|
Intrvasc Ultrasound noncoronary 1st vessel
|
$810.24 |
$810.24 |
$810.24 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$361.60 |
$361.60 |
$361.60 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$208.00 |
$208.00 |
$208.00 |
$589.60
|
|
Ionm in operatng room 15 min
|
$10.72 |
$10.72 |
$10.72 |
$191.40
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$0.64 |
$0.64 |
$0.64 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$0.72 |
$0.72 |
$0.72 |
$279.10
|
|
Iron
|
$56.32 |
$56.32 |
$56.32 |
$74.40
|
|
Iron binding capacity
|
$57.76 |
$57.76 |
$57.76 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$137.94 |
$137.94 |
$137.94 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$7.20 |
$7.20 |
$7.20 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$51.84 |
$51.84 |
$51.84 |
$142.20
|
|
Ivc venogram s&i
|
$1,043.20 |
$1,043.20 |
$1,043.20 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$123.68 |
$123.68 |
$123.68 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$85.76 |
$85.76 |
$85.76 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$76.80 |
$76.80 |
$76.80 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$185.44 |
$185.44 |
$185.44 |
$439.56
|
|
Ivp w/nephrotomography
|
$183.52 |
$183.52 |
$183.52 |
$790.08
|
|
Jak2 targeted sequence analysis
|
$10.41 |
$10.41 |
$10.41 |
$379.87
|
|
John cunningham antibody
|
$4.80 |
$4.80 |
$4.80 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$16.96 |
$16.96 |
$16.96 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$48.16 |
$48.16 |
$48.16 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$8.37 |
$8.37 |
$8.37 |
$23.50
|
|
Kidney imag w/bld flow multi
|
$537.28 |
$537.28 |
$537.28 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$759.68 |
$759.68 |
$759.68 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$375.68 |
$375.68 |
$375.68 |
$666.00
|
|
Kit gene analys d816 variant
|
$44.80 |
$44.80 |
$44.80 |
$374.61
|
|
Kit lead specify 5-6-5
|
$47.04 |
$47.04 |
$47.04 |
$15,639.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,089.44 |
$1,089.44 |
$1,089.44 |
$2,089.15
|
|
Knee MRI (with and without contrast)
|
$2,502.88 |
$2,502.88 |
$2,502.88 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$938.08 |
$938.08 |
$938.08 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,169.28 |
$1,169.28 |
$1,169.28 |
$2,169.60
|
|
Knee X-ray
|
$320.96 |
$320.96 |
$320.96 |
$425.55
|
|
Kras gene addl variants
|
$20.48 |
$20.48 |
$20.48 |
$384.80
|
|
Kras gene variants exon 2
|
$20.55 |
$20.55 |
$20.55 |
$486.45
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$11.29 |
$11.29 |
$11.29 |
$32.34
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$123.85 |
$123.85 |
$123.85 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$58.56 |
$58.56 |
$58.56 |
$55.50
|
|
Lactated ringers intravenous solution
|
$19.20 |
$19.20 |
$19.20 |
$45.56
|
|
Lactation class
|
$179.20 |
$179.20 |
$179.20 |
$93.71
|
|
Lactic acid
|
$68.80 |
$68.80 |
$68.80 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$39.36 |
$39.36 |
$39.36 |
$80.40
|
|
Lead acuity x4 spiral l 86cm
|
$461.12 |
$461.12 |
$461.12 |
$5,488.00
|
|
Lead capillary
|
$11.52 |
$11.52 |
$11.52 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$442.56 |
$442.56 |
$442.56 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$448.80 |
$448.80 |
$448.80 |
$8,000.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$658.72 |
$658.72 |
$658.72 |
$1,088.26
|
|
Leishmania antibody
|
$1.74 |
$1.74 |
$1.74 |
$68.25
|
|
Lens iol ant bicnvx 24.0 multi
|
$456.96 |
$456.96 |
$456.96 |
$1,065.00
|
|
Leukocyte phagocytosis
|
$100.80 |
$100.80 |
$100.80 |
$71.76
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$53.87 |
$53.87 |
$53.87 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$1.88 |
$1.88 |
$1.88 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$14.26 |
$14.26 |
$14.26 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$122.14 |
$122.14 |
$122.14 |
$385.62
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$16.98 |
$16.98 |
$16.98 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$11.49 |
$11.49 |
$11.49 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$39.20 |
$39.20 |
$39.20 |
$89.70
|
|
Limited autopsy
|
$72.96 |
$72.96 |
$72.96 |
$352.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$33.04 |
$33.04 |
$33.04 |
$125.66
|
|
Lipase
|
$66.24 |
$66.24 |
$66.24 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$4.32 |
$4.32 |
$4.32 |
$90.35
|
|
Lipoprotein blood quant
|
$4.49 |
$4.49 |
$4.49 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$23.04 |
$23.04 |
$23.04 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$31.84 |
$31.84 |
$31.84 |
$61.60
|
|
Lithium therapeutic drug level
|
$43.84 |
$43.84 |
$43.84 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,468.80 |
$2,468.80 |
$2,468.80 |
$3,900.00
|
|
Liver Function Test
|
$120.80 |
$120.80 |
$120.80 |
$115.44
|
|
Liver/spleen imag static only
|
$351.68 |
$351.68 |
$351.68 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$387.36 |
$387.36 |
$387.36 |
$1,067.48
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.56 |
$0.56 |
$0.56 |
$45.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$9.44 |
$9.44 |
$9.44 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,258.72 |
$1,258.72 |
$1,258.72 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$996.80 |
$996.80 |
$996.80 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$901.28 |
$901.28 |
$901.28 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,447.04 |
$1,447.04 |
$1,447.04 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,222.08 |
$1,222.08 |
$1,222.08 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$885.92 |
$885.92 |
$885.92 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$204.16 |
$204.16 |
$204.16 |
$352.32
|
|
Lumbar diskogram s&i
|
$732.16 |
$732.16 |
$732.16 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$88.00 |
$88.00 |
$88.00 |
$295.35
|
|
Lung perfusion imaging
|
$606.56 |
$606.56 |
$606.56 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$508.64 |
$508.64 |
$508.64 |
$1,448.00
|
|
Lymphocyte transformation mitogen
|
$25.12 |
$25.12 |
$25.12 |
$266.20
|
|
Macro exam dissect molec study ea
|
$56.00 |
$56.00 |
$56.00 |
$72.85
|
|
Macroscopic exam arthropod
|
$27.04 |
$27.04 |
$27.04 |
$38.50
|
|
Macroscopic exam parasite
|
$12.16 |
$12.16 |
$12.16 |
$36.40
|
|
Magnesium
|
$59.84 |
$59.84 |
$59.84 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$18.79 |
$18.79 |
$18.79 |
$58.70
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$42.56 |
$42.56 |
$42.56 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$61.12 |
$61.12 |
$61.12 |
$152.54
|
|
Map tachycard site(s)
|
$3,626.40 |
$3,626.40 |
$3,626.40 |
$3,875.95
|
|
Marker biop eviva buckle ss
|
$178.08 |
$178.08 |
$178.08 |
$1,152.48
|
|
Mastoids complete
|
$121.92 |
$121.92 |
$121.92 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$1,224.00 |
$1,224.00 |
$1,224.00 |
$5,065.63
|
|
M.avium-intra dna amp prob
|
$34.77 |
$34.77 |
$34.77 |
$132.00
|
|
M.avium-intra dna dir prob
|
$54.88 |
$54.88 |
$54.88 |
$58.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$2.06 |
$2.06 |
$2.06 |
$66.36
|
|
Mayo aathr protein s free
|
$2.18 |
$2.18 |
$2.18 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$3.84 |
$3.84 |
$3.84 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$33.68 |
$33.68 |
$33.68 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$15.45 |
$15.45 |
$15.45 |
$102.96
|