|
In situ hybridization per specimen initial single probe stain
|
$165.00 |
$165.00 |
$165.00 |
$341.60
|
|
Insulin total
|
$48.40 |
$48.40 |
$48.40 |
$67.50
|
|
Integra meshed bil wound mat
|
$34,272.20 |
$34,272.20 |
$34,272.20 |
$19,270.38
|
|
Interferon alfa-2b inj
|
$2,106.56 |
$2,106.56 |
$2,106.56 |
$494.64
|
|
Interrog device eval heart
|
$429.46 |
$429.46 |
$429.46 |
$150.00
|
|
Intracranial complete study
|
$7,022.84 |
$7,022.84 |
$7,022.84 |
$882.00
|
|
Intracranial limited study
|
$5,949.57 |
$5,949.57 |
$5,949.57 |
$423.52
|
|
Intrinsic factor antibody
|
$5.00 |
$5.00 |
$5.00 |
$59.95
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$4.13 |
$4.13 |
$4.13 |
$155.12
|
|
Ipratropium bromide non-comp
|
$1.12 |
$1.12 |
$1.12 |
$9.07
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$2,503.32 |
$2,503.32 |
$2,503.32 |
$227.39
|
|
Iron binding capacity
|
$25.41 |
$25.41 |
$25.41 |
$61.92
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$452.46 |
$452.46 |
$452.46 |
$200.51
|
|
Ketogenic steroids fract
|
$18.40 |
$18.40 |
$18.40 |
$79.54
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$41.65 |
$41.65 |
$41.65 |
$54.16
|
|
Kidney img w/bldflw sgl without rx
|
$6,889.74 |
$6,889.74 |
$6,889.74 |
$1,468.04
|
|
Kras gene variants exon 2
|
$295.00 |
$295.00 |
$295.00 |
$495.00
|
|
Lactoferrin fecal quant
|
$44.50 |
$44.50 |
$44.50 |
$106.10
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$42.63 |
$42.63 |
$42.63 |
$144.40
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$9,776.04 |
$9,776.04 |
$9,776.04 |
$3,818.36
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,682.76 |
$4,682.76 |
$4,682.76 |
$4,876.80
|
|
Levetiracetam therapeutic drug level
|
$10.59 |
$10.59 |
$10.59 |
$72.00
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$25.65 |
$25.65 |
$25.65 |
$48.74
|
|
Lidocaine therapeutic drug level
|
$21.78 |
$21.78 |
$21.78 |
$85.15
|
|
Lift heel adj small gl60404sm
|
$642.60 |
$642.60 |
$642.60 |
$151.58
|
|
Lift heel adjustable med
|
$249.34 |
$249.34 |
$249.34 |
$59.90
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,147.30 |
$1,147.30 |
$1,147.30 |
$167.08
|
|
Lipase
|
$1,527.02 |
$1,527.02 |
$1,527.02 |
$83.20
|
|
Lipoprotein blood quant
|
$119.00 |
$119.00 |
$119.00 |
$98.95
|
|
Lipoprotein direct measurement hdl
|
$632.83 |
$632.83 |
$632.83 |
$55.00
|
|
Lithium therapeutic drug level
|
$2,146.54 |
$2,146.54 |
$2,146.54 |
$67.60
|
|
Liver Function Test
|
$1,979.56 |
$1,979.56 |
$1,979.56 |
$111.13
|
|
Liver imaging
|
$4,377.78 |
$4,377.78 |
$4,377.78 |
$1,234.59
|
|
Liver/spleen imag static only
|
$6,600.55 |
$6,600.55 |
$6,600.55 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$7,539.51 |
$7,539.51 |
$7,539.51 |
$928.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$12.50 |
$12.50 |
$12.50 |
$43.95
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$19,013.16 |
$19,013.16 |
$19,013.16 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$18,357.60 |
$18,357.60 |
$18,357.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$17,373.43 |
$17,373.43 |
$17,373.43 |
$2,065.69
|
|
L/s ratio fetal lung
|
$8.63 |
$8.63 |
$8.63 |
$168.00
|
|
Lung function test (mbc/mvv)
|
$431.97 |
$431.97 |
$431.97 |
$180.73
|
|
Lymphatics/lymph node imaging
|
$3,142.37 |
$3,142.37 |
$3,142.37 |
$1,526.38
|
|
Mannitol 12.5 gm/50 ml inj
|
$97.99 |
$97.99 |
$97.99 |
$40.12
|
|
M.avium-intra dna amp prob
|
$80.00 |
$80.00 |
$80.00 |
$113.31
|
|
M.avium-intra dna dir prob
|
$203.28 |
$203.28 |
$203.28 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$7.26 |
$7.26 |
$7.26 |
$66.50
|
|
Mayo activated protein c resistance assay
|
$317.02 |
$317.02 |
$317.02 |
$97.50
|
|
Mayo alkaline phosphatase isoenzyme
|
$3.00 |
$3.00 |
$3.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$31.46 |
$31.46 |
$31.46 |
$115.92
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$125.00 |
$125.00 |
$125.00 |
$318.72
|
|
Mayo antithrombin iii antigen
|
$17.46 |
$17.46 |
$17.46 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$125.00 |
$125.00 |
$125.00 |
$157.95
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$137.50 |
$137.50 |
$137.50 |
$353.60
|
|
Mayo c1 esterase inhibitor
|
$15.96 |
$15.96 |
$15.96 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$19.85 |
$19.85 |
$19.85 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$29.33 |
$29.33 |
$29.33 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$45.25 |
$45.25 |
$45.25 |
$110.00
|
|
Mayo ceruloplasmin
|
$4.69 |
$4.69 |
$4.69 |
$64.07
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$255.00 |
$255.00 |
$255.00 |
$349.47
|
|
Mayo chromium
|
$28.51 |
$28.51 |
$28.51 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$13.85 |
$13.85 |
$13.85 |
$89.00
|
|
Mayo cocou cortisone urine
|
$142.00 |
$142.00 |
$142.00 |
$207.28
|
|
Mayo cyanide
|
$36.00 |
$36.00 |
$36.00 |
$87.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$400.00 |
$400.00 |
$400.00 |
$642.40
|
|
Mayo deoxyribonuclease antibody titer
|
$14.66 |
$14.66 |
$14.66 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$4.89 |
$4.89 |
$4.89 |
$88.45
|
|
Mayo estrone
|
$10.00 |
$10.00 |
$10.00 |
$81.62
|
|
Mayo ethosuximide therapeutic drug level
|
$9.77 |
$9.77 |
$9.77 |
$69.55
|
|
Mayo factor ii
|
$121.00 |
$121.00 |
$121.00 |
$94.90
|
|
Mayo factor v
|
$53.24 |
$53.24 |
$53.24 |
$127.80
|
|
Mayo factor vii
|
$95.59 |
$95.59 |
$95.59 |
$141.70
|
|
Mayo factor viii vw factor antigen
|
$175.45 |
$175.45 |
$175.45 |
$110.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$60.27 |
$60.27 |
$60.27 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$44.80 |
$44.80 |
$44.80 |
$123.56
|
|
Mayo factor x
|
$89.54 |
$89.54 |
$89.54 |
$139.50
|
|
Mayo factor xi
|
$83.49 |
$83.49 |
$83.49 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$40.35 |
$40.35 |
$40.35 |
$70.67
|
|
Mayo ffspg allergen clam igg
|
$47.58 |
$47.58 |
$47.58 |
$37.05
|
|
Mayo fibrinogen antigen
|
$9.00 |
$9.00 |
$9.00 |
$98.28
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$8.15 |
$8.15 |
$8.15 |
$70.39
|
|
Mayo hemosiderin qualitative urine
|
$23.50 |
$23.50 |
$23.50 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$268.79 |
$268.79 |
$268.79 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$71.00 |
$71.00 |
$71.00 |
$114.23
|
|
Mayo hla typing a/b/c single antigen
|
$18.75 |
$18.75 |
$18.75 |
$118.33
|
|
Mayo hvdip HIV 2 antibody
|
$131.89 |
$131.89 |
$131.89 |
$66.82
|
|
Mayo hydroxyprogesterone 17-d
|
$10.00 |
$10.00 |
$10.00 |
$91.65
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$68.00 |
$68.00 |
$68.00 |
$170.95
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$187.34 |
$187.34 |
$187.34 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$102.00 |
$102.00 |
$102.00 |
$231.40
|
|
Mayo inhab inhibin a
|
$100.00 |
$100.00 |
$100.00 |
$81.60
|
|
Mayo insulin antibodies
|
$18.24 |
$18.24 |
$18.24 |
$90.35
|
|
Mayo lamotrigine therapeutic drug level
|
$8.96 |
$8.96 |
$8.96 |
$69.75
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$3.82 |
$3.82 |
$3.82 |
$54.45
|
|
Mayo leptospira antibody igm
|
$60.00 |
$60.00 |
$60.00 |
$76.70
|
|
Mayo manganese
|
$33.72 |
$33.72 |
$33.72 |
$94.90
|
|
Mayo methadone definitive assay confirmation urine
|
$14.70 |
$14.70 |
$14.70 |
$98.65
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$122.18 |
$122.18 |
$122.18 |
$99.24
|
|
Mayo molecular pathology procedure level 2 apoe genotype
|
$791.01 |
$791.01 |
$791.01 |
$444.60
|
|
Mayo muramidase
|
$5.00 |
$5.00 |
$5.00 |
$62.70
|
|
Mayo opatu opiates definitive assay >=1
|
$40.00 |
$40.00 |
$40.00 |
$99.00
|
