|
Mayo thyroglobulin
|
$5.75 |
$5.75 |
$5.75 |
$102.40
|
|
Mayo ticks babesia microti antibody igg
|
$15.00 |
$15.00 |
$15.00 |
$69.60
|
|
Mayo vasoactive intestinal peptide
|
$287.85 |
$287.85 |
$287.85 |
$130.15
|
|
Mayo vitamin b-2 (riboflavin)
|
$11.00 |
$11.00 |
$11.00 |
$91.00
|
|
Mayo vitamin k
|
$111.95 |
$111.95 |
$111.95 |
$98.88
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$198.75 |
$198.75 |
$198.75 |
$306.13
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$13.25 |
$13.25 |
$13.25 |
$40.43
|
|
Mesna 100 mg/ml intravenous solution
|
$182.50 |
$182.50 |
$182.50 |
$103.11
|
|
Metabolic Blood Panel (Basic)
|
$1,941.55 |
$1,941.55 |
$1,941.55 |
$111.15
|
|
Methacholine chloride 0.0625 mg/ml nebulization soln
|
$263.00 |
$263.00 |
$263.00 |
$188.70
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$86.00 |
$86.00 |
$86.00 |
$81.04
|
|
Methotrexate sodium 2.5 mg tablet
|
$86.50 |
$86.50 |
$86.50 |
$18.64
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$22.00 |
$22.00 |
$22.00 |
$64.94
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$45.00 |
$45.00 |
$45.00 |
$80.30
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$45.20 |
$45.20 |
$45.20 |
$64.09
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$48.25 |
$48.25 |
$48.25 |
$26.82
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$438.45 |
$438.45 |
$438.45 |
$46.76
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$70.00 |
$70.00 |
$70.00 |
$126.10
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$116.75 |
$116.75 |
$116.75 |
$104.42
|
|
Minocycline hydrochloride
|
$981.40 |
$981.40 |
$981.40 |
$661.32
|
|
Mopath procedure level 7
|
$904.10 |
$904.10 |
$904.10 |
$1,268.80
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$90.00 |
$90.00 |
$90.00 |
$213.18
|
|
MRA chest w IV cont
|
$18,105.50 |
$18,105.50 |
$18,105.50 |
$1,537.90
|
|
MRA chest wo IV cont
|
$18,105.50 |
$18,105.50 |
$18,105.50 |
$1,268.15
|
|
MRA chest wwo IV cont
|
$18,105.50 |
$18,105.50 |
$18,105.50 |
$2,492.05
|
|
MRA pelvis w IV cont
|
$11,401.95 |
$11,401.95 |
$11,401.95 |
$1,211.35
|
|
MRA w/cont, abd
|
$12,761.35 |
$12,761.35 |
$12,761.35 |
$1,509.90
|
|
MRA without cont, abd
|
$12,761.35 |
$12,761.35 |
$12,761.35 |
$1,523.97
|
|
MRA without fol w/cont, abd
|
$6,219.85 |
$6,219.85 |
$6,219.85 |
$3,331.46
|
|
MRA without fol w/cont, pelvis
|
$15,323.50 |
$15,323.50 |
$15,323.50 |
$2,305.60
|
|
MRI breast without cont bi
|
$6,903.80 |
$6,903.80 |
$6,903.80 |
$1,793.40
|
|
MRI chest without contrast
|
$6,909.40 |
$6,909.40 |
$6,909.40 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$10,749.20 |
$10,749.20 |
$10,749.20 |
$2,575.00
|
|
MRI chest w IV cont
|
$9,213.75 |
$9,213.75 |
$9,213.75 |
$2,105.25
|
|
MRI orbit/face/neck without contrast
|
$11,515.90 |
$11,515.90 |
$11,515.90 |
$1,831.11
|
|
MRI orbit/face/neck without & w/contrast
|
$14,423.15 |
$14,423.15 |
$14,423.15 |
$2,680.00
|
|
MRI orbit fac&nck w IV cont
|
$9,982.90 |
$9,982.90 |
$9,982.90 |
$2,098.78
|
|
MRI tmj
|
$13,742.00 |
$13,742.00 |
$13,742.00 |
$1,855.70
|
|
MRI w/cont, breast, bi
|
$6,903.80 |
$6,903.80 |
$6,903.80 |
$1,831.25
|
|
MRI without fol w/cont, breast
|
$6,903.80 |
$6,903.80 |
$6,903.80 |
$2,071.85
|
|
Mthfr gene analy common variants
|
$80.65 |
$80.65 |
$80.65 |
$213.20
|
|
Mycophenolate mofetil 250 mg capsule
|
$17.50 |
$17.50 |
$17.50 |
$18.12
|
|
Mycophenolic acid
|
$29.50 |
$29.50 |
$29.50 |
$12.83
|
|
Nafcillin 2 gram solution for injection
|
$30.00 |
$30.00 |
$30.00 |
$79.98
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$18,574.75 |
$18,574.75 |
$18,574.75 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$16,624.00 |
$16,624.00 |
$16,624.00 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$14,670.05 |
$14,670.05 |
$14,670.05 |
$2,003.30
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$19,107.55 |
$19,107.55 |
$19,107.55 |
$2,659.98
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$9,982.90 |
$9,982.90 |
$9,982.90 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$8,445.95 |
$8,445.95 |
$8,445.95 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$7.00 |
$7.00 |
$7.00 |
$61.32
|
|
Nerve teasing preparations
|
$1,200.80 |
$1,200.80 |
$1,200.80 |
$698.49
|
|
Nesiritide injection
|
$1,241.25 |
$1,241.25 |
$1,241.25 |
$2,365.81
|
|
Nitroblue tetrazolium dye
|
$169.70 |
$169.70 |
$169.70 |
$18.78
|
|
Nm imaging bone/joint 3 phase study
|
$9,692.05 |
$9,692.05 |
$9,692.05 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$14,962.00 |
$14,962.00 |
$14,962.00 |
$1,723.50
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$11,052.75 |
$11,052.75 |
$11,052.75 |
$1,472.64
|
|
Nm imaging gastric emptying study
|
$4,631.00 |
$4,631.00 |
$4,631.00 |
$1,442.98
|
|
Nm imaging gastrointestinal acute blood loss
|
$7,303.70 |
$7,303.70 |
$7,303.70 |
$1,276.32
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$13,662.55 |
$13,662.55 |
$13,662.55 |
$1,812.20
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$11,809.20 |
$11,809.20 |
$11,809.20 |
$1,586.00
|
|
Nm imaging pulmonary ventilation/perfusion
|
$23,086.85 |
$23,086.85 |
$23,086.85 |
$1,580.00
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$10,808.70 |
$10,808.70 |
$10,808.70 |
$1,186.03
|
|
Non-card vasc flow imaging
|
$5,075.30 |
$5,075.30 |
$5,075.30 |
$608.56
|
|
Nuclear Stress Test (Heart)
|
$27,310.80 |
$27,310.80 |
$27,310.80 |
$3,921.45
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$596.50 |
$596.50 |
$596.50 |
$34.32
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$193.00 |
$193.00 |
$193.00 |
$65.07
|
|
Oscillation chest wall mechanical per session
|
$398.65 |
$398.65 |
$398.65 |
$221.34
|
|
Ot evaluation high complexity patient/family
|
$1,692.75 |
$1,692.75 |
$1,692.75 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$1,213.40 |
$1,213.40 |
$1,213.40 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$1,457.75 |
$1,457.75 |
$1,457.75 |
$270.58
|
|
Ot re-evaluation patient/family
|
$1,128.70 |
$1,128.70 |
$1,128.70 |
$175.50
|
|
Oxacillin in ns IV syringe 40 mg/ml (neo/ped) - cnr
|
$151.50 |
$151.50 |
$151.50 |
$50.50
|
|
Oxytocin 10 unit/ml injection solution
|
$52.25 |
$52.25 |
$52.25 |
$48.29
|
|
Palivizumab 50 mg/0.5 ml inj
|
$2,641.25 |
$2,641.25 |
$2,641.25 |
$5,078.52
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$41.00 |
$41.00 |
$41.00 |
$38.06
|
|
Parathyroid planar imaging
|
$3,630.10 |
$3,630.10 |
$3,630.10 |
$1,159.15
|
|
Paricalcitol
|
$749.75 |
$749.75 |
$749.75 |
$47.38
|
|
Particle matristem matrix 1000mg micron-q4118-cost per mg
|
$2,009.23 |
$2,009.23 |
$2,009.23 |
$4,418.62
|
|
Passy muir valve metal trach
|
$500.41 |
$500.41 |
$500.41 |
$236.63
|
|
Pelvic MRI (with and without contrast)
|
$14,423.15 |
$14,423.15 |
$14,423.15 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$16,951.20 |
$16,951.20 |
$16,951.20 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$8,573.95 |
$8,573.95 |
$8,573.95 |
$1,879.15
|
|
Pemetrexed disodium 100 mg intravenous powder for solution
|
$2,202.50 |
$2,202.50 |
$2,202.50 |
$2,708.71
|
|
Penicillin g benzathine 1,200,000 unit/2 ml intramuscular syringe
|
$148.25 |
$148.25 |
$148.25 |
$626.67
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$94.00 |
$94.00 |
$94.00 |
$92.30
|
|
Pentostatin 10 mg intravenous solution
|
$3,857.00 |
$3,857.00 |
$3,857.00 |
$6,112.62
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$916.25 |
$916.25 |
$916.25 |
$321.71
|
|
Perit-vens shunt pat tst
|
$7,119.80 |
$7,119.80 |
$7,119.80 |
$694.48
|
|
Pertussis ag if
|
$19.60 |
$19.60 |
$19.60 |
$49.00
|
|
Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr
|
$66.50 |
$66.50 |
$66.50 |
$124.00
|
|
Phenobarbital therapeutic drug level
|
$1,687.55 |
$1,687.55 |
$1,687.55 |
$104.50
|
|
Phentolaine mesylate inj
|
$696.50 |
$696.50 |
$696.50 |
$966.32
|
|
Phenylephrine 10 mg/ml injection solution
|
$31.60 |
$31.60 |
$31.60 |
$56.70
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$71.50 |
$71.50 |
$71.50 |
$86.75
|
|
Platelet automated
|
$806.20 |
$806.20 |
$806.20 |
$43.55
|
|
Plethysmography lung volumes/airway resistance
|
$2,743.40 |
$2,743.40 |
$2,743.40 |
$408.00
|
|
Potassium 24 hour urine
|
$558.70 |
$558.70 |
$558.70 |
$50.00
|
|
Potassium serum/plasma/whole blood
|
$558.70 |
$558.70 |
$558.70 |
$44.64
|
|
Pralidoxime 1 gram solution for injection
|
$657.75 |
$657.75 |
$657.75 |
$374.55
|