|
Liver Function Test
|
$321.00 |
$321.00 |
$321.00 |
$115.44
|
|
Liver/spleen imag static only
|
$786.60 |
$786.60 |
$786.60 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$51.60 |
$51.60 |
$51.60 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$416.40 |
$416.40 |
$416.40 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$330.40 |
$330.40 |
$330.40 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$772.80 |
$772.80 |
$772.80 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,637.60 |
$2,637.60 |
$2,637.60 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,052.60 |
$2,052.60 |
$2,052.60 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,906.80 |
$1,906.80 |
$1,906.80 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,536.20 |
$2,536.20 |
$2,536.20 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,546.80 |
$1,546.80 |
$1,546.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,623.00 |
$1,623.00 |
$1,623.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$438.00 |
$438.00 |
$438.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$637.80 |
$637.80 |
$637.80 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$852.00 |
$852.00 |
$852.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$293.40 |
$293.40 |
$293.40 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$347.40 |
$347.40 |
$347.40 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$99.00 |
$99.00 |
$99.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$150.00 |
$150.00 |
$150.00 |
$296.91
|
|
Lung perfusion imaging
|
$795.00 |
$795.00 |
$795.00 |
$1,069.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$412.20 |
$412.20 |
$412.20 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$90.60 |
$90.60 |
$90.60 |
$22,771.63
|
|
Lymphatics/lymph node imaging
|
$1,242.60 |
$1,242.60 |
$1,242.60 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$499.20 |
$499.20 |
$499.20 |
$271.88
|
|
Macroscopic exam parasite
|
$64.80 |
$64.80 |
$64.80 |
$37.05
|
|
Magnesium
|
$156.60 |
$156.60 |
$156.60 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$273.00 |
$273.00 |
$273.00 |
$58.70
|
|
Mannitol 12.5 gm/50 ml inj
|
$277.20 |
$277.20 |
$277.20 |
$26.29
|
|
Map tachycard site(s)
|
$1,309.80 |
$1,309.80 |
$1,309.80 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$96.60 |
$96.60 |
$96.60 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$2,360.40 |
$2,360.40 |
$2,360.40 |
$1,451.30
|
|
Mastoids complete
|
$418.20 |
$418.20 |
$418.20 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$4,472.40 |
$4,472.40 |
$4,472.40 |
$4,472.40
|
|
M.avium-intra dna amp prob
|
$466.80 |
$466.80 |
$466.80 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$209.40 |
$209.40 |
$209.40 |
$65.28
|
|
Mayo aathr protein s free
|
$486.60 |
$486.60 |
$486.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$661.20 |
$661.20 |
$661.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$155.40 |
$155.40 |
$155.40 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$245.40 |
$245.40 |
$245.40 |
$66.60
|
|
Mayo alpha 1 antitrypsin
|
$198.00 |
$198.00 |
$198.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$225.00 |
$225.00 |
$225.00 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$1,247.40 |
$1,247.40 |
$1,247.40 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,779.60 |
$1,779.60 |
$1,779.60 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,301.40 |
$1,301.40 |
$1,301.40 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$15,826.20 |
$15,826.20 |
$15,826.20 |
$1,860.00
|
|
Mayo androstenedione
|
$341.40 |
$341.40 |
$341.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$282.00 |
$282.00 |
$282.00 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$172.80 |
$172.80 |
$172.80 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$115.20 |
$115.20 |
$115.20 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$347.40 |
$347.40 |
$347.40 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$726.60 |
$726.60 |
$726.60 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$96.60 |
$96.60 |
$96.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$333.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$99.60 |
$99.60 |
$99.60 |
$56.00
|
|
Mayo brcmg brucella antibody igm
|
$289.80 |
$289.80 |
$289.80 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$198.00 |
$198.00 |
$198.00 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$337.20 |
$337.20 |
$337.20 |
$81.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$1,672.20 |
$1,672.20 |
$1,672.20 |
$283.40
|
|
Mayo ceruloplasmin
|
$125.40 |
$125.40 |
$125.40 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$242.40 |
$242.40 |
$242.40 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$129.60 |
$129.60 |
$129.60 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$63.60 |
$63.60 |
$63.60 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$94.80 |
$94.80 |
$94.80 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$1,427.40 |
$1,427.40 |
$1,427.40 |
$366.94
|
|
Mayo chromium
|
$111.60 |
$111.60 |
$111.60 |
$75.60
|
|
Mayo coccidioides antibody
|
$88.20 |
$88.20 |
$88.20 |
$54.00
|
|
Mayo cocou cortisone urine
|
$304.80 |
$304.80 |
$304.80 |
$216.00
|
|
Mayo cortisol free
|
$305.40 |
$305.40 |
$305.40 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$123.00 |
$123.00 |
$123.00 |
$72.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$198.00 |
$198.00 |
$198.00 |
$58.20
|
|
Mayo deoxyribonuclease antibody titer
|
$227.40 |
$227.40 |
$227.40 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$373.80 |
$373.80 |
$373.80 |
$106.47
|
|
Mayo dihydrotestosterone
|
$436.20 |
$436.20 |
$436.20 |
$78.00
|
|
Mayo efpo chloride stool
|
$102.60 |
$102.60 |
$102.60 |
$44.20
|
|
Mayo estriol
|
$187.80 |
$187.80 |
$187.80 |
$90.35
|
|
Mayo estrone
|
$273.60 |
$273.60 |
$273.60 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$284.40 |
$284.40 |
$284.40 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$155.40 |
$155.40 |
$155.40 |
$97.50
|
|
Mayo factor ii
|
$321.60 |
$321.60 |
$321.60 |
$99.06
|
|
Mayo factor v
|
$214.20 |
$214.20 |
$214.20 |
$129.60
|
|
Mayo factor vii
|
$395.40 |
$395.40 |
$395.40 |
$155.75
|
|
Mayo factor viii vw factor antigen
|
$281.40 |
$281.40 |
$281.40 |
$128.80
|
|
Mayo factor viii vw factor multimetric analysis
|
$281.40 |
$281.40 |
$281.40 |
$130.20
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$615.60 |
$615.60 |
$615.60 |
$141.30
|
|
Mayo factor x
|
$341.40 |
$341.40 |
$341.40 |
$155.00
|
|
Mayo factor xi
|
$240.00 |
$240.00 |
$240.00 |
$123.75
|
|
Mayo fat/lipids feces quantitative
|
$183.00 |
$183.00 |
$183.00 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$154.80 |
$154.80 |
$154.80 |
$106.56
|
|
Mayo fdp/fsp paracoagulation
|
$128.40 |
$128.40 |
$128.40 |
$121.89
|
|
Mayo ffspg allergen clam igg
|
$87.60 |
$87.60 |
$87.60 |
$35.10
|
|
Mayo fibrinogen antigen
|
$136.20 |
$136.20 |
$136.20 |
$76.44
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$307.20 |
$307.20 |
$307.20 |
$65.86
|
|
Mayo gamma-globin full gene sequencing
|
$9,754.20 |
$9,754.20 |
$9,754.20 |
$1,519.25
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$214.20 |
$214.20 |
$214.20 |
$165.60
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$552.00 |
$552.00 |
$552.00 |
$122.82
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$411.60 |
$411.60 |
$411.60 |
$52.80
|
|
Mayo hla typing a/b/c single antigen
|
$192.00 |
$192.00 |
$192.00 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$105.00 |
$105.00 |
$105.00 |
$75.40
|
|
Mayo hvdip HIV 2 antibody
|
$130.20 |
$130.20 |
$130.20 |
$78.50
|
|
Mayo hydroxyprogesterone 17-d
|
$422.40 |
$422.40 |
$422.40 |
$109.63
|
