|
Mayo sfgp rickettsia rickettsii antibody igg
|
$65.65 |
$65.65 |
$65.65 |
$88.31
|
|
Mayo sirolimus therapeutic drug level
|
$57.20 |
$57.20 |
$57.20 |
$114.66
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$76.05 |
$76.05 |
$76.05 |
$48.00
|
|
Mayo tau phosphorylated 217 each
|
$757.25 |
$757.25 |
$757.25 |
$297.70
|
|
Mayo tgrp testosterone free
|
$230.75 |
$230.75 |
$230.75 |
$114.40
|
|
Mayo tgrp testosterone total
|
$240.50 |
$240.50 |
$240.50 |
$141.05
|
|
Mayo thyroglobulin
|
$41.60 |
$41.60 |
$41.60 |
$114.00
|
|
Mayo ticks anaplasma phagocytophilum antibody igg
|
$123.50 |
$123.50 |
$123.50 |
$72.45
|
|
Mayo ticks babesia microti antibody igg
|
$115.05 |
$115.05 |
$115.05 |
$74.40
|
|
Mayo ttfb testosterone bioavailable direct
|
$143.65 |
$143.65 |
$143.65 |
$94.86
|
|
Mayo tulab francisella tularensis antibody igg
|
$86.45 |
$86.45 |
$86.45 |
$56.98
|
|
Mayo vitamin k
|
$241.80 |
$241.80 |
$241.80 |
$113.94
|
|
Measurement post void urine by ultrasound
|
$148.85 |
$148.85 |
$148.85 |
$175.64
|
|
Mepolizumab 100 mg/ml subcutaneous auto-injector
|
$8,965.32 |
$8,965.32 |
$8,965.32 |
$7,678.20
|
|
Metabolic Blood Panel (Basic)
|
$132.60 |
$132.60 |
$132.60 |
$95.70
|
|
Metabolic Blood Panel (Comprehensive)
|
$217.75 |
$217.75 |
$217.75 |
$124.66
|
|
Metabolic panel ionized ca
|
$203.45 |
$203.45 |
$203.45 |
$121.50
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$495.15 |
$495.15 |
$495.15 |
$1,025.34
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$41.66 |
$41.66 |
$41.66 |
$60.90
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$88.50 |
$88.50 |
$88.50 |
$98.23
|
|
Microbe susceptible mlc
|
$42.90 |
$42.90 |
$42.90 |
$80.00
|
|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
$16,746.46 |
$16,746.46 |
$16,746.46 |
$97.31
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$6,043.99 |
$6,043.99 |
$6,043.99 |
$309.50
|
|
MRA spinal canal
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$1,803.94
|
|
MRA upper extremity post contrast-bil
|
$2,655.25 |
$2,655.25 |
$2,655.25 |
$1,929.00
|
|
MRI chest without contrast
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$1,661.55
|
|
MRI chest without & w/contrast
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$2,321.61
|
|
MRI chest w IV cont
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$2,105.25
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$2,274.35 |
$2,274.35 |
$2,274.35 |
$2,051.28
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,528.50 |
$2,528.50 |
$2,528.50 |
$2,614.43
|
|
MRI orbit/face/neck without contrast
|
$1,299.35 |
$1,299.35 |
$1,299.35 |
$1,782.69
|
|
MRI orbit/face/neck without & w/contrast
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$2,552.60
|
|
MRI orbit fac&nck w IV cont
|
$1,407.25 |
$1,407.25 |
$1,407.25 |
$2,002.00
|
|
MRI tmj
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$1,658.77
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,274.35 |
$2,274.35 |
$2,274.35 |
$1,902.00
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,655.25 |
$2,655.25 |
$2,655.25 |
$2,628.75
|
|
Mthfr gene analy common variants
|
$261.30 |
$261.30 |
$261.30 |
$248.82
|
|
Mumps antibody igg
|
$94.25 |
$94.25 |
$94.25 |
$81.45
|
|
Mycoplasma antibody igm
|
$159.90 |
$159.90 |
$159.90 |
$87.50
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$137.15 |
$137.15 |
$137.15 |
$115.05
|
|
Natriuretic peptide
|
$146.90 |
$146.90 |
$146.90 |
$161.60
|
|
Natural killer cells total count
|
$98.15 |
$98.15 |
$98.15 |
$121.70
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$1,413.75 |
$1,413.75 |
$1,413.75 |
$1,750.20
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$1,329.90 |
$1,329.90 |
$1,329.90 |
$1,685.58
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$1,147.90 |
$1,147.90 |
$1,147.90 |
$1,435.80
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$2,562.00
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$2,164.88
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$1,830.00
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$1,561.95 |
$1,561.95 |
$1,561.95 |
$2,547.30
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$1,450.15 |
$1,450.15 |
$1,450.15 |
$1,890.00
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$1,337.70 |
$1,337.70 |
$1,337.70 |
$1,741.80
|
|
New Patient Office Visit (level 2)
|
$227.50 |
$227.50 |
$227.50 |
$151.45
|
|
New Patient Office Visit (level 3)
|
$231.40 |
$231.40 |
$231.40 |
$205.40
|
|
New Patient Office Visit (level 4)
|
$384.80 |
$384.80 |
$384.80 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$384.80 |
$384.80 |
$384.80 |
$367.20
|
|
Nivolumab 10 mg/ml intravenous solution (wrapper)
|
$19,756.29 |
$19,756.29 |
$19,756.29 |
$60.11
|
|
Nm imaging bone/joint 3 phase study
|
$1,010.75 |
$1,010.75 |
$1,010.75 |
$1,572.00
|
|
Nm imaging bone/joint whole body
|
$1,263.60 |
$1,263.60 |
$1,263.60 |
$1,538.86
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$789.75 |
$789.75 |
$789.75 |
$1,347.83
|
|
Nm imaging gastric emptying study
|
$1,508.65 |
$1,508.65 |
$1,508.65 |
$1,331.43
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$2,058.71 |
$2,058.71 |
$2,058.71 |
$1,586.00
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$1,036.10 |
$1,036.10 |
$1,036.10 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$854.75 |
$854.75 |
$854.75 |
$1,566.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$858.00 |
$858.00 |
$858.00 |
$1,075.00
|
|
Nuclear Stress Test (Heart)
|
$3,560.37 |
$3,560.37 |
$3,560.37 |
$3,739.20
|
|
Obinutuzumab 1,000 mg/40 ml intravenous solution
|
$23,042.95 |
$23,042.95 |
$23,042.95 |
$142.75
|
|
Observation direct referral from physician office for admission
|
$105.95 |
$105.95 |
$105.95 |
$359.40
|
|
Observation per hour
|
$52.65 |
$52.65 |
$52.65 |
$75.15
|
|
Ob Ultrasound nuchal meas 1 gest
|
$388.05 |
$388.05 |
$388.05 |
$324.60
|
|
Ob Ultrasound nuchal meas add-on
|
$245.70 |
$245.70 |
$245.70 |
$222.75
|
|
Octreotide,microspheres ER 20 mg intramuscular susp, extended release
|
$16,857.16 |
$16,857.16 |
$16,857.16 |
$8,720.95
|
|
Omalizumab 150 mg/ml subcutaneous syringe (wrapper)
|
$3,795.09 |
$3,795.09 |
$3,795.09 |
$65.90
|
|
Organic acids total quant ea spec
|
$845.00 |
$845.00 |
$845.00 |
$152.50
|
|
Osmolality blood
|
$16.25 |
$16.25 |
$16.25 |
$57.00
|
|
Osmolality urine
|
$104.65 |
$104.65 |
$104.65 |
$57.85
|
|
Ot evaluation high complexity patient/family
|
$105.30 |
$105.30 |
$105.30 |
$265.50
|
|
Ot evaluation low complexity patient/family
|
$105.30 |
$105.30 |
$105.30 |
$222.50
|
|
Ot evaluation moderate complexity patient/family
|
$105.30 |
$105.30 |
$105.30 |
$249.60
|
|
Oth resp proc, group
|
$74.10 |
$74.10 |
$74.10 |
$100.80
|
|
Oth resp proc, indiv
|
$53.95 |
$53.95 |
$53.95 |
$67.60
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$61.75 |
$61.75 |
$61.75 |
$94.40
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$61.75 |
$61.75 |
$61.75 |
$102.60
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$93.60 |
$93.60 |
$93.60 |
$105.50
|
|
Ot re-evaluation patient/family
|
$74.75 |
$74.75 |
$74.75 |
$146.90
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$83.85 |
$83.85 |
$83.85 |
$96.11
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$56.55 |
$56.55 |
$56.55 |
$86.65
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$56.55 |
$56.55 |
$56.55 |
$90.00
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$94.25 |
$94.25 |
$94.25 |
$95.65
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$42.90 |
$42.90 |
$42.90 |
$94.25
|
|
Ot training self care/home management direct contact each 15 minutes
|
$74.75 |
$74.75 |
$74.75 |
$93.60
|
|
Paclitaxel protein-bound 100 mg intravenous suspension
|
$3,474.05 |
$3,474.05 |
$3,474.05 |
$28.29
|
|
Paliperidone 117 mg/0.75 ml inj
|
$7,126.88 |
$7,126.88 |
$7,126.88 |
$4,898.66
|
|
Panitumumab 20 mg/ml intravenous solution (wrapper)
|
$18,554.59 |
$18,554.59 |
$18,554.59 |
$187.16
|
|
Parathormone (pth) intact
|
$70.85 |
$70.85 |
$70.85 |
$204.00
|
|
Parathyroid planar imaging
|
$445.90 |
$445.90 |
$445.90 |
$1,041.95
|
|
Parathyroid planar img w/tomo spect
|
$1,794.65 |
$1,794.65 |
$1,794.65 |
$1,317.94
|
|
Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector
|
$12,515.08 |
$12,515.08 |
$12,515.08 |
$9,121.58
|
|
Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe
|
$8,141.25 |
$8,141.25 |
$8,141.25 |
$8,141.25
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$4,070.63 |
$4,070.63 |
$4,070.63 |
$5,961.60
|
|
Pelvic CT scan (with and without contrast)
|
$1,413.75 |
$1,413.75 |
$1,413.75 |
$1,872.00
|