 |
$70.20 |
$70.20 |
$78.60
|
|
Mayo insft insulin free
|
$19.35 |
$19.35 |
$19.35 |
$55.00
|