|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,699.20 |
$1,699.20 |
$1,699.20 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$208.80 |
$208.80 |
$208.80 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$339.00 |
$339.00 |
$339.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$202.80 |
$202.80 |
$202.80 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$179.40 |
$179.40 |
$179.40 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$761.40 |
$761.40 |
$761.40 |
$364.77
|
|
Lung Function Test Before and After an Inhaler
|
$322.80 |
$322.80 |
$322.80 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$163.80 |
$163.80 |
$163.80 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$199.80 |
$199.80 |
$199.80 |
$296.91
|
|
Lung perfusion imaging
|
$456.60 |
$456.60 |
$456.60 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$380.40 |
$380.40 |
$380.40 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$175.20 |
$175.20 |
$175.20 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$769.20 |
$769.20 |
$769.20 |
$1,491.70
|
|
Lymphocyte culture mixed
|
$1,551.00 |
$1,551.00 |
$1,551.00 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$630.00 |
$630.00 |
$630.00 |
$271.88
|
|
Macroscopic exam arthropod
|
$124.80 |
$124.80 |
$124.80 |
$38.58
|
|
Macroscopic exam parasite
|
$51.00 |
$51.00 |
$51.00 |
$37.05
|
|
Magnesium
|
$85.20 |
$85.20 |
$85.20 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$268.20 |
$268.20 |
$268.20 |
$58.70
|
|
Mannitol 12.5 gm/50 ml inj
|
$85.20 |
$85.20 |
$85.20 |
$26.29
|
|
Map tachycard site(s)
|
$2,094.60 |
$2,094.60 |
$2,094.60 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$91.20 |
$91.20 |
$91.20 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,213.80 |
$1,213.80 |
$1,213.80 |
$1,451.30
|
|
Mastoids complete
|
$483.60 |
$483.60 |
$483.60 |
$299.50
|
|
M.avium-intra dna amp prob
|
$471.60 |
$471.60 |
$471.60 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$181.20 |
$181.20 |
$181.20 |
$65.28
|
|
Mayo aathr protein s free
|
$366.60 |
$366.60 |
$366.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$253.20 |
$253.20 |
$253.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$189.00 |
$189.00 |
$189.00 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$78.00 |
$78.00 |
$78.00 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$132.60 |
$132.60 |
$132.60 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$113.40 |
$113.40 |
$113.40 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$1,148.40 |
$1,148.40 |
$1,148.40 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,608.60 |
$1,608.60 |
$1,608.60 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$2,430.60 |
$2,430.60 |
$2,430.60 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$13,330.80 |
$13,330.80 |
$13,330.80 |
$1,860.00
|
|
Mayo androstenedione
|
$398.40 |
$398.40 |
$398.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$172.80 |
$172.80 |
$172.80 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$146.40 |
$146.40 |
$146.40 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$45.60 |
$45.60 |
$45.60 |
$67.20
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$457.20 |
$457.20 |
$457.20 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$87.60 |
$87.60 |
$87.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$964.80 |
$964.80 |
$964.80 |
$333.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$175.20 |
$175.20 |
$175.20 |
$56.00
|
|
Mayo bordetella pertussis antibody igg
|
$58.20 |
$58.20 |
$58.20 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$21.60 |
$21.60 |
$21.60 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$67.80 |
$67.80 |
$67.80 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$222.60 |
$222.60 |
$222.60 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$351.00 |
$351.00 |
$351.00 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$472.80 |
$472.80 |
$472.80 |
$283.40
|
|
Mayo ceruloplasmin
|
$93.00 |
$93.00 |
$93.00 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$294.60 |
$294.60 |
$294.60 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$250.20 |
$250.20 |
$250.20 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$166.80 |
$166.80 |
$166.80 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$166.80 |
$166.80 |
$166.80 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$600.00 |
$600.00 |
$600.00 |
$366.94
|
|
Mayo chromium
|
$87.00 |
$87.00 |
$87.00 |
$75.60
|
|
Mayo coccidioides antibody
|
$175.20 |
$175.20 |
$175.20 |
$54.00
|
|
Mayo cocou cortisone urine
|
$178.80 |
$178.80 |
$178.80 |
$216.00
|
|
Mayo cortisol free
|
$277.20 |
$277.20 |
$277.20 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$123.00 |
$123.00 |
$123.00 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$171.00 |
$171.00 |
$171.00 |
$58.20
|
|
Mayo cyanide
|
$265.80 |
$265.80 |
$265.80 |
$87.60
|
|
Mayo deoxyribonuclease antibody titer
|
$116.40 |
$116.40 |
$116.40 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$272.40 |
$272.40 |
$272.40 |
$106.47
|
|
Mayo dihydrotestosterone
|
$266.40 |
$266.40 |
$266.40 |
$78.00
|
|
Mayo efpo chloride stool
|
$66.60 |
$66.60 |
$66.60 |
$44.20
|
|
Mayo estriol
|
$128.40 |
$128.40 |
$128.40 |
$90.35
|
|
Mayo estrone
|
$309.60 |
$309.60 |
$309.60 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$143.40 |
$143.40 |
$143.40 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$120.00 |
$120.00 |
$120.00 |
$97.50
|
|
Mayo factor ii
|
$54.00 |
$54.00 |
$54.00 |
$99.06
|
|
Mayo factor vii
|
$338.40 |
$338.40 |
$338.40 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$163.20 |
$163.20 |
$163.20 |
$128.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$163.20 |
$163.20 |
$163.20 |
$130.20
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$163.20 |
$163.20 |
$163.20 |
$141.30
|
|
Mayo factor x
|
$338.40 |
$338.40 |
$338.40 |
$155.00
|
|
Mayo factor xi
|
$338.40 |
$338.40 |
$338.40 |
$123.75
|
|
Mayo fat/lipids feces quantitative
|
$246.60 |
$246.60 |
$246.60 |
$76.05
|
|
Mayo ffspg allergen clam igg
|
$51.00 |
$51.00 |
$51.00 |
$35.10
|
|
Mayo fibrinogen antigen
|
$120.00 |
$120.00 |
$120.00 |
$76.44
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$241.80 |
$241.80 |
$241.80 |
$65.86
|
|
Mayo gamma-globin full gene sequencing
|
$9,247.80 |
$9,247.80 |
$9,247.80 |
$1,519.25
|
|
Mayo hemosiderin qualitative urine
|
$91.80 |
$91.80 |
$91.80 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$440.40 |
$440.40 |
$440.40 |
$165.60
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$504.00 |
$504.00 |
$504.00 |
$122.82
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$205.80 |
$205.80 |
$205.80 |
$52.80
|
|
Mayo hla typing a/b/c single antigen
|
$292.20 |
$292.20 |
$292.20 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$130.80 |
$130.80 |
$130.80 |
$75.40
|
|
Mayo hvdip HIV 2 antibody
|
$144.00 |
$144.00 |
$144.00 |
$78.50
|
|
Mayo hydroxyprogesterone 17-d
|
$274.20 |
$274.20 |
$274.20 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$136.80 |
$136.80 |
$136.80 |
$210.80
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$468.00 |
$468.00 |
$468.00 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$208.20 |
$208.20 |
$208.20 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$134.40 |
$134.40 |
$134.40 |
$108.96
|
|
Mayo inf agt nucleic acid amp prb helicobacter pylori clarithromycin resistance
|
$978.60 |
$978.60 |
$978.60 |
$98.00
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$292.20 |
$292.20 |
$292.20 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$148.80 |
$148.80 |
$148.80 |
$109.08
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$450.60 |
$450.60 |
$450.60 |
$196.56
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$457.20 |
$457.20 |
$457.20 |
$85.80
|
