|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,264.90 |
$3,264.90 |
$3,264.90 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,612.85 |
$2,612.85 |
$2,612.85 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,394.15 |
$2,394.15 |
$2,394.15 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$524.40 |
$524.40 |
$524.40 |
$355.32
|
|
Low frequency non-thermal Ultrasound
|
$235.35 |
$235.35 |
$235.35 |
$364.00
|
|
Lso flex no ri stays pre ots
|
$135.35 |
$135.35 |
$135.35 |
$164.80
|
|
Lso r post pnl sj-t9 pre cst
|
$326.82 |
$326.82 |
$326.82 |
$326.82
|
|
Lso sagit rigid panel prefab
|
$1,990.83 |
$1,990.83 |
$1,990.83 |
$1,990.83
|
|
Lso sc r pos/lat pnl pre cst
|
$577.00 |
$577.00 |
$577.00 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$598.52 |
$598.52 |
$598.52 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,320.59 |
$2,320.59 |
$2,320.59 |
$2,252.16
|
|
Lumizyme injection
|
$1,909.58 |
$1,909.58 |
$1,909.58 |
$1,738.40
|
|
Lung function test (mbc/mvv)
|
$241.80 |
$241.80 |
$241.80 |
$180.50
|
|
Lung Function Test (Spirometry)
|
$356.85 |
$356.85 |
$356.85 |
$296.91
|
|
Lung perfusion imaging
|
$1,257.45 |
$1,257.45 |
$1,257.45 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,654.65 |
$1,654.65 |
$1,654.65 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$196.80 |
$196.80 |
$196.80 |
$266.20
|
|
Lymph vessel x-ray trunk
|
$5,479.20 |
$5,479.20 |
$5,479.20 |
$3,521.00
|
|
Macro exam dissect molec study ea
|
$559.20 |
$559.20 |
$559.20 |
$75.00
|
|
Macroscopic exam parasite
|
$39.30 |
$39.30 |
$39.30 |
$37.05
|
|
Magnesium
|
$160.50 |
$160.50 |
$160.50 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$58.70 |
$58.70 |
$58.70 |
$58.70
|
|
Makena, 10 mg
|
$1,589.94 |
$1,589.94 |
$1,589.94 |
$1,405.80
|
|
Mammosite ced
|
$6,600.00 |
$6,600.00 |
$6,600.00 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$82.50 |
$82.50 |
$82.50 |
$130.81
|
|
Manipulation chest wall initial demonstration/evaluation
|
$188.70 |
$188.70 |
$188.70 |
$159.05
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.00 |
$9.00 |
$9.00 |
$27.81
|
|
Map tachycard site(s)
|
$7,396.05 |
$7,396.05 |
$7,396.05 |
$4,110.20
|
|
Marker biop eviva buckle ss
|
$2,880.00 |
$2,880.00 |
$2,880.00 |
$1,312.40
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$2,455.60 |
$2,455.60 |
$2,455.60 |
$1,941.63
|
|
Mastoids complete
|
$300.60 |
$300.60 |
$300.60 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$184.50 |
$184.50 |
$184.50 |
$6,321.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$25.95 |
$25.95 |
$25.95 |
$65.00
|
|
Mayo aathr protein s free
|
$180.30 |
$180.30 |
$180.30 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$196.20 |
$196.20 |
$196.20 |
$96.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$429.00 |
$429.00 |
$429.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$93.15 |
$93.15 |
$93.15 |
$99.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$37.35 |
$37.35 |
$37.35 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$150.00 |
$150.00 |
$150.00 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$168.00 |
$168.00 |
$168.00 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$106.50 |
$106.50 |
$106.50 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$492.00 |
$492.00 |
$492.00 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$369.00 |
$369.00 |
$369.00 |
$369.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$1,860.00
|
|
Mayo androstenedione
|
$102.60 |
$102.60 |
$102.60 |
$106.40
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$67.20 |
$67.20 |
$67.20 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$127.95 |
$127.95 |
$127.95 |
$71.20
|
|
Mayo aspergillus fumigatus antibody
|
$169.74 |
$169.74 |
$169.74 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$332.10 |
$332.10 |
$332.10 |
$170.00
|
|
Mayo bart bartonella henselae antibody igg
|
$27.31 |
$27.31 |
$27.31 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$713.40 |
$713.40 |
$713.40 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$207.00 |
$207.00 |
$207.00 |
$327.76
|
|
Mayo blastomyces antibody immunodiffusion
|
$81.30 |
$81.30 |
$81.30 |
$57.00
|
|
Mayo bordetella pertussis antibody igg
|
$106.65 |
$106.65 |
$106.65 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$20.70 |
$20.70 |
$20.70 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$132.30 |
$132.30 |
$132.30 |
$85.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$159.90 |
$159.90 |
$159.90 |
$106.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$136.50 |
$136.50 |
$136.50 |
$79.20
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$239.85 |
$239.85 |
$239.85 |
$114.18
|
|
Mayo ceruloplasmin
|
$81.30 |
$81.30 |
$81.30 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$429.00 |
$429.00 |
$429.00 |
$117.00
|
|
Mayo chikv chikungunya antibodies igg
|
$403.05 |
$403.05 |
$403.05 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$77.55 |
$77.55 |
$77.55 |
$52.80
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$77.55 |
$77.55 |
$77.55 |
$49.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$412.50 |
$412.50 |
$412.50 |
$353.99
|
|
Mayo chromium
|
$479.70 |
$479.70 |
$479.70 |
$70.85
|
|
Mayo coccidioides antibody
|
$124.20 |
$124.20 |
$124.20 |
$55.20
|
|
Mayo cocou cortisone urine
|
$184.50 |
$184.50 |
$184.50 |
$204.10
|
|
Mayo cortisol free
|
$94.95 |
$94.95 |
$94.95 |
$92.80
|
|
Mayo covid-19 antibody nucleocapsid total
|
$103.43 |
$103.43 |
$103.43 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$177.15 |
$177.15 |
$177.15 |
$61.02
|
|
Mayo cyanide
|
$209.10 |
$209.10 |
$209.10 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$25.50 |
$25.50 |
$25.50 |
$56.11
|
|
Mayo dhea (dehydroepiandrosterone)
|
$143.55 |
$143.55 |
$143.55 |
$108.90
|
|
Mayo dihydrotestosterone
|
$49.20 |
$49.20 |
$49.20 |
$78.00
|
|
Mayo efpo chloride stool
|
$139.50 |
$139.50 |
$139.50 |
$44.20
|
|
Mayo estriol
|
$67.20 |
$67.20 |
$67.20 |
$90.34
|
|
Mayo factor ii
|
$253.20 |
$253.20 |
$253.20 |
$96.76
|
|
Mayo factor v
|
$59.10 |
$59.10 |
$59.10 |
$125.58
|
|
Mayo factor vii
|
$175.05 |
$175.05 |
$175.05 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$62.85 |
$62.85 |
$62.85 |
$116.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$127.92 |
$127.92 |
$127.92 |
$127.92
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$81.18 |
$81.18 |
$81.18 |
$138.00
|
|
Mayo factor x
|
$70.20 |
$70.20 |
$70.20 |
$151.22
|
|
Mayo factor xi
|
$121.80 |
$121.80 |
$121.80 |
$121.80
|
|
Mayo fat/lipids feces quantitative
|
$216.60 |
$216.60 |
$216.60 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$232.65 |
$232.65 |
$232.65 |
$104.53
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$45.60 |
$45.60 |
$45.60 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$1,062.00 |
$1,062.00 |
$1,062.00 |
$1,317.60
|
|
Mayo hemosiderin qualitative urine
|
$22.50 |
$22.50 |
$22.50 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$329.70 |
$329.70 |
$329.70 |
$165.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$51.00 |
$51.00 |
$51.00 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$181.50 |
$181.50 |
$181.50 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$99.60 |
$99.60 |
$99.60 |
$70.85
|
|
Mayo hvdip HIV 2 antibody
|
$99.60 |
$99.60 |
$99.60 |
$75.04
|
|
Mayo hydroxyprogesterone 17-d
|
$143.70 |
$143.70 |
$143.70 |
$107.25
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$565.05 |
$565.05 |
$565.05 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$492.60 |
$492.60 |
$492.60 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$96.90 |
$96.90 |
$96.90 |
$107.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$376.35 |
$376.35 |
$376.35 |
$107.50
|
