|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,076.00 |
$2,076.00 |
$2,076.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,398.24 |
$1,398.24 |
$1,398.24 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$220.31 |
$220.31 |
$220.31 |
$356.16
|
|
Lsh uterus 250 g or less
|
$1,122.24 |
$1,122.24 |
$1,122.24 |
$11,378.21
|
|
Lsh w/t/o ut 250 g or less
|
$1,273.44 |
$1,273.44 |
$1,273.44 |
$7,961.97
|
|
Lung function test (mbc/mvv)
|
$62.58 |
$62.58 |
$62.58 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$281.76 |
$281.76 |
$281.76 |
$295.35
|
|
Lung perfusion imaging
|
$273.12 |
$273.12 |
$273.12 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$17,954.88 |
$17,954.88 |
$17,954.88 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$26,759.11 |
$26,759.11 |
$26,759.11 |
$22,210.87
|
|
Lymphatics/lymph node imaging
|
$581.28 |
$581.28 |
$581.28 |
$1,463.22
|
|
Lysis of labial adhesions
|
$283.20 |
$283.20 |
$283.20 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$394.08 |
$394.08 |
$394.08 |
$3,274.00
|
|
Macroscopic exam parasite
|
$30.02 |
$30.02 |
$30.02 |
$36.55
|
|
Magnesium
|
$30.02 |
$30.02 |
$30.02 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$53.46 |
$53.46 |
$53.46 |
$59.88
|
|
Makena, 10 mg
|
$1,931.04 |
$1,931.04 |
$1,931.04 |
$1,405.80
|
|
Male sling procedure
|
$1,144.80 |
$1,144.80 |
$1,144.80 |
$8,465.18
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$81.41 |
$81.41 |
$81.41 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$117.53 |
$117.53 |
$117.53 |
$160.80
|
|
Manipulat palm cord post inj
|
$181.44 |
$181.44 |
$181.44 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$61.36 |
$61.36 |
$61.36 |
$30.75
|
|
Mapping io sentinel lymph node
|
$208.32 |
$208.32 |
$208.32 |
$650.00
|
|
Mastectomy partial
|
$1,014.24 |
$1,014.24 |
$1,014.24 |
$4,531.42
|
|
Mast mod rad
|
$1,809.12 |
$1,809.12 |
$1,809.12 |
$7,127.17
|
|
Mastoids complete
|
$231.50 |
$231.50 |
$231.50 |
$299.50
|
|
Mastopexy
|
$1,214.40 |
$1,214.40 |
$1,214.40 |
$6,591.20
|
|
Mast simple complete
|
$1,469.76 |
$1,469.76 |
$1,469.76 |
$6,174.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$108.37 |
$108.37 |
$108.37 |
$65.00
|
|
Mayo aathr protein s free
|
$48.34 |
$48.34 |
$48.34 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$56.99 |
$56.99 |
$56.99 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$75.80 |
$75.80 |
$75.80 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$218.33 |
$218.33 |
$218.33 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$122.62 |
$122.62 |
$122.62 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$66.14 |
$66.14 |
$66.14 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$16.28 |
$16.28 |
$16.28 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$72.76 |
$72.76 |
$72.76 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$29.64 |
$29.64 |
$29.64 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$233.54 |
$233.54 |
$233.54 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$39.18 |
$39.18 |
$39.18 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$239.03 |
$239.03 |
$239.03 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$227.43 |
$227.43 |
$227.43 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$261.60 |
$261.60 |
$261.60 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,253.76 |
$1,253.76 |
$1,253.76 |
$1,860.00
|
|
Mayo androstenedione
|
$143.99 |
$143.99 |
$143.99 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$38.67 |
$38.67 |
$38.67 |
$73.60
|
|
Mayo aspergillus fumigatus antibody
|
$25.44 |
$25.44 |
$25.44 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$143.99 |
$143.99 |
$143.99 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$6.00 |
$6.00 |
$6.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$55.97 |
$55.97 |
$55.97 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$385.44 |
$385.44 |
$385.44 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$421.92 |
$421.92 |
$421.92 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$25.35 |
$25.35 |
$25.35 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$27.98 |
$27.98 |
$27.98 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$17.04 |
$17.04 |
$17.04 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$91.58 |
$91.58 |
$91.58 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$6.00 |
$6.00 |
$6.00 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$29.51 |
$29.51 |
$29.51 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$55.46 |
$55.46 |
$55.46 |
$110.00
|
|
Mayo ceruloplasmin
|
$45.28 |
$45.28 |
$45.28 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$66.65 |
$66.65 |
$66.65 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$38.67 |
$38.67 |
$38.67 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$13.74 |
$13.74 |
$13.74 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$13.74 |
$13.74 |
$13.74 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$79.37 |
$79.37 |
$79.37 |
$360.33
|
|
Mayo chromium
|
$98.71 |
$98.71 |
$98.71 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$6.00 |
$6.00 |
$6.00 |
$100.00
|
|
Mayo coccidioides antibody
|
$29.51 |
$29.51 |
$29.51 |
$53.90
|
|
Mayo cocou cortisone urine
|
$79.37 |
$79.37 |
$79.37 |
$213.92
|
|
Mayo cortisol free
|
$169.94 |
$169.94 |
$169.94 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$163.77 |
$163.77 |
$163.77 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$23.13 |
$23.13 |
$23.13 |
$58.10
|
|
Mayo cyanide
|
$52.92 |
$52.92 |
$52.92 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$67.16 |
$67.16 |
$67.16 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$95.15 |
$95.15 |
$95.15 |
$105.60
|
|
Mayo dihydrotestosterone
|
$63.93 |
$63.93 |
$63.93 |
$74.25
|
|
Mayo estriol
|
$58.00 |
$58.00 |
$58.00 |
$90.34
|
|
Mayo estrone
|
$34.60 |
$34.60 |
$34.60 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$89.55 |
$89.55 |
$89.55 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$35.62 |
$35.62 |
$35.62 |
$97.50
|
|
Mayo factor ii
|
$68.18 |
$68.18 |
$68.18 |
$99.06
|
|
Mayo factor vii
|
$35.18 |
$35.18 |
$35.18 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$176.04 |
$176.04 |
$176.04 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$89.04 |
$89.04 |
$89.04 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$153.66 |
$153.66 |
$153.66 |
$141.00
|
|
Mayo factor x
|
$39.69 |
$39.69 |
$39.69 |
$155.00
|
|
Mayo factor xi
|
$112.95 |
$112.95 |
$112.95 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$73.27 |
$73.27 |
$73.27 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$32.56 |
$32.56 |
$32.56 |
$105.60
|
|
Mayo ffspg allergen clam igg
|
$43.25 |
$43.25 |
$43.25 |
$35.10
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$72.25 |
$72.25 |
$72.25 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$255.84 |
$255.84 |
$255.84 |
$1,460.30
|
|
Mayo hemosiderin qualitative urine
|
$18.83 |
$18.83 |
$18.83 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$259.68 |
$259.68 |
$259.68 |
$165.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$79.37 |
$79.37 |
$79.37 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$76.32 |
$76.32 |
$76.32 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$45.79 |
$45.79 |
$45.79 |
$74.25
|
|
Mayo hvdip HIV 2 antibody
|
$31.04 |
$31.04 |
$31.04 |
$77.77
|
|
Mayo hydroxyprogesterone 17-d
|
$40.20 |
$40.20 |
$40.20 |
$106.65
|
