|
IV Medicine Infusion (first hour)
|
$707.20 |
$707.20 |
$707.20 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$213.60 |
$213.60 |
$213.60 |
$167.50
|
|
IV Push Injection (first drug)
|
$384.80 |
$384.80 |
$384.80 |
$252.76
|
|
Ivp w/wo kub w/wo tomography
|
$1,008.80 |
$1,008.80 |
$1,008.80 |
$713.40
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$426.40 |
$426.40 |
$426.40 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$363.20 |
$363.20 |
$363.20 |
$362.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$72.80 |
$72.80 |
$72.80 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$61.66 |
$61.66 |
$61.66 |
$23.52
|
|
Kidney img w/bldflw sgl without rx
|
$1,980.80 |
$1,980.80 |
$1,980.80 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$820.00 |
$820.00 |
$820.00 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$700.00 |
$700.00 |
$700.00 |
$490.75
|
|
Knee MRI (with and without contrast)
|
$4,069.60 |
$4,069.60 |
$4,069.60 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,324.00 |
$3,324.00 |
$3,324.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,810.40 |
$2,810.40 |
$2,810.40 |
$2,130.88
|
|
Knee X-ray
|
$413.60 |
$413.60 |
$413.60 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$309.60 |
$309.60 |
$309.60 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$363.20 |
$363.20 |
$363.20 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$316.00 |
$316.00 |
$316.00 |
$251.20
|
|
Ko elastic w/joints pre ots
|
$75.20 |
$75.20 |
$75.20 |
$137.05
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$64.79 |
$64.79 |
$64.79 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$70.14 |
$70.14 |
$70.14 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$44.80 |
$44.80 |
$44.80 |
$55.50
|
|
Lactated ringers intravenous solution
|
$40.00 |
$40.00 |
$40.00 |
$43.74
|
|
Lactic acid
|
$94.40 |
$94.40 |
$94.40 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$140.00 |
$140.00 |
$140.00 |
$82.16
|
|
Laparoscopy remove adnexa
|
$11,330.40 |
$11,330.40 |
$11,330.40 |
$8,782.80
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$798.40 |
$798.40 |
$798.40 |
$740.40
|
|
Lead capillary
|
$100.80 |
$100.80 |
$100.80 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,267.20 |
$1,267.20 |
$1,267.20 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,360.80 |
$2,360.80 |
$2,360.80 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,018.40 |
$2,018.40 |
$2,018.40 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,337.60 |
$1,337.60 |
$1,337.60 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$520.00 |
$520.00 |
$520.00 |
$1,065.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$74.84 |
$74.84 |
$74.84 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$4,396.20 |
$4,396.20 |
$4,396.20 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$17,562.40 |
$17,562.40 |
$17,562.40 |
$8,348.12
|
|
Levalbuterol non-comp unit
|
$5.82 |
$5.82 |
$5.82 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$63.60 |
$63.60 |
$63.60 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$107.20 |
$107.20 |
$107.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$119.51 |
$119.51 |
$119.51 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$191.67 |
$191.67 |
$191.67 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$63.56 |
$63.56 |
$63.56 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$77.27 |
$77.27 |
$77.27 |
$39.75
|
|
Ligation/biopsy of temporal artery 37609
|
$4,917.60 |
$4,917.60 |
$4,917.60 |
$3,322.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$220.43 |
$220.43 |
$220.43 |
$121.00
|
|
Lipase
|
$51.20 |
$51.20 |
$51.20 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$66.40 |
$66.40 |
$66.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$66.40 |
$66.40 |
$66.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$60.00 |
$60.00 |
$60.00 |
$69.75
|
|
Liver Function Test
|
$61.60 |
$61.60 |
$61.60 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$62.52 |
$62.52 |
$62.52 |
$37.20
|
|
Lo sag rig pnl stays pre cst
|
$152.80 |
$152.80 |
$152.80 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,097.60 |
$3,097.60 |
$3,097.60 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,491.20 |
$2,491.20 |
$2,491.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,326.40 |
$4,326.40 |
$4,326.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,452.80 |
$3,452.80 |
$3,452.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,165.60 |
$3,165.60 |
$3,165.60 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$414.40 |
$414.40 |
$414.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$562.40 |
$562.40 |
$562.40 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$652.80 |
$652.80 |
$652.80 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$332.00 |
$332.00 |
$332.00 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$679.20 |
$679.20 |
$679.20 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$235.20 |
$235.20 |
$235.20 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$399.20 |
$399.20 |
$399.20 |
$296.91
|
|
Macroscopic exam arthropod
|
$80.00 |
$80.00 |
$80.00 |
$38.58
|
|
Magnesium
|
$50.40 |
$50.40 |
$50.40 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$76.87 |
$76.87 |
$76.87 |
$58.70
|
|
Makena, 10 mg
|
$633.16 |
$633.16 |
$633.16 |
$1,405.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$60.76 |
$60.76 |
$60.76 |
$26.29
|
|
Marker biop eviva buckle ss
|
$198.40 |
$198.40 |
$198.40 |
$1,451.30
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$153.60 |
$153.60 |
$153.60 |
$65.28
|
|
Mayo aathr protein s free
|
$348.80 |
$348.80 |
$348.80 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$153.60 |
$153.60 |
$153.60 |
$97.50
|
|
Mayo alcohol definitive assay volatile screen
|
$69.60 |
$69.60 |
$69.60 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$50.40 |
$50.40 |
$50.40 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$88.80 |
$88.80 |
$88.80 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$125.60 |
$125.60 |
$125.60 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$101.60 |
$101.60 |
$101.60 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$58.40 |
$58.40 |
$58.40 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$73.60 |
$73.60 |
$73.60 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$440.00 |
$440.00 |
$440.00 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$476.00 |
$476.00 |
$476.00 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,050.40 |
$3,050.40 |
$3,050.40 |
$1,860.00
|
|
Mayo androstenedione
|
$68.80 |
$68.80 |
$68.80 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$134.40 |
$134.40 |
$134.40 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$117.60 |
$117.60 |
$117.60 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$69.60 |
$69.60 |
$69.60 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$272.00 |
$272.00 |
$272.00 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$144.00 |
$144.00 |
$144.00 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$84.00 |
$84.00 |
$84.00 |
$45.50
|
|
Mayo blastomyces antibody immunodiffusion
|
$97.60 |
$97.60 |
$97.60 |
$56.00
|
|
Mayo bordetella pertussis antibody igg
|
$114.40 |
$114.40 |
$114.40 |
$69.20
|
|
Mayo c1 esterase inhibitor
|
$132.00 |
$132.00 |
$132.00 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$224.00 |
$224.00 |
$224.00 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$50.40 |
$50.40 |
$50.40 |
$81.00
|
|
Mayo ceruloplasmin
|
$86.40 |
$86.40 |
$86.40 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$127.20 |
$127.20 |
$127.20 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$102.40 |
$102.40 |
$102.40 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$54.40 |
$54.40 |
$54.40 |
$53.30
|