|
Insitu hybridization (fish)
|
$294.00 |
$294.00 |
$294.00 |
$481.60
|
|
Insitu hybridization manual
|
$208.32 |
$208.32 |
$208.32 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$82.88 |
$82.88 |
$82.88 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$130.48 |
$130.48 |
$130.48 |
$364.00
|
|
Insulin total
|
$25.98 |
$25.98 |
$25.98 |
$72.15
|
|
Intrinsic factor antibody
|
$17.92 |
$17.92 |
$17.92 |
$76.77
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$2.24 |
$2.24 |
$2.24 |
$145.52
|
|
Iron
|
$27.17 |
$27.17 |
$27.17 |
$67.50
|
|
Iron binding capacity
|
$19.49 |
$19.49 |
$19.49 |
$55.00
|
|
Irradiation of blood product each unit reference
|
$49.28 |
$49.28 |
$49.28 |
$127.49
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$68.32 |
$68.32 |
$68.32 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$68.32 |
$68.32 |
$68.32 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$75.60 |
$75.60 |
$75.60 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$187.60 |
$187.60 |
$187.60 |
$476.50
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$9.90 |
$9.90 |
$9.90 |
$52.50
|
|
Kidney img w/bldflw sgl without rx
|
$506.24 |
$506.24 |
$506.24 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$282.24 |
$282.24 |
$282.24 |
$618.54
|
|
Kit hfx iq ipg bundle
|
$19,867.68 |
$19,867.68 |
$19,867.68 |
$56,811.60
|
|
Kit lead specify 5-6-5
|
$4,480.00 |
$4,480.00 |
$4,480.00 |
$13,784.80
|
|
Kit sound processor cochlear osia 2
|
$10,164.00 |
$10,164.00 |
$10,164.00 |
$22,008.58
|
|
Kit trach suct cls 30.5cm
|
$26.32 |
$26.32 |
$26.32 |
$28.20
|
|
Knee MRI (with and without contrast)
|
$866.32 |
$866.32 |
$866.32 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$2,161.60 |
$2,161.60 |
$2,161.60 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$977.20 |
$977.20 |
$977.20 |
$2,120.00
|
|
Knee X-ray
|
$151.20 |
$151.20 |
$151.20 |
$387.20
|
|
Kras gene addl variants
|
$32.68 |
$32.68 |
$32.68 |
$366.56
|
|
Kras gene variants exon 2
|
$32.68 |
$32.68 |
$32.68 |
$495.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.30 |
$0.30 |
$0.30 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$15.94 |
$15.94 |
$15.94 |
$50.55
|
|
Lactic acid
|
$57.87 |
$57.87 |
$57.87 |
$85.20
|
|
Lactoferrin fecal quant
|
$22.96 |
$22.96 |
$22.96 |
$106.10
|
|
Laryngoscopy telescopic
|
$456.96 |
$456.96 |
$456.96 |
$685.43
|
|
Lead acuity x4 spiral l 86cm
|
$2,128.00 |
$2,128.00 |
$2,128.00 |
$4,863.24
|
|
Lead capillary
|
$19.49 |
$19.49 |
$19.49 |
$66.32
|
|
Lead ingevity 45cm pfret MRI
|
$575.12 |
$575.12 |
$575.12 |
$4,132.20
|
|
Lead tachy durata sj4 58cm
|
$4,236.96 |
$4,236.96 |
$4,236.96 |
$13,488.75
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$387.52 |
$387.52 |
$387.52 |
$1,053.00
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$831.60 |
$831.60 |
$831.60 |
$609.00
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,170.40 |
$1,170.40 |
$1,170.40 |
$1,136.25
|
|
Lens iol ant chamb 10.5
|
$129.92 |
$129.92 |
$129.92 |
$191.25
|
|
Leukocyte phagocytosis
|
$49.60 |
$49.60 |
$49.60 |
$92.88
|
|
Levetiracetam therapeutic drug level
|
$21.85 |
$21.85 |
$21.85 |
$99.45
|
|
Liberta rc ipg
|
$20,160.00 |
$20,160.00 |
$20,160.00 |
$48,321.00
|
|
Lidocaine therapeutic drug level
|
$29.53 |
$29.53 |
$29.53 |
$82.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$22.73 |
$22.73 |
$22.73 |
$84.28
|
|
Lipase
|
$19.49 |
$19.49 |
$19.49 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$30.46 |
$30.46 |
$30.46 |
$90.60
|
|
Lipoprotein blood quant
|
$40.32 |
$40.32 |
$40.32 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$41.93 |
$41.93 |
$41.93 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$16.54 |
$16.54 |
$16.54 |
$61.60
|
|
Lithium therapeutic drug level
|
$17.12 |
$17.12 |
$17.12 |
$62.40
|
|
Liver Function Test
|
$24.21 |
$24.21 |
$24.21 |
$92.85
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$852.88 |
$852.88 |
$852.88 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$490.56 |
$490.56 |
$490.56 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$421.68 |
$421.68 |
$421.68 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$868.56 |
$868.56 |
$868.56 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$586.88 |
$586.88 |
$586.88 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$53.76 |
$53.76 |
$53.76 |
$328.23
|
|
L/s ratio fetal lung
|
$51.58 |
$51.58 |
$51.58 |
$173.55
|
|
Lung Function Test (Spirometry)
|
$117.04 |
$117.04 |
$117.04 |
$290.89
|
|
Lung perfusion imaging
|
$292.88 |
$292.88 |
$292.88 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$455.84 |
$455.84 |
$455.84 |
$1,330.00
|
|
Lymphocyte transformation mitogen
|
$142.91 |
$142.91 |
$142.91 |
$235.56
|
|
Lymphocytotoxicity assay
|
$70.00 |
$70.00 |
$70.00 |
$379.20
|
|
Macro exam dissect molec study ea
|
$42.56 |
$42.56 |
$42.56 |
$76.70
|
|
Macroscopic exam arthropod
|
$18.89 |
$18.89 |
$18.89 |
$38.50
|
|
Macroscopic exam parasite
|
$18.89 |
$18.89 |
$18.89 |
$35.98
|
|
Magnesium
|
$10.63 |
$10.63 |
$10.63 |
$64.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$73.36 |
$73.36 |
$73.36 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$73.36 |
$73.36 |
$73.36 |
$147.72
|
|
Marker biop eviva buckle ss
|
$1,152.48 |
$1,152.48 |
$1,152.48 |
$1,126.34
|
|
Mastoids complete
|
$78.96 |
$78.96 |
$78.96 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$17.36 |
$17.36 |
$17.36 |
$76.70
|
|
Mayo aathr protein s free
|
$18.48 |
$18.48 |
$18.48 |
$139.23
|
|
Mayo alkaline phosphatase isoenzyme
|
$31.89 |
$31.89 |
$31.89 |
$83.85
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$87.92 |
$87.92 |
$87.92 |
$96.10
|
|
Mayo alpha 1 antitrypsin
|
$24.21 |
$24.21 |
$24.21 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$14.76 |
$14.76 |
$14.76 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$162.40 |
$162.40 |
$162.40 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$148.96 |
$148.96 |
$148.96 |
$343.20
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$896.00 |
$896.00 |
$896.00 |
$1,922.13
|
|
Mayo androstenedione
|
$91.26 |
$91.26 |
$91.26 |
$131.30
|
|
Mayo antithrombin iii antigen
|
$16.92 |
$16.92 |
$16.92 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$38.64 |
$38.64 |
$38.64 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$36.40 |
$36.40 |
$36.40 |
$159.66
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$110.88 |
$110.88 |
$110.88 |
$364.90
|
|
Mayo blastomyces antibody immunodiffusion
|
$48.42 |
$48.42 |
$48.42 |
$67.60
|
|
Mayo bordetella pertussis antibody igg
|
$18.23 |
$18.23 |
$18.23 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$13.44 |
$13.44 |
$13.44 |
$56.80
|
|
Mayo c1 esterase inhibitor
|
$38.62 |
$38.62 |
$38.62 |
$124.80
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$22.57 |
$22.57 |
$22.57 |
$104.55
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$20.16 |
$20.16 |
$20.16 |
$110.02
|
|
Mayo ceruloplasmin
|
$17.12 |
$17.12 |
$17.12 |
$70.85
|
|
Mayo chemiluminescent parathyroid related peptide
|
$53.15 |
$53.15 |
$53.15 |
$125.50
|
|
Mayo chikv chikungunya antibodies igg
|
$71.47 |
$71.47 |
$71.47 |
$122.00
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$14.00 |
$14.00 |
$14.00 |
$59.11
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$14.56 |
$14.56 |
$14.56 |
$54.40
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$122.86 |
$122.86 |
$122.86 |
$380.40
|
|
Mayo coccidioides antibody
|
$40.16 |
$40.16 |
$40.16 |
$61.10
|
|
Mayo cocou cortisone urine
|
$213.92 |
$213.92 |
$213.92 |
$222.62
|
