|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$492.98 |
$492.98 |
$492.98 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$768.29 |
$768.29 |
$768.29 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$51,292.53 |
$51,292.53 |
$51,292.53 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$10.36 |
$10.36 |
$10.36 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$302.62 |
$302.62 |
$302.62 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$4,426.52 |
$4,426.52 |
$4,426.52 |
$6,655.71
|
|
Iron
|
$332.75 |
$332.75 |
$332.75 |
$70.72
|
|
Iron binding capacity
|
$223.26 |
$223.26 |
$223.26 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$337.78 |
$337.78 |
$337.78 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$866.47 |
$866.47 |
$866.47 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$191.91 |
$191.91 |
$191.91 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$15,545.75 |
$15,545.75 |
$15,545.75 |
$13,419.80
|
|
Ivc venogram s&i
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$400.94 |
$400.94 |
$400.94 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$753.27 |
$753.27 |
$753.27 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$321.94 |
$321.94 |
$321.94 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$964.75 |
$964.75 |
$964.75 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$2,858.56 |
$2,858.56 |
$2,858.56 |
$378.30
|
|
John cunningham antibody
|
$260.69 |
$260.69 |
$260.69 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$53.78 |
$53.78 |
$53.78 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$223.93 |
$223.93 |
$223.93 |
$30.08
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,706.27 |
$2,706.27 |
$2,706.27 |
$668.25
|
|
Knee Arthroscopy (Meniscus Repair)
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$54,655.25 |
$54,655.25 |
$54,655.25 |
$7,807.24
|
|
Knee MRI (with and without contrast)
|
$8,040.57 |
$8,040.57 |
$8,040.57 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$7,308.76 |
$7,308.76 |
$7,308.76 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,880.95 |
$4,880.95 |
$4,880.95 |
$2,181.10
|
|
Knee X-ray
|
$1,739.51 |
$1,739.51 |
$1,739.51 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$469.22 |
$469.22 |
$469.22 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$395.64 |
$395.64 |
$395.64 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$196.55 |
$196.55 |
$196.55 |
$53.30
|
|
Lactated ringers intravenous solution
|
$136.13 |
$136.13 |
$136.13 |
$54.11
|
|
Lactic acid
|
$338.31 |
$338.31 |
$338.31 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$227.28 |
$227.28 |
$227.28 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$99,589.29 |
$99,589.29 |
$99,589.29 |
$22,903.90
|
|
Laparoscopy remove adnexa
|
$54,981.36 |
$54,981.36 |
$54,981.36 |
$6,904.15
|
|
Laparo-vag hyst incl t/o
|
$101,345.45 |
$101,345.45 |
$101,345.45 |
$7,595.42
|
|
Lead capillary
|
$186.92 |
$186.92 |
$186.92 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,833.35 |
$2,833.35 |
$2,833.35 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$753.86 |
$753.86 |
$753.86 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$371.62 |
$371.62 |
$371.62 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$200.83 |
$200.83 |
$200.83 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$218.59 |
$218.59 |
$218.59 |
$66.59
|
|
Lidocaine therapeutic drug level
|
$226.74 |
$226.74 |
$226.74 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$338.20 |
$338.20 |
$338.20 |
$177.90
|
|
Lipase
|
$405.09 |
$405.09 |
$405.09 |
$83.20
|
|
Lipoprotein blood quant
|
$156.61 |
$156.61 |
$156.61 |
$103.00
|
|
Lipoprotein direct measurement ldl
|
$124.40 |
$124.40 |
$124.40 |
$60.00
|
|
Lithium therapeutic drug level
|
$192.19 |
$192.19 |
$192.19 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$23,278.68 |
$23,278.68 |
$23,278.68 |
$4,371.12
|
|
Liver Function Test
|
$714.68 |
$714.68 |
$714.68 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.10 |
$44.10 |
$44.10 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$89.05 |
$89.05 |
$89.05 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$10,728.83 |
$10,728.83 |
$10,728.83 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$8,472.61 |
$8,472.61 |
$8,472.61 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$7,813.32 |
$7,813.32 |
$7,813.32 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,443.80 |
$8,443.80 |
$8,443.80 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$6,783.32 |
$6,783.32 |
$6,783.32 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,761.65 |
$4,761.65 |
$4,761.65 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,857.44 |
$1,857.44 |
$1,857.44 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$670.29 |
$670.29 |
$670.29 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$903.11 |
$903.11 |
$903.11 |
$298.50
|
|
Lung perfusion imaging
|
$3,083.23 |
$3,083.23 |
$3,083.23 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$6,360.96 |
$6,360.96 |
$6,360.96 |
$1,543.75
|
|
Macroscopic exam parasite
|
$66.53 |
$66.53 |
$66.53 |
$38.50
|
|
Magnesium
|
$230.83 |
$230.83 |
$230.83 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$244.97 |
$244.97 |
$244.97 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$364.82 |
$364.82 |
$364.82 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$364.82 |
$364.82 |
$364.82 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$242.80 |
$242.80 |
$242.80 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$50,030.27 |
$50,030.27 |
$50,030.27 |
$34,164.07
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$135.12 |
$135.12 |
$135.12 |
$7,478.44
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$71.78 |
$71.78 |
$71.78 |
$66.50
|
|
Mayo aathr protein s free
|
$239.65 |
$239.65 |
$239.65 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$75.92 |
$75.92 |
$75.92 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$595.33 |
$595.33 |
$595.33 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$161.53 |
$161.53 |
$161.53 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$138.94 |
$138.94 |
$138.94 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$228.13 |
$228.13 |
$228.13 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$292.10 |
$292.10 |
$292.10 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$207.45 |
$207.45 |
$207.45 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$74.82 |
$74.82 |
$74.82 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$223.55 |
$223.55 |
$223.55 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$49.73 |
$49.73 |
$49.73 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$1,877.36 |
$1,877.36 |
$1,877.36 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$454.97 |
$454.97 |
$454.97 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$17,904.60 |
$17,904.60 |
$17,904.60 |
$1,909.44
|
|
Mayo androstenedione
|
$165.84 |
$165.84 |
$165.84 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$72.46 |
$72.46 |
$72.46 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$159.89 |
$159.89 |
$159.89 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$232.30 |
$232.30 |
$232.30 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$476.32 |
$476.32 |
$476.32 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$128.96 |
$128.96 |
$128.96 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$97.61 |
$97.61 |
$97.61 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$157.13 |
$157.13 |
$157.13 |
$45.75
|
|
Mayo blastomyces antibody immunodiffusion
|
$199.11 |
$199.11 |
$199.11 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$137.83 |
$137.83 |
$137.83 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$71.54 |
$71.54 |
$71.54 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$65.03 |
$65.03 |
$65.03 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$260.39 |
$260.39 |
$260.39 |
$83.97
|