|
Insitu hybridization (fish)
|
$1,305.00 |
$1,305.00 |
$1,305.00 |
$481.60
|
|
In situ hybridization per specimen initial single probe stain
|
$562.00 |
$562.00 |
$562.00 |
$338.40
|
|
Insulin total
|
$455.00 |
$455.00 |
$455.00 |
$67.60
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$26,264.00 |
$26,264.00 |
$26,264.00 |
$10,179.63
|
|
Interrog dev eval icpms ip
|
$114.00 |
$114.00 |
$114.00 |
$106.80
|
|
Interrog dev eval scrms ip
|
$90.00 |
$90.00 |
$90.00 |
$124.80
|
|
Interrog device eval heart
|
$114.00 |
$114.00 |
$114.00 |
$150.00
|
|
Interrog evl pm/ldls pm ip
|
$114.00 |
$114.00 |
$114.00 |
$127.20
|
|
Intra-atrial pacing
|
$22,686.00 |
$22,686.00 |
$22,686.00 |
$5,155.51
|
|
Intra-atrial recording
|
$22,686.00 |
$22,686.00 |
$22,686.00 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$14,812.00 |
$14,812.00 |
$14,812.00 |
$3,982.59
|
|
Intrapul surf admin endo tube
|
$1,000.00 |
$1,000.00 |
$1,000.00 |
$239.52
|
|
Intrinsic factor antibody
|
$203.00 |
$203.00 |
$203.00 |
$59.95
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$10,980.00 |
$10,980.00 |
$10,980.00 |
$227.39
|
|
Iron binding capacity
|
$614.00 |
$614.00 |
$614.00 |
$63.00
|
|
Iron stain peripheral blood
|
$694.00 |
$694.00 |
$694.00 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$415.00 |
$415.00 |
$415.00 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$103.00 |
$103.00 |
$103.00 |
$124.24
|
|
Ivc venogram s&i
|
$18,649.00 |
$18,649.00 |
$18,649.00 |
$3,332.55
|
|
Ivp w/nephrotomography
|
$5,275.00 |
$5,275.00 |
$5,275.00 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$3,805.00 |
$3,805.00 |
$3,805.00 |
$713.05
|
|
Ketogenic steroids fract
|
$272.00 |
$272.00 |
$272.00 |
$79.54
|
|
Kidney function study
|
$895.00 |
$895.00 |
$895.00 |
$549.70
|
|
Kidney imaging morphology
|
$2,885.00 |
$2,885.00 |
$2,885.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$3,833.00 |
$3,833.00 |
$3,833.00 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$6,245.00 |
$6,245.00 |
$6,245.00 |
$668.25
|
|
Lactoferrin fecal qualitative
|
$319.00 |
$319.00 |
$319.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$170.00 |
$170.00 |
$170.00 |
$106.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$10,892.00 |
$10,892.00 |
$10,892.00 |
$1,100.74
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,831.00 |
$1,831.00 |
$1,831.00 |
$3,271.64
|
|
Levetiracetam therapeutic drug level
|
$152.00 |
$152.00 |
$152.00 |
$71.40
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$566.00 |
$566.00 |
$566.00 |
$319.12
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$56.40 |
$56.40 |
$56.40 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$391.00 |
$391.00 |
$391.00 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,277.00 |
$1,277.00 |
$1,277.00 |
$177.90
|
|
Lipase
|
$1,188.00 |
$1,188.00 |
$1,188.00 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$1,439.00 |
$1,439.00 |
$1,439.00 |
$55.90
|
|
Lithium therapeutic drug level
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$67.60
|
|
Liver Function Test
|
$2,202.00 |
$2,202.00 |
$2,202.00 |
$110.50
|
|
Liver imaging
|
$3,883.00 |
$3,883.00 |
$3,883.00 |
$1,241.25
|
|
Liver/spleen imag static only
|
$5,202.00 |
$5,202.00 |
$5,202.00 |
$1,140.78
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$13,403.00 |
$13,403.00 |
$13,403.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$12,448.00 |
$12,448.00 |
$12,448.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$11,413.00 |
$11,413.00 |
$11,413.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$20,177.00 |
$20,177.00 |
$20,177.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$14,383.00 |
$14,383.00 |
$14,383.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$9,773.00 |
$9,773.00 |
$9,773.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$2,872.00 |
$2,872.00 |
$2,872.00 |
$344.00
|
|
L/s ratio fetal lung
|
$408.00 |
$408.00 |
$408.00 |
$168.00
|
|
Lung Function Test (Spirometry)
|
$1,850.00 |
$1,850.00 |
$1,850.00 |
$298.50
|
|
Lung perfusion imaging
|
$5,623.00 |
$5,623.00 |
$5,623.00 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$5,014.00 |
$5,014.00 |
$5,014.00 |
$1,543.75
|
|
Macroscopic exam parasite
|
$82.00 |
$82.00 |
$82.00 |
$38.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$656.00 |
$656.00 |
$656.00 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$993.00 |
$993.00 |
$993.00 |
$178.75
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$6,484.00 |
$6,484.00 |
$6,484.00 |
$1,753.29
|
|
M.avium-intra dna dir prob
|
$151.00 |
$151.00 |
$151.00 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$179.00 |
$179.00 |
$179.00 |
$66.50
|
|
Mayo aathr protein s free
|
$2,366.00 |
$2,366.00 |
$2,366.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$2,518.00 |
$2,518.00 |
$2,518.00 |
$98.70
|
|
Mayo alkaline phosphatase isoenzyme
|
$378.00 |
$378.00 |
$378.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$473.00 |
$473.00 |
$473.00 |
$81.81
|
|
Mayo androstenedione
|
$389.00 |
$389.00 |
$389.00 |
$105.30
|
|
Mayo antithrombin iii antigen
|
$983.00 |
$983.00 |
$983.00 |
$68.90
|
|
Mayo avwpr vw factor activity
|
$424.00 |
$424.00 |
$424.00 |
$157.95
|
|
Mayo blastomyces antibody immunodiffusion
|
$162.00 |
$162.00 |
$162.00 |
$57.85
|
|
Mayo c1 esterase inhibitor
|
$67.00 |
$67.00 |
$67.00 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$723.00 |
$723.00 |
$723.00 |
$83.97
|
|
Mayo ceruloplasmin
|
$351.00 |
$351.00 |
$351.00 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$680.00 |
$680.00 |
$680.00 |
$123.73
|
|
Mayo coccidioides antibody
|
$499.00 |
$499.00 |
$499.00 |
$58.37
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$288.00 |
$288.00 |
$288.00 |
$61.02
|
|
Mayo cyanide
|
$165.00 |
$165.00 |
$165.00 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$485.00 |
$485.00 |
$485.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$956.00 |
$956.00 |
$956.00 |
$88.45
|
|
Mayo estrone
|
$272.00 |
$272.00 |
$272.00 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$206.00 |
$206.00 |
$206.00 |
$70.40
|
|
Mayo factor ii
|
$1,978.00 |
$1,978.00 |
$1,978.00 |
$93.00
|
|
Mayo factor v
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$125.48
|
|
Mayo factor vii
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$900.00 |
$900.00 |
$900.00 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$1,906.00 |
$1,906.00 |
$1,906.00 |
$129.60
|
|
Mayo factor x
|
$2,276.00 |
$2,276.00 |
$2,276.00 |
$139.50
|
|
Mayo factor xi
|
$900.00 |
$900.00 |
$900.00 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$307.00 |
$307.00 |
$307.00 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$260.00 |
$260.00 |
$260.00 |
$102.20
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$77.00 |
$77.00 |
$77.00 |
$69.96
|
|
Mayo hemosiderin qualitative urine
|
$1,236.00 |
$1,236.00 |
$1,236.00 |
$33.57
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$194.00 |
$194.00 |
$194.00 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$154.00 |
$154.00 |
$154.00 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$2,381.00 |
$2,381.00 |
$2,381.00 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$239.00 |
$239.00 |
$239.00 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$39.00 |
$39.00 |
$39.00 |
$93.45
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$208.00 |
$208.00 |
$208.00 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$979.00 |
$979.00 |
$979.00 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$397.00 |
$397.00 |
$397.00 |
$233.75
|
|
Mayo inhab inhibin a
|
$618.00 |
$618.00 |
$618.00 |
$81.60
|
