|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,759.83 |
$1,759.83 |
$1,759.83 |
$1,825.16
|
|
Intubation endotracheal emergency procedure
|
$658.87 |
$658.87 |
$658.87 |
$617.60
|
|
Iron
|
$193.05 |
$193.05 |
$193.05 |
$70.72
|
|
Iron binding capacity
|
$66.00 |
$66.00 |
$66.00 |
$63.00
|
|
Irradiation of blood product each unit reference
|
$114.40 |
$114.40 |
$114.40 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$229.68 |
$229.68 |
$229.68 |
$154.50
|
|
Ivc venogram s&i
|
$3,204.30 |
$3,204.30 |
$3,204.30 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$227.70 |
$227.70 |
$227.70 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$227.70 |
$227.70 |
$227.70 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$209.00 |
$209.00 |
$209.00 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$322.85 |
$322.85 |
$322.85 |
$460.85
|
|
IV njx tst vasc flo flap/grf
|
$147.95 |
$147.95 |
$147.95 |
$469.93
|
|
Ivp w/wo kub w/wo tomography
|
$780.12 |
$780.12 |
$780.12 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$612.70 |
$612.70 |
$612.70 |
$378.30
|
|
John cunningham antibody
|
$165.00 |
$165.00 |
$165.00 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$169.40 |
$169.40 |
$169.40 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$61.05 |
$61.05 |
$61.05 |
$56.61
|
|
Kidney imaging morphology
|
$498.30 |
$498.30 |
$498.30 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,061.94 |
$1,061.94 |
$1,061.94 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$498.85 |
$498.85 |
$498.85 |
$668.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$80.41 |
$80.41 |
$80.41 |
$100.00
|
|
Kit gene analys d816 variant
|
$228.25 |
$228.25 |
$228.25 |
$355.00
|
|
Kit lead specify 5-6-5
|
$2,076.61 |
$2,076.61 |
$2,076.61 |
$17,205.92
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$831.69 |
$831.69 |
$831.69 |
$1,357.69
|
|
Knee MRI (with and without contrast)
|
$1,552.32 |
$1,552.32 |
$1,552.32 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$1,366.20 |
$1,366.20 |
$1,366.20 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,180.08 |
$1,180.08 |
$1,180.08 |
$2,181.10
|
|
Knee X-ray
|
$336.05 |
$336.05 |
$336.05 |
$443.90
|
|
Kras gene variants exon 2
|
$1,272.70 |
$1,272.70 |
$1,272.70 |
$495.00
|
|
Lab draw <3 yrs scalp vein 36405
|
$20.90 |
$20.90 |
$20.90 |
$58.40
|
|
Lactate dehydrogenase (ldh)
|
$69.30 |
$69.30 |
$69.30 |
$53.30
|
|
Lactic acid
|
$51.70 |
$51.70 |
$51.70 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$121.00 |
$121.00 |
$121.00 |
$88.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$854.81 |
$854.81 |
$854.81 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$2,821.50 |
$2,821.50 |
$2,821.50 |
$3,390.75
|
|
Lb with mastopexy 15839
|
$982.85 |
$982.85 |
$982.85 |
$3,386.84
|
|
Lead capillary
|
$121.00 |
$121.00 |
$121.00 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$579.42 |
$579.42 |
$579.42 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$1,042.96 |
$1,042.96 |
$1,042.96 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$972.95 |
$972.95 |
$972.95 |
$1,100.74
|
|
Levetiracetam therapeutic drug level
|
$108.90 |
$108.90 |
$108.90 |
$71.40
|
|
Liberta rc ipg
|
$17,424.14 |
$17,424.14 |
$17,424.14 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$101.75 |
$101.75 |
$101.75 |
$83.85
|
|
Ligate/transect fallopian tubes 58600
|
$2,358.04 |
$2,358.04 |
$2,358.04 |
$3,762.53
|
|
Ligation/biopsy of temporal artery 37609
|
$1,410.42 |
$1,410.42 |
$1,410.42 |
$2,968.00
|
|
Ligation/major artery/extremity 37618
|
$2,852.33 |
$2,852.33 |
$2,852.33 |
$1,567.80
|
|
Lipase
|
$68.75 |
$68.75 |
$68.75 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$118.25 |
$118.25 |
$118.25 |
$89.52
|
|
Lipoprotein blood quant
|
$149.05 |
$149.05 |
$149.05 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$47.30 |
$47.30 |
$47.30 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$58.30 |
$58.30 |
$58.30 |
$60.00
|
|
Lip surgery procedure
|
$146.30 |
$146.30 |
$146.30 |
$325.68
|
|
Lithium therapeutic drug level
|
$36.30 |
$36.30 |
$36.30 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$7,501.01 |
$7,501.01 |
$7,501.01 |
$4,371.12
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,517.86 |
$1,517.86 |
$1,517.86 |
$1,882.80
|
|
Liver Function Test
|
$45.10 |
$45.10 |
$45.10 |
$110.50
|
|
Liver imaging
|
$693.66 |
$693.66 |
$693.66 |
$1,241.25
|
|
Liver/spleen imag static only
|
$884.40 |
$884.40 |
$884.40 |
$1,140.78
|
|
Low cost skin substitute app
|
$1,235.52 |
$1,235.52 |
$1,235.52 |
$862.55
|
|
Low cost skin substitute app
|
$3,581.16 |
$3,581.16 |
$3,581.16 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,073.82 |
$1,073.82 |
$1,073.82 |
$933.40
|
|
Low cost skin substitute app
|
$1,073.82 |
$1,073.82 |
$1,073.82 |
$868.70
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,302.84 |
$1,302.84 |
$1,302.84 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,058.64 |
$1,058.64 |
$1,058.64 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$895.62 |
$895.62 |
$895.62 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,293.60 |
$1,293.60 |
$1,293.60 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$983.40 |
$983.40 |
$983.40 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$363.66 |
$363.66 |
$363.66 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$508.73 |
$508.73 |
$508.73 |
$275.88
|
|
Lumbar diskogram s&i
|
$6,102.36 |
$6,102.36 |
$6,102.36 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$530.65 |
$530.65 |
$530.65 |
$298.50
|
|
Lung perfusion imaging
|
$812.46 |
$812.46 |
$812.46 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$1,088.34 |
$1,088.34 |
$1,088.34 |
$1,543.75
|
|
Macroscopic exam arthropod
|
$85.80 |
$85.80 |
$85.80 |
$38.58
|
|
Macroscopic exam parasite
|
$72.05 |
$72.05 |
$72.05 |
$38.50
|
|
Magnesium
|
$73.15 |
$73.15 |
$73.15 |
$71.50
|
|
Malaria antibody
|
$89.10 |
$89.10 |
$89.10 |
$38.80
|
|
Manipulate finger w/anesth
|
$437.25 |
$437.25 |
$437.25 |
$1,893.86
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$31.02 |
$31.02 |
$31.02 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$87.12 |
$87.12 |
$87.12 |
$178.75
|
|
Marker biop eviva buckle ss
|
$325.78 |
$325.78 |
$325.78 |
$1,213.20
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$138.05 |
$138.05 |
$138.05 |
$66.50
|
|
Mayo aathr protein s free
|
$189.20 |
$189.20 |
$189.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$183.70 |
$183.70 |
$183.70 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$162.25 |
$162.25 |
$162.25 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$177.10 |
$177.10 |
$177.10 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$75.35 |
$75.35 |
$75.35 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$309.65 |
$309.65 |
$309.65 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$102.30 |
$102.30 |
$102.30 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$191.40 |
$191.40 |
$191.40 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$55.55 |
$55.55 |
$55.55 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$106.15 |
$106.15 |
$106.15 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$230.45 |
$230.45 |
$230.45 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$458.70 |
$458.70 |
$458.70 |
$326.48
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,166.55 |
$1,166.55 |
$1,166.55 |
$1,909.44
|
|
Mayo androstenedione
|
$210.65 |
$210.65 |
$210.65 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$152.35 |
$152.35 |
$152.35 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$276.10 |
$276.10 |
$276.10 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$78.10 |
$78.10 |
$78.10 |
$67.60
|