|
IV Push Injection (first drug)
|
$619.00 |
$619.00 |
$619.00 |
$257.24
|
|
Jak2 targeted sequence analysis
|
$463.00 |
$463.00 |
$463.00 |
$417.50
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$461.00 |
$461.00 |
$461.00 |
$327.80
|
|
Jaw (Mandible) X-ray (complete)
|
$444.00 |
$444.00 |
$444.00 |
$361.61
|
|
Keratomileusis
|
$866.00 |
$866.00 |
$866.00 |
$866.00
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.00 |
$36.00 |
$36.00 |
$58.10
|
|
Kidney function study
|
$1,252.00 |
$1,252.00 |
$1,252.00 |
$968.50
|
|
Kidney imaging morphology
|
$785.00 |
$785.00 |
$785.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$2,023.00 |
$2,023.00 |
$2,023.00 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,114.00 |
$1,114.00 |
$1,114.00 |
$668.25
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$852.00 |
$852.00 |
$852.00 |
$486.50
|
|
Kit gene analys d816 variant
|
$355.00 |
$355.00 |
$355.00 |
$367.00
|
|
Knee MRI (with and without contrast)
|
$5,536.00 |
$5,536.00 |
$5,536.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,832.00 |
$3,832.00 |
$3,832.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,636.00 |
$3,636.00 |
$3,636.00 |
$2,110.00
|
|
Knee X-ray
|
$445.00 |
$445.00 |
$445.00 |
$425.55
|
|
Knee X-ray (1 to 2 views, both knees)
|
$341.00 |
$341.00 |
$341.00 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$359.00 |
$359.00 |
$359.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$279.00 |
$279.00 |
$279.00 |
$252.50
|
|
Lactate dehydrogenase (ldh)
|
$53.00 |
$53.00 |
$53.00 |
$55.50
|
|
Lactic acid
|
$64.08 |
$64.08 |
$64.08 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$58.00 |
$58.00 |
$58.00 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,066.00 |
$1,066.00 |
$1,066.00 |
$741.30
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,153.00 |
$1,153.00 |
$1,153.00 |
$765.97
|
|
Laryngeal function studies
|
$658.00 |
$658.00 |
$658.00 |
$335.40
|
|
Laryngoscopic sensory vid
|
$340.00 |
$340.00 |
$340.00 |
$323.20
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$5,193.00 |
$5,193.00 |
$5,193.00 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$1,496.00 |
$1,496.00 |
$1,496.00 |
$852.80
|
|
Lead capillary
|
$46.00 |
$46.00 |
$46.00 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,875.00 |
$1,875.00 |
$1,875.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,771.00 |
$2,771.00 |
$2,771.00 |
$1,585.18
|
|
Leg CT Scan (without contrast, both legs)
|
$2,207.00 |
$2,207.00 |
$2,207.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,461.00 |
$1,461.00 |
$1,461.00 |
$1,090.23
|
|
Levetiracetam therapeutic drug level
|
$102.00 |
$102.00 |
$102.00 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$75.00 |
$75.00 |
$75.00 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$5,137.00 |
$5,137.00 |
$5,137.00 |
$3,322.80
|
|
Limited visual field xm
|
$142.00 |
$142.00 |
$142.00 |
$79.20
|
|
Lipase
|
$31.00 |
$31.00 |
$31.00 |
$92.80
|
|
Lipoprotein blood quant
|
$24.43 |
$24.43 |
$24.43 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$36.00 |
$36.00 |
$36.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$66.00 |
$66.00 |
$66.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$47.00 |
$47.00 |
$47.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,304.00 |
$3,304.00 |
$3,304.00 |
$4,295.40
|
|
Liver elastography 91200
|
$466.00 |
$466.00 |
$466.00 |
$285.18
|
|
Liver Function Test
|
$30.00 |
$30.00 |
$30.00 |
$115.44
|
|
Liver/spleen imag static only
|
$1,605.00 |
$1,605.00 |
$1,605.00 |
$1,140.78
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$273.00 |
$273.00 |
$273.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,934.00 |
$2,934.00 |
$2,934.00 |
$1,871.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,858.00 |
$2,858.00 |
$2,858.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,401.00 |
$2,401.00 |
$2,401.00 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,869.00 |
$5,869.00 |
$5,869.00 |
$3,063.00
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,986.00 |
$3,986.00 |
$3,986.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,780.00 |
$3,780.00 |
$3,780.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$423.00 |
$423.00 |
$423.00 |
$355.32
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$610.00 |
$610.00 |
$610.00 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$705.00 |
$705.00 |
$705.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$378.00 |
$378.00 |
$378.00 |
$332.00
|
|
Lumbar diskogram s&i
|
$7,533.00 |
$7,533.00 |
$7,533.00 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$964.00 |
$964.00 |
$964.00 |
$543.75
|
|
Lung Function Test (Spirometry)
|
$527.00 |
$527.00 |
$527.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,564.00 |
$1,564.00 |
$1,564.00 |
$1,072.46
|
|
Lymphatics/lymph node imaging
|
$1,828.00 |
$1,828.00 |
$1,828.00 |
$1,479.60
|
|
Lymphocyte transformation mitogen
|
$116.00 |
$116.00 |
$116.00 |
$266.20
|
|
Lymph vessel x-ray arms/legs
|
$4,660.00 |
$4,660.00 |
$4,660.00 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$6,305.00 |
$6,305.00 |
$6,305.00 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$3,380.00 |
$3,380.00 |
$3,380.00 |
$3,451.60
|
|
Lysis of labial adhesions
|
$10,851.00 |
$10,851.00 |
$10,851.00 |
$4,383.99
|
|
Macroscopic exam arthropod
|
$38.00 |
$38.00 |
$38.00 |
$38.58
|
|
Macroscopic exam parasite
|
$11.00 |
$11.00 |
$11.00 |
$36.86
|
|
Magnesium
|
$57.00 |
$57.00 |
$57.00 |
$72.00
|
|
Mapping functional cort/subcort ea add'l hr
|
$931.00 |
$931.00 |
$931.00 |
$584.80
|
|
Map tachycard site(s)
|
$4,373.00 |
$4,373.00 |
$4,373.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$749.00 |
$749.00 |
$749.00 |
$1,433.25
|
|
Mastoids complete
|
$442.00 |
$442.00 |
$442.00 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$63.00 |
$63.00 |
$63.00 |
$65.28
|
|
Mayo aathr protein s free
|
$50.00 |
$50.00 |
$50.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$32.00 |
$32.00 |
$32.00 |
$97.20
|
|
Mayo alcohol definitive assay volatile screen
|
$148.00 |
$148.00 |
$148.00 |
$122.46
|
|
Mayo alkaline phosphatase isoenzyme
|
$163.00 |
$163.00 |
$163.00 |
$66.79
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$155.00 |
$155.00 |
$155.00 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$55.00 |
$55.00 |
$55.00 |
$88.55
|
|
Mayo amikacin trough therapeutic drug level
|
$144.00 |
$144.00 |
$144.00 |
$82.80
|
|
Mayo analysis gene calr common variants exon 9
|
$670.00 |
$670.00 |
$670.00 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$359.00 |
$359.00 |
$359.00 |
$374.40
|
|
Mayo analysis gene smn1 dosage/deletion
|
$110.00 |
$110.00 |
$110.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,860.00
|
|
Mayo androstenedione
|
$21.12 |
$21.12 |
$21.12 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$58.00 |
$58.00 |
$58.00 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$13.40 |
$13.40 |
$13.40 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$110.00 |
$110.00 |
$110.00 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$37.00 |
$37.00 |
$37.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$6.50 |
$6.50 |
$6.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$363.00 |
$363.00 |
$363.00 |
$337.70
|
|
Mayo blastomyces antibody immunodiffusion
|
$14.15 |
$14.15 |
$14.15 |
$55.38
|
|
Mayo bordetella pertussis antibody igg
|
$30.52 |
$30.52 |
$30.52 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$12.94 |
$12.94 |
$12.94 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$22.60 |
$22.60 |
$22.60 |
$85.02
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$60.00 |
$60.00 |
$60.00 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$25.95 |
$25.95 |
$25.95 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$45.67 |
$45.67 |
$45.67 |
$110.00
|
