|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$812.40 |
$812.40 |
$812.40 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$746.63 |
$746.63 |
$746.63 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,324.91 |
$1,324.91 |
$1,324.91 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,001.88 |
$1,001.88 |
$1,001.88 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$122.97 |
$122.97 |
$122.97 |
$328.23
|
|
L/s ratio fetal lung
|
$136.38 |
$136.38 |
$136.38 |
$173.55
|
|
Lumbar diskogram s&i
|
$787.17 |
$787.17 |
$787.17 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$147.30 |
$147.30 |
$147.30 |
$166.95
|
|
Lung perfusion imaging
|
$544.76 |
$544.76 |
$544.76 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$1,088.01 |
$1,088.01 |
$1,088.01 |
$1,330.00
|
|
Lymph vessel x-ray trunk
|
$2,266.86 |
$2,266.86 |
$2,266.86 |
$2,643.68
|
|
Macroscopic exam arthropod
|
$3.63 |
$3.63 |
$3.63 |
$38.50
|
|
Macroscopic exam parasite
|
$3.66 |
$3.66 |
$3.66 |
$35.98
|
|
Magnesium
|
$73.44 |
$73.44 |
$73.44 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$8.84 |
$8.84 |
$8.84 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$72.00 |
$72.00 |
$72.00 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$75.56 |
$75.56 |
$75.56 |
$147.72
|
|
Mannitol 12.5 gm/50 ml inj
|
$6.32 |
$6.32 |
$6.32 |
$33.24
|
|
Map tachycard site(s)
|
$3,604.79 |
$3,604.79 |
$3,604.79 |
$3,875.95
|
|
Mastoids complete
|
$118.41 |
$118.41 |
$118.41 |
$271.95
|
|
M.avium-intra dna amp prob
|
$112.07 |
$112.07 |
$112.07 |
$113.31
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$59.12 |
$59.12 |
$59.12 |
$76.70
|
|
Mayo aathr protein s free
|
$130.08 |
$130.08 |
$130.08 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$96.39 |
$96.39 |
$96.39 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$233.06 |
$233.06 |
$233.06 |
$172.80
|
|
Mayo alkaline phosphatase isoenzyme
|
$56.60 |
$56.60 |
$56.60 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$75.14 |
$75.14 |
$75.14 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$84.27 |
$84.27 |
$84.27 |
$112.89
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$77.21 |
$77.21 |
$77.21 |
$343.20
|
|
Mayo androstenedione
|
$103.88 |
$103.88 |
$103.88 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$74.24 |
$74.24 |
$74.24 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$146.76 |
$146.76 |
$146.76 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$72.60 |
$72.60 |
$72.60 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$26.00 |
$26.00 |
$26.00 |
$159.66
|
|
Mayo bart bartonella henselae antibody igg
|
$77.12 |
$77.12 |
$77.12 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$523.67 |
$523.67 |
$523.67 |
$364.90
|
|
Mayo blastomyces antibody immunodiffusion
|
$78.45 |
$78.45 |
$78.45 |
$67.60
|
|
Mayo bordetella pertussis antibody igg
|
$118.08 |
$118.08 |
$118.08 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$70.43 |
$70.43 |
$70.43 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$171.29 |
$171.29 |
$171.29 |
$124.80
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$149.78 |
$149.78 |
$149.78 |
$84.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$65.37 |
$65.37 |
$65.37 |
$110.02
|
|
Mayo ceruloplasmin
|
$68.25 |
$68.25 |
$68.25 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$87.44 |
$87.44 |
$87.44 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$239.06 |
$239.06 |
$239.06 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$41.99 |
$41.99 |
$41.99 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$45.02 |
$45.02 |
$45.02 |
$54.40
|
|
Mayo chromium
|
$80.60 |
$80.60 |
$80.60 |
$89.25
|
|
Mayo coccidioides antibody
|
$75.56 |
$75.56 |
$75.56 |
$61.10
|
|
Mayo cocou cortisone urine
|
$20.31 |
$20.31 |
$20.31 |
$222.62
|
|
Mayo cortisol free
|
$83.06 |
$83.06 |
$83.06 |
$109.85
|
|
Mayo covid-19 antibody nucleocapsid total
|
$26.03 |
$26.03 |
$26.03 |
$77.63
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$43.04 |
$43.04 |
$43.04 |
$67.80
|
|
Mayo deoxyribonuclease antibody titer
|
$66.05 |
$66.05 |
$66.05 |
$74.40
|
|
Mayo dhea (dehydroepiandrosterone)
|
$106.47 |
$106.47 |
$106.47 |
$113.10
|
|
Mayo dihydrotestosterone
|
$24.68 |
$24.68 |
$24.68 |
$94.90
|
|
Mayo efpo chloride stool
|
$70.52 |
$70.52 |
$70.52 |
$45.00
|
|
Mayo estriol
|
$85.85 |
$85.85 |
$85.85 |
$102.50
|
|
Mayo estrone
|
$21.03 |
$21.03 |
$21.03 |
$105.00
|
|
Mayo ethosuximide therapeutic drug level
|
$80.27 |
$80.27 |
$80.27 |
$81.60
|
|
Mayo everolimus therapeutic drug level
|
$11.58 |
$11.58 |
$11.58 |
$107.00
|
|
Mayo factor v
|
$165.96 |
$165.96 |
$165.96 |
$119.60
|
|
Mayo factor vii
|
$165.96 |
$165.96 |
$165.96 |
$124.80
|
|
Mayo factor viii vw factor antigen
|
$484.13 |
$484.13 |
$484.13 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$143.73 |
$143.73 |
$143.73 |
$147.63
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$425.61 |
$425.61 |
$425.61 |
$133.25
|
|
Mayo factor x
|
$165.96 |
$165.96 |
$165.96 |
$130.65
|
|
Mayo factor xi
|
$165.96 |
$165.96 |
$165.96 |
$120.96
|
|
Mayo fbl culture fungi blood
|
$102.20 |
$102.20 |
$102.20 |
$91.65
|
|
Mayo ffspg allergen clam igg
|
$154.59 |
$154.59 |
$154.59 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$99.14 |
$99.14 |
$99.14 |
$80.00
|
|
Mayo gamma-globin full gene sequencing
|
$7,626.42 |
$7,626.42 |
$7,626.42 |
$1,634.10
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$489.83 |
$489.83 |
$489.83 |
$170.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$29.58 |
$29.58 |
$29.58 |
$121.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$52.67 |
$52.67 |
$52.67 |
$61.75
|
|
Mayo hvdip HIV 1 antibody
|
$220.17 |
$220.17 |
$220.17 |
$69.60
|
|
Mayo hvdip HIV 2 antibody
|
$160.68 |
$160.68 |
$160.68 |
$80.00
|
|
Mayo hydroxyprogesterone 17-d
|
$86.81 |
$86.81 |
$86.81 |
$120.75
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$154.17 |
$154.17 |
$154.17 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$53.07 |
$53.07 |
$53.07 |
$83.40
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$86.81 |
$86.81 |
$86.81 |
$117.20
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$224.76 |
$224.76 |
$224.76 |
$120.71
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$111.30 |
$111.30 |
$111.30 |
$76.20
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$165.18 |
$165.18 |
$165.18 |
$129.60
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$197.76 |
$197.76 |
$197.76 |
$195.60
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$160.44 |
$160.44 |
$160.44 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$188.73 |
$188.73 |
$188.73 |
$259.80
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$60.80 |
$60.80 |
$60.80 |
$236.53
|
|
Mayo inhab inhibin a
|
$88.52 |
$88.52 |
$88.52 |
$87.00
|
|
Mayo iodine
|
$485.70 |
$485.70 |
$485.70 |
$148.20
|
|
Mayo lamotrigine therapeutic drug level
|
$86.81 |
$86.81 |
$86.81 |
$83.85
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$58.28 |
$58.28 |
$58.28 |
$64.28
|
|
Mayo legionella antibody
|
$77.12 |
$77.12 |
$77.12 |
$87.00
|
|
Mayo leptospira antibody igm
|
$118.50 |
$118.50 |
$118.50 |
$80.00
|
|
Mayo lipoprotein electrophoresis
|
$9.42 |
$9.42 |
$9.42 |
$56.55
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$43.37 |
$43.37 |
$43.37 |
$86.40
|
|
Mayo metanephrines plasma
|
$123.87 |
$123.87 |
$123.87 |
$126.75
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$10.16 |
$10.16 |
$10.16 |
$93.60
|
|
Mayo microsomal antibody liver-kidney
|
$88.13 |
$88.13 |
$88.13 |
$100.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$320.54 |
$320.54 |
$320.54 |
$195.55
|
