|
Mayo factor viii vw factor antigen
|
$338.31 |
$338.31 |
$338.31 |
$110.50
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$682.48 |
$682.48 |
$682.48 |
$129.60
|
|
Mayo factor x
|
$387.11 |
$387.11 |
$387.11 |
$139.50
|
|
Mayo factor xi
|
$357.72 |
$357.72 |
$357.72 |
$117.50
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$220.80 |
$220.80 |
$220.80 |
$69.96
|
|
Mayo hla typing a/b/c single antigen
|
$1,057.42 |
$1,057.42 |
$1,057.42 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$368.98 |
$368.98 |
$368.98 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$288.03 |
$288.03 |
$288.03 |
$67.60
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$296.55 |
$296.55 |
$296.55 |
$202.63
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$502.22 |
$502.22 |
$502.22 |
$103.20
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$357.47 |
$357.47 |
$357.47 |
$81.04
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$438.63 |
$438.63 |
$438.63 |
$178.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$535.51 |
$535.51 |
$535.51 |
$233.75
|
|
Mayo inhab inhibin a
|
$175.67 |
$175.67 |
$175.67 |
$81.60
|
|
Mayo insft insulin free
|
$195.94 |
$195.94 |
$195.94 |
$57.85
|
|
Mayo insulin antibodies
|
$433.87 |
$433.87 |
$433.87 |
$91.00
|
|
Mayo lacosamide therapeutic drug level
|
$324.58 |
$324.58 |
$324.58 |
$99.20
|
|
Mayo lamotrigine therapeutic drug level
|
$360.17 |
$360.17 |
$360.17 |
$66.43
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$203.13 |
$203.13 |
$203.13 |
$69.55
|
|
Mayo manganese
|
$331.47 |
$331.47 |
$331.47 |
$89.15
|
|
Mayo metanephrines plasma
|
$616.77 |
$616.77 |
$616.77 |
$104.50
|
|
Mayo methadone definitive assay confirmation urine
|
$218.19 |
$218.19 |
$218.19 |
$101.14
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$438.83 |
$438.83 |
$438.83 |
$65.00
|
|
Mayo microsomal antibody liver-kidney
|
$326.25 |
$326.25 |
$326.25 |
$90.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$277.75 |
$277.75 |
$277.75 |
$167.70
|
|
Mayo myoglobin
|
$77.45 |
$77.45 |
$77.45 |
$94.32
|
|
Mayo opatu opiates definitive assay >=1
|
$101.46 |
$101.46 |
$101.46 |
$99.00
|
|
Mayo opatu oxycodone definitive assay
|
$102.25 |
$102.25 |
$102.25 |
$107.25
|
|
Mayo organic acid methylmalonic single quantitative
|
$618.67 |
$618.67 |
$618.67 |
$104.13
|
|
Mayo parvs parvovirus b19 antibody igg
|
$261.29 |
$261.29 |
$261.29 |
$56.80
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$499.25 |
$499.25 |
$499.25 |
$190.20
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$527.91 |
$527.91 |
$527.91 |
$184.17
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$93.55 |
$93.55 |
$93.55 |
$71.20
|
|
Mayo prmb primidone therapeutic drug level
|
$221.03 |
$221.03 |
$221.03 |
$71.20
|
|
Mayo proinsulin
|
$403.96 |
$403.96 |
$403.96 |
$97.50
|
|
Mayo psaft prostate specific antigen free
|
$213.70 |
$213.70 |
$213.70 |
$92.50
|
|
Mayo renin
|
$308.36 |
$308.36 |
$308.36 |
$96.60
|
|
Mayo repu protein electrophoresis urine
|
$294.50 |
$294.50 |
$294.50 |
$92.70
|
|
Mayo serotonin
|
$204.54 |
$204.54 |
$204.54 |
$126.75
|
|
Mayo sfgp rickettsia rickettsii antibody igg
|
$356.63 |
$356.63 |
$356.63 |
$80.00
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$238.16 |
$238.16 |
$238.16 |
$48.00
|
|
Mayo tgrp testosterone free
|
$125.32 |
$125.32 |
$125.32 |
$96.05
|
|
Mayo tgrp testosterone total
|
$324.87 |
$324.87 |
$324.87 |
$139.34
|
|
Mayo thyroglobulin
|
$160.30 |
$160.30 |
$160.30 |
$106.85
|
|
Mayo valpg valproic acid free therapeutic drug level
|
$257.99 |
$257.99 |
$257.99 |
$66.43
|
|
Mayo vitamin b-2 (riboflavin)
|
$458.75 |
$458.75 |
$458.75 |
$91.00
|
|
Mayo vitamin b3 (niacin)
|
$267.28 |
$267.28 |
$267.28 |
$110.00
|
|
Measurement post void urine by ultrasound
|
$443.42 |
$443.42 |
$443.42 |
$176.40
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$1,678.64 |
$1,678.64 |
$1,678.64 |
$213.60
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$183.17 |
$183.17 |
$183.17 |
$42.59
|
|
Mepolizumab 100 mg/ml subcutaneous auto-injector
|
$52,677.86 |
$52,677.86 |
$52,677.86 |
$9,338.90
|
|
Meropenem 1 gram intravenous solution
|
$280.62 |
$280.62 |
$280.62 |
$70.66
|
|
Mesna 100 mg/ml intravenous solution
|
$82.65 |
$82.65 |
$82.65 |
$107.41
|
|
Metabolic Blood Panel (Basic)
|
$448.98 |
$448.98 |
$448.98 |
$107.25
|
|
Metabolic Blood Panel (Comprehensive)
|
$609.93 |
$609.93 |
$609.93 |
$142.40
|
|
Methadone injection
|
$2,944.58 |
$2,944.58 |
$2,944.58 |
$132.48
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$251.77 |
$251.77 |
$251.77 |
$78.20
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$38.14 |
$38.14 |
$38.14 |
$122.31
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$2,488.33 |
$2,488.33 |
$2,488.33 |
$1,009.05
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$2,256.60 |
$2,256.60 |
$2,256.60 |
$432.83
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$250.06 |
$250.06 |
$250.06 |
$64.09
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$149.78 |
$149.78 |
$149.78 |
$24.00
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$189.22 |
$189.22 |
$189.22 |
$35.49
|
|
Midazolam 1 mg/ml injection solution
|
$637.06 |
$637.06 |
$637.06 |
$61.48
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$1,775.14 |
$1,775.14 |
$1,775.14 |
$107.50
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$419.73 |
$419.73 |
$419.73 |
$103.70
|
|
Mirvetuximab soravtansine-gynx 5 mg/ml intravenous solution
|
$2,204.55 |
$2,204.55 |
$2,204.55 |
$5,912.80
|
|
Mitomycin 40 mg intravenous solution
|
$1,125.39 |
$1,125.39 |
$1,125.39 |
$2,130.88
|
|
Monovisc inj per dose
|
$8,368.52 |
$8,368.52 |
$8,368.52 |
$1,405.55
|
|
Morphine 4 mg/ml injection (wrapper)
|
$1,521.30 |
$1,521.30 |
$1,521.30 |
$73.51
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$162.11 |
$162.11 |
$162.11 |
$37.01
|
|
MRA without fol w/cont, abd
|
$5,822.34 |
$5,822.34 |
$5,822.34 |
$2,547.05
|
|
MRI chest without contrast
|
$3,674.99 |
$3,674.99 |
$3,674.99 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$4,288.38 |
$4,288.38 |
$4,288.38 |
$2,564.10
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$5,071.03 |
$5,071.03 |
$5,071.03 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$5,977.55 |
$5,977.55 |
$5,977.55 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$3,389.76 |
$3,389.76 |
$3,389.76 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$5,602.23 |
$5,602.23 |
$5,602.23 |
$2,674.83
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$4,161.62 |
$4,161.62 |
$4,161.62 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$5,880.55 |
$5,880.55 |
$5,880.55 |
$2,655.25
|
|
Mr safety determination physician/other qhp
|
$224.19 |
$224.19 |
$224.19 |
$160.20
|
|
Mr safety implant elec prepj
|
$235.01 |
$235.01 |
$235.01 |
$168.60
|
|
Mr safety implt pos&/immoblj
|
$149.30 |
$149.30 |
$149.30 |
$137.25
|
|
Mr sfty implt&/fb asmt stf 1
|
$62.60 |
$62.60 |
$62.60 |
$45.00
|
|
Mr sfty med physics xm cstmz
|
$617.75 |
$617.75 |
$617.75 |
$402.40
|
|
Mumps antibody igg
|
$294.73 |
$294.73 |
$294.73 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$385.45 |
$385.45 |
$385.45 |
$13.57
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$491.80 |
$491.80 |
$491.80 |
$134.40
|
|
Nalbuphine 10 mg/ml injection solution
|
$166.84 |
$166.84 |
$166.84 |
$43.66
|
|
Natalizumab 300 mg/15 ml intravenous solution
|
$113,298.02 |
$113,298.02 |
$113,298.02 |
$16,220.00
|
|
Natriuretic peptide
|
$391.75 |
$391.75 |
$391.75 |
$176.15
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$3,491.94 |
$3,491.94 |
$3,491.94 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$3,036.94 |
$3,036.94 |
$3,036.94 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$6,844.57 |
$6,844.57 |
$6,844.57 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$6,115.70 |
$6,115.70 |
$6,115.70 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$5,638.41 |
$5,638.41 |
$5,638.41 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$4,498.42 |
$4,498.42 |
$4,498.42 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, with contrast)
|
$3,578.13 |
$3,578.13 |
$3,578.13 |
$2,030.23
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$2,702.10 |
$2,702.10 |
$2,702.10 |
$1,790.58
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$299.18 |
$299.18 |
$299.18 |
$50.40
|
