|
Liver/spleen imag static only
|
$3,460.65 |
$3,460.65 |
$3,460.65 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$43.30 |
$43.30 |
$43.30 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$32.28 |
$32.28 |
$32.28 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,761.56 |
$4,761.56 |
$4,761.56 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,112.34 |
$4,112.34 |
$4,112.34 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,740.70 |
$3,740.70 |
$3,740.70 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$7,256.12 |
$7,256.12 |
$7,256.12 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$6,162.86 |
$6,162.86 |
$6,162.86 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$5,117.37 |
$5,117.37 |
$5,117.37 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$797.02 |
$797.02 |
$797.02 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$105.38 |
$105.38 |
$105.38 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$1,041.82 |
$1,041.82 |
$1,041.82 |
$298.50
|
|
Lung perfusion imaging
|
$1,838.87 |
$1,838.87 |
$1,838.87 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$1,319.14 |
$1,319.14 |
$1,319.14 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$391.29 |
$391.29 |
$391.29 |
$266.20
|
|
Macroscopic exam parasite
|
$221.72 |
$221.72 |
$221.72 |
$38.50
|
|
Magnesium
|
$245.82 |
$245.82 |
$245.82 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$97.86 |
$97.86 |
$97.86 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$331.74 |
$331.74 |
$331.74 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$527.26 |
$527.26 |
$527.26 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$55.83 |
$55.83 |
$55.83 |
$40.12
|
|
Map tachycard site(s)
|
$6,583.20 |
$6,583.20 |
$6,583.20 |
$3,960.00
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$50,266.77 |
$50,266.77 |
$50,266.77 |
$34,164.07
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$253.88 |
$253.88 |
$253.88 |
$66.50
|
|
Mayo aathr protein s free
|
$607.47 |
$607.47 |
$607.47 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$223.56 |
$223.56 |
$223.56 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$392.62 |
$392.62 |
$392.62 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$171.41 |
$171.41 |
$171.41 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$943.29 |
$943.29 |
$943.29 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$320.30 |
$320.30 |
$320.30 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$579.07 |
$579.07 |
$579.07 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$190.80 |
$190.80 |
$190.80 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$276.62 |
$276.62 |
$276.62 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$239.76 |
$239.76 |
$239.76 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$104.61 |
$104.61 |
$104.61 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$674.92 |
$674.92 |
$674.92 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$732.27 |
$732.27 |
$732.27 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$712.40 |
$712.40 |
$712.40 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$8,760.58 |
$8,760.58 |
$8,760.58 |
$1,909.44
|
|
Mayo androstenedione
|
$246.83 |
$246.83 |
$246.83 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$218.95 |
$218.95 |
$218.95 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$989.00 |
$989.00 |
$989.00 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$130.89 |
$130.89 |
$130.89 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$371.33 |
$371.33 |
$371.33 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$189.77 |
$189.77 |
$189.77 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$170.88 |
$170.88 |
$170.88 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$254.33 |
$254.33 |
$254.33 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$1,163.51 |
$1,163.51 |
$1,163.51 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$1,738.69 |
$1,738.69 |
$1,738.69 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$220.43 |
$220.43 |
$220.43 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$107.67 |
$107.67 |
$107.67 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$135.75 |
$135.75 |
$135.75 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$553.84 |
$553.84 |
$553.84 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$157.86 |
$157.86 |
$157.86 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$226.75 |
$226.75 |
$226.75 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$171.93 |
$171.93 |
$171.93 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$757.90 |
$757.90 |
$757.90 |
$110.00
|
|
Mayo ceruloplasmin
|
$159.23 |
$159.23 |
$159.23 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$559.62 |
$559.62 |
$559.62 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$260.90 |
$260.90 |
$260.90 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$67.09 |
$67.09 |
$67.09 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$148.52 |
$148.52 |
$148.52 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$866.58 |
$866.58 |
$866.58 |
$353.99
|
|
Mayo chromium
|
$171.26 |
$171.26 |
$171.26 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$313.65 |
$313.65 |
$313.65 |
$89.53
|
|
Mayo coccidioides antibody
|
$232.78 |
$232.78 |
$232.78 |
$58.37
|
|
Mayo cocou cortisone urine
|
$434.35 |
$434.35 |
$434.35 |
$207.26
|
|
Mayo cortisol free
|
$150.05 |
$150.05 |
$150.05 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$140.04 |
$140.04 |
$140.04 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$207.66 |
$207.66 |
$207.66 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$115.46 |
$115.46 |
$115.46 |
$106.70
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$53.72 |
$53.72 |
$53.72 |
$72.14
|
|
Mayo cyanide
|
$278.62 |
$278.62 |
$278.62 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$106.43 |
$106.43 |
$106.43 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$217.51 |
$217.51 |
$217.51 |
$88.45
|
|
Mayo dihydrotestosterone
|
$274.09 |
$274.09 |
$274.09 |
$81.90
|
|
Mayo efpo chloride stool
|
$101.36 |
$101.36 |
$101.36 |
$44.20
|
|
Mayo estriol
|
$200.46 |
$200.46 |
$200.46 |
$98.70
|
|
Mayo estrone
|
$210.83 |
$210.83 |
$210.83 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$191.21 |
$191.21 |
$191.21 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$165.21 |
$165.21 |
$165.21 |
$80.50
|
|
Mayo factor ii
|
$416.23 |
$416.23 |
$416.23 |
$93.00
|
|
Mayo factor v
|
$473.90 |
$473.90 |
$473.90 |
$125.48
|
|
Mayo factor vii
|
$282.74 |
$282.74 |
$282.74 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$475.89 |
$475.89 |
$475.89 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$1,008.37 |
$1,008.37 |
$1,008.37 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$315.14 |
$315.14 |
$315.14 |
$129.60
|
|
Mayo factor x
|
$271.15 |
$271.15 |
$271.15 |
$139.50
|
|
Mayo factor xi
|
$515.49 |
$515.49 |
$515.49 |
$117.50
|
|
Mayo fbl culture fungi blood
|
$390.31 |
$390.31 |
$390.31 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$89.66 |
$89.66 |
$89.66 |
$37.05
|
|
Mayo fibrinogen antigen
|
$148.00 |
$148.00 |
$148.00 |
$94.50
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$372.28 |
$372.28 |
$372.28 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$1,967.73 |
$1,967.73 |
$1,967.73 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$125.31 |
$125.31 |
$125.31 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$1,025.87 |
$1,025.87 |
$1,025.87 |
$165.00
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$184.31 |
$184.31 |
$184.31 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$479.45 |
$479.45 |
$479.45 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$340.90 |
$340.90 |
$340.90 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$660.61 |
$660.61 |
$660.61 |
$67.60
|