|
IV inj ra drug dx study
|
$138.60 |
$138.60 |
$138.60 |
$552.60
|
|
Ivp w/wo kub w/wo tomography
|
$301.60 |
$301.60 |
$301.60 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$129.80 |
$129.80 |
$129.80 |
$393.43
|
|
John cunningham antibody
|
$11.60 |
$11.60 |
$11.60 |
$66.31
|
|
Ketamine and metabolite screen - quest
|
$74.20 |
$74.20 |
$74.20 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$45.00 |
$45.00 |
$45.00 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$12.67 |
$12.67 |
$12.67 |
$23.77
|
|
Kidney imaging (3d)
|
$393.20 |
$393.20 |
$393.20 |
$472.92
|
|
Kidney imag w/bld flow multi
|
$638.60 |
$638.60 |
$638.60 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$398.40 |
$398.40 |
$398.40 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$207.80 |
$207.80 |
$207.80 |
$673.36
|
|
Kit gene analys d816 variant
|
$45.80 |
$45.80 |
$45.80 |
$366.03
|
|
Knee MRI (with and without contrast)
|
$939.20 |
$939.20 |
$939.20 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$817.00 |
$817.00 |
$817.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$748.80 |
$748.80 |
$748.80 |
$2,110.76
|
|
Knee X-ray
|
$85.20 |
$85.20 |
$85.20 |
$425.55
|
|
Kras gene addl variants
|
$76.20 |
$76.20 |
$76.20 |
$386.75
|
|
Kras gene variants exon 2
|
$76.20 |
$76.20 |
$76.20 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$30.54 |
$30.54 |
$30.54 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$763.20 |
$763.20 |
$763.20 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$67.40 |
$67.40 |
$67.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$340.40 |
$340.40 |
$340.40 |
$44.91
|
|
Lactic acid
|
$188.60 |
$188.60 |
$188.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$31.40 |
$31.40 |
$31.40 |
$81.00
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$3,715.24 |
$3,715.24 |
$3,715.24 |
$19,124.00
|
|
Laryngeal function studies
|
$156.40 |
$156.40 |
$156.40 |
$335.40
|
|
Lead capillary
|
$43.60 |
$43.60 |
$43.60 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$412.00 |
$412.00 |
$412.00 |
$1,092.58
|
|
Leishmania antibody
|
$8.00 |
$8.00 |
$8.00 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$47.84 |
$47.84 |
$47.84 |
$164.09
|
|
Leuprolide acetate injeciton
|
$990.07 |
$990.07 |
$990.07 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$33.15 |
$33.15 |
$33.15 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$78.20 |
$78.20 |
$78.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$29.56 |
$29.56 |
$29.56 |
$55.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$13.50 |
$13.50 |
$13.50 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$57.40 |
$57.40 |
$57.40 |
$87.45
|
|
Lincomycin injection
|
$131.85 |
$131.85 |
$131.85 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$34.65 |
$34.65 |
$34.65 |
$121.00
|
|
Lipase
|
$71.60 |
$71.60 |
$71.60 |
$91.65
|
|
Lipoprotein blood quant
|
$33.60 |
$33.60 |
$33.60 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$34.60 |
$34.60 |
$34.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$30.20 |
$30.20 |
$30.20 |
$61.60
|
|
Lip surgery procedure
|
$62.40 |
$62.40 |
$62.40 |
$335.50
|
|
Lithium therapeutic drug level
|
$43.60 |
$43.60 |
$43.60 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$314.00 |
$314.00 |
$314.00 |
$365.28
|
|
Liver Function Test
|
$151.00 |
$151.00 |
$151.00 |
$115.44
|
|
Liver image (3d) with flow
|
$347.00 |
$347.00 |
$347.00 |
$1,505.81
|
|
Liver imaging (3d)
|
$322.60 |
$322.60 |
$322.60 |
$1,198.66
|
|
Liver imag w/vasclr flow
|
$303.40 |
$303.40 |
$303.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$193.40 |
$193.40 |
$193.40 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$30.12 |
$30.12 |
$30.12 |
$37.37
|
|
Low cost skin substitute app
|
$253.00 |
$253.00 |
$253.00 |
$933.60
|
|
Low cost skin substitute app
|
$847.00 |
$847.00 |
$847.00 |
$2,147.57
|
|
Low cost skin substitute app
|
$253.00 |
$253.00 |
$253.00 |
$1,012.00
|
|
Low cost skin substitute app
|
$647.80 |
$647.80 |
$647.80 |
$1,009.49
|
|
Low cost skin substitute app
|
$66.20 |
$66.20 |
$66.20 |
$428.35
|
|
Low cost skin substitute app
|
$179.20 |
$179.20 |
$179.20 |
$727.77
|
|
Low cost skin substitute app
|
$66.20 |
$66.20 |
$66.20 |
$408.04
|
|
Low cost skin substitute app
|
$179.20 |
$179.20 |
$179.20 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$749.40 |
$749.40 |
$749.40 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$755.00 |
$755.00 |
$755.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$702.20 |
$702.20 |
$702.20 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,207.60 |
$1,207.60 |
$1,207.60 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$817.00 |
$817.00 |
$817.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$748.80 |
$748.80 |
$748.80 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$113.20 |
$113.20 |
$113.20 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$59.60 |
$59.60 |
$59.60 |
$364.00
|
|
L/s ratio fetal lung
|
$301.60 |
$301.60 |
$301.60 |
$178.36
|
|
Lung Function Test (Spirometry)
|
$168.40 |
$168.40 |
$168.40 |
$295.35
|
|
Lung perfusion imaging
|
$252.40 |
$252.40 |
$252.40 |
$1,059.97
|
|
Lymphatics/lymph node imaging
|
$284.80 |
$284.80 |
$284.80 |
$1,463.22
|
|
Macroscopic exam parasite
|
$10.20 |
$10.20 |
$10.20 |
$36.55
|
|
Magnesium
|
$55.00 |
$55.00 |
$55.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$48.97 |
$48.97 |
$48.97 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$34.40 |
$34.40 |
$34.40 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$52.60 |
$52.60 |
$52.60 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$8.40 |
$8.40 |
$8.40 |
$30.75
|
|
Map tachycard site(s)
|
$2,334.60 |
$2,334.60 |
$2,334.60 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$299.20 |
$299.20 |
$299.20 |
$1,451.30
|
|
Mastoids complete
|
$124.80 |
$124.80 |
$124.80 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6.00 |
$6.00 |
$6.00 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$74.20 |
$74.20 |
$74.20 |
$65.00
|
|
Mayo aathr protein s free
|
$106.80 |
$106.80 |
$106.80 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$78.20 |
$78.20 |
$78.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$24.20 |
$24.20 |
$24.20 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$43.60 |
$43.60 |
$43.60 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$64.20 |
$64.20 |
$64.20 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$57.40 |
$57.40 |
$57.40 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$107.40 |
$107.40 |
$107.40 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$225.60 |
$225.60 |
$225.60 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$113.40 |
$113.40 |
$113.40 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$64.20 |
$64.20 |
$64.20 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$64.20 |
$64.20 |
$64.20 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$77.60 |
$77.60 |
$77.60 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$204.20 |
$204.20 |
$204.20 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$99.80 |
$99.80 |
$99.80 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$547.00 |
$547.00 |
$547.00 |
$1,860.00
|
|
Mayo androstenedione
|
$133.00 |
$133.00 |
$133.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$60.40 |
$60.40 |
$60.40 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$6.80 |
$6.80 |
$6.80 |
$73.50
|
