|
Inj, moxifloxacin 100 mg
|
$353.50 |
$353.50 |
$353.50 |
$181.67
|
|
Insitu hybridization auto
|
$749.65 |
$749.65 |
$749.65 |
$393.16
|
|
Insitu hybridization manual
|
$749.65 |
$749.65 |
$749.65 |
$411.33
|
|
In situ hybridization per specimen initial single probe stain
|
$220.65 |
$220.65 |
$220.65 |
$340.00
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$21,081.75 |
$21,081.75 |
$21,081.75 |
$9,736.00
|
|
Intra-atrial pacing
|
$9,494.35 |
$9,494.35 |
$9,494.35 |
$4,967.24
|
|
Intra-atrial recording
|
$18,957.95 |
$18,957.95 |
$18,957.95 |
$5,613.30
|
|
Intracard echo interv w/s&i
|
$33,597.50 |
$33,597.50 |
$33,597.50 |
$4,013.16
|
|
Intracranial complete study
|
$3,026.95 |
$3,026.95 |
$3,026.95 |
$841.73
|
|
Intraventricular pacing
|
$9,494.35 |
$9,494.35 |
$9,494.35 |
$5,644.35
|
|
Intrinsic factor antibody
|
$8.05 |
$8.05 |
$8.05 |
$59.95
|
|
Ionm in operatng room 15 min
|
$732.40 |
$732.40 |
$732.40 |
$200.78
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$230.00 |
$230.00 |
$230.00 |
$236.99
|
|
Iron dextran 50 mg/ml injection solution
|
$167.25 |
$167.25 |
$167.25 |
$62.12
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$321.50 |
$321.50 |
$321.50 |
$220.15
|
|
Irrigation implantable venous access device for drug delivery systems
|
$412.30 |
$412.30 |
$412.30 |
$153.75
|
|
Ivc venogram s&i
|
$3,840.15 |
$3,840.15 |
$3,840.15 |
$3,258.00
|
|
Ketogenic steroids fract
|
$169.70 |
$169.70 |
$169.70 |
$79.54
|
|
Kidney imaging morphology
|
$7,972.95 |
$7,972.95 |
$7,972.95 |
$769.51
|
|
Kidney imag w/bld flow multi
|
$12,542.40 |
$12,542.40 |
$12,542.40 |
$1,574.40
|
|
Kras gene variants exon 2
|
$582.65 |
$582.65 |
$582.65 |
$495.00
|
|
Lactoferrin fecal qualitative
|
$628.55 |
$628.55 |
$628.55 |
$84.50
|
|
Lactoferrin fecal quant
|
$62.95 |
$62.95 |
$62.95 |
$106.10
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$465.75 |
$465.75 |
$465.75 |
$140.68
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$89.50 |
$89.50 |
$89.50 |
$89.14
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$597.25 |
$597.25 |
$597.25 |
$147.23
|
|
Lipase
|
$1,455.00 |
$1,455.00 |
$1,455.00 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$55.15 |
$55.15 |
$55.15 |
$89.52
|
|
Lipoprotein blood quant
|
$43.85 |
$43.85 |
$43.85 |
$98.95
|
|
Lipoprotein direct measurement hdl
|
$1,400.40 |
$1,400.40 |
$1,400.40 |
$55.80
|
|
Liver/spleen imag static only
|
$11,957.00 |
$11,957.00 |
$11,957.00 |
$1,140.78
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$18,952.85 |
$18,952.85 |
$18,952.85 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$17,890.50 |
$17,890.50 |
$17,890.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$14,751.10 |
$14,751.10 |
$14,751.10 |
$2,065.69
|
|
L/s ratio fetal lung
|
$65.20 |
$65.20 |
$65.20 |
$168.00
|
|
Lung perfusion imaging
|
$16,857.05 |
$16,857.05 |
$16,857.05 |
$1,098.50
|
|
Lymphatics/lymph node imaging
|
$8,633.45 |
$8,633.45 |
$8,633.45 |
$1,526.38
|
|
Lymphocyte transformation mitogen
|
$505.65 |
$505.65 |
$505.65 |
$266.20
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$381.05 |
$381.05 |
$381.05 |
$142.20
|
|
Manipulation chest wall initial demonstration/evaluation
|
$390.40 |
$390.40 |
$390.40 |
$175.20
|
|
Map tachycard site(s)
|
$10,928.15 |
$10,928.15 |
$10,928.15 |
$3,921.68
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$20.50 |
$20.50 |
$20.50 |
$66.50
|
|
Mayo activated protein c resistance assay
|
$51.85 |
$51.85 |
$51.85 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$20.00 |
$20.00 |
$20.00 |
$116.00
|
|
Mayo alkaline phosphatase isoenzyme
|
$9.20 |
$9.20 |
$9.20 |
$66.30
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$63.55 |
$63.55 |
$63.55 |
$334.60
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,951.90 |
$1,951.90 |
$1,951.90 |
$1,909.44
|
|
Mayo androstenedione
|
$25.60 |
$25.60 |
$25.60 |
$103.88
|
|
Mayo blastomyces antibody immunodiffusion
|
$19.30 |
$19.30 |
$19.30 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$24.75 |
$24.75 |
$24.75 |
$48.57
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$33.75 |
$33.75 |
$33.75 |
$85.17
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$1,073.55 |
$1,073.55 |
$1,073.55 |
$110.00
|
|
Mayo ceruloplasmin
|
$6.65 |
$6.65 |
$6.65 |
$63.05
|
|
Mayo chemiluminescent parathyroid related peptide
|
$20.75 |
$20.75 |
$20.75 |
$124.30
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$279.20 |
$279.20 |
$279.20 |
$347.75
|
|
Mayo chromium
|
$40.30 |
$40.30 |
$40.30 |
$70.85
|
|
Mayo coccidioides antibody
|
$18.45 |
$18.45 |
$18.45 |
$58.37
|
|
Mayo cocou cortisone urine
|
$15.00 |
$15.00 |
$15.00 |
$210.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$59.40 |
$59.40 |
$59.40 |
$72.52
|
|
Mayo cyanide
|
$49.50 |
$49.50 |
$49.50 |
$87.10
|
|
Mayo estrone
|
$23.05 |
$23.05 |
$23.05 |
$81.62
|
|
Mayo ethosuximide therapeutic drug level
|
$13.85 |
$13.85 |
$13.85 |
$69.55
|
|
Mayo factor viii vw factor multimetric analysis
|
$85.25 |
$85.25 |
$85.25 |
$125.00
|
|
Mayo fat/lipids feces quantitative
|
$21.20 |
$21.20 |
$21.20 |
$70.67
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$11.55 |
$11.55 |
$11.55 |
$69.96
|
|
Mayo hemosiderin qualitative urine
|
$33.25 |
$33.25 |
$33.25 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$119.80 |
$119.80 |
$119.80 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$366.00 |
$366.00 |
$366.00 |
$114.23
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$20.90 |
$20.90 |
$20.90 |
$52.15
|
|
Mayo hla typing a/b/c single antigen
|
$140.00 |
$140.00 |
$140.00 |
$118.33
|
|
Mayo hydroxyprogesterone 17-d
|
$22.25 |
$22.25 |
$22.25 |
$92.04
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$91.05 |
$91.05 |
$91.05 |
$103.20
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$154.20 |
$154.20 |
$154.20 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$103.70 |
$103.70 |
$103.70 |
$170.95
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$117.50 |
$117.50 |
$117.50 |
$232.65
|
|
Mayo inhab inhibin a
|
$115.20 |
$115.20 |
$115.20 |
$81.90
|
|
Mayo insft insulin free
|
$6.95 |
$6.95 |
$6.95 |
$61.10
|
|
Mayo insulin antibodies
|
$25.80 |
$25.80 |
$25.80 |
$90.35
|
|
Mayo iodine
|
$70.85 |
$70.85 |
$70.85 |
$117.00
|
|
Mayo lacosamide therapeutic drug level
|
$127.30 |
$127.30 |
$127.30 |
$106.00
|
|
Mayo lamotrigine therapeutic drug level
|
$12.65 |
$12.65 |
$12.65 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$8.60 |
$8.60 |
$8.60 |
$54.60
|
|
Mayo leptospira antibody igm
|
$124.70 |
$124.70 |
$124.70 |
$76.05
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$14.95 |
$14.95 |
$14.95 |
$65.00
|
|
Mayo muramidase
|
$17.25 |
$17.25 |
$17.25 |
$62.70
|
|
Mayo organic acid methylmalonic single quantitative
|
$15.95 |
$15.95 |
$15.95 |
$104.13
|
|
Mayo organic acids qualitative each specimen
|
$69.10 |
$69.10 |
$69.10 |
$105.30
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$282.30 |
$282.30 |
$282.30 |
$156.00
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$141.85 |
$141.85 |
$141.85 |
$184.17
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$9.50 |
$9.50 |
$9.50 |
$70.95
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$9.05 |
$9.05 |
$9.05 |
$43.20
|
|
Mayo pregnenolone
|
$37.10 |
$37.10 |
$37.10 |
$80.00
|
|
Mayo prmb primidone therapeutic drug level
|
$15.35 |
$15.35 |
$15.35 |
$71.20
|
|
Mayo proinsulin
|
$40.25 |
$40.25 |
$40.25 |
$97.50
|
|
Mayo renin
|
$11.55 |
$11.55 |
$11.55 |
$96.20
|
|
Mayo selenium
|
$40.30 |
$40.30 |
$40.30 |
$64.35
|
|
Mayo serotonin
|
$17.25 |
$17.25 |
$17.25 |
$126.16
|
|
Mayo sirolimus therapeutic drug level
|
$23.85 |
$23.85 |
$23.85 |
$91.27
|
|
Mayo tgrp testosterone free
|
$4.60 |
$4.60 |
$4.60 |
$91.00
|
|
Mayo thiopurine s-methyltransferase
|
$288.00 |
$288.00 |
$288.00 |
$81.48
|
