|
Liver/spleen imag static only
|
$390.00 |
$390.00 |
$390.00 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$150.39 |
$150.39 |
$150.39 |
$45.56
|
|
Low cost skin substitute app
|
$393.75 |
$393.75 |
$393.75 |
$862.55
|
|
Low cost skin substitute app
|
$393.75 |
$393.75 |
$393.75 |
$933.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,557.30 |
$1,557.30 |
$1,557.30 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,324.80 |
$1,324.80 |
$1,324.80 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,011.30 |
$1,011.30 |
$1,011.30 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,965.90 |
$1,965.90 |
$1,965.90 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,671.60 |
$1,671.60 |
$1,671.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,177.20 |
$1,177.20 |
$1,177.20 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$396.60 |
$396.60 |
$396.60 |
$344.00
|
|
L/s ratio fetal lung
|
$75.30 |
$75.30 |
$75.30 |
$168.00
|
|
Lung Function Test (Spirometry)
|
$183.60 |
$183.60 |
$183.60 |
$298.50
|
|
Lung perfusion imaging
|
$658.80 |
$658.80 |
$658.80 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$519.19 |
$519.19 |
$519.19 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$84.75 |
$84.75 |
$84.75 |
$266.20
|
|
Macroscopic exam arthropod
|
$19.50 |
$19.50 |
$19.50 |
$38.58
|
|
Magnesium
|
$43.13 |
$43.13 |
$43.13 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$59.88 |
$59.88 |
$59.88 |
$65.49
|
|
Mammosite ced
|
$75.15 |
$75.15 |
$75.15 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$43.20 |
$43.20 |
$43.20 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$27.45 |
$27.45 |
$27.45 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$205.32 |
$205.32 |
$205.32 |
$40.12
|
|
Map tachycard site(s)
|
$1,086.45 |
$1,086.45 |
$1,086.45 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$435.18 |
$435.18 |
$435.18 |
$1,213.20
|
|
Mastoids complete
|
$116.10 |
$116.10 |
$116.10 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$2,383.61 |
$2,383.61 |
$2,383.61 |
$7,478.44
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$19.89 |
$19.89 |
$19.89 |
$66.50
|
|
Mayo aathr protein s free
|
$62.63 |
$62.63 |
$62.63 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$74.63 |
$74.63 |
$74.63 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$63.23 |
$63.23 |
$63.23 |
$101.44
|
|
Mayo alkaline phosphatase isoenzyme
|
$60.63 |
$60.63 |
$60.63 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$25.35 |
$25.35 |
$25.35 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$75.15 |
$75.15 |
$75.15 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$118.05 |
$118.05 |
$118.05 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$64.60 |
$64.60 |
$64.60 |
$326.48
|
|
Mayo androstenedione
|
$118.80 |
$118.80 |
$118.80 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$71.55 |
$71.55 |
$71.55 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$24.64 |
$24.64 |
$24.64 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$23.63 |
$23.63 |
$23.63 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$47.85 |
$47.85 |
$47.85 |
$157.95
|
|
Mayo bart bartonella henselae antibody igg
|
$38.55 |
$38.55 |
$38.55 |
$45.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$13.88 |
$13.88 |
$13.88 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$33.75 |
$33.75 |
$33.75 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$15.51 |
$15.51 |
$15.51 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$27.75 |
$27.75 |
$27.75 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$47.52 |
$47.52 |
$47.52 |
$83.97
|
|
Mayo ceruloplasmin
|
$53.14 |
$53.14 |
$53.14 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$36.45 |
$36.45 |
$36.45 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$43.35 |
$43.35 |
$43.35 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$53.70 |
$53.70 |
$53.70 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$18.90 |
$18.90 |
$18.90 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$111.45 |
$111.45 |
$111.45 |
$353.99
|
|
Mayo chromium
|
$56.85 |
$56.85 |
$56.85 |
$70.85
|
|
Mayo coccidioides antibody
|
$16.65 |
$16.65 |
$16.65 |
$58.37
|
|
Mayo cocou cortisone urine
|
$84.30 |
$84.30 |
$84.30 |
$207.26
|
|
Mayo cortisol free
|
$60.96 |
$60.96 |
$60.96 |
$100.00
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$12.15 |
$12.15 |
$12.15 |
$61.02
|
|
Mayo cyanide
|
$28.65 |
$28.65 |
$28.65 |
$87.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$95.85 |
$95.85 |
$95.85 |
$611.60
|
|
Mayo deoxyribonuclease antibody titer
|
$49.65 |
$49.65 |
$49.65 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$76.35 |
$76.35 |
$76.35 |
$88.45
|
|
Mayo efpo chloride stool
|
$14.25 |
$14.25 |
$14.25 |
$44.20
|
|
Mayo estriol
|
$56.92 |
$56.92 |
$56.92 |
$98.70
|
|
Mayo estrone
|
$32.10 |
$32.10 |
$32.10 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$48.75 |
$48.75 |
$48.75 |
$70.40
|
|
Mayo factor ii
|
$63.30 |
$63.30 |
$63.30 |
$93.00
|
|
Mayo factor v
|
$77.25 |
$77.25 |
$77.25 |
$125.48
|
|
Mayo factor vii
|
$67.95 |
$67.95 |
$67.95 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$84.15 |
$84.15 |
$84.15 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$88.58 |
$88.58 |
$88.58 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$39.30 |
$39.30 |
$39.30 |
$129.60
|
|
Mayo factor x
|
$26.85 |
$26.85 |
$26.85 |
$139.50
|
|
Mayo factor xi
|
$54.00 |
$54.00 |
$54.00 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$9.15 |
$9.15 |
$9.15 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$14.53 |
$14.53 |
$14.53 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$12.30 |
$12.30 |
$12.30 |
$37.05
|
|
Mayo gamma-globin full gene sequencing
|
$109.05 |
$109.05 |
$109.05 |
$1,446.90
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$71.15 |
$71.15 |
$71.15 |
$165.00
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$18.19 |
$18.19 |
$18.19 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$99.61 |
$99.61 |
$99.61 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$48.00 |
$48.00 |
$48.00 |
$67.57
|
|
Mayo hydroxyprogesterone 17-d
|
$93.45 |
$93.45 |
$93.45 |
$93.45
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$79.35 |
$79.35 |
$79.35 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$25.80 |
$25.80 |
$25.80 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$111.90 |
$111.90 |
$111.90 |
$112.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$57.15 |
$57.15 |
$57.15 |
$103.20
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$41.01 |
$41.01 |
$41.01 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$92.75 |
$92.75 |
$92.75 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$28.05 |
$28.05 |
$28.05 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$32.10 |
$32.10 |
$32.10 |
$233.75
|
|
Mayo infliximab therapeutic drug level
|
$230.40 |
$230.40 |
$230.40 |
$155.35
|
|
Mayo inhab inhibin a
|
$50.55 |
$50.55 |
$50.55 |
$81.60
|
|
Mayo insulin antibodies
|
$42.54 |
$42.54 |
$42.54 |
$91.00
|
|
Mayo iodine
|
$77.10 |
$77.10 |
$77.10 |
$114.05
|
|
Mayo itraconazole therapeutic drug level
|
$53.25 |
$53.25 |
$53.25 |
$83.05
|
|
Mayo lamotrigine therapeutic drug level
|
$69.75 |
$69.75 |
$69.75 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$31.35 |
$31.35 |
$31.35 |
$55.12
|
|
Mayo legionella antibody
|
$82.70 |
$82.70 |
$82.70 |
$80.60
|
|
Mayo leptospira antibody igm
|
$25.32 |
$25.32 |
$25.32 |
$76.05
|
