|
Ins tun cv cath wo subq prt/pm
|
$6,798.24 |
$6,798.24 |
$6,798.24 |
$4,218.00
|
|
Insulin total
|
$164.16 |
$164.16 |
$164.16 |
$66.64
|
|
Intens cardiac rehab no exer
|
$272.16 |
$272.16 |
$272.16 |
$238.40
|
|
Intens cardiac rehab w/exerc
|
$272.16 |
$272.16 |
$272.16 |
$238.40
|
|
Intrinsic factor antibody
|
$180.00 |
$180.00 |
$180.00 |
$62.70
|
|
Intubation endotracheal emergency procedure
|
$727.20 |
$727.20 |
$727.20 |
$598.80
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.38 |
$2.38 |
$2.38 |
$279.10
|
|
Iron
|
$92.88 |
$92.88 |
$92.88 |
$72.29
|
|
Iron binding capacity
|
$52.56 |
$52.56 |
$52.56 |
$63.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.09 |
$1.09 |
$1.09 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$111.60 |
$111.60 |
$111.60 |
$143.81
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$133.92 |
$133.92 |
$133.92 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$105.12 |
$105.12 |
$105.12 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$120.24 |
$120.24 |
$120.24 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$396.00 |
$396.00 |
$396.00 |
$443.20
|
|
Ivp w/wo kub w/wo tomography
|
$794.88 |
$794.88 |
$794.88 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$678.96 |
$678.96 |
$678.96 |
$408.80
|
|
John cunningham antibody
|
$1,213.20 |
$1,213.20 |
$1,213.20 |
$65.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$192.24 |
$192.24 |
$192.24 |
$58.56
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$25.20 |
$25.20 |
$25.20 |
$23.77
|
|
Kidney imag w/bld flow multi
|
$2,383.92 |
$2,383.92 |
$2,383.92 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,905.12 |
$1,905.12 |
$1,905.12 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$786.24 |
$786.24 |
$786.24 |
$664.20
|
|
Kit gene analys d816 variant
|
$628.56 |
$628.56 |
$628.56 |
$367.00
|
|
Knee MRI (with and without contrast)
|
$4,353.12 |
$4,353.12 |
$4,353.12 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,594.24 |
$3,594.24 |
$3,594.24 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,881.44 |
$2,881.44 |
$2,881.44 |
$2,110.76
|
|
Knee X-ray
|
$436.32 |
$436.32 |
$436.32 |
$425.55
|
|
Lactate dehydrogenase (ldh)
|
$97.92 |
$97.92 |
$97.92 |
$55.25
|
|
Lactated ringers intravenous solution
|
$39.60 |
$39.60 |
$39.60 |
$44.91
|
|
Lactic acid
|
$239.04 |
$239.04 |
$239.04 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$123.12 |
$123.12 |
$123.12 |
$81.25
|
|
Lead capillary
|
$136.80 |
$136.80 |
$136.80 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,550.88 |
$1,550.88 |
$1,550.88 |
$1,088.26
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$108.00 |
$108.00 |
$108.00 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$276.48 |
$276.48 |
$276.48 |
$82.50
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$108.00 |
$108.00 |
$108.00 |
$55.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$25.20 |
$25.20 |
$25.20 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$108.00 |
$108.00 |
$108.00 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$189.36 |
$189.36 |
$189.36 |
$87.45
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$108.00 |
$108.00 |
$108.00 |
$123.78
|
|
Lipase
|
$103.68 |
$103.68 |
$103.68 |
$91.80
|
|
Lipoprotein blood quant
|
$95.76 |
$95.76 |
$95.76 |
$101.14
|
|
Lipoprotein direct measurement hdl
|
$105.84 |
$105.84 |
$105.84 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$95.04 |
$95.04 |
$95.04 |
$61.60
|
|
Lithium therapeutic drug level
|
$1,188.72 |
$1,188.72 |
$1,188.72 |
$69.42
|
|
Liver Function Test
|
$174.24 |
$174.24 |
$174.24 |
$115.44
|
|
Liver/spleen imag static only
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$1,138.55
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$25.20 |
$25.20 |
$25.20 |
$37.44
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,057.84 |
$3,057.84 |
$3,057.84 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,386.80 |
$2,386.80 |
$2,386.80 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,982.16 |
$1,982.16 |
$1,982.16 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,084.56 |
$4,084.56 |
$4,084.56 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,514.32 |
$3,514.32 |
$3,514.32 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,881.44 |
$2,881.44 |
$2,881.44 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$419.04 |
$419.04 |
$419.04 |
$355.32
|
|
Lung Function Test (Spirometry)
|
$337.68 |
$337.68 |
$337.68 |
$296.91
|
|
Lung perfusion imaging
|
$1,170.00 |
$1,170.00 |
$1,170.00 |
$1,069.25
|
|
Macroscopic exam arthropod
|
$33.84 |
$33.84 |
$33.84 |
$38.58
|
|
Magnesium
|
$140.40 |
$140.40 |
$140.40 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$108.00 |
$108.00 |
$108.00 |
$58.70
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$278.64 |
$278.64 |
$278.64 |
$130.81
|
|
Manipulation chest wall initial demonstration/evaluation
|
$278.64 |
$278.64 |
$278.64 |
$159.05
|
|
Mastoids complete
|
$447.84 |
$447.84 |
$447.84 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$75.60 |
$75.60 |
$75.60 |
$65.00
|
|
Mayo aathr protein s free
|
$219.60 |
$219.60 |
$219.60 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$110.16 |
$110.16 |
$110.16 |
$96.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$104.40 |
$104.40 |
$104.40 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$304.56 |
$304.56 |
$304.56 |
$115.05
|
|
Mayo alkaline phosphatase isoenzyme
|
$141.84 |
$141.84 |
$141.84 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$198.72 |
$198.72 |
$198.72 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$209.52 |
$209.52 |
$209.52 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$71.28 |
$71.28 |
$71.28 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$342.72 |
$342.72 |
$342.72 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,132.56 |
$1,132.56 |
$1,132.56 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$620.64 |
$620.64 |
$620.64 |
$368.25
|
|
Mayo androstenedione
|
$242.64 |
$242.64 |
$242.64 |
$106.40
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$182.16 |
$182.16 |
$182.16 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$73.44 |
$73.44 |
$73.44 |
$71.20
|
|
Mayo aspergillus fumigatus antibody
|
$269.28 |
$269.28 |
$269.28 |
$66.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$99.36 |
$99.36 |
$99.36 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$123.84 |
$123.84 |
$123.84 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$259.92 |
$259.92 |
$259.92 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$101.52 |
$101.52 |
$101.52 |
$57.00
|
|
Mayo brcmg brucella antibody igm
|
$93.60 |
$93.60 |
$93.60 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$284.40 |
$284.40 |
$284.40 |
$85.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$239.04 |
$239.04 |
$239.04 |
$106.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$241.92 |
$241.92 |
$241.92 |
$79.20
|
|
Mayo ceruloplasmin
|
$139.68 |
$139.68 |
$139.68 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$72.00 |
$72.00 |
$72.00 |
$117.00
|
|
Mayo chikv chikungunya antibodies igg
|
$332.64 |
$332.64 |
$332.64 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$160.56 |
$160.56 |
$160.56 |
$52.80
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$516.24 |
$516.24 |
$516.24 |
$49.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$594.72 |
$594.72 |
$594.72 |
$353.99
|
|
Mayo chromium
|
$81.36 |
$81.36 |
$81.36 |
$70.85
|
|
Mayo coccidioides antibody
|
$110.16 |
$110.16 |
$110.16 |
$55.20
|
|
Mayo cocou cortisone urine
|
$222.48 |
$222.48 |
$222.48 |
$204.10
|
|
Mayo cortisol free
|
$153.36 |
$153.36 |
$153.36 |
$92.80
|
|
Mayo covid-19 antibody nucleocapsid total
|
$102.24 |
$102.24 |
$102.24 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$90.00 |
$90.00 |
$90.00 |
$61.02
|