|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$5.60 |
$5.60 |
$5.60 |
$279.10
|
|
Iron
|
$79.20 |
$79.20 |
$79.20 |
$74.40
|
|
Iron binding capacity
|
$107.20 |
$107.20 |
$107.20 |
$63.79
|
|
Irrigation implantable venous access device for drug delivery systems
|
$90.40 |
$90.40 |
$90.40 |
$142.20
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$142.40 |
$142.40 |
$142.40 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$192.00 |
$192.00 |
$192.00 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$164.80 |
$164.80 |
$164.80 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$475.20 |
$475.20 |
$475.20 |
$439.56
|
|
Ivp w/wo kub w/wo tomography
|
$1,092.00 |
$1,092.00 |
$1,092.00 |
$692.18
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$93.60 |
$93.60 |
$93.60 |
$60.20
|
|
Kidney imaging morphology
|
$1,085.60 |
$1,085.60 |
$1,085.60 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,508.00 |
$1,508.00 |
$1,508.00 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,188.80 |
$1,188.80 |
$1,188.80 |
$666.00
|
|
Knee MRI (with and without contrast)
|
$5,974.40 |
$5,974.40 |
$5,974.40 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$5,297.60 |
$5,297.60 |
$5,297.60 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,620.00 |
$4,620.00 |
$4,620.00 |
$2,169.60
|
|
Knee X-ray
|
$797.60 |
$797.60 |
$797.60 |
$425.55
|
|
Lactate dehydrogenase (ldh)
|
$127.20 |
$127.20 |
$127.20 |
$55.50
|
|
Lactic acid
|
$132.00 |
$132.00 |
$132.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$148.00 |
$148.00 |
$148.00 |
$80.40
|
|
Lead capillary
|
$92.00 |
$92.00 |
$92.00 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,190.40 |
$1,190.40 |
$1,190.40 |
$1,088.26
|
|
Levetiracetam therapeutic drug level
|
$170.40 |
$170.40 |
$170.40 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$136.00 |
$136.00 |
$136.00 |
$89.70
|
|
Lipase
|
$294.40 |
$294.40 |
$294.40 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$85.60 |
$85.60 |
$85.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$89.60 |
$89.60 |
$89.60 |
$61.60
|
|
Lithium therapeutic drug level
|
$107.20 |
$107.20 |
$107.20 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$816.00 |
$816.00 |
$816.00 |
$340.00
|
|
Liver Function Test
|
$235.20 |
$235.20 |
$235.20 |
$115.44
|
|
Liver imag w/vasclr flow
|
$1,005.60 |
$1,005.60 |
$1,005.60 |
$1,238.65
|
|
Liver/spleen imag static only
|
$1,062.40 |
$1,062.40 |
$1,062.40 |
$1,123.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,460.00 |
$3,460.00 |
$3,460.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,572.00 |
$2,572.00 |
$2,572.00 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,420.00 |
$2,420.00 |
$2,420.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,408.80 |
$4,408.80 |
$4,408.80 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,513.60 |
$3,513.60 |
$3,513.60 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,236.80 |
$3,236.80 |
$3,236.80 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$471.20 |
$471.20 |
$471.20 |
$352.32
|
|
Low frequency non-thermal Ultrasound
|
$371.20 |
$371.20 |
$371.20 |
$364.00
|
|
Lung function test (mbc/mvv)
|
$48.00 |
$48.00 |
$48.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$338.40 |
$338.40 |
$338.40 |
$295.35
|
|
Lung perfusion imaging
|
$954.40 |
$954.40 |
$954.40 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$1,365.60 |
$1,365.60 |
$1,365.60 |
$1,448.00
|
|
Macroscopic exam arthropod
|
$99.20 |
$99.20 |
$99.20 |
$38.50
|
|
Macroscopic exam parasite
|
$137.60 |
$137.60 |
$137.60 |
$36.40
|
|
Magnesium
|
$125.60 |
$125.60 |
$125.60 |
$73.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$136.00 |
$136.00 |
$136.00 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$136.00 |
$136.00 |
$136.00 |
$152.54
|
|
Mastoids complete
|
$716.80 |
$716.80 |
$716.80 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$94.40 |
$94.40 |
$94.40 |
$66.36
|
|
Mayo aathr protein s free
|
$118.40 |
$118.40 |
$118.40 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$132.00 |
$132.00 |
$132.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$926.40 |
$926.40 |
$926.40 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$208.80 |
$208.80 |
$208.80 |
$102.96
|
|
Mayo alcohol definitive assay volatile screen
|
$133.60 |
$133.60 |
$133.60 |
$112.85
|
|
Mayo alkaline phosphatase isoenzyme
|
$128.80 |
$128.80 |
$128.80 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$96.80 |
$96.80 |
$96.80 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$156.00 |
$156.00 |
$156.00 |
$89.05
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$60.00 |
$60.00 |
$60.00 |
$82.50
|
|
Mayo analysis gene calr common variants exon 9
|
$1,458.40 |
$1,458.40 |
$1,458.40 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$648.00 |
$648.00 |
$648.00 |
$359.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$1,760.00 |
$1,760.00 |
$1,760.00 |
$361.50
|
|
Mayo androstenedione
|
$259.20 |
$259.20 |
$259.20 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$174.40 |
$174.40 |
$174.40 |
$73.08
|
|
Mayo aspergillus fumigatus antibody
|
$59.20 |
$59.20 |
$59.20 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$385.60 |
$385.60 |
$385.60 |
$165.78
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$45.60 |
$45.60 |
$45.60 |
$95.45
|
|
Mayo barbiturates definitive assay confirmation urine
|
$355.20 |
$355.20 |
$355.20 |
$91.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$843.20 |
$843.20 |
$843.20 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$470.40 |
$470.40 |
$470.40 |
$347.00
|
|
Mayo blastomyces antibody immunodiffusion
|
$67.20 |
$67.20 |
$67.20 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$37.60 |
$37.60 |
$37.60 |
$60.15
|
|
Mayo c1 esterase inhibitor
|
$225.60 |
$225.60 |
$225.60 |
$85.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$142.40 |
$142.40 |
$142.40 |
$82.68
|
|
Mayo ceruloplasmin
|
$128.80 |
$128.80 |
$128.80 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$243.20 |
$243.20 |
$243.20 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$207.20 |
$207.20 |
$207.20 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$100.80 |
$100.80 |
$100.80 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$29.60 |
$29.60 |
$29.60 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$712.00 |
$712.00 |
$712.00 |
$346.32
|
|
Mayo chromium
|
$296.80 |
$296.80 |
$296.80 |
$70.85
|
|
Mayo coccidioides antibody
|
$58.40 |
$58.40 |
$58.40 |
$55.20
|
|
Mayo cocou cortisone urine
|
$1,044.00 |
$1,044.00 |
$1,044.00 |
$207.26
|
|
Mayo cortisol free
|
$268.00 |
$268.00 |
$268.00 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$65.60 |
$65.60 |
$65.60 |
$70.20
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$141.60 |
$141.60 |
$141.60 |
$61.80
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$132.00 |
$132.00 |
$132.00 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$68.00 |
$68.00 |
$68.00 |
$65.35
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$932.00 |
$932.00 |
$932.00 |
$591.00
|
|
Mayo deoxyribonuclease antibody titer
|
$68.80 |
$68.80 |
$68.80 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$102.40 |
$102.40 |
$102.40 |
$113.10
|
|
Mayo dihydrotestosterone
|
$140.00 |
$140.00 |
$140.00 |
$78.00
|
|
Mayo estrone
|
$288.00 |
$288.00 |
$288.00 |
$84.60
|
|
Mayo ethosuximide therapeutic drug level
|
$23.20 |
$23.20 |
$23.20 |
$72.80
|
|
Mayo everolimus therapeutic drug level
|
$173.60 |
$173.60 |
$173.60 |
$91.99
|
|
Mayo factor ii
|
$261.60 |
$261.60 |
$261.60 |
$96.76
|
|
Mayo factor v
|
$273.60 |
$273.60 |
$273.60 |
$125.58
|
|
Mayo factor vii
|
$157.60 |
$157.60 |
$157.60 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$272.00 |
$272.00 |
$272.00 |
$112.75
|
