|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$147.00 |
$147.00 |
$147.00 |
$99.04
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$593.00 |
$593.00 |
$593.00 |
$228.38
|
|
Infliximab 100 mg intravenous solution
|
$13,676.00 |
$13,676.00 |
$13,676.00 |
$1,824.84
|
|
Initiation & management bipap/cpap initial day
|
$6,002.00 |
$6,002.00 |
$6,002.00 |
$627.00
|
|
Inj, artesunate, 1mg
|
$49,321.00 |
$49,321.00 |
$49,321.00 |
$23,297.68
|
|
Inj, bezlotoxumab, 10 mg
|
$34,846.00 |
$34,846.00 |
$34,846.00 |
$8,698.20
|
|
Inj, bortezomib, dr. reddy's
|
$2,106.00 |
$2,106.00 |
$2,106.00 |
$48.55
|
|
Inj, bortezomib freseniuskab
|
$2,527.00 |
$2,527.00 |
$2,527.00 |
$16.50
|
|
Inj calcitriol per 0.1 mcg
|
$301.00 |
$301.00 |
$301.00 |
$30.19
|
|
Inj, cefiderocol, 10 mg
|
$1,610.00 |
$1,610.00 |
$1,610.00 |
$718.84
|
|
Inj ceftolozane tazobactam
|
$671.00 |
$671.00 |
$671.00 |
$333.00
|
|
Inj crotalidae im f(ab')2 eq
|
$6,629.00 |
$6,629.00 |
$6,629.00 |
$2,735.85
|
|
Inj cyclophosphamd (ingenus)
|
$3,419.22 |
$3,419.22 |
$3,419.22 |
$15.45
|
|
Injection, fulvestrant
|
$10,874.00 |
$10,874.00 |
$10,874.00 |
$2,744.26
|
|
Injection,onabotulinumtoxina
|
$8,238.00 |
$8,238.00 |
$8,238.00 |
$2,154.07
|
|
Injection, renflexis
|
$3,775.00 |
$3,775.00 |
$3,775.00 |
$1,407.33
|
|
Injection, ruconest
|
$288.00 |
$288.00 |
$288.00 |
$34.72
|
|
Inj, fosaprepitant (teva)
|
$4.00 |
$4.00 |
$4.00 |
$2.04
|
|
Inj hydroxocobalamin IV 25mg
|
$8,296.00 |
$8,296.00 |
$8,296.00 |
$3,180.35
|
|
Inj imip 4 cilas 4 releb 2mg
|
$2,300.00 |
$2,300.00 |
$2,300.00 |
$1,004.42
|
|
Inj ivig privigen 500 mg
|
$5,696.00 |
$5,696.00 |
$5,696.00 |
$7,298.71
|
|
Inj, levothyroxine, freskabi
|
$602.00 |
$602.00 |
$602.00 |
$244.63
|
|
Inj., meropenem, vaborbactam
|
$1,330.00 |
$1,330.00 |
$1,330.00 |
$618.43
|
|
Inj multihance
|
$580.00 |
$580.00 |
$580.00 |
$120.00
|
|
Inj prohance multipack
|
$393.00 |
$393.00 |
$393.00 |
$51.48
|
|
Inj retacrit esrd on dialysi
|
$10.00 |
$10.00 |
$10.00 |
$307.40
|
|
Inj secretin synthetic human
|
$2,434.00 |
$2,434.00 |
$2,434.00 |
$496.60
|
|
Inj testostero enanthate 1mg
|
$1,727.00 |
$1,727.00 |
$1,727.00 |
$54.60
|
|
Inj testosterone cypionate
|
$574.00 |
$574.00 |
$574.00 |
$81.39
|
|
Insitu hybridization auto
|
$676.00 |
$676.00 |
$676.00 |
$398.51
|
|
Insitu hybridization manual
|
$530.00 |
$530.00 |
$530.00 |
$411.33
|
|
In situ hybridization per specimen each additional single probe stain
|
$4,942.00 |
$4,942.00 |
$4,942.00 |
$264.00
|
|
In situ hybridization per specimen initial single probe stain
|
$363.00 |
$363.00 |
$363.00 |
$341.90
|
|
Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm
|
$30,213.00 |
$30,213.00 |
$30,213.00 |
$9,736.00
|
|
Intracranial complete study
|
$4,235.00 |
$4,235.00 |
$4,235.00 |
$873.82
|
|
Intrinsic factor antibody
|
$224.00 |
$224.00 |
$224.00 |
$59.95
|
|
Iron stain peripheral blood
|
$893.00 |
$893.00 |
$893.00 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$439.00 |
$439.00 |
$439.00 |
$255.60
|
|
Irradiation of blood product each unit reference
|
$370.00 |
$370.00 |
$370.00 |
$124.24
|
|
Ivc venogram s&i
|
$5,271.00 |
$5,271.00 |
$5,271.00 |
$3,258.00
|
|
Ivp w/nephrotomography
|
$7,743.00 |
$7,743.00 |
$7,743.00 |
$712.53
|
|
Ivp w/wo kub w/wo tomography
|
$6,353.00 |
$6,353.00 |
$6,353.00 |
$692.18
|
|
Ketogenic steroids fract
|
$60.50 |
$60.50 |
$60.50 |
$79.54
|
|
Kidney function study
|
$4,551.00 |
$4,551.00 |
$4,551.00 |
$545.55
|
|
Kidney imaging morphology
|
$4,551.00 |
$4,551.00 |
$4,551.00 |
$769.51
|
|
Kidney img w/bldflw sgl without rx
|
$4,551.00 |
$4,551.00 |
$4,551.00 |
$1,468.04
|
|
Lactoferrin fecal qualitative
|
$306.00 |
$306.00 |
$306.00 |
$88.40
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,460.00 |
$3,460.00 |
$3,460.00 |
$4,313.88
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,039.00 |
$2,039.00 |
$2,039.00 |
$4,799.28
|
|
Lidocaine therapeutic drug level
|
$195.00 |
$195.00 |
$195.00 |
$87.45
|
|
Liletta, 52 mg
|
$8,137.09 |
$8,137.09 |
$8,137.09 |
$2,360.29
|
|
Lipoprotein direct measurement hdl
|
$911.00 |
$911.00 |
$911.00 |
$54.60
|
|
Listeria monocytogenes
|
$179.00 |
$179.00 |
$179.00 |
$95.40
|
|
Liver imaging
|
$4,387.00 |
$4,387.00 |
$4,387.00 |
$1,241.25
|
|
Liver/spleen imag static only
|
$4,704.00 |
$4,704.00 |
$4,704.00 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$4,719.00 |
$4,719.00 |
$4,719.00 |
$928.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$144.00 |
$144.00 |
$144.00 |
$13.65
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$10,847.00 |
$10,847.00 |
$10,847.00 |
$2,919.75
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$7,844.00 |
$7,844.00 |
$7,844.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$8,489.00 |
$8,489.00 |
$8,489.00 |
$2,013.08
|
|
L/s ratio fetal lung
|
$642.00 |
$642.00 |
$642.00 |
$168.00
|
|
Lumbar diskogram s&i
|
$4,106.00 |
$4,106.00 |
$4,106.00 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$3,650.00 |
$3,650.00 |
$3,650.00 |
$295.35
|
|
Lung perfusion imaging
|
$4,224.00 |
$4,224.00 |
$4,224.00 |
$1,082.75
|
|
Lymphatics/lymph node imaging
|
$5,966.00 |
$5,966.00 |
$5,966.00 |
$1,526.38
|
|
Macroscopic exam parasite
|
$69.00 |
$69.00 |
$69.00 |
$36.40
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$645.00 |
$645.00 |
$645.00 |
$137.25
|
|
Manipulation chest wall initial demonstration/evaluation
|
$1,834.00 |
$1,834.00 |
$1,834.00 |
$163.15
|
|
Mannitol 12.5 gm/50 ml inj
|
$262.00 |
$262.00 |
$262.00 |
$40.12
|
|
Manual diff wbc count b-coat
|
$440.00 |
$440.00 |
$440.00 |
$22.75
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$4,905.00 |
$4,905.00 |
$4,905.00 |
$1,617.84
|
|
M.avium-intra dna dir prob
|
$196.00 |
$196.00 |
$196.00 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$283.00 |
$283.00 |
$283.00 |
$70.85
|
|
Mayo activated protein c resistance assay
|
$1,881.00 |
$1,881.00 |
$1,881.00 |
$100.10
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$405.00 |
$405.00 |
$405.00 |
$172.90
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$380.00 |
$380.00 |
$380.00 |
$343.20
|
|
Mayo androstenedione
|
$131.00 |
$131.00 |
$131.00 |
$106.20
|
|
Mayo aspergillus fumigatus antibody
|
$124.00 |
$124.00 |
$124.00 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$156.00 |
$156.00 |
$156.00 |
$159.66
|
|
Mayo bart bartonella henselae antibody igg
|
$464.00 |
$464.00 |
$464.00 |
$46.20
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$336.00 |
$336.00 |
$336.00 |
$66.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$276.00 |
$276.00 |
$276.00 |
$85.80
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$4,918.00 |
$4,918.00 |
$4,918.00 |
$352.00
|
|
Mayo chromium
|
$75.00 |
$75.00 |
$75.00 |
$75.35
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$224.00 |
$224.00 |
$224.00 |
$62.15
|
|
Mayo cyanide
|
$81.00 |
$81.00 |
$81.00 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$378.00 |
$378.00 |
$378.00 |
$59.15
|
|
Mayo dhea (dehydroepiandrosterone)
|
$187.00 |
$187.00 |
$187.00 |
$99.45
|
|
Mayo estriol
|
$76.00 |
$76.00 |
$76.00 |
$98.70
|
|
Mayo estrone
|
$140.00 |
$140.00 |
$140.00 |
$82.37
|
|
Mayo ethosuximide therapeutic drug level
|
$64.90 |
$64.90 |
$64.90 |
$73.00
|
|
Mayo factor vii
|
$934.00 |
$934.00 |
$934.00 |
$145.73
|
|
Mayo factor viii vw factor antigen
|
$719.00 |
$719.00 |
$719.00 |
$110.50
|
|
Mayo factor x
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$149.00
|
|
Mayo factor xi
|
$350.00 |
$350.00 |
$350.00 |
$119.55
|
|
Mayo fibrinogen antigen
|
$596.00 |
$596.00 |
$596.00 |
$98.28
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$418.00 |
$418.00 |
$418.00 |
$69.55
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$117.00 |
$117.00 |
$117.00 |
$52.67
|
|
Mayo hvdip HIV 2 antibody
|
$59.40 |
$59.40 |
$59.40 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$140.00 |
$140.00 |
$140.00 |
$96.33
|
