|
Ins icd gen exist sgl lead
|
$47,137.30 |
$47,137.30 |
$47,137.30 |
$23,742.75
|
|
Insitu hybridization auto
|
$847.70 |
$847.70 |
$847.70 |
$371.00
|
|
Insitu hybridization manual
|
$637.00 |
$637.00 |
$637.00 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$735.00 |
$735.00 |
$735.00 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$968.10 |
$968.10 |
$968.10 |
$326.04
|
|
Ins lv lead exist pm/icd
|
$21,977.20 |
$21,977.20 |
$21,977.20 |
$12,087.24
|
|
Ins picc wo subq prt/pmp w image guidnc <5yr
|
$1,411.20 |
$1,411.20 |
$1,411.20 |
$1,609.25
|
|
Ins pm gen exist dual lead
|
$47,137.30 |
$47,137.30 |
$47,137.30 |
$24,696.00
|
|
Ins pm gen w/exist mlt leads
|
$40,049.10 |
$40,049.10 |
$40,049.10 |
$14,804.40
|
|
Ins/rpl pm gen exist dual lead
|
$21,977.20 |
$21,977.20 |
$21,977.20 |
$11,408.40
|
|
Ins/rpl pm gen exist sgl lead
|
$17,379.60 |
$17,379.60 |
$17,379.60 |
$9,558.78
|
|
Ins tun cv cath wo subq prt/pm
|
$7,182.70 |
$7,182.70 |
$7,182.70 |
$4,202.70
|
|
Insulin total
|
$85.40 |
$85.40 |
$85.40 |
$66.64
|
|
Intrinsic factor antibody
|
$144.90 |
$144.90 |
$144.90 |
$66.60
|
|
Intro cath dialysis circuit
|
$3,262.00 |
$3,262.00 |
$3,262.00 |
$2,035.00
|
|
Intro catheter aorta
|
$1,080.80 |
$1,080.80 |
$1,080.80 |
$1,654.05
|
|
Intro cath svc/ivc
|
$967.40 |
$967.40 |
$967.40 |
$1,329.90
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$1,419.60 |
$1,419.60 |
$1,419.60 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$365.40 |
$365.40 |
$365.40 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$529.90 |
$529.90 |
$529.90 |
$589.60
|
|
Iron
|
$78.40 |
$78.40 |
$78.40 |
$74.40
|
|
Iron binding capacity
|
$99.40 |
$99.40 |
$99.40 |
$63.79
|
|
Irradiation of blood product each unit reference
|
$177.10 |
$177.10 |
$177.10 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$186.90 |
$186.90 |
$186.90 |
$142.20
|
|
Ivc venogram s&i
|
$14,321.30 |
$14,321.30 |
$14,321.30 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$224.00 |
$224.00 |
$224.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$55.30 |
$55.30 |
$55.30 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$145.60 |
$145.60 |
$145.60 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$663.60 |
$663.60 |
$663.60 |
$439.56
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$93.10 |
$93.10 |
$93.10 |
$60.20
|
|
Kidney imaging morphology
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,789.90 |
$1,789.90 |
$1,789.90 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$744.10 |
$744.10 |
$744.10 |
$666.00
|
|
Knee MRI (with and without contrast)
|
$4,249.70 |
$4,249.70 |
$4,249.70 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$3,829.00 |
$3,829.00 |
$3,829.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,164.00 |
$3,164.00 |
$3,164.00 |
$2,169.60
|
|
Knee X-ray
|
$483.70 |
$483.70 |
$483.70 |
$425.55
|
|
Kras gene addl variants
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$384.80
|
|
Kras gene variants exon 2
|
$1,248.80 |
$1,248.80 |
$1,248.80 |
$486.45
|
|
Lactate dehydrogenase (ldh)
|
$70.00 |
$70.00 |
$70.00 |
$55.50
|
|
Lactic acid
|
$139.30 |
$139.30 |
$139.30 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$198.80 |
$198.80 |
$198.80 |
$80.40
|
|
Laryngeal function studies
|
$490.00 |
$490.00 |
$490.00 |
$335.40
|
|
Lead capillary
|
$96.60 |
$96.60 |
$96.60 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,284.10 |
$2,284.10 |
$2,284.10 |
$1,088.26
|
|
Levetiracetam therapeutic drug level
|
$184.80 |
$184.80 |
$184.80 |
$88.92
|
|
Lipase
|
$113.40 |
$113.40 |
$113.40 |
$93.58
|
|
Lipoprotein blood quant
|
$216.30 |
$216.30 |
$216.30 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$95.90 |
$95.90 |
$95.90 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$90.30 |
$90.30 |
$90.30 |
$61.60
|
|
Lithium therapeutic drug level
|
$92.40 |
$92.40 |
$92.40 |
$69.42
|
|
Liver Function Test
|
$124.60 |
$124.60 |
$124.60 |
$115.44
|
|
Liver imag w/vasclr flow
|
$1,789.90 |
$1,789.90 |
$1,789.90 |
$1,238.65
|
|
Liver/spleen imag static only
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,067.48
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,319.40 |
$3,319.40 |
$3,319.40 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,743.30 |
$2,743.30 |
$2,743.30 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,265.60 |
$1,265.60 |
$1,265.60 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,674.60 |
$4,674.60 |
$4,674.60 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,068.40 |
$4,068.40 |
$4,068.40 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,876.30 |
$2,876.30 |
$2,876.30 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$532.00 |
$532.00 |
$532.00 |
$352.32
|
|
Lung Function Test (Spirometry)
|
$739.20 |
$739.20 |
$739.20 |
$295.35
|
|
Lung perfusion imaging
|
$1,336.30 |
$1,336.30 |
$1,336.30 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$1,789.90 |
$1,789.90 |
$1,789.90 |
$1,448.00
|
|
Macroscopic exam arthropod
|
$58.80 |
$58.80 |
$58.80 |
$38.50
|
|
Magnesium
|
$76.30 |
$76.30 |
$76.30 |
$73.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$135.10 |
$135.10 |
$135.10 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$135.10 |
$135.10 |
$135.10 |
$152.54
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$139.30 |
$139.30 |
$139.30 |
$66.36
|
|
Mayo aathr protein s free
|
$207.20 |
$207.20 |
$207.20 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$189.70 |
$189.70 |
$189.70 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$572.60 |
$572.60 |
$572.60 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$149.10 |
$149.10 |
$149.10 |
$102.96
|
|
Mayo alkaline phosphatase isoenzyme
|
$93.10 |
$93.10 |
$93.10 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$125.30 |
$125.30 |
$125.30 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$139.30 |
$139.30 |
$139.30 |
$82.80
|
|
Mayo analysis gene calr common variants exon 9
|
$858.90 |
$858.90 |
$858.90 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$849.80 |
$849.80 |
$849.80 |
$359.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$7,379.40 |
$7,379.40 |
$7,379.40 |
$1,860.00
|
|
Mayo androstenedione
|
$203.70 |
$203.70 |
$203.70 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$168.00 |
$168.00 |
$168.00 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$137.20 |
$137.20 |
$137.20 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$105.00 |
$105.00 |
$105.00 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$122.50 |
$122.50 |
$122.50 |
$165.78
|
|
Mayo bart bartonella henselae antibody igg
|
$75.60 |
$75.60 |
$75.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$693.00 |
$693.00 |
$693.00 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$109.20 |
$109.20 |
$109.20 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$131.60 |
$131.60 |
$131.60 |
$44.14
|
|
Mayo c1 esterase inhibitor
|
$186.90 |
$186.90 |
$186.90 |
$85.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$190.40 |
$190.40 |
$190.40 |
$82.68
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$271.60 |
$271.60 |
$271.60 |
$113.50
|
|
Mayo ceruloplasmin
|
$116.90 |
$116.90 |
$116.90 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$183.40 |
$183.40 |
$183.40 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$177.80 |
$177.80 |
$177.80 |
$109.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$869.40 |
$869.40 |
$869.40 |
$346.32
|
|
Mayo chromium
|
$225.40 |
$225.40 |
$225.40 |
$70.85
|
|
Mayo cocou cortisone urine
|
$365.40 |
$365.40 |
$365.40 |
$207.26
|
|
Mayo cortisol free
|
$179.20 |
$179.20 |
$179.20 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$187.60 |
$187.60 |
$187.60 |
$70.20
|
