|
Ivp w/wo kub w/wo tomography
|
$4,616.10 |
$4,616.10 |
$4,616.10 |
$713.05
|
|
Ixabepilone 15 mg intravenous solution
|
$4,551.75 |
$4,551.75 |
$4,551.75 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$45.00 |
$45.00 |
$45.00 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$212.40 |
$212.40 |
$212.40 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$11.70 |
$11.70 |
$11.70 |
$29.52
|
|
Kidney imaging morphology
|
$2,960.10 |
$2,960.10 |
$2,960.10 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$3,927.60 |
$3,927.60 |
$3,927.60 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,549.80 |
$1,549.80 |
$1,549.80 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$11,826.00 |
$11,826.00 |
$11,826.00 |
$9,482.25
|
|
Kit lead specify 5-6-5
|
$15,373.35 |
$15,373.35 |
$15,373.35 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,448.10 |
$1,448.10 |
$1,448.10 |
$1,391.79
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$2,306.56
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$15.12 |
$15.12 |
$15.12 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$399.62 |
$399.62 |
$399.62 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$324.00 |
$324.00 |
$324.00 |
$53.30
|
|
Lactated ringers intravenous solution
|
$40.95 |
$40.95 |
$40.95 |
$48.56
|
|
Lactic acid
|
$337.05 |
$337.05 |
$337.05 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$65.25 |
$65.25 |
$65.25 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$12,908.70 |
$12,908.70 |
$12,908.70 |
$21,487.67
|
|
Lanthanum carbonate oral 5mg
|
$37.80 |
$37.80 |
$37.80 |
$14.41
|
|
Lead acuity x4 spiral l 86cm
|
$5,380.65 |
$5,380.65 |
$5,380.65 |
$5,831.00
|
|
Lead capillary
|
$5.15 |
$5.15 |
$5.15 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$1,448.10 |
$1,448.10 |
$1,448.10 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$11,826.00 |
$11,826.00 |
$11,826.00 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,879.20 |
$1,879.20 |
$1,879.20 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$172.80 |
$172.80 |
$172.80 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$8,986.50 |
$8,986.50 |
$8,986.50 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,600.00 |
$3,600.00 |
$3,600.00 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$197.10 |
$197.10 |
$197.10 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$3.60 |
$3.60 |
$3.60 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$213.77 |
$213.77 |
$213.77 |
$64.88
|
|
Liberta rc ipg
|
$38,207.25 |
$38,207.25 |
$38,207.25 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$29.81 |
$29.81 |
$29.81 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$44.55 |
$44.55 |
$44.55 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$207.90 |
$207.90 |
$207.90 |
$172.25
|
|
Lipase
|
$429.30 |
$429.30 |
$429.30 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$278.10 |
$278.10 |
$278.10 |
$55.90
|
|
Lithium therapeutic drug level
|
$273.15 |
$273.15 |
$273.15 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$11,387.25 |
$11,387.25 |
$11,387.25 |
$4,371.12
|
|
Liver Function Test
|
$667.80 |
$667.80 |
$667.80 |
$110.50
|
|
Liver imaging
|
$1,294.20 |
$1,294.20 |
$1,294.20 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$1,294.20 |
$1,294.20 |
$1,294.20 |
$1,255.15
|
|
Liver/spleen imag w/vasclr flow
|
$2,015.55 |
$2,015.55 |
$2,015.55 |
$949.00
|
|
Locm 100-199mg/ml iodine,1ml
|
$2.74 |
$2.74 |
$2.74 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$432.00 |
$432.00 |
$432.00 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$5,529.60 |
$5,529.60 |
$5,529.60 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$4,388.85 |
$4,388.85 |
$4,388.85 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,835.35 |
$3,835.35 |
$3,835.35 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,835.35 |
$3,835.35 |
$3,835.35 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,506.50 |
$2,506.50 |
$2,506.50 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$684.45 |
$684.45 |
$684.45 |
$344.00
|
|
Lumbar diskogram s&i
|
$2,360.70 |
$2,360.70 |
$2,360.70 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$98.10 |
$98.10 |
$98.10 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$232.20 |
$232.20 |
$232.20 |
$298.50
|
|
Lung perfusion imaging
|
$2,175.30 |
$2,175.30 |
$2,175.30 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$10,314.00 |
$10,314.00 |
$10,314.00 |
$20,686.05
|
|
Lymphatics/lymph node imaging
|
$3,534.30 |
$3,534.30 |
$3,534.30 |
$1,543.75
|
|
Lymph vessel x-ray trunk
|
$6,503.40 |
$6,503.40 |
$6,503.40 |
$3,380.00
|
|
Magnesium
|
$391.50 |
$391.50 |
$391.50 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$43.13 |
$43.13 |
$43.13 |
$69.30
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$204.30 |
$204.30 |
$204.30 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$281.70 |
$281.70 |
$281.70 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$16.20 |
$16.20 |
$16.20 |
$28.48
|
|
Marker biop eviva buckle ss
|
$298.35 |
$298.35 |
$298.35 |
$1,213.20
|
|
Mastoids complete
|
$643.05 |
$643.05 |
$643.05 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$4.95 |
$4.95 |
$4.95 |
$66.50
|
|
Mayo aathr protein s free
|
$13.50 |
$13.50 |
$13.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$9.45 |
$9.45 |
$9.45 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$13.50 |
$13.50 |
$13.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$4.95 |
$4.95 |
$4.95 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$31.50 |
$31.50 |
$31.50 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$90.00 |
$90.00 |
$90.00 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$87.75 |
$87.75 |
$87.75 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$573.21 |
$573.21 |
$573.21 |
$1,909.44
|
|
Mayo androstenedione
|
$10.80 |
$10.80 |
$10.80 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$2.25 |
$2.25 |
$2.25 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$8.39 |
$8.39 |
$8.39 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$4.42 |
$4.42 |
$4.42 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$19.35 |
$19.35 |
$19.35 |
$157.95
|
|
Mayo bart bartonella henselae antibody igg
|
$4.50 |
$4.50 |
$4.50 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$76.50 |
$76.50 |
$76.50 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$18.76 |
$18.76 |
$18.76 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$5.43 |
$5.43 |
$5.43 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$11.25 |
$11.25 |
$11.25 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$5.76 |
$5.76 |
$5.76 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$7.65 |
$7.65 |
$7.65 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$12.23 |
$12.23 |
$12.23 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$12.86 |
$12.86 |
$12.86 |
$110.00
|
|
Mayo ceruloplasmin
|
$3.15 |
$3.15 |
$3.15 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$66.38 |
$66.38 |
$66.38 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$42.75 |
$42.75 |
$42.75 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$3.35 |
$3.35 |
$3.35 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$3.35 |
$3.35 |
$3.35 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$69.75 |
$69.75 |
$69.75 |
$353.99
|
|
Mayo chromium
|
$6.30 |
$6.30 |
$6.30 |
$70.85
|
|
Mayo coccidioides antibody
|
$4.47 |
$4.47 |
$4.47 |
$58.37
|
|
Mayo cocou cortisone urine
|
$39.15 |
$39.15 |
$39.15 |
$207.26
|
|
Mayo cortisol free
|
$7.32 |
$7.32 |
$7.32 |
$100.00
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$13.07 |
$13.07 |
$13.07 |
$61.02
|
|
Mayo deoxyribonuclease antibody titer
|
$4.11 |
$4.11 |
$4.11 |
$56.80
|
