|
Intrinsic factor antibody
|
$109.00 |
$109.00 |
$109.00 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$2,044.00 |
$2,044.00 |
$2,044.00 |
$477.85
|
|
Iodine i-123 sod iodide mil
|
$621.00 |
$621.00 |
$621.00 |
$688.38
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,964.00 |
$1,964.00 |
$1,964.00 |
$236.99
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$414.00 |
$414.00 |
$414.00 |
$255.60
|
|
Irradiation of blood product each unit reference
|
$278.00 |
$278.00 |
$278.00 |
$124.24
|
|
Ivp w/nephrotomography
|
$3,342.00 |
$3,342.00 |
$3,342.00 |
$712.53
|
|
Ketogenic steroids fract
|
$125.00 |
$125.00 |
$125.00 |
$79.54
|
|
Kidney imag w/bld flow multi
|
$5,882.00 |
$5,882.00 |
$5,882.00 |
$1,574.40
|
|
Kidney img w/bldflw sgl without rx
|
$2,203.00 |
$2,203.00 |
$2,203.00 |
$1,468.04
|
|
Lactoferrin fecal qualitative
|
$482.00 |
$482.00 |
$482.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$92.00 |
$92.00 |
$92.00 |
$106.10
|
|
Lead capillary
|
$91.00 |
$91.00 |
$91.00 |
$62.40
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$539.00 |
$539.00 |
$539.00 |
$122.95
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$28,453.00 |
$28,453.00 |
$28,453.00 |
$4,799.28
|
|
Lidocaine therapeutic drug level
|
$124.00 |
$124.00 |
$124.00 |
$87.45
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$902.00 |
$902.00 |
$902.00 |
$130.49
|
|
Lipoprotein blood high res frac & quant
|
$109.00 |
$109.00 |
$109.00 |
$89.52
|
|
Lipoprotein blood quant
|
$32.61 |
$32.61 |
$32.61 |
$103.90
|
|
Lipoprotein direct measurement hdl
|
$901.00 |
$901.00 |
$901.00 |
$54.60
|
|
Liver/spleen imag static only
|
$3,372.00 |
$3,372.00 |
$3,372.00 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$12.00 |
$12.00 |
$12.00 |
$13.65
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$12,738.00 |
$12,738.00 |
$12,738.00 |
$2,919.75
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$2,013.08
|
|
Low frequency non-thermal Ultrasound
|
$636.00 |
$636.00 |
$636.00 |
$272.22
|
|
L/s ratio fetal lung
|
$408.00 |
$408.00 |
$408.00 |
$168.00
|
|
Lung Function Test (Spirometry)
|
$1,833.00 |
$1,833.00 |
$1,833.00 |
$295.35
|
|
Lung perfusion imaging
|
$3,336.00 |
$3,336.00 |
$3,336.00 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$1,526.38
|
|
Lymph vessel x-ray arms/legs
|
$2,099.00 |
$2,099.00 |
$2,099.00 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$2,099.00 |
$2,099.00 |
$2,099.00 |
$3,332.55
|
|
Magnetic image bone marrow
|
$7,279.00 |
$7,279.00 |
$7,279.00 |
$970.85
|
|
Manipulation chest wall initial demonstration/evaluation
|
$463.00 |
$463.00 |
$463.00 |
$163.15
|
|
Mannitol 12.5 gm/50 ml inj
|
$355.00 |
$355.00 |
$355.00 |
$40.12
|
|
Manual diff wbc count b-coat
|
$23.00 |
$23.00 |
$23.00 |
$22.75
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$6,804.00 |
$6,804.00 |
$6,804.00 |
$1,617.84
|
|
M.avium-intra dna dir prob
|
$161.00 |
$161.00 |
$161.00 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$193.00 |
$193.00 |
$193.00 |
$70.85
|
|
Mayo activated protein c resistance assay
|
$450.00 |
$450.00 |
$450.00 |
$100.10
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$378.00 |
$378.00 |
$378.00 |
$172.90
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$171.00 |
$171.00 |
$171.00 |
$137.80
|
|
Mayo amikacin trough therapeutic drug level
|
$153.00 |
$153.00 |
$153.00 |
$81.81
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$350.00 |
$350.00 |
$350.00 |
$343.20
|
|
Mayo androstenedione
|
$210.00 |
$210.00 |
$210.00 |
$106.20
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$108.00 |
$108.00 |
$108.00 |
$74.10
|
|
Mayo antithrombin iii antigen
|
$57.00 |
$57.00 |
$57.00 |
$67.13
|
|
Mayo avwpr vw factor activity
|
$77.00 |
$77.00 |
$77.00 |
$159.66
|
|
Mayo bart bartonella henselae antibody igg
|
$107.00 |
$107.00 |
$107.00 |
$46.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$96.00 |
$96.00 |
$96.00 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$325.00 |
$325.00 |
$325.00 |
$48.57
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$356.00 |
$356.00 |
$356.00 |
$85.80
|
|
Mayo ceruloplasmin
|
$79.00 |
$79.00 |
$79.00 |
$64.80
|
|
Mayo chemiluminescent parathyroid related peptide
|
$211.50 |
$211.50 |
$211.50 |
$125.50
|
|
Mayo chromium
|
$66.00 |
$66.00 |
$66.00 |
$75.35
|
|
Mayo cortisol free
|
$77.00 |
$77.00 |
$77.00 |
$105.30
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$84.00 |
$84.00 |
$84.00 |
$62.15
|
|
Mayo cyanide
|
$127.00 |
$127.00 |
$127.00 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$97.00 |
$97.00 |
$97.00 |
$59.15
|
|
Mayo dhea (dehydroepiandrosterone)
|
$183.00 |
$183.00 |
$183.00 |
$99.45
|
|
Mayo efpo chloride stool
|
$1,467.00 |
$1,467.00 |
$1,467.00 |
$42.60
|
|
Mayo estriol
|
$172.00 |
$172.00 |
$172.00 |
$98.70
|
|
Mayo estrone
|
$10.00 |
$10.00 |
$10.00 |
$82.37
|
|
Mayo factor vii
|
$640.00 |
$640.00 |
$640.00 |
$145.73
|
|
Mayo factor viii vw factor antigen
|
$232.00 |
$232.00 |
$232.00 |
$110.50
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$307.00 |
$307.00 |
$307.00 |
$130.40
|
|
Mayo factor xi
|
$273.00 |
$273.00 |
$273.00 |
$119.55
|
|
Mayo fat/lipids feces quantitative
|
$112.00 |
$112.00 |
$112.00 |
$70.67
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$577.00 |
$577.00 |
$577.00 |
$69.55
|
|
Mayo hvdip HIV 1 antibody
|
$375.00 |
$375.00 |
$375.00 |
$71.50
|
|
Mayo hvdip HIV 2 antibody
|
$375.00 |
$375.00 |
$375.00 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$193.00 |
$193.00 |
$193.00 |
$96.33
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$838.00 |
$838.00 |
$838.00 |
$170.66
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$1,880.00 |
$1,880.00 |
$1,880.00 |
$233.75
|
|
Mayo inhab inhibin a
|
$361.00 |
$361.00 |
$361.00 |
$81.95
|
|
Mayo insulin antibodies
|
$156.00 |
$156.00 |
$156.00 |
$92.07
|
|
Mayo itraconazole therapeutic drug level
|
$517.00 |
$517.00 |
$517.00 |
$81.25
|
|
Mayo lacosamide therapeutic drug level
|
$50.00 |
$50.00 |
$50.00 |
$113.42
|
|
Mayo lamotrigine therapeutic drug level
|
$127.00 |
$127.00 |
$127.00 |
$69.75
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$220.00 |
$220.00 |
$220.00 |
$57.20
|
|
Mayo legionella antibody
|
$65.00 |
$65.00 |
$65.00 |
$82.70
|
|
Mayo leptospira antibody igm
|
$97.00 |
$97.00 |
$97.00 |
$76.05
|
|
Mayo manganese
|
$178.00 |
$178.00 |
$178.00 |
$99.99
|
|
Mayo metanephrines plasma
|
$751.00 |
$751.00 |
$751.00 |
$110.70
|
|
Mayo methadone definitive assay confirmation urine
|
$238.00 |
$238.00 |
$238.00 |
$97.20
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$457.00 |
$457.00 |
$457.00 |
$97.25
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$537.00 |
$537.00 |
$537.00 |
$72.80
|
|
Mayo muscle-specific kinase (musk) antibody
|
$2,144.00 |
$2,144.00 |
$2,144.00 |
$195.00
|
|
Mayo mycophenolic acid therapeutic drug level
|
$107.00 |
$107.00 |
$107.00 |
$73.61
|
|
Mayo opatu oxycodone definitive assay
|
$278.00 |
$278.00 |
$278.00 |
$111.00
|
|
Mayo oxalate 24 hour urine
|
$220.00 |
$220.00 |
$220.00 |
$65.00
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$280.00 |
$280.00 |
$280.00 |
$163.35
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$529.00 |
$529.00 |
$529.00 |
$190.44
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$112.00 |
$112.00 |
$112.00 |
$70.95
|
|
Mayo prmb primidone therapeutic drug level
|
$287.00 |
$287.00 |
$287.00 |
$71.20
|
|
Mayo proinsulin
|
$125.00 |
$125.00 |
$125.00 |
$97.50
|
|
Mayo serotonin
|
$195.00 |
$195.00 |
$195.00 |
$134.01
|
|
Mayo sfgp rickettsia rickettsii antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$84.00
|
|
Mayo tgrp testosterone total
|
$255.00 |
$255.00 |
$255.00 |
$139.20
|
|
Mayo thyroglobulin
|
$687.00 |
$687.00 |
$687.00 |
$108.60
|
