|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$570.57 |
$570.57 |
$570.57 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$428.64 |
$428.64 |
$428.64 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$369.36 |
$369.36 |
$369.36 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,100.67 |
$1,100.67 |
$1,100.67 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,508.79 |
$1,508.79 |
$1,508.79 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,451.79 |
$1,451.79 |
$1,451.79 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$99.18 |
$99.18 |
$99.18 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,179.33 |
$1,179.33 |
$1,179.33 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$160.74 |
$160.74 |
$160.74 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$203.49 |
$203.49 |
$203.49 |
$298.50
|
|
Lung perfusion imaging
|
$648.09 |
$648.09 |
$648.09 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$314.78 |
$314.78 |
$314.78 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$68.76 |
$68.76 |
$68.76 |
$29,435.46
|
|
Lutetium lu 177 vipivotide
|
$282.72 |
$282.72 |
$282.72 |
$332.80
|
|
Lymphatics/lymph node imaging
|
$910.86 |
$910.86 |
$910.86 |
$1,543.75
|
|
Lymph vessel x-ray trunk
|
$1,818.30 |
$1,818.30 |
$1,818.30 |
$2,542.41
|
|
Macroscopic exam arthropod
|
$11.40 |
$11.40 |
$11.40 |
$38.58
|
|
Macroscopic exam parasite
|
$11.40 |
$11.40 |
$11.40 |
$38.50
|
|
Magnesium
|
$27.93 |
$27.93 |
$27.93 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$9.49 |
$9.49 |
$9.49 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$57.00 |
$57.00 |
$57.00 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$57.00 |
$57.00 |
$57.00 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$5.52 |
$5.52 |
$5.52 |
$40.12
|
|
Mapping io sentinel lymph node
|
$316.35 |
$316.35 |
$316.35 |
$468.21
|
|
Map tachycard site(s)
|
$7,643.13 |
$7,643.13 |
$7,643.13 |
$3,960.00
|
|
Mastectomy partial
|
$1,279.08 |
$1,279.08 |
$1,279.08 |
$4,509.59
|
|
Mast mod rad
|
$2,282.28 |
$2,282.28 |
$2,282.28 |
$5,886.40
|
|
Mastopexy
|
$1,569.21 |
$1,569.21 |
$1,569.21 |
$5,774.26
|
|
Mast simple complete
|
$1,851.36 |
$1,851.36 |
$1,851.36 |
$5,419.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$17.10 |
$17.10 |
$17.10 |
$66.50
|
|
Mayo aathr protein s free
|
$43.89 |
$43.89 |
$43.89 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$60.99 |
$60.99 |
$60.99 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$40.47 |
$40.47 |
$40.47 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$42.18 |
$42.18 |
$42.18 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$35.34 |
$35.34 |
$35.34 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$42.18 |
$42.18 |
$42.18 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$33.06 |
$33.06 |
$33.06 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$45.03 |
$45.03 |
$45.03 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$208.05 |
$208.05 |
$208.05 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$274.17 |
$274.17 |
$274.17 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$234.27 |
$234.27 |
$234.27 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,059.06 |
$1,059.06 |
$1,059.06 |
$1,909.44
|
|
Mayo androstenedione
|
$69.54 |
$69.54 |
$69.54 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$35.91 |
$35.91 |
$35.91 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$25.65 |
$25.65 |
$25.65 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$22.80 |
$22.80 |
$22.80 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$306.09 |
$306.09 |
$306.09 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$42.18 |
$42.18 |
$42.18 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$14.82 |
$14.82 |
$14.82 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$420.66 |
$420.66 |
$420.66 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$32.49 |
$32.49 |
$32.49 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$18.81 |
$18.81 |
$18.81 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$57.00 |
$57.00 |
$57.00 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$88.35 |
$88.35 |
$88.35 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$43.32 |
$43.32 |
$43.32 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$78.66 |
$78.66 |
$78.66 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$53.58 |
$53.58 |
$53.58 |
$110.00
|
|
Mayo ceruloplasmin
|
$26.79 |
$26.79 |
$26.79 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$51.30 |
$51.30 |
$51.30 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$98.61 |
$98.61 |
$98.61 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$14.82 |
$14.82 |
$14.82 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$14.82 |
$14.82 |
$14.82 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$242.25 |
$242.25 |
$242.25 |
$353.99
|
|
Mayo chromium
|
$38.76 |
$38.76 |
$38.76 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$51.87 |
$51.87 |
$51.87 |
$89.53
|
|
Mayo coccidioides antibody
|
$13.68 |
$13.68 |
$13.68 |
$58.37
|
|
Mayo cocou cortisone urine
|
$196.65 |
$196.65 |
$196.65 |
$207.26
|
|
Mayo cortisol free
|
$33.63 |
$33.63 |
$33.63 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$61.56 |
$61.56 |
$61.56 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$38.76 |
$38.76 |
$38.76 |
$61.02
|
|
Mayo cyanide
|
$22.80 |
$22.80 |
$22.80 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$31.35 |
$31.35 |
$31.35 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$60.99 |
$60.99 |
$60.99 |
$88.45
|
|
Mayo dihydrotestosterone
|
$99.75 |
$99.75 |
$99.75 |
$81.90
|
|
Mayo efpo chloride stool
|
$10.26 |
$10.26 |
$10.26 |
$44.20
|
|
Mayo estriol
|
$57.57 |
$57.57 |
$57.57 |
$98.70
|
|
Mayo estrone
|
$49.59 |
$49.59 |
$49.59 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$39.33 |
$39.33 |
$39.33 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$57.57 |
$57.57 |
$57.57 |
$80.50
|
|
Mayo factor ii
|
$21.09 |
$21.09 |
$21.09 |
$93.00
|
|
Mayo factor v
|
$42.75 |
$42.75 |
$42.75 |
$125.48
|
|
Mayo factor vii
|
$43.32 |
$43.32 |
$43.32 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$48.45 |
$48.45 |
$48.45 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$47.31 |
$47.31 |
$47.31 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$47.88 |
$47.88 |
$47.88 |
$129.60
|
|
Mayo factor x
|
$43.32 |
$43.32 |
$43.32 |
$139.50
|
|
Mayo factor xi
|
$43.32 |
$43.32 |
$43.32 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$49.59 |
$49.59 |
$49.59 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$27.93 |
$27.93 |
$27.93 |
$102.20
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$49.59 |
$49.59 |
$49.59 |
$69.96
|
|
Mayo hemosiderin qualitative urine
|
$5.70 |
$5.70 |
$5.70 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$147.06 |
$147.06 |
$147.06 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$40.47 |
$40.47 |
$40.47 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$23.37 |
$23.37 |
$23.37 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$62.13 |
$62.13 |
$62.13 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$10.26 |
$10.26 |
$10.26 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$15.96 |
$15.96 |
$15.96 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$64.98 |
$64.98 |
$64.98 |
$93.45
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$96.33 |
$96.33 |
$96.33 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$91.20 |
$91.20 |
$91.20 |
$86.84
|
