|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$59.60 |
$59.60 |
$59.60 |
$103.20
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$73.31 |
$73.31 |
$73.31 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$74.00 |
$74.00 |
$74.00 |
$278.78
|
|
Infectious agent nucleic acid quantification hiv-1
|
$74.93 |
$74.93 |
$74.93 |
$381.55
|
|
Infliximab 100 mg intravenous solution
|
$5,360.22 |
$5,360.22 |
$5,360.22 |
$2,791.24
|
|
Influenza dna amp prob addl
|
$183.26 |
$183.26 |
$183.26 |
$69.60
|
|
Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis
|
$1,226.21 |
$1,226.21 |
$1,226.21 |
$359.64
|
|
Initiation & management bipap/cpap initial day
|
$632.37 |
$632.37 |
$632.37 |
$645.79
|
|
Inj calcitriol per 0.1 mcg
|
$79.80 |
$79.80 |
$79.80 |
$33.36
|
|
Inj cefazolin sodium, hikma
|
$32.94 |
$32.94 |
$32.94 |
$56.70
|
|
Inj cefazolin (wg crit care)
|
$23.56 |
$23.56 |
$23.56 |
$32.05
|
|
Inj crotalidae im f(ab')2 eq
|
$2,735.85 |
$2,735.85 |
$2,735.85 |
$2,836.95
|
|
Injection, belinostat, 10mg
|
$7,846.46 |
$7,846.46 |
$7,846.46 |
$5,341.40
|
|
Injection, fulvestrant
|
$6,480.27 |
$6,480.27 |
$6,480.27 |
$2,756.47
|
|
Inj hydroxocobalamin IV 25mg
|
$3,393.56 |
$3,393.56 |
$3,393.56 |
$3,180.35
|
|
Inj levocarnitine per 1 gm
|
$206.78 |
$206.78 |
$206.78 |
$138.96
|
|
Inj. mycophenolate mofetil
|
$434.04 |
$434.04 |
$434.04 |
$344.84
|
|
Inj, pedmark, 100 mg
|
$408.11 |
$408.11 |
$408.11 |
$96.08
|
|
Inj secretin synthetic human
|
$3,430.83 |
$3,430.83 |
$3,430.83 |
$741.75
|
|
Insitu hybridization (fish)
|
$343.20 |
$343.20 |
$343.20 |
$481.60
|
|
Insitu hybridization manual
|
$260.00 |
$260.00 |
$260.00 |
$407.11
|
|
In situ hybridization per specimen initial single probe stain
|
$99.88 |
$99.88 |
$99.88 |
$338.40
|
|
Intra-atrial pacing
|
$16,247.37 |
$16,247.37 |
$16,247.37 |
$5,155.51
|
|
Intra-atrial recording
|
$16,247.37 |
$16,247.37 |
$16,247.37 |
$5,707.00
|
|
Intracard echo interv w/s&i
|
$5,443.52 |
$5,443.52 |
$5,443.52 |
$3,982.59
|
|
Intracranial complete study
|
$3,117.73 |
$3,117.73 |
$3,117.73 |
$883.30
|
|
Intracranial limited study
|
$2,500.29 |
$2,500.29 |
$2,500.29 |
$423.52
|
|
Intraventricular pacing
|
$16,247.37 |
$16,247.37 |
$16,247.37 |
$5,775.22
|
|
Intrinsic factor antibody
|
$5.00 |
$5.00 |
$5.00 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$3,591.36 |
$3,591.36 |
$3,591.36 |
$477.85
|
|
Iron dextran 50 mg/ml injection solution
|
$240.83 |
$240.83 |
$240.83 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$472.99 |
$472.99 |
$472.99 |
$198.01
|
|
IV inj ra drug dx study
|
$2,877.78 |
$2,877.78 |
$2,877.78 |
$560.00
|
|
Ivp w/nephrotomography
|
$6,696.18 |
$6,696.18 |
$6,696.18 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$4,621.82 |
$4,621.82 |
$4,621.82 |
$713.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$41.65 |
$41.65 |
$41.65 |
$56.61
|
|
Kidney imaging morphology
|
$6,677.91 |
$6,677.91 |
$6,677.91 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$13,694.29 |
$13,694.29 |
$13,694.29 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$8,905.28 |
$8,905.28 |
$8,905.28 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$3,582.00 |
$3,582.00 |
$3,582.00 |
$668.25
|
|
Lactated ringers intravenous solution
|
$127.49 |
$127.49 |
$127.49 |
$54.11
|
|
Lactoferrin fecal qualitative
|
$135.52 |
$135.52 |
$135.52 |
$88.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$3,847.56 |
$3,847.56 |
$3,847.56 |
$1,100.74
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,630.20 |
$4,630.20 |
$4,630.20 |
$6,208.50
|
|
Levetiracetam therapeutic drug level
|
$10.59 |
$10.59 |
$10.59 |
$71.40
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$26.33 |
$26.33 |
$26.33 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$94.78 |
$94.78 |
$94.78 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$592.36 |
$592.36 |
$592.36 |
$177.90
|
|
Lipoprotein blood high res frac & quant
|
$19.50 |
$19.50 |
$19.50 |
$89.52
|
|
Lipoprotein blood quant
|
$16.30 |
$16.30 |
$16.30 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$2,376.22 |
$2,376.22 |
$2,376.22 |
$55.90
|
|
Lithium therapeutic drug level
|
$860.44 |
$860.44 |
$860.44 |
$67.60
|
|
Liver imaging
|
$6,765.66 |
$6,765.66 |
$6,765.66 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$6,314.37 |
$6,314.37 |
$6,314.37 |
$1,255.15
|
|
Liver/spleen imag static only
|
$6,790.77 |
$6,790.77 |
$6,790.77 |
$1,140.78
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$23,382.72 |
$23,382.72 |
$23,382.72 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$20,762.34 |
$20,762.34 |
$20,762.34 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$18,042.31 |
$18,042.31 |
$18,042.31 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$21,871.59 |
$21,871.59 |
$21,871.59 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$12,169.19 |
$12,169.19 |
$12,169.19 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$14,466.14 |
$14,466.14 |
$14,466.14 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$4,206.09 |
$4,206.09 |
$4,206.09 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$575.70 |
$575.70 |
$575.70 |
$275.88
|
|
Lumbar diskogram s&i
|
$12,514.79 |
$12,514.79 |
$12,514.79 |
$2,358.23
|
|
Lung perfusion imaging
|
$8,675.44 |
$8,675.44 |
$8,675.44 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$8,349.48 |
$8,349.48 |
$8,349.48 |
$1,543.75
|
|
Lymph vessel x-ray arms/legs
|
$7,333.49 |
$7,333.49 |
$7,333.49 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$40,455.05 |
$40,455.05 |
$40,455.05 |
$3,380.00
|
|
Magnetic image bone marrow
|
$7,575.10 |
$7,575.10 |
$7,575.10 |
$1,152.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$572.58 |
$572.58 |
$572.58 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$632.37 |
$632.37 |
$632.37 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$49.99 |
$49.99 |
$49.99 |
$40.12
|
|
Manual diff wbc count b-coat
|
$491.49 |
$491.49 |
$491.49 |
$22.75
|
|
Map tachycard site(s)
|
$11,296.29 |
$11,296.29 |
$11,296.29 |
$3,960.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$14.51 |
$14.51 |
$14.51 |
$66.50
|
|
Mayo activated protein c resistance assay
|
$124.75 |
$124.75 |
$124.75 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$100.00 |
$100.00 |
$100.00 |
$101.44
|
|
Mayo alkaline phosphatase isoenzyme
|
$5.00 |
$5.00 |
$5.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$22.81 |
$22.81 |
$22.81 |
$115.92
|
|
Mayo analysis gene calr common variants exon 9
|
$175.00 |
$175.00 |
$175.00 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$107.92 |
$107.92 |
$107.92 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,076.90 |
$1,076.90 |
$1,076.90 |
$1,909.44
|
|
Mayo androstenedione
|
$10.00 |
$10.00 |
$10.00 |
$105.30
|
|
Mayo antithrombin iii antigen
|
$8.15 |
$8.15 |
$8.15 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$13.60 |
$13.60 |
$13.60 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$135.00 |
$135.00 |
$135.00 |
$157.95
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$81.45 |
$81.45 |
$81.45 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$12.22 |
$12.22 |
$12.22 |
$57.85
|
|
Mayo c1 esterase inhibitor
|
$16.97 |
$16.97 |
$16.97 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$20.00 |
$20.00 |
$20.00 |
$83.97
|
|
Mayo ceruloplasmin
|
$4.69 |
$4.69 |
$4.69 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$45.61 |
$45.61 |
$45.61 |
$123.73
|
|
Mayo chromium
|
$5.00 |
$5.00 |
$5.00 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$73.31 |
$73.31 |
$73.31 |
$89.53
|
|
Mayo cortisol free
|
$10.41 |
$10.41 |
$10.41 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.13 |
$42.13 |
$42.13 |
$72.60
|
|
Mayo cyanide
|
$37.00 |
$37.00 |
$37.00 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$14.66 |
$14.66 |
$14.66 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$4.89 |
$4.89 |
$4.89 |
$88.45
|
|
Mayo dihydrotestosterone
|
$28.83 |
$28.83 |
$28.83 |
$81.90
|
