|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$82.00 |
$82.00 |
$82.00 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$49.88 |
$49.88 |
$49.88 |
$23.52
|
|
Kidney imaging morphology
|
$2,322.65 |
$2,322.65 |
$2,322.65 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,013.90 |
$2,013.90 |
$2,013.90 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,375.00 |
$1,375.00 |
$1,375.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$683.50 |
$683.50 |
$683.50 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$595.85 |
$595.85 |
$595.85 |
$490.75
|
|
Kit gene analys d816 variant
|
$890.40 |
$890.40 |
$890.40 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$3,955.10 |
$3,955.10 |
$3,955.10 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,554.55 |
$2,554.55 |
$2,554.55 |
$2,130.88
|
|
Knee X-ray
|
$338.35 |
$338.35 |
$338.35 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$235.85 |
$235.85 |
$235.85 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$295.20 |
$295.20 |
$295.20 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$253.35 |
$253.35 |
$253.35 |
$251.20
|
|
Kras gene addl variants
|
$1,153.95 |
$1,153.95 |
$1,153.95 |
$387.20
|
|
Kras gene variants exon 2
|
$1,378.60 |
$1,378.60 |
$1,378.60 |
$536.20
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$502.24 |
$502.24 |
$502.24 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$67.35 |
$67.35 |
$67.35 |
$55.50
|
|
Lactic acid
|
$118.65 |
$118.65 |
$118.65 |
$107.10
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$29,081.87 |
$29,081.87 |
$29,081.87 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,002.90 |
$1,002.90 |
$1,002.90 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,450.90 |
$1,450.90 |
$1,450.90 |
$765.97
|
|
Laryngoscopic sensory vid
|
$685.45 |
$685.45 |
$685.45 |
$323.79
|
|
Lead capillary
|
$113.90 |
$113.90 |
$113.90 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$837.10 |
$837.10 |
$837.10 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,056.85 |
$1,056.85 |
$1,056.85 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$595.00 |
$595.00 |
$595.00 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$134.00 |
$134.00 |
$134.00 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$105.67 |
$105.67 |
$105.67 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$39,167.12 |
$39,167.12 |
$39,167.12 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$39,531.24 |
$39,531.24 |
$39,531.24 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$202.76 |
$202.76 |
$202.76 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$173.45 |
$173.45 |
$173.45 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$38.33 |
$38.33 |
$38.33 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$549.10 |
$549.10 |
$549.10 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$40.21 |
$40.21 |
$40.21 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$176.40 |
$176.40 |
$176.40 |
$39.75
|
|
Lift heel adj small gl60404sm
|
$53.10 |
$53.10 |
$53.10 |
$133.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$243.32 |
$243.32 |
$243.32 |
$121.00
|
|
Lipase
|
$78.15 |
$78.15 |
$78.15 |
$93.58
|
|
Lipoprotein blood quant
|
$126.15 |
$126.15 |
$126.15 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$93.05 |
$93.05 |
$93.05 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$86.30 |
$86.30 |
$86.30 |
$61.60
|
|
Lip surgery procedure
|
$448.80 |
$448.80 |
$448.80 |
$334.50
|
|
Lithium therapeutic drug level
|
$74.15 |
$74.15 |
$74.15 |
$69.75
|
|
Liver Function Test
|
$92.85 |
$92.85 |
$92.85 |
$115.44
|
|
Liver imag w/vasclr flow
|
$5,068.55 |
$5,068.55 |
$5,068.55 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,148.50 |
$1,148.50 |
$1,148.50 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$1,473.40 |
$1,473.40 |
$1,473.40 |
$1,069.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$8.65 |
$8.65 |
$8.65 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$178.00 |
$178.00 |
$178.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,504.65 |
$2,504.65 |
$2,504.65 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,049.00 |
$2,049.00 |
$2,049.00 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,430.20 |
$1,430.20 |
$1,430.20 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,956.45 |
$3,956.45 |
$3,956.45 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,136.80 |
$3,136.80 |
$3,136.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,554.55 |
$2,554.55 |
$2,554.55 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$330.25 |
$330.25 |
$330.25 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$461.00 |
$461.00 |
$461.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$622.80 |
$622.80 |
$622.80 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$221.10 |
$221.10 |
$221.10 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$467.80 |
$467.80 |
$467.80 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$226.50 |
$226.50 |
$226.50 |
$296.91
|
|
Lung perfusion imaging
|
$1,230.75 |
$1,230.75 |
$1,230.75 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,930.45 |
$1,930.45 |
$1,930.45 |
$1,491.70
|
|
Macro exam dissect molec study ea
|
$73.75 |
$73.75 |
$73.75 |
$67.08
|
|
Macroscopic exam parasite
|
$33.25 |
$33.25 |
$33.25 |
$37.05
|
|
Magnesium
|
$76.70 |
$76.70 |
$76.70 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$90.33 |
$90.33 |
$90.33 |
$58.70
|
|
Mannitol 12.5 gm/50 ml inj
|
$36.81 |
$36.81 |
$36.81 |
$26.29
|
|
Marker biop eviva buckle ss
|
$344.40 |
$344.40 |
$344.40 |
$1,451.30
|
|
Mastoids complete
|
$448.85 |
$448.85 |
$448.85 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$140.25 |
$140.25 |
$140.25 |
$65.28
|
|
Mayo aathr protein s free
|
$103.20 |
$103.20 |
$103.20 |
$130.00
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$611.55 |
$611.55 |
$611.55 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$299.50 |
$299.50 |
$299.50 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$90.70 |
$90.70 |
$90.70 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$142.65 |
$142.65 |
$142.65 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$227.00 |
$227.00 |
$227.00 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$143.30 |
$143.30 |
$143.30 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$165.80 |
$165.80 |
$165.80 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$284.10 |
$284.10 |
$284.10 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$754.15 |
$754.15 |
$754.15 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,003.30 |
$1,003.30 |
$1,003.30 |
$374.73
|
|
Mayo analysis gene smn1 dosage/deletion
|
$976.90 |
$976.90 |
$976.90 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$7,730.65 |
$7,730.65 |
$7,730.65 |
$1,860.00
|
|
Mayo androstenedione
|
$274.60 |
$274.60 |
$274.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$150.00 |
$150.00 |
$150.00 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$141.45 |
$141.45 |
$141.45 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$192.55 |
$192.55 |
$192.55 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$285.80 |
$285.80 |
$285.80 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$128.35 |
$128.35 |
$128.35 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$96.25 |
$96.25 |
$96.25 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$364.90 |
$364.90 |
$364.90 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$388.20 |
$388.20 |
$388.20 |
$310.20
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$453.20 |
$453.20 |
$453.20 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$75.00 |
$75.00 |
$75.00 |
$69.20
|