|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,897.00 |
$3,897.00 |
$3,897.00 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,703.00 |
$3,703.00 |
$3,703.00 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,020.00 |
$3,020.00 |
$3,020.00 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,443.00 |
$5,443.00 |
$5,443.00 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,031.00 |
$4,031.00 |
$4,031.00 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,003.00 |
$4,003.00 |
$4,003.00 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$41.00 |
$41.00 |
$517.00 |
$328.23
|
|
L/s ratio fetal lung
|
$276.00 |
$276.00 |
$276.00 |
$173.55
|
|
Lumbar diskogram s&i
|
$105.00 |
$105.00 |
$3,439.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$204.00 |
$204.00 |
$204.00 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$389.00 |
$389.00 |
$389.00 |
$290.89
|
|
Lung perfusion imaging
|
$1,448.00 |
$1,448.00 |
$1,448.00 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$1,330.00
|
|
Macroscopic exam arthropod
|
$53.00 |
$53.00 |
$53.00 |
$38.50
|
|
Macroscopic exam parasite
|
$53.00 |
$53.00 |
$53.00 |
$35.98
|
|
Magnesium
|
$38.00 |
$38.00 |
$113.00 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$94.50 |
$94.50 |
$94.50 |
$39.81
|
|
Manipulate wrist w/anesthes
|
$2,341.00 |
$2,341.00 |
$2,341.00 |
$1,998.19
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$144.00 |
$144.00 |
$144.00 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$170.00 |
$170.00 |
$170.00 |
$147.72
|
|
Mastoids complete
|
$63.00 |
$63.00 |
$63.00 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$60.00 |
$60.00 |
$131.00 |
$76.70
|
|
Mayo aathr protein s free
|
$214.00 |
$214.00 |
$214.00 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$84.00 |
$84.00 |
$84.00 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$339.00 |
$339.00 |
$339.00 |
$172.80
|
|
Mayo alkaline phosphatase isoenzyme
|
$133.00 |
$133.00 |
$133.00 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$60.00 |
$60.00 |
$152.00 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$176.00 |
$176.00 |
$176.00 |
$112.89
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$68.00 |
$68.00 |
$68.00 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$914.00 |
$914.00 |
$914.00 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$698.00 |
$698.00 |
$698.00 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$638.00 |
$638.00 |
$638.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,368.00 |
$2,368.00 |
$2,368.00 |
$1,922.13
|
|
Mayo androstenedione
|
$79.00 |
$79.00 |
$179.00 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$69.00 |
$69.00 |
$137.00 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$160.00 |
$160.00 |
$160.00 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$140.00 |
$140.00 |
$140.00 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$159.00 |
$159.00 |
$159.00 |
$159.66
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$193.00 |
$193.00 |
$193.00 |
$147.20
|
|
Mayo barbiturates definitive assay confirmation urine
|
$120.00 |
$120.00 |
$120.00 |
$80.39
|
|
Mayo bart bartonella henselae antibody igg
|
$70.00 |
$70.00 |
$70.00 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$693.00 |
$693.00 |
$693.00 |
$364.90
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$521.00 |
$521.00 |
$521.00 |
$381.55
|
|
Mayo blastomyces antibody immunodiffusion
|
$149.00 |
$149.00 |
$149.00 |
$67.60
|
|
Mayo bordetella pertussis antibody igg
|
$123.00 |
$123.00 |
$123.00 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$129.00 |
$129.00 |
$129.00 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$234.00 |
$234.00 |
$234.00 |
$124.80
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$84.00 |
$84.00 |
$84.00 |
$84.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$139.00 |
$139.00 |
$139.00 |
$104.55
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$141.00 |
$141.00 |
$141.00 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$445.00 |
$445.00 |
$445.00 |
$274.40
|
|
Mayo ceruloplasmin
|
$58.00 |
$58.00 |
$116.00 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$63.00 |
$63.00 |
$267.00 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$155.00 |
$155.00 |
$155.00 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$90.00 |
$90.00 |
$90.00 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$103.00 |
$103.00 |
$103.00 |
$54.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$547.00 |
$547.00 |
$547.00 |
$380.40
|
|
Mayo chromium
|
$116.00 |
$116.00 |
$116.00 |
$89.25
|
|
Mayo cocaine definitive assay confirmation urine
|
$140.00 |
$140.00 |
$140.00 |
$89.00
|
|
Mayo coccidioides antibody
|
$102.00 |
$102.00 |
$102.00 |
$61.10
|
|
Mayo cocou cortisone urine
|
$369.00 |
$369.00 |
$369.00 |
$222.62
|
|
Mayo cortisol free
|
$92.00 |
$92.00 |
$92.00 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$110.00 |
$110.00 |
$110.00 |
$77.63
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$113.00 |
$113.00 |
$113.00 |
$67.80
|
|
Mayo cyanide
|
$132.00 |
$132.00 |
$132.00 |
$98.40
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$753.00 |
$753.00 |
$753.00 |
$780.00
|
|
Mayo deoxyribonuclease antibody titer
|
$127.00 |
$127.00 |
$127.00 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$88.00 |
$88.00 |
$104.00 |
$113.10
|
|
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid
|
$497.00 |
$497.00 |
$497.00 |
$130.01
|
|
Mayo efpo chloride stool
|
$68.00 |
$68.00 |
$68.00 |
$45.00
|
|
Mayo estriol
|
$79.00 |
$79.00 |
$133.00 |
$102.50
|
|
Mayo estrone
|
$113.00 |
$113.00 |
$137.00 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$107.00 |
$107.00 |
$107.00 |
$81.60
|
|
Mayo everolimus therapeutic drug level
|
$340.00 |
$340.00 |
$340.00 |
$107.00
|
|
Mayo factor ii
|
$146.00 |
$146.00 |
$146.00 |
$96.76
|
|
Mayo factor v
|
$184.00 |
$184.00 |
$184.00 |
$119.60
|
|
Mayo factor vii
|
$192.00 |
$192.00 |
$192.00 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$126.00 |
$126.00 |
$126.00 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$126.00 |
$126.00 |
$126.00 |
$147.63
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$126.00 |
$126.00 |
$126.00 |
$133.25
|
|
Mayo factor x
|
$203.00 |
$203.00 |
$203.00 |
$130.65
|
|
Mayo factor xi
|
$203.00 |
$203.00 |
$203.00 |
$120.96
|
|
Mayo fat/lipids feces quantitative
|
$164.00 |
$164.00 |
$164.00 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$139.00 |
$139.00 |
$139.00 |
$91.65
|
|
Mayo ffspg allergen clam igg
|
$16.80 |
$16.80 |
$16.80 |
$37.05
|
|
Mayo fibrinogen antigen
|
$159.00 |
$159.00 |
$159.00 |
$91.20
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$113.00 |
$113.00 |
$113.00 |
$80.00
|
|
Mayo hemosiderin qualitative urine
|
$41.00 |
$41.00 |
$41.00 |
$38.35
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$194.00 |
$194.00 |
$194.00 |
$170.57
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$75.00 |
$75.00 |
$75.00 |
$61.75
|
|
Mayo hla typing a/b/c single antigen
|
$131.00 |
$131.00 |
$142.00 |
$142.00
|
|
Mayo hvdip HIV 1 antibody
|
$78.00 |
$78.00 |
$110.00 |
$69.60
|
|
Mayo hydroxyprogesterone 17-d
|
$63.00 |
$63.00 |
$93.00 |
$120.75
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$68.00 |
$68.00 |
$416.00 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$47.00 |
$47.00 |
$174.00 |
$83.40
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$97.00 |
$97.00 |
$217.00 |
$117.20
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$243.00 |
$243.00 |
$243.00 |
$120.71
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$49.00 |
$49.00 |
$87.00 |
$76.20
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$248.00 |
$248.00 |
$248.00 |
$129.60
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$179.00 |
$179.00 |
$179.00 |
$88.00
|
