|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,166.00 |
$1,166.00 |
$1,166.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$965.20 |
$965.20 |
$965.20 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$201.60 |
$201.60 |
$201.60 |
$356.16
|
|
Lumbar diskogram s&i
|
$1,360.00 |
$1,360.00 |
$1,360.00 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$144.00 |
$144.00 |
$144.00 |
$295.35
|
|
Lung perfusion imaging
|
$796.80 |
$796.80 |
$796.80 |
$1,059.97
|
|
Lutetium lu 177 dotatat ther
|
$383.23 |
$383.23 |
$383.23 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$261.61 |
$261.61 |
$261.61 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$791.20 |
$791.20 |
$791.20 |
$1,463.22
|
|
Macro exam dissect molec study ea
|
$29.20 |
$29.20 |
$29.20 |
$67.08
|
|
Macroscopic exam arthropod
|
$52.40 |
$52.40 |
$52.40 |
$38.58
|
|
Macroscopic exam parasite
|
$36.00 |
$36.00 |
$36.00 |
$36.55
|
|
Magnesium
|
$60.40 |
$60.40 |
$60.40 |
$72.50
|
|
Magnetic image bone marrow
|
$430.80 |
$430.80 |
$430.80 |
$1,302.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$137.20 |
$137.20 |
$137.20 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$160.80 |
$160.80 |
$160.80 |
$160.80
|
|
Mapping functional cort/subcort ea add'l hr
|
$322.80 |
$322.80 |
$322.80 |
$636.50
|
|
Map tachycard site(s)
|
$2,962.00 |
$2,962.00 |
$2,962.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$1,008.00 |
$1,008.00 |
$1,008.00 |
$1,451.30
|
|
Mastectomy form
|
$147.00 |
$147.00 |
$147.00 |
$235.20
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$78.00 |
$78.00 |
$78.00 |
$65.00
|
|
Mayo aathr protein s free
|
$113.20 |
$113.20 |
$113.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$102.80 |
$102.80 |
$102.80 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$67.60 |
$67.60 |
$67.60 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$106.00 |
$106.00 |
$106.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$85.20 |
$85.20 |
$85.20 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$52.00 |
$52.00 |
$52.00 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$175.00 |
$175.00 |
$175.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,135.20 |
$1,135.20 |
$1,135.20 |
$369.00
|
|
Mayo androstenedione
|
$76.00 |
$76.00 |
$76.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$16.00 |
$16.00 |
$16.00 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$62.40 |
$62.40 |
$62.40 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$71.60 |
$71.60 |
$71.60 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$212.80 |
$212.80 |
$212.80 |
$171.50
|
|
Mayo bart bartonella henselae antibody igg
|
$61.60 |
$61.60 |
$61.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$723.20 |
$723.20 |
$723.20 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$51.60 |
$51.60 |
$51.60 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$69.20 |
$69.20 |
$69.20 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$52.40 |
$52.40 |
$52.40 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$180.40 |
$180.40 |
$180.40 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$105.20 |
$105.20 |
$105.20 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$41.20 |
$41.20 |
$41.20 |
$110.00
|
|
Mayo ceruloplasmin
|
$17.60 |
$17.60 |
$17.60 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$183.60 |
$183.60 |
$183.60 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$252.80 |
$252.80 |
$252.80 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$54.80 |
$54.80 |
$54.80 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$287.20 |
$287.20 |
$287.20 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$581.60 |
$581.60 |
$581.60 |
$360.33
|
|
Mayo chromium
|
$86.40 |
$86.40 |
$86.40 |
$74.94
|
|
Mayo coccidioides antibody
|
$54.80 |
$54.80 |
$54.80 |
$53.90
|
|
Mayo cocou cortisone urine
|
$400.00 |
$400.00 |
$400.00 |
$213.92
|
|
Mayo cortisol free
|
$108.40 |
$108.40 |
$108.40 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.00 |
$42.00 |
$42.00 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$57.20 |
$57.20 |
$57.20 |
$58.10
|
|
Mayo cyanide
|
$311.20 |
$311.20 |
$311.20 |
$87.50
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$379.60 |
$379.60 |
$379.60 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$63.60 |
$63.60 |
$63.60 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$21.60 |
$21.60 |
$21.60 |
$105.60
|
|
Mayo dihydrotestosterone
|
$45.20 |
$45.20 |
$45.20 |
$74.25
|
|
Mayo efpo chloride stool
|
$30.00 |
$30.00 |
$30.00 |
$43.41
|
|
Mayo estriol
|
$99.60 |
$99.60 |
$99.60 |
$90.34
|
|
Mayo estrone
|
$70.40 |
$70.40 |
$70.40 |
$85.00
|
|
Mayo everolimus therapeutic drug level
|
$259.60 |
$259.60 |
$259.60 |
$97.50
|
|
Mayo factor ii
|
$195.60 |
$195.60 |
$195.60 |
$99.06
|
|
Mayo factor v
|
$117.20 |
$117.20 |
$117.20 |
$127.80
|
|
Mayo factor vii
|
$136.80 |
$136.80 |
$136.80 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$171.20 |
$171.20 |
$171.20 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$300.00 |
$300.00 |
$300.00 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$171.20 |
$171.20 |
$171.20 |
$141.00
|
|
Mayo factor x
|
$171.20 |
$171.20 |
$171.20 |
$155.00
|
|
Mayo factor xi
|
$154.40 |
$154.40 |
$154.40 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$50.40 |
$50.40 |
$50.40 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$138.80 |
$138.80 |
$138.80 |
$105.60
|
|
Mayo fdp/fsp paracoagulation
|
$37.20 |
$37.20 |
$37.20 |
$124.80
|
|
Mayo ffspg allergen clam igg
|
$15.60 |
$15.60 |
$15.60 |
$35.10
|
|
Mayo fibrinogen antigen
|
$45.60 |
$45.60 |
$45.60 |
$76.44
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$46.80 |
$46.80 |
$46.80 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$1,637.20 |
$1,637.20 |
$1,637.20 |
$1,460.30
|
|
Mayo hemosiderin qualitative urine
|
$101.60 |
$101.60 |
$101.60 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$329.60 |
$329.60 |
$329.60 |
$165.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$57.20 |
$57.20 |
$57.20 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$122.80 |
$122.80 |
$122.80 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$88.00 |
$88.00 |
$88.00 |
$74.25
|
|
Mayo hvdip HIV 2 antibody
|
$88.00 |
$88.00 |
$88.00 |
$77.77
|
|
Mayo hydroxyprogesterone 17-d
|
$52.00 |
$52.00 |
$52.00 |
$106.65
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$333.20 |
$333.20 |
$333.20 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$100.80 |
$100.80 |
$100.80 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$91.60 |
$91.60 |
$91.60 |
$107.14
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$151.20 |
$151.20 |
$151.20 |
$108.96
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$129.20 |
$129.20 |
$129.20 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$278.80 |
$278.80 |
$278.80 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$553.60 |
$553.60 |
$553.60 |
$196.20
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$22.40 |
$22.40 |
$22.40 |
$82.83
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$85.20 |
$85.20 |
$85.20 |
$155.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$254.40 |
$254.40 |
$254.40 |
$230.65
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$151.60 |
$151.60 |
$151.60 |
$226.20
|
|
Mayo infliximab therapeutic drug level
|
$120.00 |
$120.00 |
$120.00 |
$150.40
|
|
Mayo inhab inhibin a
|
$341.60 |
$341.60 |
$341.60 |
$79.95
|
