|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$6,655.71
|
|
Iron
|
$96.95 |
$96.95 |
$96.95 |
$70.72
|
|
Iron binding capacity
|
$82.35 |
$82.35 |
$82.35 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$151.26 |
$151.26 |
$151.26 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$247.04 |
$247.04 |
$247.04 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$39.72 |
$39.72 |
$39.72 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$162.94 |
$162.94 |
$162.94 |
$154.50
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$269.23 |
$269.23 |
$269.23 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$334.05 |
$334.05 |
$334.05 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$171.12 |
$171.12 |
$171.12 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$612.04 |
$612.04 |
$612.04 |
$460.85
|
|
Ixabepilone 15 mg intravenous solution
|
$3,544.30 |
$3,544.30 |
$3,544.30 |
$7,216.15
|
|
Jak2 targeted sequence analysis
|
$175.20 |
$175.20 |
$175.20 |
$378.30
|
|
John cunningham antibody
|
$17.52 |
$17.52 |
$17.52 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$8.76 |
$8.76 |
$8.76 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$88.77 |
$88.77 |
$88.77 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$1,327.44 |
$1,327.44 |
$1,327.44 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,102.60 |
$1,102.60 |
$1,102.60 |
$668.25
|
|
Kit gene analys d816 variant
|
$163.52 |
$163.52 |
$163.52 |
$355.00
|
|
Kit hfx iq ipg bundle
|
$51,019.41 |
$51,019.41 |
$51,019.41 |
$28,974.93
|
|
Kit lead specify 5-6-5
|
$31,680.25 |
$31,680.25 |
$31,680.25 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,319.26 |
$1,319.26 |
$1,319.26 |
$1,357.69
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,715.80 |
$1,715.80 |
$1,715.80 |
$2,087.65
|
|
Kras gene addl variants
|
$213.16 |
$213.16 |
$213.16 |
$346.45
|
|
Kras gene variants exon 2
|
$252.88 |
$252.88 |
$252.88 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$105.12 |
$105.12 |
$105.12 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$1,208.30 |
$1,208.30 |
$1,208.30 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$95.20 |
$95.20 |
$95.20 |
$53.30
|
|
Lactated ringers intravenous solution
|
$45.56 |
$45.56 |
$45.56 |
$54.11
|
|
Lactic acid
|
$222.51 |
$222.51 |
$222.51 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$168.20 |
$168.20 |
$168.20 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$10,051.81 |
$10,051.81 |
$10,051.81 |
$22,903.90
|
|
Lead acuity x4 spiral l 86cm
|
$4,906.77 |
$4,906.77 |
$4,906.77 |
$5,831.00
|
|
Lead capillary
|
$13.44 |
$13.44 |
$13.44 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,319.26 |
$1,319.26 |
$1,319.26 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$8,295.72 |
$8,295.72 |
$8,295.72 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,807.48 |
$1,807.48 |
$1,807.48 |
$1,100.74
|
|
Leishmania antibody
|
$22.51 |
$22.51 |
$22.51 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,715.80 |
$1,715.80 |
$1,715.80 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,773.23 |
$3,773.23 |
$3,773.23 |
$1,546.87
|
|
Lens iol ant chamb 10.5
|
$598.02 |
$598.02 |
$598.02 |
$234.81
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$402.96 |
$402.96 |
$402.96 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$8,145.05 |
$8,145.05 |
$8,145.05 |
$3,271.64
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,358.00 |
$3,358.00 |
$3,358.00 |
$6,208.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$318.87 |
$318.87 |
$318.87 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$4.68 |
$4.68 |
$4.68 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$203.82 |
$203.82 |
$203.82 |
$66.59
|
|
Liberta rc ipg
|
$74,695.94 |
$74,695.94 |
$74,695.94 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$43.22 |
$43.22 |
$43.22 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$57.82 |
$57.82 |
$57.82 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$352.74 |
$352.74 |
$352.74 |
$155.52
|
|
Liletta, 52 mg
|
$1,319.26 |
$1,319.26 |
$1,319.26 |
$2,360.29
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$22,679.64 |
$22,679.64 |
$22,679.64 |
$177.90
|
|
Lipase
|
$133.16 |
$133.16 |
$133.16 |
$83.20
|
|
Lipoprotein blood quant
|
$33.29 |
$33.29 |
$33.29 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$115.05 |
$115.05 |
$115.05 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$99.87 |
$99.87 |
$99.87 |
$60.00
|
|
Lithium therapeutic drug level
|
$164.69 |
$164.69 |
$164.69 |
$67.60
|
|
Liver Function Test
|
$290.25 |
$290.25 |
$290.25 |
$110.50
|
|
Liver/spleen imag static only
|
$1,160.41 |
$1,160.41 |
$1,160.41 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$26.87 |
$26.87 |
$26.87 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$7,218.24 |
$7,218.24 |
$7,218.24 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$6,200.33 |
$6,200.33 |
$6,200.33 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,084.69 |
$3,084.69 |
$3,084.69 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,872.32 |
$4,872.32 |
$4,872.32 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,295.91 |
$4,295.91 |
$4,295.91 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,883.21 |
$2,883.21 |
$2,883.21 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$605.03 |
$605.03 |
$605.03 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$646.49 |
$646.49 |
$646.49 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$304.27 |
$304.27 |
$304.27 |
$298.50
|
|
Lung perfusion imaging
|
$932.65 |
$932.65 |
$932.65 |
$1,100.39
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$10,852.48 |
$10,852.48 |
$10,852.48 |
$29,435.46
|
|
Lymphatics/lymph node imaging
|
$605.61 |
$605.61 |
$605.61 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$197.92 |
$197.92 |
$197.92 |
$266.20
|
|
Macroscopic exam arthropod
|
$44.97 |
$44.97 |
$44.97 |
$38.58
|
|
Macroscopic exam parasite
|
$10.31 |
$10.31 |
$10.31 |
$38.50
|
|
Magnesium
|
$99.87 |
$99.87 |
$99.87 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$628.97 |
$628.97 |
$628.97 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$176.37 |
$176.37 |
$176.37 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$161.77 |
$161.77 |
$161.77 |
$178.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,392.26 |
$1,392.26 |
$1,392.26 |
$705.82
|
|
Marker biop eviva buckle ss
|
$598.02 |
$598.02 |
$598.02 |
$1,213.20
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$10.73 |
$10.73 |
$10.73 |
$66.50
|
|
Mayo aathr protein s free
|
$62.60 |
$62.60 |
$62.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$62.60 |
$62.60 |
$62.60 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$86.14 |
$86.14 |
$86.14 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$17.52 |
$17.52 |
$17.52 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$50.94 |
$50.94 |
$50.94 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$40.88 |
$40.88 |
$40.88 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$289.08 |
$289.08 |
$289.08 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$93.44 |
$93.44 |
$93.44 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$116.80 |
$116.80 |
$116.80 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,226.40 |
$1,226.40 |
$1,226.40 |
$1,909.44
|
|
Mayo androstenedione
|
$88.89 |
$88.89 |
$88.89 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$11.68 |
$11.68 |
$11.68 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$9.24 |
$9.24 |
$9.24 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$5.89 |
$5.89 |
$5.89 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$25.12 |
$25.12 |
$25.12 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$23.36 |
$23.36 |
$23.36 |
$105.00
|
|
Mayo bart bartonella henselae antibody igg
|
$5.84 |
$5.84 |
$5.84 |
$45.75
|