|
Iron binding capacity
|
$463.19 |
$463.19 |
$463.19 |
$61.47
|
|
Iron dextran 50 mg/ml injection solution
|
$842.39 |
$842.39 |
$842.39 |
$61.17
|
|
Iron stain peripheral blood
|
$294.63 |
$294.63 |
$294.63 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,259.97 |
$1,259.97 |
$1,259.97 |
$255.91
|
|
Irradiation of blood product each unit reference
|
$613.62 |
$613.62 |
$613.62 |
$124.24
|
|
Ivp w/nephrotomography
|
$9,448.59 |
$9,448.59 |
$9,448.59 |
$712.53
|
|
Ivp w/wo kub w/wo tomography
|
$6,154.78 |
$6,154.78 |
$6,154.78 |
$692.18
|
|
Ketogenic steroids fract
|
$1,781.71 |
$1,781.71 |
$1,781.71 |
$79.54
|
|
Kidney imag w/bld flow multi
|
$10,733.73 |
$10,733.73 |
$10,733.73 |
$1,574.40
|
|
Kidney img w/bldflw sgl without rx
|
$11,900.65 |
$11,900.65 |
$11,900.65 |
$1,468.04
|
|
Kras gene addl variants
|
$4,117.41 |
$4,117.41 |
$4,117.41 |
$346.45
|
|
Kras gene variants exon 2
|
$4,117.41 |
$4,117.41 |
$4,117.41 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$77.76 |
$77.76 |
$77.76 |
$29.35
|
|
Lactoferrin fecal quant
|
$690.18 |
$690.18 |
$690.18 |
$106.10
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$342.69 |
$342.69 |
$342.69 |
$120.34
|
|
Levalbuterol non-comp unit
|
$154.46 |
$154.46 |
$154.46 |
$20.15
|
|
Levetiracetam therapeutic drug level
|
$1,060.77 |
$1,060.77 |
$1,060.77 |
$74.92
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$51.86 |
$51.86 |
$51.86 |
$35.62
|
|
Lidocaine therapeutic drug level
|
$1,036.79 |
$1,036.79 |
$1,036.79 |
$87.45
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$2,159.94 |
$2,159.94 |
$2,159.94 |
$130.49
|
|
Lipoprotein blood high res frac & quant
|
$667.89 |
$667.89 |
$667.89 |
$87.00
|
|
Lipoprotein blood quant
|
$420.66 |
$420.66 |
$420.66 |
$104.45
|
|
Lipoprotein direct measurement hdl
|
$535.51 |
$535.51 |
$535.51 |
$54.60
|
|
Liver imaging
|
$5,642.33 |
$5,642.33 |
$5,642.33 |
$1,241.25
|
|
Liver/spleen imag static only
|
$9,984.95 |
$9,984.95 |
$9,984.95 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$8,482.15 |
$8,482.15 |
$8,482.15 |
$928.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$9.87 |
$9.87 |
$9.87 |
$12.00
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$210.37 |
$210.37 |
$210.37 |
$37.37
|
|
Low frequency non-thermal Ultrasound
|
$1,006.76 |
$1,006.76 |
$1,006.76 |
$272.22
|
|
L/s ratio fetal lung
|
$3,261.18 |
$3,261.18 |
$3,261.18 |
$168.00
|
|
Lumbar diskogram s&i
|
$7,415.68 |
$7,415.68 |
$7,415.68 |
$2,358.23
|
|
Lung perfusion imaging
|
$10,280.95 |
$10,280.95 |
$10,280.95 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$10,210.62 |
$10,210.62 |
$10,210.62 |
$1,526.38
|
|
Lymph vessel x-ray trunk
|
$6,839.09 |
$6,839.09 |
$6,839.09 |
$2,542.41
|
|
Macroscopic exam arthropod
|
$262.34 |
$262.34 |
$262.34 |
$38.58
|
|
Macroscopic exam parasite
|
$452.75 |
$452.75 |
$452.75 |
$36.40
|
|
Magnetic image bone marrow
|
$17,351.43 |
$17,351.43 |
$17,351.43 |
$970.85
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$166.07 |
$166.07 |
$166.07 |
$136.64
|
|
Manipulation chest wall initial demonstration/evaluation
|
$364.71 |
$364.71 |
$364.71 |
$163.15
|
|
Mannitol 12.5 gm/50 ml inj
|
$312.55 |
$312.55 |
$312.55 |
$40.12
|
|
Manual diff wbc count b-coat
|
$81.69 |
$81.69 |
$81.69 |
$22.75
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$1,753.91 |
$1,753.91 |
$1,753.91 |
$71.78
|
|
Mayo aathr protein s free
|
$1,678.99 |
$1,678.99 |
$1,678.99 |
$134.55
|
|
Mayo activated protein c resistance assay
|
$334.37 |
$334.37 |
$334.37 |
$100.10
|
|
Mayo alkaline phosphatase isoenzyme
|
$775.60 |
$775.60 |
$775.60 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$1,309.37 |
$1,309.37 |
$1,309.37 |
$85.80
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$4,097.08 |
$4,097.08 |
$4,097.08 |
$343.20
|
|
Mayo androstenedione
|
$737.74 |
$737.74 |
$737.74 |
$106.20
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$982.93 |
$982.93 |
$982.93 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$314.70 |
$314.70 |
$314.70 |
$67.13
|
|
Mayo blastomyces antibody immunodiffusion
|
$1,297.48 |
$1,297.48 |
$1,297.48 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$327.91 |
$327.91 |
$327.91 |
$48.57
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$618.57 |
$618.57 |
$618.57 |
$83.97
|
|
Mayo ceruloplasmin
|
$591.13 |
$591.13 |
$591.13 |
$64.80
|
|
Mayo chromium
|
$602.07 |
$602.07 |
$602.07 |
$75.00
|
|
Mayo cortisol free
|
$1,438.86 |
$1,438.86 |
$1,438.86 |
$105.30
|
|
Mayo covid-19 antibody nucleocapsid total
|
$91.74 |
$91.74 |
$91.74 |
$72.52
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$414.63 |
$414.63 |
$414.63 |
$61.60
|
|
Mayo cyanide
|
$618.57 |
$618.57 |
$618.57 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$194.82 |
$194.82 |
$194.82 |
$59.15
|
|
Mayo dhea (dehydroepiandrosterone)
|
$1,071.13 |
$1,071.13 |
$1,071.13 |
$99.45
|
|
Mayo efpo chloride stool
|
$502.90 |
$502.90 |
$502.90 |
$42.60
|
|
Mayo estriol
|
$556.73 |
$556.73 |
$556.73 |
$98.70
|
|
Mayo estrone
|
$1,065.39 |
$1,065.39 |
$1,065.39 |
$82.37
|
|
Mayo ethosuximide therapeutic drug level
|
$1,001.11 |
$1,001.11 |
$1,001.11 |
$73.00
|
|
Mayo everolimus therapeutic drug level
|
$777.06 |
$777.06 |
$777.06 |
$81.25
|
|
Mayo factor ii
|
$1,178.82 |
$1,178.82 |
$1,178.82 |
$91.65
|
|
Mayo factor v
|
$1,200.64 |
$1,200.64 |
$1,200.64 |
$130.49
|
|
Mayo factor vii
|
$1,440.99 |
$1,440.99 |
$1,440.99 |
$145.73
|
|
Mayo factor viii vw factor antigen
|
$1,116.94 |
$1,116.94 |
$1,116.94 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$3,689.93 |
$3,689.93 |
$3,689.93 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$1,100.91 |
$1,100.91 |
$1,100.91 |
$130.40
|
|
Mayo factor x
|
$1,380.35 |
$1,380.35 |
$1,380.35 |
$145.73
|
|
Mayo factor xi
|
$1,440.99 |
$1,440.99 |
$1,440.99 |
$119.09
|
|
Mayo fat/lipids feces quantitative
|
$493.80 |
$493.80 |
$493.80 |
$70.67
|
|
Mayo fbl culture fungi blood
|
$704.59 |
$704.59 |
$704.59 |
$96.46
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$1,694.29 |
$1,694.29 |
$1,694.29 |
$69.55
|
|
Mayo hemosiderin qualitative urine
|
$604.45 |
$604.45 |
$604.45 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$965.70 |
$965.70 |
$965.70 |
$165.00
|
|
Mayo hla typing a/b/c single antigen
|
$2,927.50 |
$2,927.50 |
$2,927.50 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$753.71 |
$753.71 |
$753.71 |
$71.50
|
|
Mayo hvdip HIV 2 antibody
|
$131.74 |
$131.74 |
$131.74 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$338.37 |
$338.37 |
$338.37 |
$96.33
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$751.41 |
$751.41 |
$751.41 |
$86.84
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$1,791.04 |
$1,791.04 |
$1,791.04 |
$87.75
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$2,799.77 |
$2,799.77 |
$2,799.77 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$803.68 |
$803.68 |
$803.68 |
$233.75
|
|
Mayo inhab inhibin a
|
$3,710.38 |
$3,710.38 |
$3,710.38 |
$81.95
|
|
Mayo insulin antibodies
|
$1,242.65 |
$1,242.65 |
$1,242.65 |
$92.07
|
|
Mayo iodine
|
$304.91 |
$304.91 |
$304.91 |
$127.80
|
|
Mayo lamotrigine therapeutic drug level
|
$1,578.58 |
$1,578.58 |
$1,578.58 |
$69.75
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$1,586.68 |
$1,586.68 |
$1,586.68 |
$57.20
|
|
Mayo leptospira antibody igm
|
$530.91 |
$530.91 |
$530.91 |
$76.05
|
|
Mayo lipoprotein electrophoresis
|
$502.90 |
$502.90 |
$502.90 |
$50.70
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$924.09 |
$924.09 |
$924.09 |
$97.25
|
|
Mayo molecular pathology procedure level 2 apoe genotype
|
$1,970.57 |
$1,970.57 |
$1,970.57 |
$461.12
|
|
Mayo muramidase
|
$265.16 |
$265.16 |
$265.16 |
$64.38
|
|
Mayo mycophenolic acid therapeutic drug level
|
$972.69 |
$972.69 |
$972.69 |
$73.61
|
|
Mayo organic acids qualitative each specimen
|
$531.30 |
$531.30 |
$531.30 |
$105.30
|
|
Mayo oxalate 24 hour urine
|
$564.79 |
$564.79 |
$564.79 |
$65.86
|
