|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,656.85 |
$1,656.85 |
$1,656.85 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,652.65 |
$2,652.65 |
$2,652.65 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,998.10 |
$1,998.10 |
$1,998.10 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$276.25 |
$276.25 |
$276.25 |
$328.23
|
|
L/s ratio fetal lung
|
$191.10 |
$191.10 |
$191.10 |
$173.55
|
|
Lung function test (mbc/mvv)
|
$163.15 |
$163.15 |
$163.15 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$271.70 |
$271.70 |
$271.70 |
$290.89
|
|
Lung perfusion imaging
|
$1,122.55 |
$1,122.55 |
$1,122.55 |
$919.75
|
|
Macroscopic exam arthropod
|
$37.05 |
$37.05 |
$37.05 |
$38.50
|
|
Macroscopic exam parasite
|
$37.05 |
$37.05 |
$37.05 |
$35.98
|
|
Magnesium
|
$68.25 |
$68.25 |
$68.25 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$46.85 |
$46.85 |
$46.85 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$97.50 |
$97.50 |
$97.50 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$99.45 |
$99.45 |
$99.45 |
$147.72
|
|
Mastectomy partial
|
$1,297.40 |
$1,297.40 |
$1,297.40 |
$4,306.52
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$98.15 |
$98.15 |
$98.15 |
$76.70
|
|
Mayo aathr protein s free
|
$174.20 |
$174.20 |
$174.20 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$128.70 |
$128.70 |
$128.70 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$196.95 |
$196.95 |
$196.95 |
$172.80
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$18.20 |
$18.20 |
$18.20 |
$96.80
|
|
Mayo alcohol definitive assay volatile screen
|
$105.95 |
$105.95 |
$105.95 |
$118.40
|
|
Mayo alkaline phosphatase isoenzyme
|
$98.80 |
$98.80 |
$98.80 |
$83.85
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$94.25 |
$94.25 |
$94.25 |
$96.10
|
|
Mayo alpha 1 antitrypsin
|
$139.10 |
$139.10 |
$139.10 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$111.15 |
$111.15 |
$111.15 |
$112.89
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$89.70 |
$89.70 |
$89.70 |
$94.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$97.50 |
$97.50 |
$97.50 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$652.60 |
$652.60 |
$652.60 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$302.90 |
$302.90 |
$302.90 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$460.85 |
$460.85 |
$460.85 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,458.60 |
$1,458.60 |
$1,458.60 |
$1,922.13
|
|
Mayo androstenedione
|
$114.40 |
$114.40 |
$114.40 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$111.15 |
$111.15 |
$111.15 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$113.75 |
$113.75 |
$113.75 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$83.85 |
$83.85 |
$83.85 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$132.60 |
$132.60 |
$132.60 |
$159.66
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$147.55 |
$147.55 |
$147.55 |
$147.20
|
|
Mayo barbiturates definitive assay confirmation urine
|
$130.00 |
$130.00 |
$130.00 |
$80.39
|
|
Mayo bart bartonella henselae antibody igg
|
$52.00 |
$52.00 |
$52.00 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$416.00 |
$416.00 |
$416.00 |
$364.90
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$370.50 |
$370.50 |
$370.50 |
$381.55
|
|
Mayo blastomyces antibody immunodiffusion
|
$67.60 |
$67.60 |
$67.60 |
$67.60
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$24.05 |
$24.05 |
$24.05 |
$60.15
|
|
Mayo bordetella pertussis antibody igg
|
$73.45 |
$73.45 |
$73.45 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$62.40 |
$62.40 |
$62.40 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$154.05 |
$154.05 |
$154.05 |
$124.80
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$91.65 |
$91.65 |
$91.65 |
$84.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$121.55 |
$121.55 |
$121.55 |
$104.55
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$85.80 |
$85.80 |
$85.80 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$267.15 |
$267.15 |
$267.15 |
$274.40
|
|
Mayo ceruloplasmin
|
$107.25 |
$107.25 |
$107.25 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$137.15 |
$137.15 |
$137.15 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$94.90 |
$94.90 |
$94.90 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$52.65 |
$52.65 |
$52.65 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$50.05 |
$50.05 |
$50.05 |
$54.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$357.50 |
$357.50 |
$357.50 |
$380.40
|
|
Mayo chromium
|
$79.95 |
$79.95 |
$79.95 |
$89.25
|
|
Mayo cocaine definitive assay confirmation urine
|
$22.10 |
$22.10 |
$22.10 |
$89.00
|
|
Mayo coccidioides antibody
|
$61.10 |
$61.10 |
$61.10 |
$61.10
|
|
Mayo cocou cortisone urine
|
$185.90 |
$185.90 |
$185.90 |
$222.62
|
|
Mayo cortisol free
|
$141.05 |
$141.05 |
$141.05 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$68.90 |
$68.90 |
$68.90 |
$77.63
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$50.70 |
$50.70 |
$50.70 |
$67.80
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$69.55 |
$69.55 |
$69.55 |
$74.40
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$93.60 |
$93.60 |
$93.60 |
$72.14
|
|
Mayo cyanide
|
$86.45 |
$86.45 |
$86.45 |
$98.40
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$515.45 |
$515.45 |
$515.45 |
$780.00
|
|
Mayo deoxyribonuclease antibody titer
|
$85.80 |
$85.80 |
$85.80 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$139.10 |
$139.10 |
$139.10 |
$113.10
|
|
Mayo dihydrotestosterone
|
$91.65 |
$91.65 |
$91.65 |
$94.90
|
|
Mayo efpo chloride stool
|
$45.50 |
$45.50 |
$45.50 |
$45.00
|
|
Mayo estriol
|
$89.70 |
$89.70 |
$89.70 |
$102.50
|
|
Mayo estrone
|
$91.00 |
$91.00 |
$91.00 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$76.05 |
$76.05 |
$76.05 |
$81.60
|
|
Mayo everolimus therapeutic drug level
|
$174.20 |
$174.20 |
$174.20 |
$107.00
|
|
Mayo factor ii
|
$146.90 |
$146.90 |
$146.90 |
$96.76
|
|
Mayo factor v
|
$166.40 |
$166.40 |
$166.40 |
$119.60
|
|
Mayo factor vii
|
$162.50 |
$162.50 |
$162.50 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$159.25 |
$159.25 |
$159.25 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$159.25 |
$159.25 |
$159.25 |
$147.63
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$157.30 |
$157.30 |
$157.30 |
$133.25
|
|
Mayo factor x
|
$161.85 |
$161.85 |
$161.85 |
$130.65
|
|
Mayo factor xi
|
$167.70 |
$167.70 |
$167.70 |
$120.96
|
|
Mayo fat/lipids feces quantitative
|
$150.15 |
$150.15 |
$150.15 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$86.45 |
$86.45 |
$86.45 |
$91.65
|
|
Mayo ffspg allergen clam igg
|
$26.00 |
$26.00 |
$26.00 |
$37.05
|
|
Mayo fibrinogen antigen
|
$109.20 |
$109.20 |
$109.20 |
$91.20
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$109.20 |
$109.20 |
$109.20 |
$80.00
|
|
Mayo hemosiderin qualitative urine
|
$50.70 |
$50.70 |
$50.70 |
$38.35
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$185.90 |
$185.90 |
$185.90 |
$170.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$244.40 |
$244.40 |
$244.40 |
$121.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$56.55 |
$56.55 |
$56.55 |
$61.75
|
|
Mayo hla typing a/b/c single antigen
|
$166.40 |
$166.40 |
$166.40 |
$142.00
|
|
Mayo hvdip HIV 1 antibody
|
$81.25 |
$81.25 |
$81.25 |
$69.60
|
|
Mayo hvdip HIV 2 antibody
|
$91.65 |
$91.65 |
$91.65 |
$80.00
|
|
Mayo hydroxyprogesterone 17-d
|
$115.05 |
$115.05 |
$115.05 |
$120.75
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$282.10 |
$282.10 |
$282.10 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$109.20 |
$109.20 |
$109.20 |
$83.40
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$135.20 |
$135.20 |
$135.20 |
$117.20
|
