|
Mayo factor v
|
$455.40 |
$455.40 |
$455.40 |
$125.58
|
|
Mayo factor viii vw factor antigen
|
$372.60 |
$372.60 |
$372.60 |
$112.75
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$229.80 |
$229.80 |
$229.80 |
$140.40
|
|
Mayo ffspg allergen clam igg
|
$110.40 |
$110.40 |
$110.40 |
$37.00
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$241.20 |
$241.20 |
$241.20 |
$69.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$578.40 |
$578.40 |
$578.40 |
$114.23
|
|
Mayo hydroxyprogesterone 17-d
|
$58.20 |
$58.20 |
$58.20 |
$109.63
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$219.00 |
$219.00 |
$219.00 |
$204.48
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$24.60 |
$24.60 |
$24.60 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$90.60 |
$90.60 |
$90.60 |
$107.50
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$331.80 |
$331.80 |
$331.80 |
$81.04
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$126.00 |
$126.00 |
$126.00 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$25.80 |
$25.80 |
$25.80 |
$76.20
|
|
Mayo infliximab therapeutic drug level
|
$57.00 |
$57.00 |
$57.00 |
$148.80
|
|
Mayo insft insulin free
|
$57.00 |
$57.00 |
$57.00 |
$55.00
|
|
Mayo insulin antibodies
|
$108.60 |
$108.60 |
$108.60 |
$98.82
|
|
Mayo lamotrigine therapeutic drug level
|
$241.20 |
$241.20 |
$241.20 |
$69.75
|
|
Mayo lipoprotein electrophoresis
|
$172.20 |
$172.20 |
$172.20 |
$50.70
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$55.20 |
$55.20 |
$55.20 |
$70.00
|
|
Mayo metanephrines plasma
|
$154.80 |
$154.80 |
$154.80 |
$122.40
|
|
Mayo mgle voltage-gated calcium channel antibody each
|
$168.00 |
$168.00 |
$168.00 |
$85.40
|
|
Mayo microsomal antibody liver-kidney
|
$148.20 |
$148.20 |
$148.20 |
$82.33
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$4,518.60 |
$4,518.60 |
$4,518.60 |
$166.65
|
|
Mayo muramidase
|
$85.20 |
$85.20 |
$85.20 |
$59.00
|
|
Mayo myoglobin
|
$199.80 |
$199.80 |
$199.80 |
$97.20
|
|
Mayo organic acid methylmalonic single quantitative
|
$349.80 |
$349.80 |
$349.80 |
$105.00
|
|
Mayo oxalate 24 hour urine
|
$135.00 |
$135.00 |
$135.00 |
$65.00
|
|
Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme)
|
$460.80 |
$460.80 |
$460.80 |
$184.17
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$88.80 |
$88.80 |
$88.80 |
$83.40
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$100.20 |
$100.20 |
$100.20 |
$50.16
|
|
Mayo prmb primidone therapeutic drug level
|
$50.40 |
$50.40 |
$50.40 |
$69.09
|
|
Mayo psaft prostate specific antigen free
|
$134.40 |
$134.40 |
$134.40 |
$90.00
|
|
Mayo receptor assay transferrin soluble
|
$126.00 |
$126.00 |
$126.00 |
$115.70
|
|
Mayo renin
|
$315.00 |
$315.00 |
$315.00 |
$102.60
|
|
Mayo repu protein electrophoresis urine
|
$106.20 |
$106.20 |
$106.20 |
$92.70
|
|
Mayo selenium
|
$232.20 |
$232.20 |
$232.20 |
$79.75
|
|
Mayo serotonin
|
$369.00 |
$369.00 |
$369.00 |
$120.00
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$48.00 |
$48.00 |
$48.00 |
$48.57
|
|
Mayo tgrp testosterone free
|
$41.40 |
$41.40 |
$41.40 |
$103.32
|
|
Mayo tgrp testosterone total
|
$47.40 |
$47.40 |
$47.40 |
$124.20
|
|
Mayo thyroglobulin
|
$477.00 |
$477.00 |
$477.00 |
$95.00
|
|
Mayo ticks anaplasma phagocytophilum antibody igg
|
$109.80 |
$109.80 |
$109.80 |
$66.60
|
|
Mayo ticks babesia microti antibody igg
|
$57.60 |
$57.60 |
$57.60 |
$64.84
|
|
Mayo ttfb testosterone bioavailable direct
|
$40.20 |
$40.20 |
$40.20 |
$89.60
|
|
Mayo valpg valproic acid free therapeutic drug level
|
$27.60 |
$27.60 |
$27.60 |
$63.65
|
|
Mayo vitamin b-2 (riboflavin)
|
$220.80 |
$220.80 |
$220.80 |
$91.00
|
|
Mayo vitamin b3 (niacin)
|
$397.20 |
$397.20 |
$397.20 |
$110.00
|
|
Mayo vitamin k
|
$431.40 |
$431.40 |
$431.40 |
$94.60
|
|
Mayo zonisamide therapeutic drug level
|
$108.00 |
$108.00 |
$108.00 |
$86.40
|
|
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm
|
$5,087.40 |
$5,087.40 |
$5,087.40 |
$1,660.50
|
|
Meropenem 1 gram intravenous solution
|
$119.70 |
$119.70 |
$119.70 |
$59.84
|
|
Metabolic Blood Panel (Basic)
|
$105.00 |
$105.00 |
$105.00 |
$117.50
|
|
Metabolic Blood Panel (Comprehensive)
|
$123.00 |
$123.00 |
$123.00 |
$157.50
|
|
Metabolic panel ionized ca
|
$151.20 |
$151.20 |
$151.20 |
$144.95
|
|
Methotrexate therapeutic drug level
|
$16.20 |
$16.20 |
$16.20 |
$103.74
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$198.60 |
$198.60 |
$198.60 |
$59.60
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$259.20 |
$259.20 |
$259.20 |
$193.00
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$11.40 |
$11.40 |
$11.40 |
$14.85
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$5.40 |
$5.40 |
$5.40 |
$7.59
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$9.60 |
$9.60 |
$9.60 |
$22.10
|
|
Micafungin 100 mg intravenous solution
|
$301.20 |
$301.20 |
$301.20 |
$324.36
|
|
Microalbumin urine screen
|
$54.00 |
$54.00 |
$54.00 |
$19.04
|
|
Midazolam 1 mg/ml injection solution
|
$27.00 |
$27.00 |
$27.00 |
$64.34
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$116.40 |
$116.40 |
$116.40 |
$104.50
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$53.40 |
$53.40 |
$53.40 |
$89.08
|
|
Morphine 4 mg/ml injection (wrapper)
|
$10.20 |
$10.20 |
$10.20 |
$72.07
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$9.60 |
$9.60 |
$9.60 |
$22.12
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,929.00 |
$1,929.00 |
$1,929.00 |
$2,110.00
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,851.80 |
$2,851.80 |
$2,851.80 |
$2,855.40
|
|
MRI orbit/face/neck without contrast
|
$3,052.20 |
$3,052.20 |
$3,052.20 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$5,116.80 |
$5,116.80 |
$5,116.80 |
$2,854.80
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$2,053.80 |
$2,053.80 |
$2,053.80 |
$2,020.80
|
|
Mthfr gene analy common variants
|
$1,021.20 |
$1,021.20 |
$1,021.20 |
$180.48
|
|
Mumps antibody igg
|
$286.20 |
$286.20 |
$286.20 |
$78.00
|
|
Mycophenolate mofetil 250 mg capsule
|
$24.00 |
$24.00 |
$24.00 |
$10.79
|
|
Myeloperoxidase ab multi step qualitative/semiquantitative
|
$155.40 |
$155.40 |
$155.40 |
$131.07
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$110.40 |
$110.40 |
$110.40 |
$70.87
|
|
Natriuretic peptide
|
$163.80 |
$163.80 |
$163.80 |
$176.15
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$2,693.40 |
$2,693.40 |
$2,693.40 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$2,461.80 |
$2,461.80 |
$2,461.80 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$2,537.40 |
$2,537.40 |
$2,537.40 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$4,864.80 |
$4,864.80 |
$4,864.80 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$3,052.20 |
$3,052.20 |
$3,052.20 |
$2,054.72
|
|
Neostigmine methylsulfate 1 mg/ml injection (wrapper)
|
$98.40 |
$98.40 |
$98.40 |
$60.38
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$103.20 |
$103.20 |
$103.20 |
$264.31
|
|
Nushield 1 square cm
|
$817.69 |
$817.69 |
$817.69 |
$937.50
|
|
Octreotide acetate 100 mcg/ml injection (wrapper)
|
$332.40 |
$332.40 |
$332.40 |
$90.00
|
|
Olanzapine 10 mg intramuscular solution
|
$121.20 |
$121.20 |
$121.20 |
$109.58
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$17.40 |
$17.40 |
$17.40 |
$22.62
|
|
Oritavancin 1,200 mg intravenous solution
|
$17,931.60 |
$17,931.60 |
$17,931.60 |
$11,017.26
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$53.40 |
$53.40 |
$53.40 |
$50.63
|
|
Osmolality blood
|
$141.60 |
$141.60 |
$141.60 |
$69.55
|
|
Osmolality urine
|
$82.80 |
$82.80 |
$82.80 |
$65.65
|
|
Ot evaluation high complexity patient/family
|
$161.40 |
$161.40 |
$161.40 |
$292.80
|
|
Ot evaluation low complexity patient/family
|
$161.40 |
$161.40 |
$161.40 |
$226.80
|
|
Ot evaluation moderate complexity patient/family
|
$161.40 |
$161.40 |
$161.40 |
$263.50
|
|
Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes
|
$73.20 |
$73.20 |
$73.20 |
$98.62
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$73.20 |
$73.20 |
$73.20 |
$104.50
|
|
Ot manual therpy techniques >=1 region each 15 minutes
|
$102.00 |
$102.00 |
$102.00 |
$105.00
|
|
Ot re-evaluation patient/family
|
$78.00 |
$78.00 |
$78.00 |
$160.80
|
