|
Iron
|
$81.00 |
$81.00 |
$81.00 |
$72.29
|
|
Iron binding capacity
|
$96.60 |
$96.60 |
$96.60 |
$63.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$158.40 |
$158.40 |
$158.40 |
$144.62
|
|
Ivc venogram s&i
|
$3,873.00 |
$3,873.00 |
$3,873.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$225.60 |
$225.60 |
$225.60 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$210.00 |
$210.00 |
$210.00 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$207.60 |
$207.60 |
$207.60 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$495.60 |
$495.60 |
$495.60 |
$437.45
|
|
IV inj ra drug dx study
|
$613.80 |
$613.80 |
$613.80 |
$552.60
|
|
Ivp w/wo kub w/wo tomography
|
$1,233.00 |
$1,233.00 |
$1,233.00 |
$692.18
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$118.80 |
$118.80 |
$118.80 |
$58.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,757.40 |
$1,757.40 |
$1,757.40 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$742.80 |
$742.80 |
$742.80 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$585.60 |
$585.60 |
$585.60 |
$174.00
|
|
Kit gene analys d816 variant
|
$1,408.20 |
$1,408.20 |
$1,408.20 |
$366.03
|
|
Knee MRI (with and without contrast)
|
$6,179.40 |
$6,179.40 |
$6,179.40 |
$3,008.26
|
|
Knee MRI (without contrast)
|
$6,179.40 |
$6,179.40 |
$6,179.40 |
$2,110.76
|
|
Knee orth pos locking joint
|
$585.60 |
$585.60 |
$585.60 |
$585.60
|
|
Knee X-ray
|
$742.80 |
$742.80 |
$742.80 |
$425.55
|
|
Kras gene addl variants
|
$780.00 |
$780.00 |
$780.00 |
$386.75
|
|
Kras gene variants exon 2
|
$994.20 |
$994.20 |
$994.20 |
$509.00
|
|
Lactate dehydrogenase (ldh)
|
$100.20 |
$100.20 |
$100.20 |
$55.50
|
|
Lactic acid
|
$287.40 |
$287.40 |
$287.40 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$126.60 |
$126.60 |
$126.60 |
$81.00
|
|
Laryngeal function studies
|
$225.60 |
$225.60 |
$225.60 |
$335.40
|
|
Lead capillary
|
$268.20 |
$268.20 |
$268.20 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,108.20 |
$1,108.20 |
$1,108.20 |
$1,092.58
|
|
Levetiracetam therapeutic drug level
|
$186.60 |
$186.60 |
$186.60 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$165.00 |
$165.00 |
$165.00 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$85.20 |
$85.20 |
$85.20 |
$133.50
|
|
Limited ankle motion ea jnt
|
$585.60 |
$585.60 |
$585.60 |
$109.20
|
|
Lipase
|
$238.20 |
$238.20 |
$238.20 |
$91.65
|
|
Lipoprotein blood quant
|
$223.20 |
$223.20 |
$223.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$100.80 |
$100.80 |
$100.80 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$89.40 |
$89.40 |
$89.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$126.60 |
$126.60 |
$126.60 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$612.00 |
$612.00 |
$612.00 |
$365.28
|
|
Liver Function Test
|
$198.00 |
$198.00 |
$198.00 |
$115.44
|
|
Liver/spleen imag static only
|
$2,241.00 |
$2,241.00 |
$2,241.00 |
$1,123.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$13.20 |
$13.20 |
$13.20 |
$48.19
|
|
Lo sag rig pnl stays pre cst
|
$85.20 |
$85.20 |
$85.20 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,119.60 |
$4,119.60 |
$4,119.60 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$415.80 |
$415.80 |
$415.80 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$278.40 |
$278.40 |
$278.40 |
$364.00
|
|
Lung Function Test (Spirometry)
|
$470.40 |
$470.40 |
$470.40 |
$295.35
|
|
Lung perfusion imaging
|
$1,520.40 |
$1,520.40 |
$1,520.40 |
$1,059.97
|
|
Lymphatics/lymph node imaging
|
$339.00 |
$339.00 |
$339.00 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$96.00 |
$96.00 |
$96.00 |
$38.58
|
|
Macroscopic exam parasite
|
$87.60 |
$87.60 |
$87.60 |
$36.55
|
|
Magnesium
|
$181.80 |
$181.80 |
$181.80 |
$72.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$102.00 |
$102.00 |
$102.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$102.00 |
$102.00 |
$102.00 |
$160.80
|
|
Marker biop eviva buckle ss
|
$3,357.60 |
$3,357.60 |
$3,357.60 |
$1,451.30
|
|
Mastoids complete
|
$664.80 |
$664.80 |
$664.80 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$190.20 |
$190.20 |
$190.20 |
$65.00
|
|
Mayo aathr protein s free
|
$264.60 |
$264.60 |
$264.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$506.40 |
$506.40 |
$506.40 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$694.80 |
$694.80 |
$694.80 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$200.40 |
$200.40 |
$200.40 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$291.00 |
$291.00 |
$291.00 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$123.00 |
$123.00 |
$123.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$134.40 |
$134.40 |
$134.40 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$178.20 |
$178.20 |
$178.20 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$174.00 |
$174.00 |
$174.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$49.20 |
$49.20 |
$49.20 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$177.60 |
$177.60 |
$177.60 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$1,323.00 |
$1,323.00 |
$1,323.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,198.20 |
$1,198.20 |
$1,198.20 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,596.60 |
$1,596.60 |
$1,596.60 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$4,407.60 |
$4,407.60 |
$4,407.60 |
$1,860.00
|
|
Mayo androstenedione
|
$216.60 |
$216.60 |
$216.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$251.40 |
$251.40 |
$251.40 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$196.80 |
$196.80 |
$196.80 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$113.40 |
$113.40 |
$113.40 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$497.40 |
$497.40 |
$497.40 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$36.60 |
$36.60 |
$36.60 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$619.80 |
$619.80 |
$619.80 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$98.40 |
$98.40 |
$98.40 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$322.20 |
$322.20 |
$322.20 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$387.00 |
$387.00 |
$387.00 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$123.60 |
$123.60 |
$123.60 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$30.60 |
$30.60 |
$30.60 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$219.00 |
$219.00 |
$219.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$376.20 |
$376.20 |
$376.20 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$334.80 |
$334.80 |
$334.80 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$281.40 |
$281.40 |
$281.40 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$229.80 |
$229.80 |
$229.80 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$362.40 |
$362.40 |
$362.40 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$273.60 |
$273.60 |
$273.60 |
$281.50
|
|
Mayo ceruloplasmin
|
$137.40 |
$137.40 |
$137.40 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$362.40 |
$362.40 |
$362.40 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$402.60 |
$402.60 |
$402.60 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$106.20 |
$106.20 |
$106.20 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$99.60 |
$99.60 |
$99.60 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$758.40 |
$758.40 |
$758.40 |
$360.33
|
