|
Inj, spesolimab-sbzo, 1 mg
|
$648,027.72 |
$648,027.72 |
$648,027.72 |
$253,022.14
|
|
Inj testosterone cypionate
|
$222.82 |
$222.82 |
$222.82 |
$77.15
|
|
Inj, tislelizumab-jsgr
|
$95,352.17 |
$95,352.17 |
$95,352.17 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$76.24 |
$76.24 |
$76.24 |
$63.82
|
|
Inj, vegzelma, 10 mg
|
$26,752.95 |
$26,752.95 |
$26,752.95 |
$10,892.59
|
|
Insert cath pleura with image
|
$4,317.75 |
$4,317.75 |
$4,317.75 |
$2,239.02
|
|
Insertion catheter bladder non indwelling
|
$2,061.19 |
$2,061.19 |
$2,061.19 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$2,061.19 |
$2,061.19 |
$2,061.19 |
$273.60
|
|
Insertion catheter pleural indwelling tunneled with cuff
|
$52,787.46 |
$52,787.46 |
$52,787.46 |
$4,943.21
|
|
Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance
|
$24,516.65 |
$24,516.65 |
$24,516.65 |
$7,088.54
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$8,826.20 |
$8,826.20 |
$8,826.20 |
$2,618.40
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$21,361.35 |
$21,361.35 |
$21,361.35 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$21,361.35 |
$21,361.35 |
$21,361.35 |
$2,527.91
|
|
In situ hybridization per specimen each additional single probe stain
|
$784.66 |
$784.66 |
$784.66 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$2,743.40 |
$2,743.40 |
$2,743.40 |
$338.40
|
|
Instill, bupivac and meloxic
|
$1,732.80 |
$1,732.80 |
$1,732.80 |
$1,127.61
|
|
Ins tun cv cath wo subq prt/pm
|
$9,211.07 |
$9,211.07 |
$9,211.07 |
$4,748.00
|
|
Insulin total
|
$54.24 |
$54.24 |
$54.24 |
$67.60
|
|
Intrapul surf admin endo tube
|
$612.14 |
$612.14 |
$612.14 |
$239.52
|
|
Intrinsic factor antibody
|
$301.07 |
$301.07 |
$301.07 |
$59.95
|
|
Intro cath svc/ivc
|
$4,482.56 |
$4,482.56 |
$4,482.56 |
$1,350.75
|
|
Intro long gi tube
|
$2,798.84 |
$2,798.84 |
$2,798.84 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$1,825.68 |
$1,825.68 |
$1,825.68 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$1,164.53 |
$1,164.53 |
$1,164.53 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$538.69 |
$538.69 |
$538.69 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$839.52 |
$839.52 |
$839.52 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$108,596.95 |
$108,596.95 |
$108,596.95 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$13.33 |
$13.33 |
$13.33 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$592.35 |
$592.35 |
$592.35 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$9,136.34 |
$9,136.34 |
$9,136.34 |
$6,655.71
|
|
Iron
|
$158.09 |
$158.09 |
$158.09 |
$70.72
|
|
Iron binding capacity
|
$187.28 |
$187.28 |
$187.28 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$215.93 |
$215.93 |
$215.93 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$549.95 |
$549.95 |
$549.95 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$689.40 |
$689.40 |
$689.40 |
$124.24
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$32,892.84 |
$32,892.84 |
$32,892.84 |
$13,419.80
|
|
Jak2 targeted sequence analysis
|
$3,697.52 |
$3,697.52 |
$3,697.52 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$64.93 |
$64.93 |
$64.93 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$146.42 |
$146.42 |
$146.42 |
$30.08
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$5,055.97 |
$5,055.97 |
$5,055.97 |
$668.25
|
|
Knee X-ray
|
$1,646.00 |
$1,646.00 |
$1,646.00 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$302.15 |
$302.15 |
$302.15 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$256.26 |
$256.26 |
$256.26 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$175.73 |
$175.73 |
$175.73 |
$53.30
|
|
Lactated ringers intravenous solution
|
$217.30 |
$217.30 |
$217.30 |
$54.11
|
|
Lactic acid
|
$270.03 |
$270.03 |
$270.03 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$393.32 |
$393.32 |
$393.32 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$67,750.86 |
$67,750.86 |
$67,750.86 |
$22,903.90
|
|
Largsc w/rmvl foreign bdy(s)
|
$2,286.43 |
$2,286.43 |
$2,286.43 |
$765.97
|
|
Laryngeal function studies
|
$2,061.19 |
$2,061.19 |
$2,061.19 |
$335.40
|
|
Lead capillary
|
$241.78 |
$241.78 |
$241.78 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$4,664.43 |
$4,664.43 |
$4,664.43 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1,520.59 |
$1,520.59 |
$1,520.59 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$330.92 |
$330.92 |
$330.92 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$74.92 |
$74.92 |
$74.92 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$196.86 |
$196.86 |
$196.86 |
$66.59
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$301.64 |
$301.64 |
$301.64 |
$177.90
|
|
Lipase
|
$281.18 |
$281.18 |
$281.18 |
$83.20
|
|
Lipoprotein blood quant
|
$682.61 |
$682.61 |
$682.61 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$163.52 |
$163.52 |
$163.52 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$209.64 |
$209.64 |
$209.64 |
$60.00
|
|
Lithium therapeutic drug level
|
$131.98 |
$131.98 |
$131.98 |
$67.60
|
|
Liver Function Test
|
$438.48 |
$438.48 |
$438.48 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$48.19 |
$48.19 |
$48.19 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$64.77 |
$64.77 |
$64.77 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$5,897.27 |
$5,897.27 |
$5,897.27 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$11,054.67 |
$11,054.67 |
$11,054.67 |
$1,504.05
|
|
Lower Back (Lumbar Spine) X-ray
|
$3,070.86 |
$3,070.86 |
$3,070.86 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$1,103.48 |
$1,103.48 |
$1,103.48 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$2,811.47 |
$2,811.47 |
$2,811.47 |
$298.50
|
|
Lung perfusion imaging
|
$6,505.60 |
$6,505.60 |
$6,505.60 |
$1,100.39
|
|
Lymphocyte transformation mitogen
|
$978.89 |
$978.89 |
$978.89 |
$266.20
|
|
Magnesium
|
$183.40 |
$183.40 |
$183.40 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$196.86 |
$196.86 |
$196.86 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$401.30 |
$401.30 |
$401.30 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$401.30 |
$401.30 |
$401.30 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$157.94 |
$157.94 |
$157.94 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$105,923.75 |
$105,923.75 |
$105,923.75 |
$34,164.07
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$288.70 |
$288.70 |
$288.70 |
$66.50
|
|
Mayo aathr protein s free
|
$305.87 |
$305.87 |
$305.87 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$305.87 |
$305.87 |
$305.87 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$770.06 |
$770.06 |
$770.06 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$198.99 |
$198.99 |
$198.99 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$353.66 |
$353.66 |
$353.66 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$295.09 |
$295.09 |
$295.09 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$207.90 |
$207.90 |
$207.90 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$268.33 |
$268.33 |
$268.33 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$91.81 |
$91.81 |
$91.81 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$275.39 |
$275.39 |
$275.39 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$61.25 |
$61.25 |
$61.25 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$2,428.35 |
$2,428.35 |
$2,428.35 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,829.99 |
$1,829.99 |
$1,829.99 |
$326.48
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$291.49 |
$291.49 |
$291.49 |
$72.46
|
|
Mayo aspergillus fumigatus antibody
|
$300.48 |
$300.48 |
$300.48 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$616.12 |
$616.12 |
$616.12 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$120.24 |
$120.24 |
$120.24 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$203.25 |
$203.25 |
$203.25 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$2,891.74 |
$2,891.74 |
$2,891.74 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$4,284.89 |
$4,284.89 |
$4,284.89 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$257.55 |
$257.55 |
$257.55 |
$57.85
|