|
Io rad tx delivery by x-ray
|
$25,375.10 |
$25,375.10 |
$25,375.10 |
$10,127.56
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$32,561.38 |
$32,561.38 |
$32,561.38 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$5.79 |
$5.79 |
$5.79 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$206.79 |
$206.79 |
$206.79 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$2,828.99 |
$2,828.99 |
$2,828.99 |
$6,655.71
|
|
Iron
|
$108.85 |
$108.85 |
$108.85 |
$70.72
|
|
Iron binding capacity
|
$191.48 |
$191.48 |
$191.48 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$62.70 |
$62.70 |
$62.70 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$147.94 |
$147.94 |
$147.94 |
$198.01
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$9,875.93 |
$9,875.93 |
$9,875.93 |
$13,419.80
|
|
Ivc venogram s&i
|
$9,926.25 |
$9,926.25 |
$9,926.25 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$371.55 |
$371.55 |
$371.55 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$318.84 |
$318.84 |
$318.84 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$321.91 |
$321.91 |
$321.91 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$965.64 |
$965.64 |
$965.64 |
$460.85
|
|
IV inj ra drug dx study
|
$706.86 |
$706.86 |
$706.86 |
$560.00
|
|
Jak2 targeted sequence analysis
|
$535.98 |
$535.98 |
$535.98 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$96.03 |
$96.03 |
$96.03 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$45.99 |
$45.99 |
$45.99 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$4,179.74 |
$4,179.74 |
$4,179.74 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,322.71 |
$1,322.71 |
$1,322.71 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$9,714.10 |
$9,714.10 |
$9,714.10 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$10,343.68 |
$10,343.68 |
$10,343.68 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$7,924.84 |
$7,924.84 |
$7,924.84 |
$2,181.10
|
|
Knee X-ray
|
$827.49 |
$827.49 |
$827.49 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$86.07 |
$86.07 |
$86.07 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$74.61 |
$74.61 |
$74.61 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$163.75 |
$163.75 |
$163.75 |
$53.30
|
|
Lactated ringers intravenous solution
|
$105.66 |
$105.66 |
$105.66 |
$54.11
|
|
Lactic acid
|
$261.49 |
$261.49 |
$261.49 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$204.58 |
$204.58 |
$204.58 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$13,669.70 |
$13,669.70 |
$13,669.70 |
$22,903.90
|
|
Lead capillary
|
$70.10 |
$70.10 |
$70.10 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,869.22 |
$1,869.22 |
$1,869.22 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$484.80 |
$484.80 |
$484.80 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$174.09 |
$174.09 |
$174.09 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$62.04 |
$62.04 |
$62.04 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$105.80 |
$105.80 |
$105.80 |
$66.59
|
|
Lidocaine therapeutic drug level
|
$44.66 |
$44.66 |
$44.66 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$159.18 |
$159.18 |
$159.18 |
$177.90
|
|
Lipase
|
$225.93 |
$225.93 |
$225.93 |
$83.20
|
|
Lipoprotein blood quant
|
$103.90 |
$103.90 |
$103.90 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$230.25 |
$230.25 |
$230.25 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$46.05 |
$46.05 |
$46.05 |
$60.00
|
|
Lithium therapeutic drug level
|
$225.93 |
$225.93 |
$225.93 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$13,897.98 |
$13,897.98 |
$13,897.98 |
$4,371.12
|
|
Liver Function Test
|
$227.23 |
$227.23 |
$227.23 |
$110.50
|
|
Liver/spleen imag static only
|
$3,790.45 |
$3,790.45 |
$3,790.45 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$16.54 |
$16.54 |
$16.54 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$25.99 |
$25.99 |
$25.99 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$5,105.26 |
$5,105.26 |
$5,105.26 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$4,644.91 |
$4,644.91 |
$4,644.91 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$4,489.05 |
$4,489.05 |
$4,489.05 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$7,531.00 |
$7,531.00 |
$7,531.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$6,599.61 |
$6,599.61 |
$6,599.61 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$6,158.95 |
$6,158.95 |
$6,158.95 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,261.16 |
$1,261.16 |
$1,261.16 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$190.11 |
$190.11 |
$190.11 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$754.14 |
$754.14 |
$754.14 |
$298.50
|
|
Lung perfusion imaging
|
$4,741.87 |
$4,741.87 |
$4,741.87 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$2,801.82 |
$2,801.82 |
$2,801.82 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$487.75 |
$487.75 |
$487.75 |
$266.20
|
|
Macroscopic exam parasite
|
$58.60 |
$58.60 |
$58.60 |
$38.50
|
|
Magnesium
|
$167.84 |
$167.84 |
$167.84 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$105.80 |
$105.80 |
$105.80 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$235.02 |
$235.02 |
$235.02 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$430.94 |
$430.94 |
$430.94 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$48.76 |
$48.76 |
$48.76 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$31,760.33 |
$31,760.33 |
$31,760.33 |
$34,164.07
|
|
Marker biop eviva buckle ss
|
$1,156.76 |
$1,156.76 |
$1,156.76 |
$1,213.20
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$39.96 |
$39.96 |
$39.96 |
$66.50
|
|
Mayo aathr protein s free
|
$46.56 |
$46.56 |
$46.56 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$59.88 |
$59.88 |
$59.88 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$368.75 |
$368.75 |
$368.75 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$268.26 |
$268.26 |
$268.26 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$96.74 |
$96.74 |
$96.74 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$96.44 |
$96.44 |
$96.44 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$221.62 |
$221.62 |
$221.62 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$142.64 |
$142.64 |
$142.64 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$45.83 |
$45.83 |
$45.83 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$56.47 |
$56.47 |
$56.47 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$191.73 |
$191.73 |
$191.73 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$507.43 |
$507.43 |
$507.43 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$746.42 |
$746.42 |
$746.42 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,183.00 |
$2,183.00 |
$2,183.00 |
$1,909.44
|
|
Mayo androstenedione
|
$30.95 |
$30.95 |
$30.95 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$23.46 |
$23.46 |
$23.46 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$68.40 |
$68.40 |
$68.40 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$52.27 |
$52.27 |
$52.27 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$135.39 |
$135.39 |
$135.39 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$96.73 |
$96.73 |
$96.73 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$156.28 |
$156.28 |
$156.28 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$35.35 |
$35.35 |
$35.35 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$354.96 |
$354.96 |
$354.96 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$522.23 |
$522.23 |
$522.23 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$21.01 |
$21.01 |
$21.01 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$795.34 |
$795.34 |
$795.34 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$45.81 |
$45.81 |
$45.81 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$13.38 |
$13.38 |
$13.38 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$47.37 |
$47.37 |
$47.37 |
$88.35
|