|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$73.40 |
$73.40 |
$73.40 |
$173.40
|
|
Iron
|
$25.30 |
$25.30 |
$25.30 |
$72.29
|
|
Iron binding capacity
|
$36.57 |
$36.57 |
$36.57 |
$63.60
|
|
Irrigation implantable venous access device for drug delivery systems
|
$105.11 |
$105.11 |
$105.11 |
$143.81
|
|
Ivc venogram s&i
|
$1,904.40 |
$1,904.40 |
$1,904.40 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$96.14 |
$96.14 |
$96.14 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$60.26 |
$60.26 |
$60.26 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$63.71 |
$63.71 |
$63.71 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$184.00 |
$184.00 |
$184.00 |
$443.20
|
|
IV inj ra drug dx study
|
$130.18 |
$130.18 |
$130.18 |
$549.70
|
|
Ivp w/nephrotomography
|
$415.38 |
$415.38 |
$415.38 |
$764.40
|
|
Ivp w/wo kub w/wo tomography
|
$346.84 |
$346.84 |
$346.84 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$149.27 |
$149.27 |
$149.27 |
$408.80
|
|
John cunningham antibody
|
$13.34 |
$13.34 |
$13.34 |
$65.00
|
|
Ketamine and metabolite screen - quest
|
$85.33 |
$85.33 |
$85.33 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$28.52 |
$28.52 |
$28.52 |
$58.56
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$14.58 |
$14.58 |
$14.58 |
$23.77
|
|
Kidney imaging morphology
|
$174.57 |
$174.57 |
$174.57 |
$817.60
|
|
Kidney imag w/bld flow multi
|
$734.39 |
$734.39 |
$734.39 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$436.08 |
$436.08 |
$436.08 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$238.97 |
$238.97 |
$238.97 |
$664.20
|
|
Kit gene analys d816 variant
|
$52.67 |
$52.67 |
$52.67 |
$367.00
|
|
Knee MRI (with and without contrast)
|
$1,367.35 |
$1,367.35 |
$1,367.35 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,093.88 |
$1,093.88 |
$1,093.88 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,230.27 |
$1,230.27 |
$1,230.27 |
$2,110.76
|
|
Knee X-ray
|
$92.92 |
$92.92 |
$92.92 |
$425.55
|
|
Kras gene addl variants
|
$87.63 |
$87.63 |
$87.63 |
$387.20
|
|
Kras gene variants exon 2
|
$87.63 |
$87.63 |
$87.63 |
$500.13
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$35.12 |
$35.12 |
$35.12 |
$33.14
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$877.68 |
$877.68 |
$877.68 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$46.23 |
$46.23 |
$46.23 |
$55.25
|
|
Lactated ringers intravenous solution
|
$391.46 |
$391.46 |
$391.46 |
$44.91
|
|
Lactic acid
|
$251.16 |
$251.16 |
$251.16 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$21.16 |
$21.16 |
$21.16 |
$81.25
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$4,272.52 |
$4,272.52 |
$4,272.52 |
$19,124.00
|
|
Lead capillary
|
$111.55 |
$111.55 |
$111.55 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$380.65 |
$380.65 |
$380.65 |
$1,088.26
|
|
Leishmania antibody
|
$9.20 |
$9.20 |
$9.20 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$55.01 |
$55.01 |
$55.01 |
$163.80
|
|
Leuprolide acetate injeciton
|
$1,138.58 |
$1,138.58 |
$1,138.58 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$38.12 |
$38.12 |
$38.12 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$141.45 |
$141.45 |
$141.45 |
$82.50
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$34.00 |
$34.00 |
$34.00 |
$55.60
|
|
Lidocaine therapeutic drug level
|
$30.13 |
$30.13 |
$30.13 |
$87.45
|
|
Lincomycin injection
|
$151.63 |
$151.63 |
$151.63 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$39.85 |
$39.85 |
$39.85 |
$123.78
|
|
Lipase
|
$47.61 |
$47.61 |
$47.61 |
$91.80
|
|
Lipoprotein blood high res frac & quant
|
$107.41 |
$107.41 |
$107.41 |
$89.52
|
|
Lipoprotein blood quant
|
$19.09 |
$19.09 |
$19.09 |
$101.14
|
|
Lipoprotein direct measurement hdl
|
$15.18 |
$15.18 |
$15.18 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$15.41 |
$15.41 |
$15.41 |
$61.60
|
|
Lip surgery procedure
|
$70.38 |
$70.38 |
$70.38 |
$334.50
|
|
Lithium therapeutic drug level
|
$31.28 |
$31.28 |
$31.28 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$361.10 |
$361.10 |
$361.10 |
$365.28
|
|
Liver Function Test
|
$133.86 |
$133.86 |
$133.86 |
$115.44
|
|
Liver image (3d) with flow
|
$257.83 |
$257.83 |
$257.83 |
$1,505.81
|
|
Liver imaging (3d)
|
$483.92 |
$483.92 |
$483.92 |
$1,198.66
|
|
Liver imag w/vasclr flow
|
$380.88 |
$380.88 |
$380.88 |
$1,255.15
|
|
Liver/spleen imag static only
|
$264.96 |
$264.96 |
$264.96 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$330.05 |
$330.05 |
$330.05 |
$1,069.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$34.64 |
$34.64 |
$34.64 |
$37.44
|
|
Low cost skin substitute app
|
$381.57 |
$381.57 |
$381.57 |
$880.50
|
|
Low cost skin substitute app
|
$1,224.29 |
$1,224.29 |
$1,224.29 |
$2,154.21
|
|
Low cost skin substitute app
|
$381.57 |
$381.57 |
$381.57 |
$933.60
|
|
Low cost skin substitute app
|
$381.57 |
$381.57 |
$381.57 |
$992.34
|
|
Low cost skin substitute app
|
$190.67 |
$190.67 |
$190.67 |
$384.22
|
|
Low cost skin substitute app
|
$611.80 |
$611.80 |
$611.80 |
$699.72
|
|
Low cost skin substitute app
|
$190.67 |
$190.67 |
$190.67 |
$349.44
|
|
Low cost skin substitute app
|
$190.67 |
$190.67 |
$190.67 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$861.81 |
$861.81 |
$861.81 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$827.08 |
$827.08 |
$827.08 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$773.49 |
$773.49 |
$773.49 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,753.29 |
$1,753.29 |
$1,753.29 |
$3,053.40
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,142.87 |
$1,142.87 |
$1,142.87 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,041.44 |
$1,041.44 |
$1,041.44 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$80.50 |
$80.50 |
$80.50 |
$355.32
|
|
L/s ratio fetal lung
|
$201.94 |
$201.94 |
$201.94 |
$176.15
|
|
Lung Function Test (Spirometry)
|
$82.11 |
$82.11 |
$82.11 |
$296.91
|
|
Lung perfusion imaging
|
$356.50 |
$356.50 |
$356.50 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$327.52 |
$327.52 |
$327.52 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$85.10 |
$85.10 |
$85.10 |
$266.20
|
|
Macroscopic exam parasite
|
$14.49 |
$14.49 |
$14.49 |
$37.05
|
|
Magnesium
|
$63.25 |
$63.25 |
$63.25 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$56.32 |
$56.32 |
$56.32 |
$58.70
|
|
Malaria antibody
|
$61.87 |
$61.87 |
$61.87 |
$94.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$51.06 |
$51.06 |
$51.06 |
$130.81
|
|
Manipulation chest wall initial demonstration/evaluation
|
$51.06 |
$51.06 |
$51.06 |
$159.05
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.66 |
$9.66 |
$9.66 |
$27.81
|
|
Map tachycard site(s)
|
$2,945.84 |
$2,945.84 |
$2,945.84 |
$4,110.20
|
|
Marker biop eviva buckle ss
|
$511.06 |
$511.06 |
$511.06 |
$1,312.40
|
|
M.avium-intra dna amp prob
|
$30.13 |
$30.13 |
$30.13 |
$137.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$165.83 |
$165.83 |
$165.83 |
$65.00
|
|
Mayo aathr protein s free
|
$130.18 |
$130.18 |
$130.18 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$36.57 |
$36.57 |
$36.57 |
$96.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$27.83 |
$27.83 |
$27.83 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$50.14 |
$50.14 |
$50.14 |
$99.50
|
|
Mayo alcohol definitive assay volatile screen
|
$73.83 |
$73.83 |
$73.83 |
$115.05
|
|
Mayo alkaline phosphatase isoenzyme
|
$36.57 |
$36.57 |
$36.57 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$159.62 |
$159.62 |
$159.62 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$182.16 |
$182.16 |
$182.16 |
$88.80
|