|
Infect ag drug suscept pheno predict
|
$716.93 |
$716.93 |
$716.93 |
$320.00
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,415.98 |
$1,415.98 |
$1,415.98 |
$603.75
|
|
Infect ag if legionella pneumophila
|
$709.07 |
$709.07 |
$709.07 |
$73.46
|
|
Infect ag if pneumocystis carinii
|
$145.30 |
$145.30 |
$145.30 |
$67.46
|
|
Infect ag na orthopoxvirus amp prb each
|
$109.10 |
$109.10 |
$109.10 |
$99.36
|
|
Infect ag na resp virus 12-25 targets
|
$246.58 |
$246.58 |
$246.58 |
$859.44
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$1,211.40 |
$1,211.40 |
$1,211.40 |
$82.00
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$1,951.95 |
$1,951.95 |
$1,951.95 |
$76.50
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$973.87 |
$973.87 |
$973.87 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$1,437.07 |
$1,437.07 |
$1,437.07 |
$96.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$781.05 |
$781.05 |
$781.05 |
$81.06
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$237.50 |
$237.50 |
$237.50 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$731.42 |
$731.42 |
$731.42 |
$97.50
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$162.05 |
$162.05 |
$162.05 |
$55.31
|
|
Infectious agent nucleic acid amplified probe chlamydia trachomatis
|
$773.33 |
$773.33 |
$773.33 |
$137.67
|
|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$1,166.98 |
$1,166.98 |
$1,166.98 |
$861.00
|
|
Infectious agent nucleic acid amplified probe hsv-1
|
$706.00 |
$706.00 |
$706.00 |
$181.35
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$123.03 |
$123.03 |
$123.03 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$116.70 |
$116.70 |
$116.70 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$773.00 |
$773.00 |
$773.00 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$64.76 |
$64.76 |
$64.76 |
$100.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$183.04 |
$183.04 |
$183.04 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$214.96 |
$214.96 |
$214.96 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$1,456.22 |
$1,456.22 |
$1,456.22 |
$711.93
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$1,016.50 |
$1,016.50 |
$1,016.50 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$2,598.00 |
$2,598.00 |
$2,598.00 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$3,415.00 |
$3,415.00 |
$3,415.00 |
$374.50
|
|
Influenza virus vaccine, inact hemagglutinin tiv pf inj
|
$206.65 |
$206.65 |
$206.65 |
$102.83
|
|
Inj, biorphen, 20 micrograms
|
$13.39 |
$13.39 |
$13.39 |
$17.12
|
|
Inj calcitriol per 0.1 mcg
|
$241.24 |
$241.24 |
$241.24 |
$22.69
|
|
Inj cefazolin sodium, hikma
|
$22.76 |
$22.76 |
$22.76 |
$29.10
|
|
Inj crotalidae im f(ab')2 eq
|
$3,695.16 |
$3,695.16 |
$3,695.16 |
$2,613.60
|
|
Inj meropenem (wg crit care)
|
$75.01 |
$75.01 |
$75.01 |
$77.97
|
|
Inj. mycophenolate mofetil
|
$811.81 |
$811.81 |
$811.81 |
$252.66
|
|
Inj, nithiodote, 3mg / 125mg
|
$650.16 |
$650.16 |
$650.16 |
$452.89
|
|
Inj testosterone cypionate
|
$124.00 |
$124.00 |
$124.00 |
$62.80
|
|
Insitu hybridization auto
|
$167.64 |
$167.64 |
$167.64 |
$371.00
|
|
Insitu hybridization manual
|
$234.70 |
$234.70 |
$234.70 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$56.00 |
$56.00 |
$56.00 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$56.00 |
$56.00 |
$56.00 |
$326.04
|
|
Insulin total
|
$1,766.13 |
$1,766.13 |
$1,766.13 |
$66.64
|
|
Intrinsic factor antibody
|
$1,188.36 |
$1,188.36 |
$1,188.36 |
$66.60
|
|
Ipratropium bromide non-comp
|
$7.89 |
$7.89 |
$7.89 |
$3.75
|
|
Iron
|
$773.33 |
$773.33 |
$773.33 |
$74.40
|
|
Iron dextran 50 mg/ml injection solution
|
$301.84 |
$301.84 |
$301.84 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,016.31 |
$1,016.31 |
$1,016.31 |
$187.06
|
|
Ivc venogram s&i
|
$10,366.15 |
$10,366.15 |
$10,366.15 |
$3,316.95
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$59.00 |
$59.00 |
$59.00 |
$60.20
|
|
Kidney img w/bldflw sgl without rx
|
$2,364.44 |
$2,364.44 |
$2,364.44 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$5,828.89 |
$5,828.89 |
$5,828.89 |
$666.00
|
|
Kras gene variants exon 2
|
$647.43 |
$647.43 |
$647.43 |
$486.45
|
|
Lactoferrin fecal qualitative
|
$55.16 |
$55.16 |
$55.16 |
$80.40
|
|
Lead capillary
|
$1,074.47 |
$1,074.47 |
$1,074.47 |
$57.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$99.45 |
$99.45 |
$99.45 |
$163.62
|
|
Levalbuterol non-comp con
|
$46.33 |
$46.33 |
$46.33 |
$21.60
|
|
Levalbuterol non-comp unit
|
$46.33 |
$46.33 |
$46.33 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$73.32 |
$73.32 |
$73.32 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$1,164.60 |
$1,164.60 |
$1,164.60 |
$88.92
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$434.30 |
$434.30 |
$434.30 |
$385.62
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$317.17 |
$317.17 |
$317.17 |
$39.37
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$969.29 |
$969.29 |
$969.29 |
$125.66
|
|
Lipase
|
$1,022.78 |
$1,022.78 |
$1,022.78 |
$93.58
|
|
Lipoprotein blood quant
|
$135.86 |
$135.86 |
$135.86 |
$102.05
|
|
Lithium therapeutic drug level
|
$941.02 |
$941.02 |
$941.02 |
$69.42
|
|
Liver Function Test
|
$973.87 |
$973.87 |
$973.87 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$121.28 |
$121.28 |
$121.28 |
$37.20
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$19,528.35 |
$19,528.35 |
$19,528.35 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$16,922.09 |
$16,922.09 |
$16,922.09 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$16,922.09 |
$16,922.09 |
$16,922.09 |
$2,096.84
|
|
Lung perfusion imaging
|
$4,860.73 |
$4,860.73 |
$4,860.73 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$5,357.44 |
$5,357.44 |
$5,357.44 |
$1,448.00
|
|
Macroscopic exam parasite
|
$655.28 |
$655.28 |
$655.28 |
$36.40
|
|
Mayo alkaline phosphatase isoenzyme
|
$445.00 |
$445.00 |
$445.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$406.57 |
$406.57 |
$406.57 |
$89.05
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$647.43 |
$647.43 |
$647.43 |
$359.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$197.68 |
$197.68 |
$197.68 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$134.12 |
$134.12 |
$134.12 |
$72.35
|
|
Mayo avwpr vw factor activity
|
$600.86 |
$600.86 |
$600.86 |
$165.78
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$237.41 |
$237.41 |
$237.41 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$436.62 |
$436.62 |
$436.62 |
$57.85
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$502.26 |
$502.26 |
$502.26 |
$113.50
|
|
Mayo ceruloplasmin
|
$781.05 |
$781.05 |
$781.05 |
$69.60
|
|
Mayo chikv chikungunya antibodies igg
|
$368.86 |
$368.86 |
$368.86 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$117.32 |
$117.32 |
$117.32 |
$50.88
|
|
Mayo chromium
|
$1,462.23 |
$1,462.23 |
$1,462.23 |
$70.85
|
|
Mayo coccidioides antibody
|
$370.93 |
$370.93 |
$370.93 |
$55.20
|
|
Mayo cortisol free
|
$680.43 |
$680.43 |
$680.43 |
$94.95
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$391.22 |
$391.22 |
$391.22 |
$61.80
|
|
Mayo cyanide
|
$533.00 |
$533.00 |
$533.00 |
$90.00
|
|
Mayo deoxyribonuclease antibody titer
|
$1,376.29 |
$1,376.29 |
$1,376.29 |
$56.80
|
|
Mayo estriol
|
$441.55 |
$441.55 |
$441.55 |
$92.30
|
|
Mayo ethosuximide therapeutic drug level
|
$539.35 |
$539.35 |
$539.35 |
$72.80
|
|
Mayo factor ii
|
$71.39 |
$71.39 |
$71.39 |
$96.76
|
|
Mayo factor v
|
$1,292.45 |
$1,292.45 |
$1,292.45 |
$125.58
|
|
Mayo factor vii
|
$1,292.45 |
$1,292.45 |
$1,292.45 |
$155.00
|
|
Mayo factor viii vw factor antigen
|
$451.29 |
$451.29 |
$451.29 |
$112.75
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$451.29 |
$451.29 |
$451.29 |
$140.40
|
|
Mayo factor x
|
$588.91 |
$588.91 |
$588.91 |
$155.00
|
|
Mayo fbl culture fungi blood
|
$1,530.67 |
$1,530.67 |
$1,530.67 |
$104.53
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$1,462.23 |
$1,462.23 |
$1,462.23 |
$69.00
|