|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1,121.61 |
$1,121.61 |
$1,121.61 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$71,312.71 |
$71,312.71 |
$71,312.71 |
$52,615.16
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$572.25 |
$572.25 |
$572.25 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$7,222.34 |
$7,222.34 |
$7,222.34 |
$6,655.71
|
|
Iron
|
$67.58 |
$67.58 |
$67.58 |
$70.72
|
|
Iron binding capacity
|
$321.55 |
$321.55 |
$321.55 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$86.11 |
$86.11 |
$86.11 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$262.69 |
$262.69 |
$262.69 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$28.89 |
$28.89 |
$28.89 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$176.58 |
$176.58 |
$176.58 |
$154.50
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$473.61 |
$473.61 |
$473.61 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$557.54 |
$557.54 |
$557.54 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$468.70 |
$468.70 |
$468.70 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$468.70 |
$468.70 |
$468.70 |
$460.85
|
|
Ixabepilone 15 mg intravenous solution
|
$8,379.38 |
$8,379.38 |
$8,379.38 |
$7,216.15
|
|
Jak2 targeted sequence analysis
|
$160.78 |
$160.78 |
$160.78 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$91.02 |
$91.02 |
$91.02 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$50.69 |
$50.69 |
$50.69 |
$30.08
|
|
Kidney imag w/bld flow multi
|
$3,091.79 |
$3,091.79 |
$3,091.79 |
$1,566.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,030.60 |
$1,030.60 |
$1,030.60 |
$668.25
|
|
Kit lead specify 5-6-5
|
$19,815.11 |
$19,815.11 |
$19,815.11 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,112.42 |
$2,112.42 |
$2,112.42 |
$1,357.69
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$2,087.65
|
|
Kras gene variants exon 2
|
$259.42 |
$259.42 |
$259.42 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$119.36 |
$119.36 |
$119.36 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$686.70 |
$686.70 |
$686.70 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$366.24 |
$366.24 |
$366.24 |
$53.30
|
|
Lactated ringers intravenous solution
|
$42.51 |
$42.51 |
$42.51 |
$54.11
|
|
Lactic acid
|
$237.62 |
$237.62 |
$237.62 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$13.63 |
$13.63 |
$13.63 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$21,887.75 |
$21,887.75 |
$21,887.75 |
$22,903.90
|
|
Lanthanum carbonate oral 5mg
|
$27.25 |
$27.25 |
$27.25 |
$21.90
|
|
Lead acuity x4 spiral l 86cm
|
$11,724.59 |
$11,724.59 |
$11,724.59 |
$5,831.00
|
|
Lead capillary
|
$5.86 |
$5.86 |
$5.86 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$3,154.46 |
$3,154.46 |
$3,154.46 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$15,243.11 |
$15,243.11 |
$15,243.11 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,472.05 |
$1,472.05 |
$1,472.05 |
$1,100.74
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$565.71 |
$565.71 |
$565.71 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$174.40 |
$174.40 |
$174.40 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$19,255.94 |
$19,255.94 |
$19,255.94 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$6,694.24 |
$6,694.24 |
$6,694.24 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$196.75 |
$196.75 |
$196.75 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$4.36 |
$4.36 |
$4.36 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$125.90 |
$125.90 |
$125.90 |
$66.59
|
|
Liberta rc ipg
|
$49,246.20 |
$49,246.20 |
$49,246.20 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$41.97 |
$41.97 |
$41.97 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$228.36 |
$228.36 |
$228.36 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$53,618.19 |
$53,618.19 |
$53,618.19 |
$177.90
|
|
Lipase
|
$166.23 |
$166.23 |
$166.23 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$29.78 |
$29.78 |
$29.78 |
$89.52
|
|
Lipoprotein blood quant
|
$29.98 |
$29.98 |
$29.98 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$274.14 |
$274.14 |
$274.14 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$251.79 |
$251.79 |
$251.79 |
$60.00
|
|
Lithium therapeutic drug level
|
$93.20 |
$93.20 |
$93.20 |
$67.60
|
|
Liver Function Test
|
$140.61 |
$140.61 |
$140.61 |
$110.50
|
|
Liver/spleen imag static only
|
$2,348.95 |
$2,348.95 |
$2,348.95 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$2.18 |
$2.18 |
$2.18 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$69.22 |
$69.22 |
$69.22 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,008.48 |
$4,008.48 |
$4,008.48 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$5,291.41 |
$5,291.41 |
$5,291.41 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,672.68 |
$2,672.68 |
$2,672.68 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,107.12 |
$4,107.12 |
$4,107.12 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,107.12 |
$4,107.12 |
$4,107.12 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,684.13 |
$2,684.13 |
$2,684.13 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$742.84 |
$742.84 |
$742.84 |
$344.00
|
|
Lumizyme injection
|
$1,602.30 |
$1,602.30 |
$1,602.30 |
$1,602.30
|
|
Lung function test (mbc/mvv)
|
$195.66 |
$195.66 |
$195.66 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$249.61 |
$249.61 |
$249.61 |
$298.50
|
|
Lung perfusion imaging
|
$2,100.43 |
$2,100.43 |
$2,100.43 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$16,484.62 |
$16,484.62 |
$16,484.62 |
$21,982.48
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$23,630.66 |
$23,630.66 |
$23,630.66 |
$29,435.46
|
|
Lymphatics/lymph node imaging
|
$2,649.79 |
$2,649.79 |
$2,649.79 |
$1,543.75
|
|
Macroscopic exam arthropod
|
$76.85 |
$76.85 |
$76.85 |
$38.58
|
|
Macroscopic exam parasite
|
$77.94 |
$77.94 |
$77.94 |
$38.50
|
|
Magnesium
|
$192.39 |
$192.39 |
$192.39 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$388.04 |
$388.04 |
$388.04 |
$65.49
|
|
Mammosite ced
|
$9,018.12 |
$9,018.12 |
$9,018.12 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$173.86 |
$173.86 |
$173.86 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$158.05 |
$158.05 |
$158.05 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$35.43 |
$35.43 |
$35.43 |
$40.12
|
|
Manual diff wbc count b-coat
|
$314.47 |
$314.47 |
$314.47 |
$22.75
|
|
Marker biop eviva buckle ss
|
$2,746.80 |
$2,746.80 |
$2,746.80 |
$1,213.20
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6,935.67 |
$6,935.67 |
$6,935.67 |
$7,478.44
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$8.58 |
$8.58 |
$8.58 |
$66.50
|
|
Mayo aathr protein s free
|
$23.98 |
$23.98 |
$23.98 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$11.45 |
$11.45 |
$11.45 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$16.35 |
$16.35 |
$16.35 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$7.98 |
$7.98 |
$7.98 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$38.15 |
$38.15 |
$38.15 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$155.33 |
$155.33 |
$155.33 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$387.50 |
$387.50 |
$387.50 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$788.89 |
$788.89 |
$788.89 |
$1,909.44
|
|
Mayo androstenedione
|
$13.08 |
$13.08 |
$13.08 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$10.90 |
$10.90 |
$10.90 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$10.16 |
$10.16 |
$10.16 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$18.55 |
$18.55 |
$18.55 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$23.44 |
$23.44 |
$23.44 |
$157.95
|
|
Mayo bart bartonella henselae antibody igg
|
$6.04 |
$6.04 |
$6.04 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$39.41 |
$39.41 |
$39.41 |
$353.60
|