|
Inj mepivacaine hcl/10 ml
|
$20.77 |
$20.77 |
$20.77 |
$31.46
|
|
Inj multihance
|
$418.45 |
$418.45 |
$418.45 |
$119.25
|
|
Inj secukinumab intrav 1mg
|
$30,816.99 |
$30,816.99 |
$30,816.99 |
$8,235.53
|
|
Inj, spesolimab-sbzo, 1 mg
|
$744,580.61 |
$744,580.61 |
$744,580.61 |
$218,949.63
|
|
Inj testosterone cypionate
|
$326.64 |
$326.64 |
$326.64 |
$81.39
|
|
Inj, tislelizumab-jsgr
|
$34,437.02 |
$34,437.02 |
$34,437.02 |
$45,250.97
|
|
Inj, vancomycin hcl (mylan)
|
$100.05 |
$100.05 |
$100.05 |
$72.33
|
|
Inj, vegzelma, 10 mg
|
$9,504.89 |
$9,504.89 |
$9,504.89 |
$9,504.89
|
|
Insertion catheter bladder non indwelling
|
$718.99 |
$718.99 |
$718.99 |
$237.13
|
|
Insertion catheter bladder temporary simple
|
$710.09 |
$710.09 |
$710.09 |
$273.60
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$4,747.63 |
$4,747.63 |
$4,747.63 |
$2,618.40
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$8,849.72 |
$8,849.72 |
$8,849.72 |
$2,079.43
|
|
Insertion picc without port or pump with imaging guidance=>5y
|
$6,092.87 |
$6,092.87 |
$6,092.87 |
$2,527.91
|
|
Insert picvad cath
|
$15,795.92 |
$15,795.92 |
$15,795.92 |
$4,490.00
|
|
Instill, bupivac and meloxic
|
$1,985.17 |
$1,985.17 |
$1,985.17 |
$905.55
|
|
Insulin total
|
$177.15 |
$177.15 |
$177.15 |
$67.60
|
|
Intraoral i+d tongue/floor lingual 41000
|
$2,992.10 |
$2,992.10 |
$2,992.10 |
$1,182.15
|
|
Intubation endotracheal emergency procedure
|
$1,785.44 |
$1,785.44 |
$1,785.44 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$501.96 |
$501.96 |
$501.96 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$782.28 |
$782.28 |
$782.28 |
$172.69
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$39,217.77 |
$39,217.77 |
$39,217.77 |
$62,692.46
|
|
Ipratropium bromide non-comp
|
$13.88 |
$13.88 |
$13.88 |
$6.78
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$236.99 |
$236.99 |
$236.99 |
$207.09
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$3,439.91 |
$3,439.91 |
$3,439.91 |
$6,958.38
|
|
Iron
|
$228.53 |
$228.53 |
$228.53 |
$70.72
|
|
Iron binding capacity
|
$165.86 |
$165.86 |
$165.86 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$315.57 |
$315.57 |
$315.57 |
$71.09
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$825.57 |
$825.57 |
$825.57 |
$174.72
|
|
Irrigation implantable venous access device for drug delivery systems
|
$265.77 |
$265.77 |
$265.77 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$11,892.11 |
$11,892.11 |
$11,892.11 |
$11,781.02
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$1,523.43 |
$1,523.43 |
$1,523.43 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$615.97 |
$615.97 |
$615.97 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$256.67 |
$256.67 |
$256.67 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,179.66 |
$1,179.66 |
$1,179.66 |
$460.85
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$158.86 |
$158.86 |
$158.86 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$209.74 |
$209.74 |
$209.74 |
$29.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,362.97 |
$2,362.97 |
$2,362.97 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$6,478.49 |
$6,478.49 |
$6,478.49 |
$2,950.00
|
|
Knee MRI (without contrast)
|
$5,932.19 |
$5,932.19 |
$5,932.19 |
$2,181.10
|
|
Knee X-ray
|
$464.39 |
$464.39 |
$464.39 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$447.63 |
$447.63 |
$447.63 |
$39.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$377.64 |
$377.64 |
$377.64 |
$183.00
|
|
Lactate dehydrogenase (ldh)
|
$169.23 |
$169.23 |
$169.23 |
$53.30
|
|
Lactated ringers intravenous solution
|
$369.83 |
$369.83 |
$369.83 |
$48.00
|
|
Lactic acid
|
$333.13 |
$333.13 |
$333.13 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$88.99 |
$88.99 |
$88.99 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$77,840.18 |
$77,840.18 |
$77,840.18 |
$21,470.76
|
|
Lead capillary
|
$297.93 |
$297.93 |
$297.93 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$3,031.96 |
$3,031.96 |
$3,031.96 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$568.05 |
$568.05 |
$568.05 |
$163.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$603.35 |
$603.35 |
$603.35 |
$82.84
|
|
Levetiracetam therapeutic drug level
|
$360.17 |
$360.17 |
$360.17 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$350.70 |
$350.70 |
$350.70 |
$64.88
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$548.17 |
$548.17 |
$548.17 |
$159.18
|
|
Lipase
|
$301.52 |
$301.52 |
$301.52 |
$83.20
|
|
Lipoprotein blood quant
|
$526.09 |
$526.09 |
$526.09 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$129.09 |
$129.09 |
$129.09 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$116.58 |
$116.58 |
$116.58 |
$60.00
|
|
Lithium therapeutic drug level
|
$172.62 |
$172.62 |
$172.62 |
$67.60
|
|
Liver Function Test
|
$421.36 |
$421.36 |
$421.36 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.91 |
$44.91 |
$44.91 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$83.16 |
$83.16 |
$83.16 |
$44.68
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,364.65 |
$3,364.65 |
$3,364.65 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,179.37 |
$3,179.37 |
$3,179.37 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,800.72 |
$2,800.72 |
$2,800.72 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$7,523.12 |
$7,523.12 |
$7,523.12 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$6,181.88 |
$6,181.88 |
$6,181.88 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,372.78 |
$1,372.78 |
$1,372.78 |
$344.00
|
|
Macroscopic exam parasite
|
$131.32 |
$131.32 |
$131.32 |
$38.50
|
|
Magnesium
|
$183.46 |
$183.46 |
$183.46 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$350.70 |
$350.70 |
$350.70 |
$64.61
|
|
Manipulation chest wall initial demonstration/evaluation
|
$316.29 |
$316.29 |
$316.29 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$227.28 |
$227.28 |
$227.28 |
$35.91
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$38,252.87 |
$38,252.87 |
$38,252.87 |
$9,885.94
|
|
Mayo aathr protein s free
|
$300.53 |
$300.53 |
$300.53 |
$130.00
|
|
Mayo alcohol definitive assay volatile screen
|
$356.00 |
$356.00 |
$356.00 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$213.39 |
$213.39 |
$213.39 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$198.20 |
$198.20 |
$198.20 |
$87.60
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$218.19 |
$218.19 |
$218.19 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$229.71 |
$229.71 |
$229.71 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$885.40 |
$885.40 |
$885.40 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$306.39 |
$306.39 |
$306.39 |
$326.48
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$94.20 |
$94.20 |
$94.20 |
$72.46
|
|
Mayo aspergillus fumigatus antibody
|
$265.08 |
$265.08 |
$265.08 |
$67.60
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$110.40 |
$110.40 |
$110.40 |
$105.00
|
|
Mayo bart bartonella henselae antibody igg
|
$174.78 |
$174.78 |
$174.78 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$897.28 |
$897.28 |
$897.28 |
$353.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$1,806.21 |
$1,806.21 |
$1,806.21 |
$373.75
|
|
Mayo c1 esterase inhibitor
|
$397.69 |
$397.69 |
$397.69 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$477.58 |
$477.58 |
$477.58 |
$96.85
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$211.53 |
$211.53 |
$211.53 |
$110.00
|
|
Mayo ceruloplasmin
|
$171.78 |
$171.78 |
$171.78 |
$65.08
|
|
Mayo cortisol free
|
$155.87 |
$155.87 |
$155.87 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$142.38 |
$142.38 |
$142.38 |
$72.60
|
|
Mayo dhea (dehydroepiandrosterone)
|
$117.18 |
$117.18 |
$117.18 |
$88.45
|
|
Mayo dihydrotestosterone
|
$284.73 |
$284.73 |
$284.73 |
$81.90
|
|
Mayo everolimus therapeutic drug level
|
$103.71 |
$103.71 |
$103.71 |
$80.50
|
|
Mayo factor ii
|
$144.19 |
$144.19 |
$144.19 |
$93.00
|
|
Mayo factor v
|
$824.01 |
$824.01 |
$824.01 |
$125.48
|
|
Mayo factor vii
|
$89.47 |
$89.47 |
$89.47 |
$141.00
|