|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,450.00 |
$1,450.00 |
$1,450.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,325.00 |
$1,325.00 |
$1,325.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,971.50 |
$1,971.50 |
$1,971.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,544.50 |
$1,544.50 |
$1,544.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$260.50 |
$260.50 |
$260.50 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$849.50 |
$849.50 |
$849.50 |
$7,961.97
|
|
Lumbar diskogram s&i
|
$127.00 |
$127.00 |
$127.00 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$300.50 |
$300.50 |
$300.50 |
$295.35
|
|
Lurbinectedin 4 mg intravenous solution
|
$21,078.75 |
$21,078.75 |
$21,078.75 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$22,771.63 |
$22,771.63 |
$22,771.63 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$278.00 |
$278.00 |
$278.00 |
$333.50
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$271.88
|
|
Lysis penil circumic lesion
|
$208.50 |
$208.50 |
$208.50 |
$3,274.00
|
|
Macroscopic exam arthropod
|
$13.00 |
$13.00 |
$13.00 |
$38.58
|
|
Macroscopic exam parasite
|
$12.50 |
$12.50 |
$12.50 |
$36.55
|
|
Magnesium
|
$25.00 |
$25.00 |
$25.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$5.93 |
$5.93 |
$5.93 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$118.50 |
$118.50 |
$118.50 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$134.50 |
$134.50 |
$134.50 |
$160.80
|
|
Manipulat palm cord post inj
|
$81.00 |
$81.00 |
$81.00 |
$521.60
|
|
Mapping io sentinel lymph node
|
$1,552.00 |
$1,552.00 |
$1,552.00 |
$650.00
|
|
Marker biop eviva buckle ss
|
$479.50 |
$479.50 |
$479.50 |
$1,451.30
|
|
Mastectomy partial
|
$6,072.00 |
$6,072.00 |
$6,072.00 |
$4,531.42
|
|
Mast mod rad
|
$1,321.00 |
$1,321.00 |
$1,321.00 |
$7,127.17
|
|
Mast radical
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$1,780.80
|
|
Mast simple complete
|
$4,316.51 |
$4,316.51 |
$4,316.51 |
$6,174.00
|
|
Matrion 1 sq cm
|
$119.50 |
$119.50 |
$119.50 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$51.50 |
$51.50 |
$51.50 |
$65.00
|
|
Mayo aathr protein s free
|
$95.00 |
$95.00 |
$95.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$56.00 |
$56.00 |
$56.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$455.00 |
$455.00 |
$455.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$112.00 |
$112.00 |
$112.00 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$91.00 |
$91.00 |
$91.00 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$1.50 |
$1.50 |
$1.50 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$207.50 |
$207.50 |
$207.50 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$48.50 |
$48.50 |
$48.50 |
$87.10
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$62.00 |
$62.00 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$387.00 |
$387.00 |
$387.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$650.00 |
$650.00 |
$650.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$510.50 |
$510.50 |
$510.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,860.00
|
|
Mayo androstenedione
|
$151.00 |
$151.00 |
$151.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$14.50 |
$14.50 |
$14.50 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$18.50 |
$18.50 |
$18.50 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$112.50 |
$112.50 |
$112.50 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$145.00 |
$145.00 |
$145.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$133.00 |
$133.00 |
$133.00 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$60.00 |
$60.00 |
$60.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$37.00 |
$37.00 |
$37.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$50.00 |
$50.00 |
$50.00 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$11.00 |
$11.00 |
$11.00 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$34.00 |
$34.00 |
$34.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$36.00 |
$36.00 |
$36.00 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$110.50 |
$110.50 |
$110.50 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$115.00 |
$115.00 |
$115.00 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$18.50 |
$18.50 |
$18.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$115.00 |
$115.00 |
$115.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$58.00 |
$58.00 |
$58.00 |
$281.50
|
|
Mayo ceruloplasmin
|
$95.50 |
$95.50 |
$95.50 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$120.00 |
$120.00 |
$120.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$63.00 |
$63.00 |
$63.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$28.50 |
$28.50 |
$28.50 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$28.50 |
$28.50 |
$28.50 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$260.00 |
$260.00 |
$260.00 |
$360.33
|
|
Mayo chromium
|
$54.00 |
$54.00 |
$54.00 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Mayo coccidioides antibody
|
$60.00 |
$60.00 |
$60.00 |
$53.90
|
|
Mayo cocou cortisone urine
|
$550.50 |
$550.50 |
$550.50 |
$213.92
|
|
Mayo cortisol free
|
$58.00 |
$58.00 |
$58.00 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$72.50 |
$72.50 |
$72.50 |
$71.50
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$57.00 |
$57.00 |
$57.00 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$57.00 |
$57.00 |
$57.00 |
$66.00
|
|
Mayo cyanide
|
$14.00 |
$14.00 |
$14.00 |
$87.50
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$979.50 |
$979.50 |
$979.50 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$8.00 |
$8.00 |
$8.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$151.00 |
$151.00 |
$151.00 |
$105.60
|
|
Mayo dihydrotestosterone
|
$26.00 |
$26.00 |
$26.00 |
$74.25
|
|
Mayo estrone
|
$15.00 |
$15.00 |
$15.00 |
$85.00
|
|
Mayo ethosuximide therapeutic drug level
|
$9.00 |
$9.00 |
$9.00 |
$69.55
|
|
Mayo everolimus therapeutic drug level
|
$112.00 |
$112.00 |
$112.00 |
$97.50
|
|
Mayo factor ii
|
$32.00 |
$32.00 |
$32.00 |
$99.06
|
|
Mayo factor v
|
$207.50 |
$207.50 |
$207.50 |
$127.80
|
|
Mayo factor vii
|
$43.50 |
$43.50 |
$43.50 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$90.50 |
$90.50 |
$90.50 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$50.00 |
$50.00 |
$50.00 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$40.50 |
$40.50 |
$40.50 |
$141.00
|
|
Mayo factor x
|
$207.50 |
$207.50 |
$207.50 |
$155.00
|
|
Mayo factor xi
|
$73.00 |
$73.00 |
$73.00 |
$122.20
|
|
Mayo fat/lipids feces quantitative
|
$25.00 |
$25.00 |
$25.00 |
$76.05
|
|
Mayo fbl culture fungi blood
|
$120.00 |
$120.00 |
$120.00 |
$105.60
|
|
Mayo ffspg allergen clam igg
|
$37.00 |
$37.00 |
$37.00 |
$35.10
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$26.00 |
$26.00 |
$26.00 |
$66.43
|
|
Mayo gamma-globin full gene sequencing
|
$1,547.00 |
$1,547.00 |
$1,547.00 |
$1,460.30
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$56.50 |
$56.50 |
$56.50 |
$165.55
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$150.00 |
$150.00 |
$150.00 |
$122.00
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$135.00 |
$135.00 |
$135.00 |
$52.67
|
|
Mayo hla typing a/b/c single antigen
|
$13.50 |
$13.50 |
$13.50 |
$122.80
|
|
Mayo hvdip HIV 1 antibody
|
$22.50 |
$22.50 |
$22.50 |
$74.25
|
