|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,147.90 |
$1,147.90 |
$1,147.90 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,602.25 |
$1,602.25 |
$1,602.25 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$223.60 |
$223.60 |
$223.60 |
$328.23
|
|
Lung Function Test (Spirometry)
|
$185.90 |
$185.90 |
$185.90 |
$290.89
|
|
Lung perfusion imaging
|
$893.75 |
$893.75 |
$893.75 |
$919.75
|
|
Lurbinectedin 4 mg intravenous solution
|
$20,507.17 |
$20,507.17 |
$20,507.17 |
$298.13
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$30,686.56 |
$30,686.56 |
$30,686.56 |
$68.76
|
|
Lymphatics/lymph node imaging
|
$1,589.25 |
$1,589.25 |
$1,589.25 |
$1,330.00
|
|
Magnesium
|
$117.00 |
$117.00 |
$117.00 |
$64.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$91.00 |
$91.00 |
$91.00 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$120.25 |
$120.25 |
$120.25 |
$147.72
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$40.95 |
$40.95 |
$40.95 |
$76.70
|
|
Mayo aathr protein s free
|
$386.75 |
$386.75 |
$386.75 |
$139.23
|
|
Mayo alkaline phosphatase isoenzyme
|
$155.35 |
$155.35 |
$155.35 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$92.95 |
$92.95 |
$92.95 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$191.10 |
$191.10 |
$191.10 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$269.75 |
$269.75 |
$269.75 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$338.00 |
$338.00 |
$338.00 |
$343.20
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,065.05 |
$2,065.05 |
$2,065.05 |
$1,922.13
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$97.50 |
$97.50 |
$97.50 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$133.25 |
$133.25 |
$133.25 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$70.20 |
$70.20 |
$70.20 |
$72.60
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$39.00 |
$39.00 |
$39.00 |
$147.20
|
|
Mayo bart bartonella henselae antibody igg
|
$182.65 |
$182.65 |
$182.65 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$186.55 |
$186.55 |
$186.55 |
$364.90
|
|
Mayo blastomyces antibody immunodiffusion
|
$26.65 |
$26.65 |
$26.65 |
$67.60
|
|
Mayo c1 esterase inhibitor
|
$113.75 |
$113.75 |
$113.75 |
$124.80
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$110.50 |
$110.50 |
$110.50 |
$104.55
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$185.90 |
$185.90 |
$185.90 |
$274.40
|
|
Mayo ceruloplasmin
|
$65.65 |
$65.65 |
$65.65 |
$70.85
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$76.05 |
$76.05 |
$76.05 |
$59.11
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$173.55 |
$173.55 |
$173.55 |
$380.40
|
|
Mayo coccidioides antibody
|
$53.30 |
$53.30 |
$53.30 |
$61.10
|
|
Mayo cocou cortisone urine
|
$438.75 |
$438.75 |
$438.75 |
$222.62
|
|
Mayo cortisol free
|
$146.90 |
$146.90 |
$146.90 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$62.40 |
$62.40 |
$62.40 |
$77.63
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$99.45 |
$99.45 |
$99.45 |
$67.80
|
|
Mayo deoxyribonuclease antibody titer
|
$187.85 |
$187.85 |
$187.85 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$276.25 |
$276.25 |
$276.25 |
$113.10
|
|
Mayo estriol
|
$266.50 |
$266.50 |
$266.50 |
$102.50
|
|
Mayo estrone
|
$244.40 |
$244.40 |
$244.40 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$41.60 |
$41.60 |
$41.60 |
$81.60
|
|
Mayo everolimus therapeutic drug level
|
$85.80 |
$85.80 |
$85.80 |
$107.00
|
|
Mayo factor ii
|
$166.40 |
$166.40 |
$166.40 |
$96.76
|
|
Mayo factor vii
|
$168.35 |
$168.35 |
$168.35 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$94.25 |
$94.25 |
$94.25 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$68.90 |
$68.90 |
$68.90 |
$147.63
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$115.70 |
$115.70 |
$115.70 |
$133.25
|
|
Mayo factor x
|
$166.40 |
$166.40 |
$166.40 |
$130.65
|
|
Mayo fat/lipids feces quantitative
|
$74.75 |
$74.75 |
$74.75 |
$76.05
|
|
Mayo ffspg allergen clam igg
|
$101.40 |
$101.40 |
$101.40 |
$37.05
|
|
Mayo fibrinogen antigen
|
$75.40 |
$75.40 |
$75.40 |
$91.20
|
|
Mayo gamma-globin full gene sequencing
|
$40.30 |
$40.30 |
$40.30 |
$1,634.10
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$193.70 |
$193.70 |
$193.70 |
$170.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$263.25 |
$263.25 |
$263.25 |
$121.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$96.85 |
$96.85 |
$96.85 |
$61.75
|
|
Mayo hla typing a/b/c single antigen
|
$250.25 |
$250.25 |
$250.25 |
$142.00
|
|
Mayo hvdip HIV 1 antibody
|
$116.35 |
$116.35 |
$116.35 |
$69.60
|
|
Mayo hvdip HIV 2 antibody
|
$109.20 |
$109.20 |
$109.20 |
$80.00
|
|
Mayo hydroxyprogesterone 17-d
|
$184.60 |
$184.60 |
$184.60 |
$120.75
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$247.65 |
$247.65 |
$247.65 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$39.00 |
$39.00 |
$39.00 |
$83.40
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$137.15 |
$137.15 |
$137.15 |
$117.20
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$86.45 |
$86.45 |
$86.45 |
$120.71
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$98.80 |
$98.80 |
$98.80 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$520.65 |
$520.65 |
$520.65 |
$259.80
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$338.00 |
$338.00 |
$338.00 |
$236.53
|
|
Mayo infliximab therapeutic drug level
|
$98.80 |
$98.80 |
$98.80 |
$150.40
|
|
Mayo insulin antibodies
|
$290.55 |
$290.55 |
$290.55 |
$105.00
|
|
Mayo iodine
|
$15.60 |
$15.60 |
$15.60 |
$148.20
|
|
Mayo itraconazole therapeutic drug level
|
$81.25 |
$81.25 |
$81.25 |
$81.51
|
|
Mayo lamotrigine therapeutic drug level
|
$55.25 |
$55.25 |
$55.25 |
$83.85
|
|
Mayo legionella antibody
|
$39.65 |
$39.65 |
$39.65 |
$87.00
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$55.25 |
$55.25 |
$55.25 |
$86.40
|
|
Mayo metanephrines plasma
|
$365.95 |
$365.95 |
$365.95 |
$126.75
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$319.15 |
$319.15 |
$319.15 |
$82.55
|
|
Mayo microsomal antibody liver-kidney
|
$108.55 |
$108.55 |
$108.55 |
$100.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$198.90 |
$198.90 |
$198.90 |
$195.55
|
|
Mayo molecular pathology procedure level 2 apoe genotype
|
$516.75 |
$516.75 |
$516.75 |
$480.60
|
|
Mayo mpl sequence analysis exon 10
|
$201.50 |
$201.50 |
$201.50 |
$436.15
|
|
Mayo muscle-specific kinase (musk) antibody
|
$726.05 |
$726.05 |
$726.05 |
$250.90
|
|
Mayo mycophenolic acid therapeutic drug level
|
$158.60 |
$158.60 |
$158.60 |
$97.50
|
|
Mayo myoglobin
|
$154.05 |
$154.05 |
$154.05 |
$100.08
|
|
Mayo organic acid methylmalonic single quantitative
|
$162.50 |
$162.50 |
$162.50 |
$118.20
|
|
Mayo parvs parvovirus b19 antibody igg
|
$132.60 |
$132.60 |
$132.60 |
$73.45
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$154.05 |
$154.05 |
$154.05 |
$187.00
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$103.35 |
$103.35 |
$103.35 |
$103.35
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$152.10 |
$152.10 |
$152.10 |
$77.40
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$59.15 |
$59.15 |
$59.15 |
$62.53
|
|
Mayo pregnenolone
|
$85.80 |
$85.80 |
$85.80 |
$100.00
|
|
Mayo proinsulin
|
$297.70 |
$297.70 |
$297.70 |
$118.91
|
|
Mayo psaft prostate specific antigen free
|
$27.95 |
$27.95 |
$27.95 |
$94.90
|
|
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative
|
$333.45 |
$333.45 |
$333.45 |
$282.50
|
|
Mayo receptor assay transferrin soluble
|
$209.95 |
$209.95 |
$209.95 |
$163.80
|
|
Mayo renin
|
$204.75 |
$204.75 |
$204.75 |
$108.00
|
|
Mayo repu protein electrophoresis urine
|
$91.65 |
$91.65 |
$91.65 |
$87.00
|
|
Mayo selenium
|
$41.60 |
$41.60 |
$41.60 |
$107.25
|
|
Mayo serotonin
|
$232.05 |
$232.05 |
$232.05 |
$148.85
|
