|
Insertion subcutaneous cardiac rhythm monitor
|
$22,738.55 |
$22,738.55 |
$22,738.55 |
$9,793.46
|
|
Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides)
|
$10,598.08 |
$10,598.08 |
$10,598.08 |
$5,470.54
|
|
Insert picvad cath
|
$10,153.40 |
$10,153.40 |
$10,153.40 |
$4,490.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$1,651.18 |
$1,651.18 |
$1,651.18 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$455.16 |
$455.16 |
$455.16 |
$338.40
|
|
Ins picad w subq port 5yr>
|
$14,340.20 |
$14,340.20 |
$14,340.20 |
$4,341.66
|
|
Instill, bupivac and meloxic
|
$3,202.89 |
$3,202.89 |
$3,202.89 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$9,839.81 |
$9,839.81 |
$9,839.81 |
$4,748.00
|
|
Insulin total
|
$39.69 |
$39.69 |
$39.69 |
$67.60
|
|
Intrinsic factor antibody
|
$47.50 |
$47.50 |
$47.50 |
$59.95
|
|
Intro cath dialysis circuit
|
$5,988.94 |
$5,988.94 |
$5,988.94 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$23,490.14 |
$23,490.14 |
$23,490.14 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$35,968.38 |
$35,968.38 |
$35,968.38 |
$15,625.00
|
|
Intro catheter aorta
|
$1,140.49 |
$1,140.49 |
$1,140.49 |
$1,861.61
|
|
Intro cath svc/ivc
|
$886.25 |
$886.25 |
$886.25 |
$1,350.75
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,345.43 |
$2,345.43 |
$2,345.43 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$6,345.58 |
$6,345.58 |
$6,345.58 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,029.79 |
$1,029.79 |
$1,029.79 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$184.87 |
$184.87 |
$184.87 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$288.11 |
$288.11 |
$288.11 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$124,004.90 |
$124,004.90 |
$124,004.90 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$14.96 |
$14.96 |
$14.96 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$596.37 |
$596.37 |
$596.37 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$9,615.47 |
$9,615.47 |
$9,615.47 |
$6,655.71
|
|
Iron
|
$108.85 |
$108.85 |
$108.85 |
$70.72
|
|
Iron binding capacity
|
$36.60 |
$36.60 |
$36.60 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$414.02 |
$414.02 |
$414.02 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,132.95 |
$1,132.95 |
$1,132.95 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$2,936.48 |
$2,936.48 |
$2,936.48 |
$124.24
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$37,559.57 |
$37,559.57 |
$37,559.57 |
$13,419.80
|
|
Ivc venogram s&i
|
$14,029.18 |
$14,029.18 |
$14,029.18 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$987.75 |
$987.75 |
$987.75 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$740.71 |
$740.71 |
$740.71 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$781.96 |
$781.96 |
$781.96 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,563.84 |
$1,563.84 |
$1,563.84 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$583.38 |
$583.38 |
$583.38 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$70.23 |
$70.23 |
$70.23 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$275.28 |
$275.28 |
$275.28 |
$30.08
|
|
Kidney imag w/bld flow multi
|
$4,988.88 |
$4,988.88 |
$4,988.88 |
$1,566.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,826.05 |
$2,826.05 |
$2,826.05 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$4,306.96 |
$4,306.96 |
$4,306.96 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$2,537.52 |
$2,537.52 |
$2,537.52 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$816.12 |
$816.12 |
$816.12 |
$2,181.10
|
|
Knee X-ray
|
$1,916.88 |
$1,916.88 |
$1,916.88 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$613.97 |
$613.97 |
$613.97 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$517.86 |
$517.86 |
$517.86 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$490.96 |
$490.96 |
$490.96 |
$53.30
|
|
Lactated ringers intravenous solution
|
$298.63 |
$298.63 |
$298.63 |
$54.11
|
|
Lactic acid
|
$98.16 |
$98.16 |
$98.16 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$84.67 |
$84.67 |
$84.67 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$125,770.28 |
$125,770.28 |
$125,770.28 |
$22,903.90
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,212.15 |
$1,212.15 |
$1,212.15 |
$765.97
|
|
Lead capillary
|
$84.11 |
$84.11 |
$84.11 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$7,670.60 |
$7,670.60 |
$7,670.60 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1,545.09 |
$1,545.09 |
$1,545.09 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$542.83 |
$542.83 |
$542.83 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$277.73 |
$277.73 |
$277.73 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$318.64 |
$318.64 |
$318.64 |
$66.59
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$493.87 |
$493.87 |
$493.87 |
$177.90
|
|
Lipase
|
$224.58 |
$224.58 |
$224.58 |
$83.20
|
|
Lipoprotein blood quant
|
$158.32 |
$158.32 |
$158.32 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$326.62 |
$326.62 |
$326.62 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$33.08 |
$33.08 |
$33.08 |
$60.00
|
|
Lithium therapeutic drug level
|
$278.33 |
$278.33 |
$278.33 |
$67.60
|
|
Liver Function Test
|
$1,090.95 |
$1,090.95 |
$1,090.95 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$16.54 |
$16.54 |
$16.54 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$106.67 |
$106.67 |
$106.67 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$10,111.41 |
$10,111.41 |
$10,111.41 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$9,676.14 |
$9,676.14 |
$9,676.14 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$8,789.66 |
$8,789.66 |
$8,789.66 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$18,799.04 |
$18,799.04 |
$18,799.04 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$10,786.20 |
$10,786.20 |
$10,786.20 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$14,823.93 |
$14,823.93 |
$14,823.93 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,881.75 |
$1,881.75 |
$1,881.75 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$513.99 |
$513.99 |
$513.99 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$565.54 |
$565.54 |
$565.54 |
$298.50
|
|
Lung perfusion imaging
|
$1,695.61 |
$1,695.61 |
$1,695.61 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$5,713.81 |
$5,713.81 |
$5,713.81 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$991.57 |
$991.57 |
$991.57 |
$266.20
|
|
Magnesium
|
$490.96 |
$490.96 |
$490.96 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$318.64 |
$318.64 |
$318.64 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$820.32 |
$820.32 |
$820.32 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$333.94 |
$333.94 |
$333.94 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$298.28 |
$298.28 |
$298.28 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$120,952.41 |
$120,952.41 |
$120,952.41 |
$34,164.07
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$227.34 |
$227.34 |
$227.34 |
$7,478.44
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$93.32 |
$93.32 |
$93.32 |
$66.50
|
|
Mayo aathr protein s free
|
$48.26 |
$48.26 |
$48.26 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$49.26 |
$49.26 |
$49.26 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$237.69 |
$237.69 |
$237.69 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$497.26 |
$497.26 |
$497.26 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$434.13 |
$434.13 |
$434.13 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$46.56 |
$46.56 |
$46.56 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$661.44 |
$661.44 |
$661.44 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$46.68 |
$46.68 |
$46.68 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$254.29 |
$254.29 |
$254.29 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$661.44 |
$661.44 |
$661.44 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$56.47 |
$56.47 |
$56.47 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$1,027.97 |
$1,027.97 |
$1,027.97 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$746.42 |
$746.42 |
$746.42 |
$326.48
|