|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$14.24 |
$14.24 |
$14.24 |
$153.98
|
|
Ipratropium bromide non-comp
|
$1.50 |
$1.50 |
$1.50 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$375.11 |
$375.11 |
$375.11 |
$227.39
|
|
Iron
|
$89.98 |
$89.98 |
$89.98 |
$70.72
|
|
Iron binding capacity
|
$89.98 |
$89.98 |
$410.00 |
$63.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$2.52 |
$2.52 |
$2.52 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$76.92 |
$76.92 |
$154.80 |
$124.24
|
|
Ivc venogram s&i
|
$3,478.00 |
$3,478.00 |
$12,840.00 |
$3,332.55
|
|
IV inj ra drug dx study
|
$625.25 |
$625.25 |
$2,830.30 |
$560.00
|
|
Ivp w/nephrotomography
|
$1,082.80 |
$1,082.80 |
$6,380.00 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,365.60 |
$1,365.60 |
$8,120.85 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$288.00 |
$288.00 |
$288.00 |
$378.30
|
|
Ketamine and metabolite screen - quest
|
$42.40 |
$42.40 |
$42.40 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$32.64 |
$32.64 |
$32.64 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$30.08 |
$30.08 |
$30.08 |
$30.08
|
|
Kidney imaging morphology
|
$9,271.15 |
$9,271.15 |
$9,271.15 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$1,130.40 |
$1,130.40 |
$16,596.85 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,198.00 |
$1,198.00 |
$13,587.25 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$475.60 |
$475.60 |
$475.60 |
$668.25
|
|
Kit gene analys d816 variant
|
$112.00 |
$112.00 |
$112.00 |
$355.00
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$171.86 |
$171.86 |
$171.86 |
$5,329.23
|
|
Knee MRI (with and without contrast)
|
$972.00 |
$972.00 |
$972.00 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$847.60 |
$847.60 |
$847.60 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$972.00 |
$972.00 |
$972.00 |
$2,181.10
|
|
Knee X-ray
|
$1,871.20 |
$1,871.20 |
$1,871.20 |
$443.90
|
|
Kras gene variants exon 2
|
$202.90 |
$202.90 |
$202.90 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$1.20 |
$1.20 |
$1.20 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.52 |
$0.52 |
$0.52 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$24.49 |
$24.49 |
$24.49 |
$53.30
|
|
Lactated ringers intravenous solution
|
$22.71 |
$22.71 |
$22.71 |
$54.11
|
|
Lactic acid
|
$112.61 |
$112.61 |
$112.61 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$11.45 |
$11.45 |
$20.25 |
$88.40
|
|
Laryngoscopy w/fb & op scope
|
$3,546.40 |
$3,546.40 |
$3,546.40 |
$3,786.00
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$4,391.60 |
$4,391.60 |
$4,391.60 |
$660.10
|
|
Lead capillary
|
$29.88 |
$29.88 |
$29.88 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,064.40 |
$1,064.40 |
$1,064.40 |
$1,100.74
|
|
Levalbuterol non-comp unit
|
$17.80 |
$17.80 |
$17.80 |
$11.90
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$14.35 |
$14.35 |
$14.35 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.61 |
$43.61 |
$43.61 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$13.60 |
$13.60 |
$262.00 |
$319.12
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$61.85 |
$61.85 |
$61.85 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$196.06 |
$196.06 |
$196.06 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$4.80 |
$4.80 |
$4.80 |
$177.90
|
|
Lipase
|
$72.00 |
$72.00 |
$72.00 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$67.77 |
$67.77 |
$67.77 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$77.45 |
$77.45 |
$77.45 |
$60.00
|
|
Lithium therapeutic drug level
|
$53.54 |
$53.54 |
$53.54 |
$67.60
|
|
Liver Function Test
|
$76.27 |
$76.27 |
$76.27 |
$110.50
|
|
Liver imaging
|
$2,771.50 |
$2,771.50 |
$2,771.50 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$5,058.25 |
$5,058.25 |
$5,058.25 |
$1,255.15
|
|
Liver/spleen imag static only
|
$1,632.40 |
$1,632.40 |
$10,638.75 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$4.28 |
$4.28 |
$4.28 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$0.84 |
$0.84 |
$12.00 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,021.20 |
$2,021.20 |
$2,021.20 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,656.40 |
$1,656.40 |
$1,656.40 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$972.00 |
$972.00 |
$14,476.45 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$804.40 |
$804.40 |
$13,597.35 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,087.20 |
$1,087.20 |
$12,937.10 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$444.00 |
$444.00 |
$444.00 |
$344.00
|
|
L/s ratio fetal lung
|
$18.75 |
$18.75 |
$21.55 |
$168.00
|
|
Lumbar diskogram s&i
|
$4,384.00 |
$4,384.00 |
$4,475.85 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$823.50 |
$823.50 |
$823.50 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$298.50
|
|
Lung perfusion imaging
|
$588.00 |
$588.00 |
$7,446.60 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$2,333.20 |
$2,333.20 |
$4,935.45 |
$1,543.75
|
|
Macroscopic exam parasite
|
$4.55 |
$4.55 |
$51.91 |
$38.50
|
|
Magnesium
|
$60.19 |
$60.19 |
$60.19 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$8.12 |
$8.12 |
$8.12 |
$65.49
|
|
Magnetic image bone marrow
|
$9,565.70 |
$9,565.70 |
$9,565.70 |
$1,152.80
|
|
Map tachycard site(s)
|
$11,253.70 |
$11,253.70 |
$11,253.70 |
$3,960.00
|
|
Mastoids complete
|
$607.60 |
$607.60 |
$607.60 |
$271.95
|
|
Matrion 1 sq cm
|
$2,907.80 |
$2,907.80 |
$2,907.80 |
$764.03
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$51.84 |
$51.84 |
$51.84 |
$7,478.44
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$22.48 |
$22.48 |
$22.48 |
$66.50
|
|
Mayo aathr protein s free
|
$326.88 |
$326.88 |
$326.88 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$28.61 |
$28.61 |
$176.05 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$96.00 |
$96.00 |
$96.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$185.00 |
$185.00 |
$185.00 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$11.05 |
$11.05 |
$102.05 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$6.00 |
$6.00 |
$7.70 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$20.92 |
$20.92 |
$20.92 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$209.66 |
$209.66 |
$209.66 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$30.90 |
$30.90 |
$30.90 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$189.20 |
$189.20 |
$189.20 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$96.25 |
$96.25 |
$142.80 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$658.00 |
$658.00 |
$658.00 |
$1,909.44
|
|
Mayo androstenedione
|
$19.85 |
$19.85 |
$19.85 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$4.40 |
$4.40 |
$27.26 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$5.20 |
$5.20 |
$11.05 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$72.82 |
$72.82 |
$72.82 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$26.00 |
$26.00 |
$26.00 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$113.33 |
$113.33 |
$113.33 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$12.86 |
$12.86 |
$12.86 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$71.60 |
$71.60 |
$71.60 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$110.00 |
$110.00 |
$110.00 |
$373.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$5.50 |
$5.50 |
$27.55 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$59.20 |
$59.20 |
$59.20 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$13.02 |
$13.02 |
$13.02 |
$59.15
|
