|
Mayo everolimus therapeutic drug level
|
$22.00 |
$22.00 |
$22.00 |
$86.90
|
|
Mayo factor vii
|
$37.50 |
$37.50 |
$37.50 |
$149.40
|
|
Mayo factor viii vw factor antigen
|
$106.50 |
$106.50 |
$106.50 |
$110.50
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$98.50 |
$98.50 |
$98.50 |
$133.25
|
|
Mayo factor x
|
$132.00 |
$132.00 |
$132.00 |
$155.00
|
|
Mayo factor xi
|
$131.00 |
$131.00 |
$131.00 |
$120.96
|
|
Mayo fbl culture fungi blood
|
$61.50 |
$61.50 |
$61.50 |
$99.80
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$34.00 |
$34.00 |
$34.00 |
$70.39
|
|
Mayo hvdip HIV 1 antibody
|
$65.50 |
$65.50 |
$65.50 |
$74.25
|
|
Mayo hydroxyprogesterone 17-d
|
$148.00 |
$148.00 |
$148.00 |
$98.15
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$67.00 |
$67.00 |
$67.00 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$78.00 |
$78.00 |
$78.00 |
$91.20
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$150.00 |
$150.00 |
$150.00 |
$170.95
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$201.50 |
$201.50 |
$201.50 |
$233.75
|
|
Mayo insulin antibodies
|
$117.50 |
$117.50 |
$117.50 |
$93.24
|
|
Mayo iodine
|
$84.00 |
$84.00 |
$84.00 |
$138.51
|
|
Mayo lacosamide therapeutic drug level
|
$42.50 |
$42.50 |
$42.50 |
$117.00
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$33.50 |
$33.50 |
$33.50 |
$57.20
|
|
Mayo lipoprotein electrophoresis
|
$54.50 |
$54.50 |
$54.50 |
$50.70
|
|
Mayo manganese
|
$169.00 |
$169.00 |
$169.00 |
$100.75
|
|
Mayo metanephrines plasma
|
$89.50 |
$89.50 |
$89.50 |
$111.10
|
|
Mayo microsomal antibody liver-kidney
|
$74.50 |
$74.50 |
$74.50 |
$90.60
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$175.50 |
$175.50 |
$175.50 |
$189.54
|
|
Mayo myoglobin
|
$60.00 |
$60.00 |
$60.00 |
$94.32
|
|
Mayo organic acid methylmalonic single quantitative
|
$89.50 |
$89.50 |
$89.50 |
$105.00
|
|
Mayo oxalate 24 hour urine
|
$28.50 |
$28.50 |
$28.50 |
$67.03
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$72.50 |
$72.50 |
$72.50 |
$163.35
|
|
Mayo parvs parvovirus b19 antibody igg
|
$82.00 |
$82.00 |
$82.00 |
$57.20
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$75.00 |
$75.00 |
$75.00 |
$211.90
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$108.00 |
$108.00 |
$108.00 |
$71.20
|
|
Mayo prmb primidone therapeutic drug level
|
$120.00 |
$120.00 |
$120.00 |
$71.20
|
|
Mayo renin
|
$67.00 |
$67.00 |
$67.00 |
$96.60
|
|
Mayo selenium
|
$133.50 |
$133.50 |
$133.50 |
$73.89
|
|
Mayo sirolimus therapeutic drug level
|
$29.00 |
$29.00 |
$29.00 |
$98.40
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$21.50 |
$21.50 |
$21.50 |
$48.57
|
|
Mayo tgrp testosterone free
|
$40.00 |
$40.00 |
$40.00 |
$96.05
|
|
Mayo tgrp testosterone total
|
$133.50 |
$133.50 |
$133.50 |
$139.34
|
|
Mayo vitamin b3 (niacin)
|
$99.50 |
$99.50 |
$99.50 |
$114.40
|
|
Metabolic Blood Panel (Basic)
|
$27.00 |
$27.00 |
$27.00 |
$117.15
|
|
Metabolic Blood Panel (Comprehensive)
|
$32.00 |
$32.00 |
$32.00 |
$158.26
|
|
Methotrexate therapeutic drug level
|
$48.50 |
$48.50 |
$48.50 |
$105.30
|
|
Mopath procedure level 3
|
$603.00 |
$603.00 |
$603.00 |
$360.47
|
|
Mopath procedure level 6
|
$283.00 |
$283.00 |
$283.00 |
$990.00
|
|
MRI orbit/face/neck without & w/contrast
|
$2,209.00 |
$2,209.00 |
$2,209.00 |
$2,680.00
|
|
MRI orbit fac&nck w IV cont
|
$1,382.50 |
$1,382.50 |
$1,382.50 |
$2,132.13
|
|
Mucopolysaccharides
|
$129.50 |
$129.50 |
$129.50 |
$211.20
|
|
Multi family grp psychotherapy
|
$137.50 |
$137.50 |
$137.50 |
$213.27
|
|
Mumps antibody igg
|
$70.00 |
$70.00 |
$70.00 |
$81.45
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$56.50 |
$56.50 |
$56.50 |
$136.50
|
|
Natriuretic peptide
|
$183.50 |
$183.50 |
$183.50 |
$176.15
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$820.50 |
$820.50 |
$820.50 |
$1,532.70
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$2,103.00 |
$2,103.00 |
$2,103.00 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$1,646.50 |
$1,646.50 |
$1,646.50 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$1,200.50 |
$1,200.50 |
$1,200.50 |
$1,996.80
|
|
Nerobehav stas exam by psy/md f2f 1st hr
|
$444.50 |
$444.50 |
$444.50 |
$465.99
|
|
Nerobehav stas exam phys/qhp f2f ea l hr
|
$200.00 |
$200.00 |
$200.00 |
$268.50
|
|
New Patient Office Visit (level 2)
|
$255.50 |
$255.50 |
$255.50 |
$164.65
|
|
New Patient Office Visit (level 3)
|
$300.50 |
$300.50 |
$300.50 |
$211.90
|
|
New Patient Office Visit (level 4)
|
$413.50 |
$413.50 |
$413.50 |
$289.60
|
|
New Patient Office Visit (level 5)
|
$488.50 |
$488.50 |
$488.50 |
$367.20
|
|
Nm imaging gastric emptying study
|
$1,007.50 |
$1,007.50 |
$1,007.50 |
$1,448.15
|
|
Npsy fam hlth interv ea addl 15 min
|
$76.50 |
$76.50 |
$76.50 |
$84.15
|
|
Npsy grp hlth intrv ea addl 15 min
|
$61.50 |
$61.50 |
$61.50 |
$52.38
|
|
Npsy indiv hlth intrv ea addl 15 min
|
$64.00 |
$64.00 |
$64.00 |
$89.09
|
|
Npsy tst eval phsy/qhp 1st hr
|
$270.50 |
$270.50 |
$270.50 |
$407.40
|
|
Npsy tst eval phsy/qhp ea l hr
|
$260.00 |
$260.00 |
$260.00 |
$244.95
|
|
Nursing facility discharge management > 30 min 99316
|
$115.50 |
$115.50 |
$115.50 |
$201.60
|
|
Nursing facility discharge management 30 min/less than 99315
|
$75.00 |
$75.00 |
$75.00 |
$129.35
|
|
Organic acids total quant ea spec
|
$87.50 |
$87.50 |
$87.50 |
$150.70
|
|
Oscillation chest wall mechanical per session
|
$199.00 |
$199.00 |
$199.00 |
$203.40
|
|
Osmolality blood
|
$55.50 |
$55.50 |
$55.50 |
$67.00
|
|
Osmolality urine
|
$63.00 |
$63.00 |
$63.00 |
$66.13
|
|
Ot evaluation high complexity patient/family
|
$412.50 |
$412.50 |
$412.50 |
$303.20
|
|
Ot evaluation low complexity patient/family
|
$299.00 |
$299.00 |
$299.00 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$396.00 |
$396.00 |
$396.00 |
$270.58
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$90.00 |
$90.00 |
$90.00 |
$103.37
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$68.50 |
$68.50 |
$68.50 |
$107.71
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$68.50 |
$68.50 |
$68.50 |
$109.90
|
|
Ot re-evaluation patient/family
|
$295.50 |
$295.50 |
$295.50 |
$174.00
|
|
Ot therapeutic activities direct patient contact each 15 minutes
|
$76.50 |
$76.50 |
$76.50 |
$100.75
|
|
Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes
|
$40.50 |
$40.50 |
$40.50 |
$87.00
|
|
Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes
|
$71.00 |
$71.00 |
$71.00 |
$91.80
|
|
Ot therapeutic procedure >=1 area therapeutic exercise each 15 minutes
|
$68.50 |
$68.50 |
$68.50 |
$98.40
|
|
Ot therapeutic procedure neuromuscular reeducate each 15 minutes
|
$70.00 |
$70.00 |
$70.00 |
$100.10
|
|
Ot training self care/home management direct contact each 15 minutes
|
$68.50 |
$68.50 |
$68.50 |
$94.25
|
|
Parathormone (pth) intact
|
$215.50 |
$215.50 |
$215.50 |
$200.23
|
|
Pelvic CT scan (with and without contrast)
|
$1,208.50 |
$1,208.50 |
$1,208.50 |
$1,945.13
|
|
Pelvic CT scan (with contrast)
|
$1,077.50 |
$1,077.50 |
$1,077.50 |
$1,710.75
|
|
Pelvic CT scan (without contrast)
|
$820.50 |
$820.50 |
$820.50 |
$1,369.55
|
|
Pelvic Ultrasound (complete)
|
$363.00 |
$363.00 |
$363.00 |
$643.80
|
|
Ph body fluid
|
$28.50 |
$28.50 |
$28.50 |
$38.97
|
|
Phenobarbital therapeutic drug level
|
$75.50 |
$75.50 |
$75.50 |
$105.06
|
|
Phenytoin total therapeutic drug level
|
$79.50 |
$79.50 |
$79.50 |
$111.27
|
|
Phosphorus
|
$21.50 |
$21.50 |
$21.50 |
$48.80
|
|
Phosphorus 24 hour urine
|
$41.00 |
$41.00 |
$41.00 |
$42.81
|
|
Pinworm exam
|
$29.50 |
$29.50 |
$29.50 |
$40.00
|
|
Platelet aggregation each agent teg
|
$146.50 |
$146.50 |
$146.50 |
$148.98
|
|
Platelet automated
|
$20.50 |
$20.50 |
$20.50 |
$44.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$110.00 |
$110.00 |
$110.00 |
$165.76
|
|
Potassium 24 hour urine
|
$39.00 |
$39.00 |
$39.00 |
$50.10
|