|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$38.25 |
$38.25 |
$38.25 |
$120.71
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$161.25 |
$161.25 |
$161.25 |
$259.80
|
|
Mayo inhab inhibin a
|
$82.50 |
$82.50 |
$82.50 |
$87.00
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$70.50 |
$70.50 |
$70.50 |
$86.40
|
|
Mayo manganese
|
$65.25 |
$65.25 |
$65.25 |
$105.60
|
|
Mayo metanephrines plasma
|
$46.50 |
$46.50 |
$46.50 |
$126.75
|
|
Mayo microsomal antibody liver-kidney
|
$52.50 |
$52.50 |
$52.50 |
$100.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$121.50 |
$121.50 |
$121.50 |
$195.55
|
|
Mayo myoglobin
|
$108.00 |
$108.00 |
$108.00 |
$100.08
|
|
Mayo organic acid methylmalonic single quantitative
|
$202.50 |
$202.50 |
$202.50 |
$118.20
|
|
Mayo organic acids qualitative each specimen
|
$199.50 |
$199.50 |
$199.50 |
$105.30
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$164.25 |
$164.25 |
$164.25 |
$147.64
|
|
Mayo parvs parvovirus b19 antibody igg
|
$138.00 |
$138.00 |
$138.00 |
$73.45
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$42.75 |
$42.75 |
$42.75 |
$187.00
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$45.00 |
$45.00 |
$45.00 |
$252.00
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$20.25 |
$20.25 |
$20.25 |
$103.35
|
|
Mayo prmb primidone therapeutic drug level
|
$173.25 |
$173.25 |
$173.25 |
$74.10
|
|
Mayo psaft prostate specific antigen free
|
$98.25 |
$98.25 |
$98.25 |
$94.90
|
|
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative
|
$192.00 |
$192.00 |
$192.00 |
$282.50
|
|
Mayo renin
|
$47.25 |
$47.25 |
$47.25 |
$108.00
|
|
Mayo repu protein electrophoresis urine
|
$31.50 |
$31.50 |
$31.50 |
$87.00
|
|
Mayo sfgp rickettsia rickettsii antibody igg
|
$47.25 |
$47.25 |
$47.25 |
$88.31
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$23.25 |
$23.25 |
$23.25 |
$48.00
|
|
Mayo tgrp testosterone free
|
$95.25 |
$95.25 |
$95.25 |
$114.40
|
|
Mayo tgrp testosterone total
|
$95.25 |
$95.25 |
$95.25 |
$141.05
|
|
Mayo thyroglobulin
|
$50.25 |
$50.25 |
$50.25 |
$114.00
|
|
Mayo ticks anaplasma phagocytophilum antibody igg
|
$145.50 |
$145.50 |
$145.50 |
$72.45
|
|
Mechlorethamine hcl inj
|
$27.00 |
$27.00 |
$27.00 |
$405.20
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$4.50 |
$4.50 |
$4.50 |
$22.58
|
|
Metabolic Blood Panel (Basic)
|
$30.00 |
$30.00 |
$30.00 |
$95.70
|
|
Metabolic Blood Panel (Comprehensive)
|
$46.50 |
$46.50 |
$46.50 |
$124.66
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$5.25 |
$5.25 |
$5.25 |
$52.04
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$17.81 |
$17.81 |
$17.81 |
$60.90
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$11.48 |
$11.48 |
$11.48 |
$98.23
|
|
Microalbumin urine screen
|
$20.25 |
$20.25 |
$20.25 |
$25.72
|
|
Morphine 4 mg/ml injection (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$37.41
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$126.75 |
$126.75 |
$126.75 |
$176.95
|
|
Motor &/ sens nrve cndj test
|
$6.75 |
$6.75 |
$6.75 |
$337.74
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$79.50 |
$79.50 |
$79.50 |
$2,051.28
|
|
MRI orbit/face/neck without & w/contrast
|
$93.75 |
$93.75 |
$93.75 |
$2,552.60
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$79.50 |
$79.50 |
$79.50 |
$1,902.00
|
|
Mthfr gene analy common variants
|
$311.25 |
$311.25 |
$311.25 |
$248.82
|
|
Multiple sleep latency test
|
$102.00 |
$102.00 |
$102.00 |
$2,672.68
|
|
Mumps antibody igg
|
$54.75 |
$54.75 |
$54.75 |
$81.45
|
|
Mycoplasma antibody igm
|
$55.50 |
$55.50 |
$55.50 |
$87.50
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$136.50 |
$136.50 |
$136.50 |
$115.05
|
|
Nalbuphine 10 mg/ml injection solution
|
$6.00 |
$6.00 |
$6.00 |
$22.20
|
|
Natriuretic peptide
|
$177.75 |
$177.75 |
$177.75 |
$161.60
|
|
Natural killer cells total count
|
$111.75 |
$111.75 |
$111.75 |
$121.70
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$60.75 |
$60.75 |
$60.75 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$94.50 |
$94.50 |
$94.50 |
$1,830.00
|
|
New Patient Office Visit (level 2)
|
$78.75 |
$78.75 |
$78.75 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$106.50 |
$106.50 |
$106.50 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$159.75 |
$159.75 |
$159.75 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$185.25 |
$185.25 |
$185.25 |
$367.20
|
|
Nm imaging bone/joint 3 phase study
|
$60.00 |
$60.00 |
$60.00 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$50.25 |
$50.25 |
$50.25 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$42.00 |
$42.00 |
$42.00 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$45.75 |
$45.75 |
$45.75 |
$1,331.43
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$54.75 |
$54.75 |
$54.75 |
$1,586.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$59.25 |
$59.25 |
$59.25 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$31.50 |
$31.50 |
$31.50 |
$1,075.00
|
|
Nuclear Stress Test (Heart)
|
$75.00 |
$75.00 |
$75.00 |
$3,739.20
|
|
Nursing facility discharge management > 30 min 99316
|
$121.50 |
$121.50 |
$121.50 |
$201.60
|
|
Nursing facility discharge management 30 min/less than 99315
|
$84.75 |
$84.75 |
$84.75 |
$136.40
|
|
Observation/inpatient hospital care hi severity 99236
|
$252.00 |
$252.00 |
$252.00 |
$438.60
|
|
Observation/inpatient hospital care low severity 99234
|
$152.25 |
$152.25 |
$152.25 |
$269.40
|
|
Observation/inpatient hospital care mod severity 99235
|
$198.00 |
$198.00 |
$198.00 |
$340.80
|
|
Obstetrics panel
|
$60.75 |
$60.75 |
$60.75 |
$214.50
|
|
Obtaining screen pap smear
|
$51.00 |
$51.00 |
$51.00 |
$27.13
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$39.00 |
$39.00 |
$39.00 |
$65.90
|
|
Ondansetron 4 mg s0119
|
$0.75 |
$0.75 |
$0.75 |
$228.80
|
|
Ondansetron 8 mg disintegrating tablet
|
$0.15 |
$0.15 |
$0.15 |
$2.09
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$20.25 |
$20.25 |
$20.25 |
$12.51
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$15.49 |
$15.49 |
$15.49 |
$40.92
|
|
Osmolality blood
|
$39.00 |
$39.00 |
$39.00 |
$57.00
|
|
Osmolality urine
|
$15.75 |
$15.75 |
$15.75 |
$57.85
|
|
Paliperidone 117 mg/0.75 ml inj
|
$2,688.30 |
$2,688.30 |
$2,688.30 |
$4,898.66
|
|
Parathormone (pth) intact
|
$112.50 |
$112.50 |
$112.50 |
$204.00
|
|
Parathyroid planar imaging
|
$48.00 |
$48.00 |
$48.00 |
$1,041.95
|
|
Paring/cutting benign hyperkeratotic lesion single
|
$60.75 |
$60.75 |
$60.75 |
$270.00
|
|
Patient recorded spirometry
|
$47.25 |
$47.25 |
$47.25 |
$436.10
|
|
Pelvic CT scan (without contrast)
|
$208.50 |
$208.50 |
$208.50 |
$1,290.90
|
|
Pelvic Ultrasound (complete)
|
$41.25 |
$41.25 |
$41.25 |
$614.64
|
|
Pelvic Ultrasound (limited)
|
$35.25 |
$35.25 |
$35.25 |
$429.66
|
|
Peng benzathine/procaine inj
|
$122.25 |
$122.25 |
$122.25 |
$108.11
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$416.21 |
$416.21 |
$416.21 |
$48.74
|
|
Perq rplcmt g-tube req revsn gstrst trk
|
$272.25 |
$272.25 |
$272.25 |
$636.09
|
|
Phenobarbital therapeutic drug level
|
$39.00 |
$39.00 |
$39.00 |
$97.50
|
|
Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr
|
$7.50 |
$7.50 |
$7.50 |
$7.71
|
|
Phenytoin total therapeutic drug level
|
$39.00 |
$39.00 |
$39.00 |
$100.75
|
|
Phosphorus
|
$21.75 |
$21.75 |
$21.75 |
$42.37
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$5.73 |
$5.73 |
$5.73 |
$75.04
|
|
Platelet automated
|
$17.25 |
$17.25 |
$17.25 |
$33.60
|
|
Plethysmography lung volumes/airway resistance
|
$114.75 |
$114.75 |
$114.75 |
$411.51
|
|
Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap
|
$293.25 |
$293.25 |
$293.25 |
$4,313.58
|
|
Potassium serum/plasma/whole blood
|
$20.25 |
$20.25 |
$20.25 |
$40.00
|
|
Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr
|
$1,215.00 |
$1,215.00 |
$1,215.00 |
$3,594.44
|
|
Pr application of long arm splint
|
$90.00 |
$90.00 |
$90.00 |
$320.00
|
|
Pr application splint static short arm
|
$69.00 |
$69.00 |
$69.00 |
$277.60
|
