|
Interrog dev eval scrms ip
|
$20.88 |
$20.88 |
$20.88 |
$124.80
|
|
Interrog device eval heart
|
$47.52 |
$47.52 |
$47.52 |
$162.40
|
|
Interrog evl pm/ldls pm ip
|
$35.28 |
$35.28 |
$35.28 |
$124.80
|
|
Intraoral periapical first
|
$20.88 |
$20.88 |
$20.88 |
$54.88
|
|
Intrinsic factor antibody
|
$4.82 |
$4.82 |
$4.82 |
$66.60
|
|
Intro long gi tube w/mult fluo
|
$434.16 |
$434.16 |
$434.16 |
$449.40
|
|
Intubation endotracheal emergency procedure
|
$318.96 |
$318.96 |
$318.96 |
$589.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$2.29 |
$2.29 |
$2.29 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.67 |
$2.67 |
$2.67 |
$279.10
|
|
Ipratropium bromide non-comp
|
$1.57 |
$1.57 |
$1.57 |
$3.75
|
|
Iron
|
$61.20 |
$61.20 |
$61.20 |
$74.40
|
|
Iron binding capacity
|
$56.52 |
$56.52 |
$56.52 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$110.40 |
$110.40 |
$110.40 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$479.16 |
$479.16 |
$479.16 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$291.96 |
$291.96 |
$291.96 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$306.00 |
$306.00 |
$306.00 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$306.00 |
$306.00 |
$306.00 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$548.28 |
$548.28 |
$548.28 |
$439.56
|
|
Ivp w/nephrotomography
|
$1,345.68 |
$1,345.68 |
$1,345.68 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$769.68 |
$769.68 |
$769.68 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$61.20 |
$61.20 |
$61.20 |
$379.87
|
|
John cunningham antibody
|
$10.80 |
$10.80 |
$10.80 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$38.16 |
$38.16 |
$38.16 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$113.76 |
$113.76 |
$113.76 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$24.21 |
$24.21 |
$24.21 |
$23.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,521.72 |
$1,521.72 |
$1,521.72 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$445.32 |
$445.32 |
$445.32 |
$666.00
|
|
Kit gene analys d816 variant
|
$100.80 |
$100.80 |
$100.80 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$47,700.00 |
$47,700.00 |
$47,700.00 |
$30,006.00
|
|
Kit lead specify 5-6-5
|
$1,350.00 |
$1,350.00 |
$1,350.00 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,677.60 |
$1,677.60 |
$1,677.60 |
$1,543.50
|
|
Knee MRI (with and without contrast)
|
$3,993.48 |
$3,993.48 |
$3,993.48 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$2,700.00 |
$2,700.00 |
$2,700.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,383.56 |
$2,383.56 |
$2,383.56 |
$2,169.60
|
|
Knee X-ray
|
$455.40 |
$455.40 |
$455.40 |
$425.55
|
|
Kyleena, 19.5 mg
|
$885.60 |
$885.60 |
$885.60 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$15.01 |
$15.01 |
$15.01 |
$32.34
|
|
Lactate dehydrogenase (ldh)
|
$56.16 |
$56.16 |
$56.16 |
$55.50
|
|
Lactated ringers intravenous solution
|
$35.57 |
$35.57 |
$35.57 |
$45.56
|
|
Lactation class
|
$41.76 |
$41.76 |
$41.76 |
$93.71
|
|
Lactic acid
|
$103.68 |
$103.68 |
$103.68 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$6.28 |
$6.28 |
$6.28 |
$80.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$9,900.00 |
$9,900.00 |
$9,900.00 |
$19,124.00
|
|
Laryngoscopic sensory vid
|
$177.48 |
$177.48 |
$177.48 |
$336.00
|
|
Lead capillary
|
$31.68 |
$31.68 |
$31.68 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$904.32 |
$904.32 |
$904.32 |
$1,088.26
|
|
Leishmania antibody
|
$3.92 |
$3.92 |
$3.92 |
$68.25
|
|
Lens, intraocular (new tech)
|
$365.04 |
$365.04 |
$365.04 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,012.32 |
$1,012.32 |
$1,012.32 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,608.84 |
$1,608.84 |
$1,608.84 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$362.52 |
$362.52 |
$362.52 |
$367.97
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$11,404.54 |
$11,404.54 |
$11,404.54 |
$7,052.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$9,570.45 |
$9,570.45 |
$9,570.45 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$11.51 |
$11.51 |
$11.51 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$55.08 |
$55.08 |
$55.08 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$21.81 |
$21.81 |
$21.81 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$191.47 |
$191.47 |
$191.47 |
$385.62
|
|
Liberta rc ipg
|
$29,340.00 |
$29,340.00 |
$29,340.00 |
$36,300.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$28.05 |
$28.05 |
$28.05 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$1.57 |
$1.57 |
$1.57 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$35.64 |
$35.64 |
$35.64 |
$89.70
|
|
Liletta, 52 mg
|
$522.00 |
$522.00 |
$522.00 |
$1,453.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$61.36 |
$61.36 |
$61.36 |
$125.66
|
|
Lipase
|
$86.76 |
$86.76 |
$86.76 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$8.91 |
$8.91 |
$8.91 |
$90.35
|
|
Lipoprotein blood quant
|
$10.10 |
$10.10 |
$10.10 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$60.12 |
$60.12 |
$60.12 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$43.56 |
$43.56 |
$43.56 |
$61.60
|
|
Lithium therapeutic drug level
|
$56.16 |
$56.16 |
$56.16 |
$69.42
|
|
Liver Function Test
|
$84.24 |
$84.24 |
$84.24 |
$115.44
|
|
Liver/spleen imag static only
|
$934.20 |
$934.20 |
$934.20 |
$1,123.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.53 |
$1.53 |
$1.53 |
$45.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$17.77 |
$17.77 |
$17.77 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,831.68 |
$1,831.68 |
$1,831.68 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,859.40 |
$1,859.40 |
$1,859.40 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,796.04 |
$1,796.04 |
$1,796.04 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,233.08 |
$2,233.08 |
$2,233.08 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,160.00 |
$2,160.00 |
$2,160.00 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,784.52 |
$1,784.52 |
$1,784.52 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$355.32 |
$355.32 |
$355.32 |
$352.32
|
|
Lung function test (mbc/mvv)
|
$321.84 |
$321.84 |
$321.84 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$305.64 |
$305.64 |
$305.64 |
$295.35
|
|
Lung perfusion imaging
|
$1,243.80 |
$1,243.80 |
$1,243.80 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$1,820.52 |
$1,820.52 |
$1,820.52 |
$1,448.00
|
|
Lymphocyte transformation mitogen
|
$56.52 |
$56.52 |
$56.52 |
$266.20
|
|
Macroscopic exam arthropod
|
$49.36 |
$49.36 |
$49.36 |
$38.50
|
|
Macroscopic exam parasite
|
$7.92 |
$7.92 |
$7.92 |
$36.40
|
|
Magnesium
|
$53.64 |
$53.64 |
$53.64 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$32.80 |
$32.80 |
$32.80 |
$58.70
|
|
Makena, 10 mg
|
$99.36 |
$99.36 |
$99.36 |
$1,405.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$177.48 |
$177.48 |
$177.48 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$166.68 |
$166.68 |
$166.68 |
$152.54
|
|
Marker biop eviva buckle ss
|
$352.08 |
$352.08 |
$352.08 |
$1,152.48
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$4.63 |
$4.63 |
$4.63 |
$66.36
|
|
Mayo aathr protein s free
|
$4.90 |
$4.90 |
$4.90 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$4.90 |
$4.90 |
$4.90 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$504.00 |
$504.00 |
$504.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$34.77 |
$34.77 |
$34.77 |
$102.96
|
|
Mayo alcohol definitive assay volatile screen
|
$72.36 |
$72.36 |
$72.36 |
$112.85
|
|
Mayo alkaline phosphatase isoenzyme
|
$6.41 |
$6.41 |
$6.41 |
$66.30
|