|
Ibutilide fumarate 0.1 mg/ml intravenous solution
|
$3,057.00 |
$3,057.00 |
$3,057.00 |
$938.19
|
|
Immunoassay tumor antigen quantitative ca 125
|
$1,304.38 |
$1,304.38 |
$1,304.38 |
$122.50
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$643.45 |
$643.45 |
$643.45 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$34.07 |
$34.07 |
$34.07 |
$53.95
|
|
Immunodiffusion nes
|
$63.00 |
$63.00 |
$63.00 |
$58.07
|
|
Immunofluorescence per specimen initial single antibody stain
|
$453.20 |
$453.20 |
$453.20 |
$250.00
|
|
In-111 autol wbc diag per dose
|
$31,675.14 |
$31,675.14 |
$31,675.14 |
$3,704.00
|
|
In-111 pentetate dtpa / 0.5 mci
|
$29,657.34 |
$29,657.34 |
$29,657.34 |
$2,106.00
|
|
In-111 pentetreotide
|
$30,714.16 |
$30,714.16 |
$30,714.16 |
$6,610.16
|
|
Infect ag eia chlamydia trachomatis
|
$328.76 |
$328.76 |
$328.76 |
$16.50
|
|
Infect ag genotype na cytomegalovirus
|
$222.50 |
$222.50 |
$222.50 |
$587.40
|
|
Infect ag genotype na dna hepatitis b
|
$2,665.73 |
$2,665.73 |
$2,665.73 |
$468.16
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$104.08 |
$104.08 |
$104.08 |
$576.35
|
|
Infect ag if hep delta agent
|
$664.83 |
$664.83 |
$664.83 |
$123.00
|
|
Infect ag if legionella pneumophila
|
$652.00 |
$652.00 |
$652.00 |
$75.75
|
|
Infect ag if nos ea
|
$64.15 |
$64.15 |
$64.15 |
$55.93
|
|
Infect ag if varicella zoster
|
$115.43 |
$115.43 |
$115.43 |
$66.00
|
|
Infect ag na hpv high-risk types
|
$269.34 |
$269.34 |
$269.34 |
$142.40
|
|
Infect ag na orthopoxvirus amp prb each
|
$77.00 |
$77.00 |
$77.00 |
$101.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$96.20 |
$96.20 |
$96.20 |
$79.40
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$476.50 |
$476.50 |
$476.50 |
$85.15
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$389.98 |
$389.98 |
$389.98 |
$79.33
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$132.53 |
$132.53 |
$132.53 |
$56.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$6.95 |
$6.95 |
$6.95 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$8.14 |
$8.14 |
$8.14 |
$93.60
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$762.66 |
$762.66 |
$762.66 |
$60.00
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$550.00 |
$550.00 |
$550.00 |
$855.45
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$32.58 |
$32.58 |
$32.58 |
$173.55
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$438.23 |
$438.23 |
$438.23 |
$150.15
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$104.52 |
$104.52 |
$104.52 |
$210.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$33.00 |
$33.00 |
$33.00 |
$112.15
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$94.06 |
$94.06 |
$94.06 |
$226.35
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$1,877.24 |
$1,877.24 |
$1,877.24 |
$278.78
|
|
Inj crotalidae im f(ab')2 eq
|
$3,770.00 |
$3,770.00 |
$3,770.00 |
$2,836.95
|
|
Inj hydroxocobalamin IV 25mg
|
$3,138.00 |
$3,138.00 |
$3,138.00 |
$3,180.35
|
|
Inj multihance
|
$6.00 |
$6.00 |
$6.00 |
$120.00
|
|
Insitu hybridization manual
|
$393.33 |
$393.33 |
$393.33 |
$411.33
|
|
Insulin total
|
$3.37 |
$3.37 |
$3.37 |
$67.50
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$16,362.45 |
$16,362.45 |
$16,362.45 |
$9,463.86
|
|
Intra-atrial pacing
|
$27,948.34 |
$27,948.34 |
$27,948.34 |
$4,967.24
|
|
Intra-atrial recording
|
$26,842.28 |
$26,842.28 |
$26,842.28 |
$5,593.09
|
|
Intraventricular pacing
|
$26,842.28 |
$26,842.28 |
$26,842.28 |
$5,676.98
|
|
Intrinsic factor antibody
|
$7.31 |
$7.31 |
$7.31 |
$59.95
|
|
Ionm remote/>1 pt or per hr
|
$1,980.89 |
$1,980.89 |
$1,980.89 |
$622.70
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$1,480.00 |
$1,480.00 |
$1,480.00 |
$236.99
|
|
Iron
|
$911.74 |
$911.74 |
$911.74 |
$74.40
|
|
Iron binding capacity
|
$881.12 |
$881.12 |
$881.12 |
$63.05
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$939.00 |
$939.00 |
$939.00 |
$236.18
|
|
Irrigation implantable venous access device for drug delivery systems
|
$596.00 |
$596.00 |
$596.00 |
$153.75
|
|
John cunningham antibody
|
$3,525.10 |
$3,525.10 |
$3,525.10 |
$48.57
|
|
Kidney img w/bldflw sgl without rx
|
$15,604.64 |
$15,604.64 |
$15,604.64 |
$1,468.04
|
|
Kras gene variants exon 2
|
$448.92 |
$448.92 |
$448.92 |
$495.00
|
|
Lactic acid
|
$1,281.75 |
$1,281.75 |
$1,281.75 |
$102.90
|
|
Lactoferrin fecal quant
|
$42.00 |
$42.00 |
$42.00 |
$106.10
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$368.00 |
$368.00 |
$368.00 |
$131.52
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$664.00 |
$664.00 |
$664.00 |
$89.50
|
|
Levetiracetam therapeutic drug level
|
$13.59 |
$13.59 |
$13.59 |
$74.00
|
|
Lidocaine therapeutic drug level
|
$100.46 |
$100.46 |
$100.46 |
$85.15
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,628.00 |
$1,628.00 |
$1,628.00 |
$141.75
|
|
Lipase
|
$1,554.61 |
$1,554.61 |
$1,554.61 |
$83.20
|
|
Lipoprotein blood quant
|
$126.11 |
$126.11 |
$126.11 |
$103.40
|
|
Lipoprotein direct measurement hdl
|
$1,384.24 |
$1,384.24 |
$1,384.24 |
$55.80
|
|
Liver Function Test
|
$5,552.93 |
$5,552.93 |
$5,552.93 |
$112.80
|
|
Liver imaging
|
$8,853.81 |
$8,853.81 |
$8,853.81 |
$1,241.25
|
|
Liver/spleen imag static only
|
$7,348.45 |
$7,348.45 |
$7,348.45 |
$1,140.78
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$33.00 |
$33.00 |
$33.00 |
$41.76
|
|
L/s ratio fetal lung
|
$134.68 |
$134.68 |
$134.68 |
$168.00
|
|
Lung function test (mbc/mvv)
|
$507.11 |
$507.11 |
$507.11 |
$180.73
|
|
Lung Function Test (Spirometry)
|
$721.40 |
$721.40 |
$721.40 |
$295.35
|
|
Lung perfusion imaging
|
$6,379.48 |
$6,379.48 |
$6,379.48 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$5,406.52 |
$5,406.52 |
$5,406.52 |
$1,526.38
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$304.80 |
$304.80 |
$304.80 |
$140.87
|
|
Manipulation chest wall initial demonstration/evaluation
|
$163.71 |
$163.71 |
$163.71 |
$170.00
|
|
Map tachycard site(s)
|
$32,212.86 |
$32,212.86 |
$32,212.86 |
$3,921.68
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$778.11 |
$778.11 |
$778.11 |
$67.00
|
|
Mayo aathr protein s free
|
$265.07 |
$265.07 |
$265.07 |
$130.60
|
|
Mayo activated protein c resistance assay
|
$36.65 |
$36.65 |
$36.65 |
$97.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$12.21 |
$12.21 |
$12.21 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$100.46 |
$100.46 |
$100.46 |
$87.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,090.23 |
$1,090.23 |
$1,090.23 |
$338.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$649.65 |
$649.65 |
$649.65 |
$1,922.13
|
|
Mayo androstenedione
|
$23.24 |
$23.24 |
$23.24 |
$103.89
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$4.70 |
$4.70 |
$4.70 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$213.77 |
$213.77 |
$213.77 |
$67.13
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$3,665.57 |
$3,665.57 |
$3,665.57 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$141.10 |
$141.10 |
$141.10 |
$57.85
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$19.85 |
$19.85 |
$19.85 |
$96.85
|
|
Mayo ceruloplasmin
|
$5.23 |
$5.23 |
$5.23 |
$64.80
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$297.39 |
$297.39 |
$297.39 |
$349.47
|
|
Mayo chromium
|
$418.99 |
$418.99 |
$418.99 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$13.85 |
$13.85 |
$13.85 |
$85.80
|
|
Mayo cortisol free
|
$13.35 |
$13.35 |
$13.35 |
$101.40
|
|
Mayo covid-19 antibody nucleocapsid total
|
$42.13 |
$42.13 |
$42.13 |
$72.60
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$3,332.70 |
$3,332.70 |
$3,332.70 |
$642.40
|
|
Mayo deoxyribonuclease antibody titer
|
$14.66 |
$14.66 |
$14.66 |
$59.15
|
|
Mayo efpo chloride stool
|
$89.78 |
$89.78 |
$89.78 |
$42.60
|
|
Mayo estriol
|
$8.36 |
$8.36 |
$8.36 |
$98.70
|
|
Mayo estrone
|
$205.23 |
$205.23 |
$205.23 |
$83.20
|
|
Mayo ethosuximide therapeutic drug level
|
$123.98 |
$123.98 |
$123.98 |
$70.20
|
|
Mayo factor ii
|
$15.00 |
$15.00 |
$15.00 |
$92.30
|
