|
Liver/spleen imag static only
|
$13,767.25 |
$13,767.25 |
$13,767.25 |
$1,123.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$4.75 |
$4.75 |
$4.75 |
$48.19
|
|
Long tongue stirrup
|
$1,434.00 |
$1,434.00 |
$1,434.00 |
$249.12
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$81.94 |
$81.94 |
$81.94 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,684.50 |
$3,684.50 |
$3,684.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,684.50 |
$3,684.50 |
$3,684.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,684.50 |
$3,684.50 |
$3,684.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$703.00 |
$703.00 |
$703.00 |
$356.16
|
|
Lso flex no ri stays pre ots
|
$1,118.00 |
$1,118.00 |
$1,118.00 |
$164.80
|
|
L/s ratio fetal lung
|
$1,051.50 |
$1,051.50 |
$2,104.20 |
$178.36
|
|
Lumbar diskogram s&i
|
$6,563.25 |
$6,563.25 |
$6,563.25 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$1,157.95 |
$1,157.95 |
$1,157.95 |
$295.35
|
|
Lymphocyte transformation mitogen
|
$275.50 |
$275.50 |
$601.81 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$13,507.84 |
$13,507.84 |
$13,507.84 |
$3,380.00
|
|
Mannitol 12.5 gm/50 ml inj
|
$123.75 |
$123.75 |
$123.75 |
$30.75
|
|
Map tachycard site(s)
|
$15,091.88 |
$15,091.88 |
$15,091.88 |
$4,082.82
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$7,015.00 |
$7,015.00 |
$7,015.00 |
$1,941.63
|
|
Mastoids complete
|
$3,060.80 |
$3,060.80 |
$3,060.80 |
$299.50
|
|
Mayo aathr protein s free
|
$116.25 |
$116.25 |
$116.25 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$368.50 |
$368.50 |
$737.69 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$204.14 |
$204.14 |
$204.14 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$295.00 |
$295.00 |
$596.49 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$370.50 |
$370.50 |
$370.50 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$364.75 |
$364.75 |
$729.76 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$434.25 |
$434.25 |
$948.72 |
$369.00
|
|
Mayo androstenedione
|
$148.00 |
$148.00 |
$294.02 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$217.50 |
$217.50 |
$695.40 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$621.25 |
$621.25 |
$1,245.91 |
$73.50
|
|
Mayo avwpr vw factor activity
|
$1,209.93 |
$1,209.93 |
$1,209.93 |
$171.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$364.50 |
$364.50 |
$1,460.93 |
$328.20
|
|
Mayo c1 esterase inhibitor
|
$101.50 |
$101.50 |
$204.14 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$297.97 |
$297.97 |
$297.97 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$378.50 |
$378.50 |
$759.94 |
$80.16
|
|
Mayo ceruloplasmin
|
$115.75 |
$115.75 |
$465.91 |
$68.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$5,555.98 |
$5,555.98 |
$5,555.98 |
$360.33
|
|
Mayo chromium
|
$414.50 |
$414.50 |
$831.83 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$250.53 |
$250.53 |
$250.53 |
$100.00
|
|
Mayo cortisol free
|
$368.50 |
$368.50 |
$737.69 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$254.74 |
$254.74 |
$254.74 |
$71.50
|
|
Mayo cyanide
|
$651.50 |
$651.50 |
$651.50 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$258.75 |
$258.75 |
$347.98 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$576.00 |
$576.00 |
$1,156.01 |
$105.60
|
|
Mayo efpo chloride stool
|
$98.00 |
$98.00 |
$198.85 |
$43.41
|
|
Mayo estriol
|
$346.75 |
$346.75 |
$695.40 |
$90.34
|
|
Mayo estrone
|
$364.75 |
$364.75 |
$729.76 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$399.75 |
$399.75 |
$803.27 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$1,173.97 |
$1,173.97 |
$1,173.97 |
$97.50
|
|
Mayo factor ii
|
$226.75 |
$226.75 |
$495.53 |
$99.06
|
|
Mayo factor v
|
$313.00 |
$313.00 |
$631.43 |
$127.80
|
|
Mayo factor vii
|
$313.00 |
$313.00 |
$631.43 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$378.10 |
$378.10 |
$378.10 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$222.00 |
$222.00 |
$524.06 |
$130.00
|
|
Mayo factor x
|
$243.00 |
$243.00 |
$530.92 |
$155.00
|
|
Mayo factor xi
|
$663.15 |
$663.15 |
$663.15 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$539.50 |
$539.50 |
$1,082.51 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$546.25 |
$546.25 |
$1,090.44 |
$105.60
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$634.59 |
$634.59 |
$634.59 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$3,882.52 |
$3,882.52 |
$3,882.52 |
$1,460.30
|
|
Mayo hemosiderin qualitative urine
|
$109.50 |
$109.50 |
$215.22 |
$33.57
|
|
Mayo hla typing a/b/c single antigen
|
$665.50 |
$665.50 |
$1,332.09 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$189.50 |
$189.50 |
$376.52 |
$74.25
|
|
Mayo hvdip HIV 2 antibody
|
$198.00 |
$198.00 |
$432.59 |
$77.77
|
|
Mayo hydroxyprogesterone 17-d
|
$476.25 |
$476.25 |
$476.25 |
$106.65
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$1,052.86 |
$1,052.86 |
$1,052.86 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$781.00 |
$781.00 |
$781.00 |
$196.20
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$502.00 |
$502.00 |
$1,005.30 |
$155.00
|
|
Mayo infliximab therapeutic drug level
|
$1,587.23 |
$1,587.23 |
$1,587.23 |
$150.40
|
|
Mayo inhab inhibin a
|
$324.00 |
$324.00 |
$708.07 |
$79.95
|
|
Mayo insft insulin free
|
$136.94 |
$136.94 |
$136.94 |
$55.00
|
|
Mayo insulin antibodies
|
$313.00 |
$313.00 |
$631.43 |
$97.80
|
|
Mayo iodine
|
$288.00 |
$288.00 |
$288.00 |
$114.60
|
|
Mayo lacosamide therapeutic drug level
|
$1,041.26 |
$1,041.26 |
$1,041.26 |
$104.00
|
|
Mayo lamotrigine therapeutic drug level
|
$1,085.15 |
$1,085.15 |
$1,085.15 |
$66.43
|
|
Mayo legionella antibody
|
$1,928.00 |
$1,928.00 |
$1,928.00 |
$72.89
|
|
Mayo leptospira antibody igm
|
$338.75 |
$338.75 |
$681.66 |
$81.06
|
|
Mayo lipoprotein electrophoresis
|
$552.00 |
$552.00 |
$1,107.36 |
$50.70
|
|
Mayo manganese
|
$215.21 |
$215.21 |
$215.21 |
$91.20
|
|
Mayo metanephrines plasma
|
$514.00 |
$514.00 |
$1,035.44 |
$122.40
|
|
Mayo methadone definitive assay confirmation urine
|
$323.36 |
$323.36 |
$323.36 |
$97.20
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$370.92 |
$370.92 |
$370.92 |
$70.56
|
|
Mayo molecular pathology procedure level 2 apoe genotype
|
$3,952.50 |
$3,952.50 |
$3,952.50 |
$435.00
|
|
Mayo muramidase
|
$233.25 |
$233.25 |
$465.91 |
$59.50
|
|
Mayo nickel
|
$497.08 |
$497.08 |
$497.08 |
$69.56
|
|
Mayo opatu opioid/analogs definitive assay 1 or 2
|
$542.98 |
$542.98 |
$542.98 |
$72.14
|
|
Mayo opatu oxycodone definitive assay
|
$320.06 |
$320.06 |
$320.06 |
$84.50
|
|
Mayo organic acids qualitative each specimen
|
$497.08 |
$497.08 |
$497.08 |
$112.50
|
|
Mayo oxalate 24 hour urine
|
$295.00 |
$295.00 |
$596.49 |
$67.14
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$857.25 |
$857.25 |
$1,863.03 |
$156.00
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$785.00 |
$785.00 |
$1,570.07 |
$177.60
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$75.50 |
$75.50 |
$154.95 |
$69.00
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$123.50 |
$123.50 |
$245.93 |
$48.00
|
|
Mayo pregnenolone
|
$593.50 |
$593.50 |
$1,190.38 |
$78.40
|
|
Mayo prmb primidone therapeutic drug level
|
$135.25 |
$135.25 |
$879.94 |
$66.43
|
|
Mayo proinsulin
|
$623.75 |
$623.75 |
$1,250.65 |
$97.50
|
|
Mayo psaft prostate specific antigen free
|
$194.65 |
$194.65 |
$261.00 |
$90.00
|
|
Mayo renin
|
$522.00 |
$522.00 |
$1,044.41 |
$102.60
|
|
Mayo serotonin
|
$1,320.50 |
$1,320.50 |
$2,647.29 |
$113.10
|
|
Mayo sirolimus therapeutic drug level
|
$816.25 |
$816.25 |
$1,643.57 |
$99.81
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$41.50 |
$41.50 |
$392.90 |
$48.75
|
|
Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification
|
$1,942.38 |
$1,942.38 |
$1,942.38 |
$507.60
|
