|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,455.00 |
$2,455.00 |
$2,455.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$467.00 |
$467.00 |
$467.00 |
$356.16
|
|
L/s ratio fetal lung
|
$76.50 |
$76.50 |
$76.50 |
$178.36
|
|
Lumbar diskogram s&i
|
$1,718.00 |
$1,718.00 |
$1,718.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$127.50 |
$127.50 |
$127.50 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$189.50 |
$189.50 |
$189.50 |
$295.35
|
|
Lung perfusion imaging
|
$825.50 |
$825.50 |
$825.50 |
$1,059.97
|
|
Lymphatics/lymph node imaging
|
$2,071.50 |
$2,071.50 |
$2,071.50 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$272.50 |
$272.50 |
$272.50 |
$271.88
|
|
Lymphocytotoxicity assay
|
$624.50 |
$624.50 |
$624.50 |
$379.20
|
|
Lymph vessel x-ray arm/leg
|
$800.50 |
$800.50 |
$800.50 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$946.00 |
$946.00 |
$946.00 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$849.00 |
$849.00 |
$849.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,516.50 |
$2,516.50 |
$2,516.50 |
$3,380.00
|
|
Macro exam dissect molec study ea
|
$37.50 |
$37.50 |
$37.50 |
$67.08
|
|
Macroscopic exam arthropod
|
$12.50 |
$12.50 |
$12.50 |
$38.58
|
|
Macroscopic exam parasite
|
$12.50 |
$12.50 |
$12.50 |
$36.55
|
|
Magnesium
|
$169.50 |
$169.50 |
$169.50 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$26.50 |
$26.50 |
$26.50 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$59.50 |
$59.50 |
$59.50 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$86.00 |
$86.00 |
$86.00 |
$160.80
|
|
Map tachycard site(s)
|
$4,127.00 |
$4,127.00 |
$4,127.00 |
$4,082.82
|
|
Mastoids complete
|
$524.50 |
$524.50 |
$524.50 |
$299.50
|
|
Matrion 1 sq cm
|
$98.12 |
$98.12 |
$98.12 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$26.17 |
$26.17 |
$26.17 |
$6,321.66
|
|
M.avium-intra dna amp prob
|
$141.00 |
$141.00 |
$141.00 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$11.50 |
$11.50 |
$11.50 |
$65.00
|
|
Mayo aathr protein s free
|
$45.50 |
$45.50 |
$45.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$16.00 |
$16.00 |
$16.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$244.00 |
$244.00 |
$244.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$57.50 |
$57.50 |
$57.50 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$132.50 |
$132.50 |
$132.50 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$13.00 |
$13.00 |
$13.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$102.00 |
$102.00 |
$102.00 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$21.00 |
$21.00 |
$21.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$292.00 |
$292.00 |
$292.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$29.50 |
$29.50 |
$29.50 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$38.50 |
$38.50 |
$38.50 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$217.50 |
$217.50 |
$217.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$225.00 |
$225.00 |
$225.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$292.50 |
$292.50 |
$292.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,472.00 |
$1,472.00 |
$1,472.00 |
$1,860.00
|
|
Mayo androstenedione
|
$51.00 |
$51.00 |
$51.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$12.50 |
$12.50 |
$12.50 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$203.00 |
$203.00 |
$203.00 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$9.00 |
$9.00 |
$9.00 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$120.00 |
$120.00 |
$120.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$54.50 |
$54.50 |
$54.50 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$101.50 |
$101.50 |
$101.50 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$24.50 |
$24.50 |
$24.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$195.00 |
$195.00 |
$195.00 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$161.00 |
$161.00 |
$161.00 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$10.00 |
$10.00 |
$10.00 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$48.50 |
$48.50 |
$48.50 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$23.50 |
$23.50 |
$23.50 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$33.50 |
$33.50 |
$33.50 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$97.50 |
$97.50 |
$97.50 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$105.50 |
$105.50 |
$105.50 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$23.50 |
$23.50 |
$23.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$73.00 |
$73.00 |
$73.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$779.50 |
$779.50 |
$779.50 |
$281.50
|
|
Mayo ceruloplasmin
|
$53.50 |
$53.50 |
$53.50 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$150.00 |
$150.00 |
$150.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$71.50 |
$71.50 |
$71.50 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$8.50 |
$8.50 |
$8.50 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$16.50 |
$16.50 |
$16.50 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$310.00 |
$310.00 |
$310.00 |
$360.33
|
|
Mayo chromium
|
$14.00 |
$14.00 |
$14.00 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$100.50 |
$100.50 |
$100.50 |
$100.00
|
|
Mayo coccidioides antibody
|
$33.50 |
$33.50 |
$33.50 |
$53.90
|
|
Mayo cocou cortisone urine
|
$251.50 |
$251.50 |
$251.50 |
$213.92
|
|
Mayo cortisol free
|
$56.50 |
$56.50 |
$56.50 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$108.50 |
$108.50 |
$108.50 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$54.00 |
$54.00 |
$54.00 |
$58.10
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$105.50 |
$105.50 |
$105.50 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$105.50 |
$105.50 |
$105.50 |
$66.00
|
|
Mayo cyanide
|
$40.50 |
$40.50 |
$40.50 |
$87.50
|
|
Mayo deoxyribonuclease antibody titer
|
$17.50 |
$17.50 |
$17.50 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$23.00 |
$23.00 |
$23.00 |
$105.60
|
|
Mayo dihydrotestosterone
|
$28.00 |
$28.00 |
$28.00 |
$74.25
|
|
Mayo efpo chloride stool
|
$9.50 |
$9.50 |
$9.50 |
$43.41
|
|
Mayo estriol
|
$25.00 |
$25.00 |
$25.00 |
$90.34
|
|
Mayo estrone
|
$22.50 |
$22.50 |
$22.50 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$9.00 |
$9.00 |
$9.00 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$116.50 |
$116.50 |
$116.50 |
$97.50
|
|
Mayo factor ii
|
$79.00 |
$79.00 |
$79.00 |
$99.06
|
|
Mayo factor v
|
$67.50 |
$67.50 |
$67.50 |
$127.80
|
|
Mayo factor vii
|
$79.00 |
$79.00 |
$79.00 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$21.00 |
$21.00 |
$21.00 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$150.00 |
$150.00 |
$150.00 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$44.50 |
$44.50 |
$44.50 |
$141.00
|
|
Mayo factor x
|
$34.00 |
$34.00 |
$34.00 |
$155.00
|
|
Mayo factor xi
|
$34.00 |
$34.00 |
$34.00 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$42.50 |
$42.50 |
$42.50 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$245.00 |
$245.00 |
$245.00 |
$105.60
|
|
Mayo fibrinogen antigen
|
$63.00 |
$63.00 |
$63.00 |
$76.44
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$14.00 |
$14.00 |
$14.00 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$1,460.30
|
|
Mayo hemosiderin qualitative urine
|
$8.50 |
$8.50 |
$8.50 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$100.50 |
$100.50 |
$100.50 |
$165.55
|
