|
Insitu hybridization manual
|
$591.70 |
$591.70 |
$591.70 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$1,259.89 |
$1,259.89 |
$1,259.89 |
$251.55
|
|
In situ hybridization per specimen initial single probe stain
|
$1,963.89 |
$1,963.89 |
$1,963.89 |
$338.40
|
|
Ins/rpl ldless pm right vent w img & eval
|
$109,195.20 |
$109,195.20 |
$109,195.20 |
$24,135.54
|
|
Ins/rpl pm gen exist dual lead
|
$55,533.89 |
$55,533.89 |
$55,533.89 |
$11,593.70
|
|
Ins/rpl wireless pulm art sensor incl s&i
|
$105,990.31 |
$105,990.31 |
$105,990.31 |
$25,106.90
|
|
Instillation anticarcinogenic agent bladder
|
$2,149.83 |
$2,149.83 |
$2,149.83 |
$721.50
|
|
Instill, bupivac and meloxic
|
$2,297.77 |
$2,297.77 |
$2,297.77 |
$1,127.61
|
|
Insulin total
|
$467.92 |
$467.92 |
$467.92 |
$67.60
|
|
Intens cardiac rehab no exer
|
$1,694.20 |
$1,694.20 |
$1,694.20 |
$149.00
|
|
Intens cardiac rehab w/exerc
|
$1,694.00 |
$1,694.00 |
$1,694.00 |
$226.98
|
|
Interdiscal perq aspir dx
|
$8,444.68 |
$8,444.68 |
$8,444.68 |
$1,222.26
|
|
Intracard echo interv w/s&i
|
$13,446.53 |
$13,446.53 |
$13,446.53 |
$3,982.59
|
|
Intracranial angioplasty
|
$48,127.86 |
$48,127.86 |
$48,127.86 |
$7,149.60
|
|
Intrinsic factor antibody
|
$808.23 |
$808.23 |
$808.23 |
$59.95
|
|
Intro catheter aorta
|
$5,365.43 |
$5,365.43 |
$5,365.43 |
$1,861.61
|
|
Intro long gi tube
|
$2,455.79 |
$2,455.79 |
$2,455.79 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$1,582.00 |
$1,582.00 |
$1,582.00 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$1,241.07 |
$1,241.07 |
$1,241.07 |
$617.60
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$501.96 |
$501.96 |
$501.96 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$782.28 |
$782.28 |
$782.28 |
$153.98
|
|
Ipilimumab 5 mg/ml intravenous solution (wrapper)
|
$44,393.05 |
$44,393.05 |
$44,393.05 |
$52,615.16
|
|
Ipratropium bromide non-comp
|
$13.83 |
$13.83 |
$13.83 |
$7.57
|
|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$245.53 |
$245.53 |
$245.53 |
$227.39
|
|
Irinotecan liposomal 4.3 mg/ml intravenous
|
$3,240.41 |
$3,240.41 |
$3,240.41 |
$6,655.71
|
|
Iron
|
$996.46 |
$996.46 |
$996.46 |
$70.72
|
|
Iron binding capacity
|
$259.95 |
$259.95 |
$259.95 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$310.71 |
$310.71 |
$310.71 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$817.18 |
$817.18 |
$817.18 |
$198.01
|
|
Irradiation of blood product each unit reference
|
$493.50 |
$493.50 |
$493.50 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$265.77 |
$265.77 |
$265.77 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$13,458.34 |
$13,458.34 |
$13,458.34 |
$13,419.80
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$538.99 |
$538.99 |
$538.99 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$538.99 |
$538.99 |
$538.99 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$283.90 |
$283.90 |
$283.90 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,485.91 |
$1,485.91 |
$1,485.91 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$9,925.92 |
$9,925.92 |
$9,925.92 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$511.25 |
$511.25 |
$511.25 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$206.60 |
$206.60 |
$206.60 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$4,983.55 |
$4,983.55 |
$4,983.55 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,584.86 |
$1,584.86 |
$1,584.86 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$10,474.74 |
$10,474.74 |
$10,474.74 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$8,487.87 |
$8,487.87 |
$8,487.87 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$11,676.27 |
$11,676.27 |
$11,676.27 |
$2,181.10
|
|
Knee X-ray
|
$1,410.49 |
$1,410.49 |
$1,410.49 |
$443.90
|
|
Kras gene addl variants
|
$10,357.38 |
$10,357.38 |
$10,357.38 |
$346.45
|
|
Kras gene variants exon 2
|
$10,357.38 |
$10,357.38 |
$10,357.38 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$443.16 |
$443.16 |
$443.16 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$373.89 |
$373.89 |
$373.89 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$295.90 |
$295.90 |
$295.90 |
$53.30
|
|
Lactated ringers intravenous solution
|
$376.63 |
$376.63 |
$376.63 |
$54.11
|
|
Lactic acid
|
$620.10 |
$620.10 |
$620.10 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$1,055.83 |
$1,055.83 |
$1,055.83 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$90,199.11 |
$90,199.11 |
$90,199.11 |
$22,903.90
|
|
Lead capillary
|
$779.84 |
$779.84 |
$779.84 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$7,007.65 |
$7,007.65 |
$7,007.65 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$565.77 |
$565.77 |
$565.77 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$584.36 |
$584.36 |
$584.36 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$590.95 |
$590.95 |
$590.95 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$339.89 |
$339.89 |
$339.89 |
$66.59
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$530.97 |
$530.97 |
$530.97 |
$177.90
|
|
Lipase
|
$892.51 |
$892.51 |
$892.51 |
$83.20
|
|
Lipoprotein blood quant
|
$1,832.43 |
$1,832.43 |
$1,832.43 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$266.43 |
$266.43 |
$266.43 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$562.75 |
$562.75 |
$562.75 |
$60.00
|
|
Lithium therapeutic drug level
|
$738.26 |
$738.26 |
$738.26 |
$67.60
|
|
Liver Function Test
|
$1,318.81 |
$1,318.81 |
$1,318.81 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.91 |
$44.91 |
$44.91 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$82.92 |
$82.92 |
$82.92 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$11,712.70 |
$11,712.70 |
$11,712.70 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$9,689.70 |
$9,689.70 |
$9,689.70 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$10,442.21 |
$10,442.21 |
$10,442.21 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,553.75 |
$5,553.75 |
$5,553.75 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,221.62 |
$4,221.62 |
$4,221.62 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$11,676.27 |
$11,676.27 |
$11,676.27 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$2,427.24 |
$2,427.24 |
$2,427.24 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$789.92 |
$789.92 |
$789.92 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$440.68 |
$440.68 |
$440.68 |
$298.50
|
|
Lung perfusion imaging
|
$4,082.73 |
$4,082.73 |
$4,082.73 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$3,830.73 |
$3,830.73 |
$3,830.73 |
$1,543.75
|
|
Macroscopic exam parasite
|
$231.01 |
$231.01 |
$231.01 |
$38.50
|
|
Magnesium
|
$359.10 |
$359.10 |
$359.10 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$375.12 |
$375.12 |
$375.12 |
$65.49
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$1,475.52 |
$1,475.52 |
$1,475.52 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$223.86 |
$223.86 |
$223.86 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$43,300.71 |
$43,300.71 |
$43,300.71 |
$34,164.07
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$618.68 |
$618.68 |
$618.68 |
$66.50
|
|
Mayo aathr protein s free
|
$852.63 |
$852.63 |
$852.63 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$1,086.58 |
$1,086.58 |
$1,086.58 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$2,067.19 |
$2,067.19 |
$2,067.19 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$178.06 |
$178.06 |
$178.06 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$1,181.90 |
$1,181.90 |
$1,181.90 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$792.15 |
$792.15 |
$792.15 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$186.03 |
$186.03 |
$186.03 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$720.33 |
$720.33 |
$720.33 |
$87.60
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$246.42 |
$246.42 |
$246.42 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$54.81 |
$54.81 |
$54.81 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$6,518.85 |
$6,518.85 |
$6,518.85 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$4,912.58 |
$4,912.58 |
$4,912.58 |
$326.48
|