|
Intraoral i+d tongue/floor lingual 41000
|
$3,865.49 |
$3,865.49 |
$3,865.49 |
$1,182.15
|
|
Intrinsic factor antibody
|
$78.88 |
$78.88 |
$78.88 |
$59.95
|
|
Intro cath dialysis circuit
|
$14,882.87 |
$14,882.87 |
$14,882.87 |
$2,317.80
|
|
Intro cath dialysis circuit w/pta
|
$47,534.36 |
$47,534.36 |
$47,534.36 |
$8,761.00
|
|
Intro cath dialysis circuit w/stent plcmnt
|
$40,107.53 |
$40,107.53 |
$40,107.53 |
$15,625.00
|
|
Intro catheter aorta
|
$3,042.82 |
$3,042.82 |
$3,042.82 |
$1,861.61
|
|
Intro cath svc/ivc
|
$3,536.57 |
$3,536.57 |
$3,536.57 |
$1,350.75
|
|
Intro long gi tube w/mult fluo
|
$783.46 |
$783.46 |
$783.46 |
$477.85
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$3,562.10 |
$3,562.10 |
$3,562.10 |
$3,510.75
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$894.52 |
$894.52 |
$894.52 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$1,043.80 |
$1,043.80 |
$1,043.80 |
$617.60
|
|
Ionm in operatng room 15 min
|
$130.80 |
$130.80 |
$130.80 |
$200.78
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$193.44 |
$193.44 |
$193.44 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$301.46 |
$301.46 |
$301.46 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$106,375.17 |
$106,375.17 |
$106,375.17 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$13.53 |
$13.53 |
$13.53 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$579.30 |
$579.30 |
$579.30 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$8,972.94 |
$8,972.94 |
$8,972.94 |
$6,655.71
|
|
Iron
|
$133.18 |
$133.18 |
$133.18 |
$70.72
|
|
Iron binding capacity
|
$156.04 |
$156.04 |
$156.04 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$204.74 |
$204.74 |
$204.74 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$530.63 |
$530.63 |
$530.63 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$260.99 |
$260.99 |
$260.99 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$32,217.80 |
$32,217.80 |
$32,217.80 |
$13,419.80
|
|
Ivc venogram s&i
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$741.29 |
$741.29 |
$741.29 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$741.29 |
$741.29 |
$741.29 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$972.77 |
$972.77 |
$972.77 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$972.77 |
$972.77 |
$972.77 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$1,981.64 |
$1,981.64 |
$1,981.64 |
$378.30
|
|
John cunningham antibody
|
$180.72 |
$180.72 |
$180.72 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$83.68 |
$83.68 |
$83.68 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$138.51 |
$138.51 |
$138.51 |
$30.08
|
|
Kidney imag w/bld flow multi
|
$4,850.28 |
$4,850.28 |
$4,850.28 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$4,850.28 |
$4,850.28 |
$4,850.28 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,373.97 |
$2,373.97 |
$2,373.97 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$9,722.99 |
$9,722.99 |
$9,722.99 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$8,383.00 |
$8,383.00 |
$8,383.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$7,145.75 |
$7,145.75 |
$7,145.75 |
$2,181.10
|
|
Knee X-ray
|
$2,078.70 |
$2,078.70 |
$2,078.70 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$290.97 |
$290.97 |
$290.97 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$246.59 |
$246.59 |
$246.59 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$128.57 |
$128.57 |
$128.57 |
$53.30
|
|
Lactated ringers intravenous solution
|
$234.38 |
$234.38 |
$234.38 |
$54.11
|
|
Lactic acid
|
$334.60 |
$334.60 |
$334.60 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$68.95 |
$68.95 |
$68.95 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$55,282.09 |
$55,282.09 |
$55,282.09 |
$22,903.90
|
|
Lead capillary
|
$129.58 |
$129.58 |
$129.58 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$3,249.79 |
$3,249.79 |
$3,249.79 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1,492.14 |
$1,492.14 |
$1,492.14 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$470.21 |
$470.21 |
$470.21 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$70.77 |
$70.77 |
$70.77 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$275.33 |
$275.33 |
$275.33 |
$66.59
|
|
Lidocaine therapeutic drug level
|
$83.74 |
$83.74 |
$83.74 |
$83.85
|
|
Ligation/biopsy of temporal artery 37609
|
$18,861.13 |
$18,861.13 |
$18,861.13 |
$2,968.00
|
|
Lig/band angioaccess av fistula
|
$8,333.83 |
$8,333.83 |
$8,333.83 |
$4,240.23
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$427.65 |
$427.65 |
$427.65 |
$177.90
|
|
Lipase
|
$193.65 |
$193.65 |
$193.65 |
$83.20
|
|
Lipoprotein blood quant
|
$365.83 |
$365.83 |
$365.83 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$87.63 |
$87.63 |
$87.63 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$261.11 |
$261.11 |
$261.11 |
$60.00
|
|
Lithium therapeutic drug level
|
$169.11 |
$169.11 |
$169.11 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$16,822.55 |
$16,822.55 |
$16,822.55 |
$4,371.12
|
|
Liver Function Test
|
$287.92 |
$287.92 |
$287.92 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$17.31 |
$17.31 |
$17.31 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$62.21 |
$62.21 |
$62.21 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,512.00 |
$2,512.00 |
$2,512.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$12,693.62 |
$12,693.62 |
$12,693.62 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$11,034.36 |
$11,034.36 |
$11,034.36 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$10,635.81 |
$10,635.81 |
$10,635.81 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,108.74 |
$4,108.74 |
$4,108.74 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$7,572.32 |
$7,572.32 |
$7,572.32 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,961.60 |
$1,961.60 |
$1,961.60 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$768.81 |
$768.81 |
$768.81 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$826.06 |
$826.06 |
$826.06 |
$298.50
|
|
Lung perfusion imaging
|
$3,715.31 |
$3,715.31 |
$3,715.31 |
$1,100.39
|
|
Macroscopic exam parasite
|
$46.12 |
$46.12 |
$46.12 |
$38.50
|
|
Magnesium
|
$149.45 |
$149.45 |
$149.45 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$275.33 |
$275.33 |
$275.33 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$389.59 |
$389.59 |
$389.59 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$395.80 |
$395.80 |
$395.80 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$149.49 |
$149.49 |
$149.49 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$103,756.59 |
$103,756.59 |
$103,756.59 |
$34,164.07
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$50.61 |
$50.61 |
$50.61 |
$66.50
|
|
Mayo aathr protein s free
|
$175.61 |
$175.61 |
$175.61 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$163.92 |
$163.92 |
$163.92 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$412.70 |
$412.70 |
$412.70 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$159.97 |
$159.97 |
$159.97 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$120.75 |
$120.75 |
$120.75 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$158.15 |
$158.15 |
$158.15 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$167.13 |
$167.13 |
$167.13 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$143.81 |
$143.81 |
$143.81 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$111.17 |
$111.17 |
$111.17 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$49.24 |
$49.24 |
$49.24 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$1,301.44 |
$1,301.44 |
$1,301.44 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$980.76 |
$980.76 |
$980.76 |
$326.48
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$164.12 |
$164.12 |
$164.12 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$115.67 |
$115.67 |
$115.67 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$161.04 |
$161.04 |
$161.04 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$330.20 |
$330.20 |
$330.20 |
$157.95
|