|
Intracranial limited study
|
$1,027.90 |
$1,027.90 |
$1,027.90 |
$423.52
|
|
Intraop epicard/endocard/pace/map/ 93631
|
$1,585.60 |
$1,585.60 |
$1,585.60 |
$3,690.00
|
|
Intraventricular pacing
|
$4,210.45 |
$4,210.45 |
$4,210.45 |
$5,644.35
|
|
Ionm in operatng room 15 min
|
$514.85 |
$514.85 |
$514.85 |
$213.59
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$25,484.75 |
$25,484.75 |
$25,484.75 |
$52,277.70
|
|
Ipratropium bromide non-comp
|
$43.00 |
$43.00 |
$43.00 |
$9.07
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$7,736.00 |
$7,736.00 |
$7,736.00 |
$227.39
|
|
Iron dextran 50 mg/ml injection solution
|
$118.00 |
$118.00 |
$118.00 |
$65.63
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$874.00 |
$874.00 |
$874.00 |
$200.51
|
|
Irradiation of blood product each unit reference
|
$115.20 |
$115.20 |
$115.20 |
$124.24
|
|
Jak2 targeted sequence analysis
|
$137.20 |
$137.20 |
$137.20 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$120.15 |
$120.15 |
$120.15 |
$54.16
|
|
Kidney imaging morphology
|
$2,825.50 |
$2,825.50 |
$2,825.50 |
$769.51
|
|
Kidney img w/bldflw sgl without rx
|
$9,948.80 |
$9,948.80 |
$9,948.80 |
$1,468.04
|
|
Kras gene variants exon 2
|
$1,043.55 |
$1,043.55 |
$1,043.55 |
$495.00
|
|
Lactoferrin fecal qualitative
|
$127.40 |
$127.40 |
$127.40 |
$85.83
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$6,503.00 |
$6,503.00 |
$6,503.00 |
$4,876.80
|
|
Levalbuterol non-comp unit
|
$29.00 |
$29.00 |
$29.00 |
$13.29
|
|
Levetiracetam therapeutic drug level
|
$13.45 |
$13.45 |
$13.45 |
$72.00
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$105.50 |
$105.50 |
$105.50 |
$48.74
|
|
Lidocaine therapeutic drug level
|
$16.80 |
$16.80 |
$16.80 |
$85.15
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,098.00 |
$1,098.00 |
$1,098.00 |
$167.08
|
|
Lipoprotein blood quant
|
$170.95 |
$170.95 |
$170.95 |
$98.95
|
|
Lipoprotein direct measurement hdl
|
$435.10 |
$435.10 |
$435.10 |
$55.00
|
|
Listeria monocytogenes
|
$174.20 |
$174.20 |
$174.20 |
$95.40
|
|
Liver Function Test
|
$969.30 |
$969.30 |
$969.30 |
$111.13
|
|
Liver imaging
|
$6,321.10 |
$6,321.10 |
$6,321.10 |
$1,234.59
|
|
Liver/spleen imag static only
|
$10,061.95 |
$10,061.95 |
$10,061.95 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$9.00 |
$9.00 |
$9.00 |
$16.54
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$8,594.60 |
$8,594.60 |
$8,594.60 |
$1,921.40
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,273.65 |
$5,273.65 |
$5,273.65 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,902.35 |
$3,902.35 |
$3,902.35 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,637.30 |
$3,637.30 |
$3,637.30 |
$2,065.69
|
|
Lumbar diskogram s&i
|
$8,201.35 |
$8,201.35 |
$8,201.35 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$2,095.80 |
$2,095.80 |
$2,095.80 |
$298.50
|
|
Lung perfusion imaging
|
$760.75 |
$760.75 |
$760.75 |
$1,100.39
|
|
Lurbinectedin 4 mg intravenous solution
|
$36,729.00 |
$36,729.00 |
$36,729.00 |
$22,297.54
|
|
Lymphatics/lymph node imaging
|
$2,905.95 |
$2,905.95 |
$2,905.95 |
$1,526.38
|
|
Macroscopic exam parasite
|
$24.90 |
$24.90 |
$24.90 |
$38.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$368.35 |
$368.35 |
$368.35 |
$142.80
|
|
Manipulation chest wall initial demonstration/evaluation
|
$670.90 |
$670.90 |
$670.90 |
$178.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,325.90 |
$1,325.90 |
$1,325.90 |
$705.82
|
|
Map tachycard site(s)
|
$1,585.60 |
$1,585.60 |
$1,585.60 |
$3,921.68
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$15.65 |
$15.65 |
$15.65 |
$66.50
|
|
Mayo activated protein c resistance assay
|
$72.20 |
$72.20 |
$72.20 |
$97.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$30.90 |
$30.90 |
$30.90 |
$73.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$116.55 |
$116.55 |
$116.55 |
$318.72
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,038.10 |
$1,038.10 |
$1,038.10 |
$1,909.44
|
|
Mayo androstenedione
|
$28.30 |
$28.30 |
$28.30 |
$103.88
|
|
Mayo antithrombin iii antigen
|
$12.70 |
$12.70 |
$12.70 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$158.90 |
$158.90 |
$158.90 |
$157.95
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$103.55 |
$103.55 |
$103.55 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$15.50 |
$15.50 |
$15.50 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$62.85 |
$62.85 |
$62.85 |
$59.15
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$72.50 |
$72.50 |
$72.50 |
$96.85
|
|
Mayo ceruloplasmin
|
$6.35 |
$6.35 |
$6.35 |
$64.07
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$9.35 |
$9.35 |
$9.35 |
$54.40
|
|
Mayo cocaine definitive assay confirmation urine
|
$83.81 |
$83.81 |
$83.81 |
$89.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$53.50 |
$53.50 |
$53.50 |
$72.52
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$15.95 |
$15.95 |
$15.95 |
$61.02
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$56.70 |
$56.70 |
$56.70 |
$104.40
|
|
Mayo deoxyribonuclease antibody titer
|
$71.55 |
$71.55 |
$71.55 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$6.35 |
$6.35 |
$6.35 |
$88.45
|
|
Mayo dihydrotestosterone
|
$158.10 |
$158.10 |
$158.10 |
$80.36
|
|
Mayo efpo chloride stool
|
$4.15 |
$4.15 |
$4.15 |
$42.90
|
|
Mayo estriol
|
$12.70 |
$12.70 |
$12.70 |
$92.95
|
|
Mayo estrone
|
$10.80 |
$10.80 |
$10.80 |
$81.62
|
|
Mayo ethosuximide therapeutic drug level
|
$15.30 |
$15.30 |
$15.30 |
$69.55
|
|
Mayo factor ii
|
$16.20 |
$16.20 |
$16.20 |
$94.90
|
|
Mayo factor v
|
$81.65 |
$81.65 |
$81.65 |
$127.80
|
|
Mayo factor vii
|
$63.55 |
$63.55 |
$63.55 |
$141.70
|
|
Mayo factor viii vw factor antigen
|
$69.95 |
$69.95 |
$69.95 |
$110.40
|
|
Mayo factor viii vw factor multimetric analysis
|
$100.65 |
$100.65 |
$100.65 |
$125.00
|
|
Mayo factor x
|
$38.05 |
$38.05 |
$38.05 |
$139.50
|
|
Mayo fbl culture fungi blood
|
$18.00 |
$18.00 |
$18.00 |
$99.81
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$12.70 |
$12.70 |
$12.70 |
$70.39
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$64.15 |
$64.15 |
$64.15 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$189.50 |
$189.50 |
$189.50 |
$114.23
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$13.00 |
$13.00 |
$13.00 |
$52.15
|
|
Mayo hla typing a/b/c single antigen
|
$23.85 |
$23.85 |
$23.85 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$180.00 |
$180.00 |
$180.00 |
$67.60
|
|
Mayo hvdip HIV 2 antibody
|
$73.00 |
$73.00 |
$73.00 |
$66.82
|
|
Mayo hydroxyprogesterone 17-d
|
$36.25 |
$36.25 |
$36.25 |
$91.65
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$64.70 |
$64.70 |
$64.70 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$133.15 |
$133.15 |
$133.15 |
$170.95
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$218.55 |
$218.55 |
$218.55 |
$157.30
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$120.15 |
$120.15 |
$120.15 |
$231.40
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$105.00 |
$105.00 |
$105.00 |
$226.20
|
|
Mayo insulin antibodies
|
$19.70 |
$19.70 |
$19.70 |
$90.35
|
|
Mayo iodine
|
$48.60 |
$48.60 |
$48.60 |
$115.05
|
|
Mayo lamotrigine therapeutic drug level
|
$11.40 |
$11.40 |
$11.40 |
$69.75
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$15.95 |
$15.95 |
$15.95 |
$54.45
|
|
Mayo legionella antibody
|
$9.35 |
$9.35 |
$9.35 |
$80.60
|
|
Mayo leptospira antibody igm
|
$117.15 |
$117.15 |
$117.15 |
$76.70
|
|
Mayo manganese
|
$5.70 |
$5.70 |
$5.70 |
$94.90
|
|
Mayo mycophenolic acid therapeutic drug level
|
$50.85 |
$50.85 |
$50.85 |
$78.72
|
|
Mayo organic acids qualitative each specimen
|
$23.35 |
$23.35 |
$23.35 |
$105.30
|
|
Mayo pancreatic elastase fecal qualitative or semi quantitative
|
$222.50 |
$222.50 |
$222.50 |
$156.00
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$75.00 |
$75.00 |
$75.00 |
$184.17
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$8.10 |
$8.10 |
$8.10 |
$43.20
|
