|
Liver imaging
|
$353.34 |
$353.34 |
$353.34 |
$1,241.25
|
|
Liver/spleen imag static only
|
$724.05 |
$724.05 |
$724.05 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$832.68 |
$832.68 |
$832.68 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.80 |
$1.80 |
$1.80 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$62.10 |
$62.10 |
$62.10 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,461.33 |
$1,461.33 |
$1,461.33 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$955.26 |
$955.26 |
$955.26 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$731.43 |
$731.43 |
$731.43 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,556.09 |
$2,556.09 |
$2,556.09 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,821.96 |
$1,821.96 |
$1,821.96 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,242.99 |
$1,242.99 |
$1,242.99 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$346.68 |
$346.68 |
$346.68 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$284.04 |
$284.04 |
$284.04 |
$275.88
|
|
L/s ratio fetal lung
|
$250.65 |
$250.65 |
$250.65 |
$168.00
|
|
Lumbar diskogram s&i
|
$3,947.94 |
$3,947.94 |
$3,947.94 |
$2,358.23
|
|
Lumizyme injection
|
$1,048.95 |
$1,048.95 |
$1,048.95 |
$1,602.30
|
|
Lung function test (mbc/mvv)
|
$1,123.83 |
$1,123.83 |
$1,123.83 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$356.04 |
$356.04 |
$356.04 |
$298.50
|
|
Lung perfusion imaging
|
$502.11 |
$502.11 |
$502.11 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$684.27 |
$684.27 |
$684.27 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$423.18 |
$423.18 |
$423.18 |
$266.20
|
|
Lymphocytotoxicity assay
|
$326.25 |
$326.25 |
$326.25 |
$370.20
|
|
Magnesium
|
$120.15 |
$120.15 |
$120.15 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$98.01 |
$98.01 |
$98.01 |
$65.49
|
|
Makena, 10 mg
|
$22.86 |
$22.86 |
$22.86 |
$22.86
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$41.85 |
$41.85 |
$41.85 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$46.44 |
$46.44 |
$46.44 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$3.60 |
$3.60 |
$3.60 |
$40.12
|
|
Mapping functional cort/subcort ea add'l hr
|
$317.34 |
$317.34 |
$317.34 |
$705.82
|
|
Map tachycard site(s)
|
$1,694.16 |
$1,694.16 |
$1,694.16 |
$3,960.00
|
|
Mastoids complete
|
$325.26 |
$325.26 |
$325.26 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$167.31 |
$167.31 |
$167.31 |
$66.50
|
|
Mayo aathr protein s free
|
$379.53 |
$379.53 |
$379.53 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$224.28 |
$224.28 |
$224.28 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$102.96 |
$102.96 |
$102.96 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$64.35 |
$64.35 |
$64.35 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$97.56 |
$97.56 |
$97.56 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$115.92 |
$115.92 |
$115.92 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$144.81 |
$144.81 |
$144.81 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$85.14 |
$85.14 |
$85.14 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$115.92 |
$115.92 |
$115.92 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$400.95 |
$400.95 |
$400.95 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$358.38 |
$358.38 |
$358.38 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,075.40 |
$2,075.40 |
$2,075.40 |
$1,909.44
|
|
Mayo androstenedione
|
$197.19 |
$197.19 |
$197.19 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$210.24 |
$210.24 |
$210.24 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$52.20 |
$52.20 |
$52.20 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$88.92 |
$88.92 |
$88.92 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$118.71 |
$118.71 |
$118.71 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$115.92 |
$115.92 |
$115.92 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$25.74 |
$25.74 |
$25.74 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$355.23 |
$355.23 |
$355.23 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$220.77 |
$220.77 |
$220.77 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$141.30 |
$141.30 |
$141.30 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$187.83 |
$187.83 |
$187.83 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$78.03 |
$78.03 |
$78.03 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$115.92 |
$115.92 |
$115.92 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$270.09 |
$270.09 |
$270.09 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$223.74 |
$223.74 |
$223.74 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$1,371.24 |
$1,371.24 |
$1,371.24 |
$274.40
|
|
Mayo ceruloplasmin
|
$290.61 |
$290.61 |
$290.61 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$63.63 |
$63.63 |
$63.63 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$323.28 |
$323.28 |
$323.28 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$55.62 |
$55.62 |
$55.62 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$64.53 |
$64.53 |
$64.53 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$480.15 |
$480.15 |
$480.15 |
$353.99
|
|
Mayo chromium
|
$17.64 |
$17.64 |
$17.64 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$115.92 |
$115.92 |
$115.92 |
$89.53
|
|
Mayo coccidioides antibody
|
$61.92 |
$61.92 |
$61.92 |
$58.37
|
|
Mayo cocou cortisone urine
|
$414.45 |
$414.45 |
$414.45 |
$207.26
|
|
Mayo cortisol free
|
$139.50 |
$139.50 |
$139.50 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$54.00 |
$54.00 |
$54.00 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$61.02 |
$61.02 |
$61.02 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$115.92 |
$115.92 |
$115.92 |
$106.70
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$22.68 |
$22.68 |
$22.68 |
$72.14
|
|
Mayo cyanide
|
$96.39 |
$96.39 |
$96.39 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$144.81 |
$144.81 |
$144.81 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$207.27 |
$207.27 |
$207.27 |
$88.45
|
|
Mayo efpo chloride stool
|
$45.36 |
$45.36 |
$45.36 |
$44.20
|
|
Mayo estriol
|
$118.80 |
$118.80 |
$118.80 |
$98.70
|
|
Mayo ethosuximide therapeutic drug level
|
$174.51 |
$174.51 |
$174.51 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$131.94 |
$131.94 |
$131.94 |
$80.50
|
|
Mayo factor ii
|
$143.55 |
$143.55 |
$143.55 |
$93.00
|
|
Mayo factor v
|
$260.01 |
$260.01 |
$260.01 |
$125.48
|
|
Mayo factor vii
|
$262.71 |
$262.71 |
$262.71 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$219.42 |
$219.42 |
$219.42 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$289.89 |
$289.89 |
$289.89 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$257.76 |
$257.76 |
$257.76 |
$129.60
|
|
Mayo factor x
|
$258.75 |
$258.75 |
$258.75 |
$139.50
|
|
Mayo factor xi
|
$161.37 |
$161.37 |
$161.37 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$107.28 |
$107.28 |
$107.28 |
$71.71
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$257.76 |
$257.76 |
$257.76 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$272.52 |
$272.52 |
$272.52 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$58.59 |
$58.59 |
$58.59 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$403.56 |
$403.56 |
$403.56 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$135.63 |
$135.63 |
$135.63 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$108.63 |
$108.63 |
$108.63 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$144.90 |
$144.90 |
$144.90 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$61.47 |
$61.47 |
$61.47 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$57.96 |
$57.96 |
$57.96 |
$67.60
|
