|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,892.95 |
$5,892.95 |
$38,626.65 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$5,010.95 |
$5,010.95 |
$14,833.97 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,528.70 |
$3,528.70 |
$21,149.92 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$713.65 |
$713.65 |
$713.65 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$1,144.70 |
$1,144.70 |
$1,144.70 |
$275.88
|
|
Lumbar diskogram s&i
|
$1,321.60 |
$1,321.60 |
$1,321.60 |
$2,358.23
|
|
Lumizyme injection
|
$2,274.33 |
$2,274.33 |
$2,274.33 |
$1,602.30
|
|
Lung Function Test (Spirometry)
|
$339.50 |
$339.50 |
$2,158.23 |
$298.50
|
|
Lung perfusion imaging
|
$724.15 |
$724.15 |
$10,381.32 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$20,566.53 |
$20,566.53 |
$20,566.53 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$29,435.46 |
$29,435.46 |
$29,435.46 |
$29,435.46
|
|
Lutetium lu 177 dotatat ther
|
$277.90 |
$277.90 |
$277.90 |
$365.20
|
|
Lutetium lu 177 vipivotide
|
$480.20 |
$480.20 |
$480.20 |
$332.80
|
|
Lvad shower bag heartmate
|
$1,696.10 |
$1,696.10 |
$1,696.10 |
$1,090.58
|
|
Lymphatics/lymph node imaging
|
$1,491.70 |
$1,491.70 |
$7,392.98 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$44.45 |
$44.45 |
$44.45 |
$266.20
|
|
Lymphocytotoxicity assay
|
$241.15 |
$241.15 |
$241.15 |
$370.20
|
|
Lymph vessel x-ray trunk
|
$3,310.30 |
$3,310.30 |
$3,310.30 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$4,792.55 |
$4,792.55 |
$4,792.55 |
$3,380.00
|
|
Macroscopic exam parasite
|
$220.86 |
$220.86 |
$220.86 |
$38.50
|
|
Magnesium
|
$168.70 |
$168.70 |
$168.70 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$58.44 |
$58.44 |
$58.44 |
$65.49
|
|
Magnetic image bone marrow
|
$1,301.65 |
$1,301.65 |
$1,301.65 |
$1,152.80
|
|
Makena, 10 mg
|
$119.03 |
$119.03 |
$5,341.79 |
$22.86
|
|
Mammosite ced
|
$5,212.99 |
$5,212.99 |
$5,212.99 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$135.80 |
$135.80 |
$527.80 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$128.80 |
$128.80 |
$416.18 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$23.22 |
$23.22 |
$168.10 |
$40.12
|
|
Manual diff wbc count b-coat
|
$33.95 |
$33.95 |
$33.95 |
$22.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$106.75 |
$106.75 |
$106.75 |
$705.82
|
|
Map tachycard site(s)
|
$1,641.85 |
$1,641.85 |
$12,603.02 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$3,583.13 |
$3,583.13 |
$3,583.13 |
$1,213.20
|
|
Mastoids complete
|
$106.40 |
$106.40 |
$106.40 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$126.00 |
$126.00 |
$251.38 |
$66.50
|
|
Mayo aathr protein s free
|
$204.75 |
$204.75 |
$204.75 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$173.25 |
$173.25 |
$173.25 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$59.50 |
$59.50 |
$242.37 |
$101.44
|
|
Mayo alkaline phosphatase isoenzyme
|
$127.05 |
$127.05 |
$1,392.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$131.25 |
$131.25 |
$131.25 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$46.55 |
$46.55 |
$46.55 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$258.91 |
$258.91 |
$258.91 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$1,454.25 |
$1,454.25 |
$1,794.49 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$233.45 |
$233.45 |
$233.45 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$5,196.01 |
$5,196.01 |
$5,196.01 |
$1,909.44
|
|
Mayo androstenedione
|
$99.40 |
$99.40 |
$918.31 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$81.20 |
$81.20 |
$81.20 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$1,201.65 |
$1,201.65 |
$1,201.65 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$73.50 |
$73.50 |
$73.50 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$171.50 |
$171.50 |
$534.71 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$3,728.00 |
$3,728.00 |
$3,728.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$44.45 |
$44.45 |
$44.45 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$292.25 |
$292.25 |
$2,512.28 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$42.00 |
$42.00 |
$666.94 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$45.15 |
$45.15 |
$45.15 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$90.30 |
$90.30 |
$261.53 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$3,728.00 |
$3,728.00 |
$3,728.00 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$1,595.42 |
$1,595.42 |
$1,595.42 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$195.30 |
$195.30 |
$195.30 |
$110.00
|
|
Mayo ceruloplasmin
|
$95.55 |
$95.55 |
$226.67 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$44.10 |
$44.10 |
$44.10 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$92.75 |
$92.75 |
$92.75 |
$102.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$202.65 |
$202.65 |
$2,056.03 |
$353.99
|
|
Mayo cocaine definitive assay confirmation urine
|
$3,728.00 |
$3,728.00 |
$3,728.00 |
$89.53
|
|
Mayo coccidioides antibody
|
$53.90 |
$53.90 |
$941.56 |
$58.37
|
|
Mayo cocou cortisone urine
|
$123.20 |
$123.20 |
$123.20 |
$207.26
|
|
Mayo cortisol free
|
$46.55 |
$46.55 |
$46.55 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$73.85 |
$73.85 |
$118.89 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$35.35 |
$35.35 |
$2,642.16 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$3,728.00 |
$3,728.00 |
$3,728.00 |
$106.70
|
|
Mayo cyanide
|
$38.15 |
$38.15 |
$38.15 |
$87.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$1,014.20 |
$1,014.20 |
$1,014.20 |
$611.60
|
|
Mayo deoxyribonuclease antibody titer
|
$179.00 |
$179.00 |
$179.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$44.10 |
$44.10 |
$1,351.32 |
$88.45
|
|
Mayo dihydrotestosterone
|
$110.43 |
$110.43 |
$110.43 |
$81.90
|
|
Mayo efpo chloride stool
|
$29.05 |
$29.05 |
$379.23 |
$44.20
|
|
Mayo estriol
|
$75.25 |
$75.25 |
$367.61 |
$98.70
|
|
Mayo estrone
|
$5,439.10 |
$5,439.10 |
$5,439.10 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$64.75 |
$64.75 |
$589.92 |
$70.40
|
|
Mayo factor ii
|
$79.10 |
$79.10 |
$1,894.75 |
$93.00
|
|
Mayo factor v
|
$220.50 |
$220.50 |
$1,518.41 |
$125.48
|
|
Mayo factor vii
|
$198.80 |
$198.80 |
$1,694.22 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$99.40 |
$99.40 |
$5,000.92 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$192.15 |
$192.15 |
$469.33 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$121.80 |
$121.80 |
$2,598.00 |
$129.60
|
|
Mayo factor x
|
$196.35 |
$196.35 |
$1,564.90 |
$139.50
|
|
Mayo factor xi
|
$113.05 |
$113.05 |
$1,564.90 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$35.35 |
$35.35 |
$530.55 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$116.90 |
$116.90 |
$1,040.35 |
$102.20
|
|
Mayo fibrinogen antigen
|
$4.90 |
$4.90 |
$4.90 |
$94.50
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$60.55 |
$60.55 |
$4,724.06 |
$69.96
|
|
Mayo gamma-globin full gene sequencing
|
$646.10 |
$646.10 |
$646.10 |
$1,446.90
|
|
Mayo hemosiderin qualitative urine
|
$65.45 |
$65.45 |
$65.45 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$200.90 |
$200.90 |
$7,649.62 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$7,649.62 |
$7,649.62 |
$7,649.62 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$52.15 |
$52.15 |
$752.67 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$140.00 |
$140.00 |
$1,201.65 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$111.30 |
$111.30 |
$1,082.50 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$31.50 |
$31.50 |
$1,082.50 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$64.05 |
$64.05 |
$402.48 |
$93.45
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$198.80 |
$198.80 |
$198.80 |
$202.63
|
