|
Irinotecan 20 mg/ml intravenous solution (wrapper)
|
$36.78 |
$36.78 |
$36.78 |
$203.92
|
|
Iron
|
$100.79 |
$100.79 |
$126.99 |
$70.72
|
|
Iron binding capacity
|
$37.01 |
$37.01 |
$46.62 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$45.63 |
$45.63 |
$45.63 |
$73.22
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$77.22 |
$77.22 |
$98.07 |
$169.30
|
|
Ivc venogram s&i
|
$1,989.89 |
$1,989.89 |
$1,989.89 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$167.76 |
$167.76 |
$211.36 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$104.20 |
$104.20 |
$131.28 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$109.19 |
$109.19 |
$137.57 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$390.22 |
$390.22 |
$491.64 |
$460.85
|
|
IV inj ra drug dx study
|
$288.52 |
$288.52 |
$288.52 |
$560.00
|
|
Ivp w/nephrotomography
|
$1,794.65 |
$1,794.65 |
$1,794.65 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,470.90 |
$1,470.90 |
$1,470.90 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$224.05 |
$224.05 |
$282.29 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$46.31 |
$46.31 |
$58.35 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$5.91 |
$5.91 |
$7.44 |
$29.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$814.25 |
$814.25 |
$1,025.89 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$5,581.48 |
$5,581.48 |
$5,581.48 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$29,043.97 |
$29,043.97 |
$29,043.97 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$26,403.74 |
$26,403.74 |
$26,403.74 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$9,434.12 |
$9,434.12 |
$9,434.12 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$986.09 |
$986.09 |
$986.09 |
$1,391.79
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$4,293.26 |
$4,293.26 |
$4,293.26 |
$234.08
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,282.55 |
$1,282.55 |
$1,282.55 |
$2,306.56
|
|
Knee MRI (with and without contrast)
|
$2,583.95 |
$2,583.95 |
$2,583.95 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$2,278.18 |
$2,278.18 |
$2,278.18 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,293.39 |
$2,293.39 |
$2,293.39 |
$2,181.10
|
|
Knee X-ray
|
$660.57 |
$660.57 |
$832.26 |
$443.90
|
|
Kras gene addl variants
|
$131.66 |
$131.66 |
$165.88 |
$346.45
|
|
Kras gene variants exon 2
|
$131.66 |
$131.66 |
$165.88 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$5.91 |
$5.91 |
$7.44 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$113.28 |
$113.28 |
$113.28 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$106.47 |
$106.47 |
$134.14 |
$53.30
|
|
Lactated ringers intravenous solution
|
$12.26 |
$12.26 |
$15.45 |
$48.56
|
|
Lactic acid
|
$188.87 |
$188.87 |
$237.96 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$20.21 |
$20.21 |
$25.46 |
$88.40
|
|
Lanthanum carbonate oral 5mg
|
$10.67 |
$10.67 |
$10.67 |
$14.41
|
|
Lead acuity x4 spiral l 86cm
|
$1,615.90 |
$1,615.90 |
$4,293.26 |
$5,831.00
|
|
Lead capillary
|
$23.16 |
$23.16 |
$29.18 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$857.43 |
$857.43 |
$4,293.26 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$5,581.48 |
$5,581.48 |
$5,581.48 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$908.23 |
$908.23 |
$1,144.29 |
$1,100.74
|
|
Lens iol ant bicnvx 24.0 multi
|
$522.56 |
$522.56 |
$522.56 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$236.77 |
$236.77 |
$236.77 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$49.04 |
$49.04 |
$49.04 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,719.92 |
$2,719.92 |
$2,719.92 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,712.04 |
$1,712.04 |
$1,712.04 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$24.75 |
$24.75 |
$42.33 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$59.93 |
$59.93 |
$75.51 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$16.88 |
$16.88 |
$44.95 |
$64.88
|
|
Liberta rc ipg
|
$31,948.21 |
$31,948.21 |
$31,948.21 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$23.39 |
$23.39 |
$29.46 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$24.52 |
$24.52 |
$30.89 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$120.31 |
$120.31 |
$151.58 |
$155.52
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$59.02 |
$59.02 |
$74.36 |
$172.25
|
|
Lipase
|
$140.29 |
$140.29 |
$176.75 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$42.68 |
$42.68 |
$53.77 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$82.63 |
$82.63 |
$104.11 |
$60.00
|
|
Lithium therapeutic drug level
|
$20.89 |
$20.89 |
$26.32 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$6,037.30 |
$6,037.30 |
$6,037.30 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$231.54 |
$231.54 |
$291.72 |
$365.28
|
|
Liver Function Test
|
$356.39 |
$356.39 |
$449.02 |
$110.50
|
|
Liver/spleen imag static only
|
$517.34 |
$517.34 |
$517.34 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$83.77 |
$83.77 |
$105.54 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$7.44 |
$7.44 |
$621.08 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,445.64 |
$3,445.64 |
$4,341.20 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,078.12 |
$3,078.12 |
$3,878.16 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,531.35 |
$1,531.35 |
$1,929.36 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,668.55 |
$3,668.55 |
$3,668.55 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,234.30 |
$3,234.30 |
$3,234.30 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,170.81 |
$2,170.81 |
$2,170.81 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$410.19 |
$410.19 |
$516.81 |
$344.00
|
|
Lung function test (mbc/mvv)
|
$100.39 |
$100.39 |
$100.39 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$279.44 |
$279.44 |
$352.07 |
$298.50
|
|
Lung perfusion imaging
|
$913.00 |
$913.00 |
$913.00 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$3,292.64 |
$3,292.64 |
$3,292.64 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$112.37 |
$112.37 |
$141.57 |
$266.20
|
|
Macroscopic exam parasite
|
$19.75 |
$19.75 |
$24.89 |
$38.50
|
|
Magnesium
|
$162.99 |
$162.99 |
$205.35 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$12.26 |
$12.26 |
$15.45 |
$69.30
|
|
Mammosite ced
|
$308.27 |
$308.27 |
$308.27 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$22.70 |
$22.70 |
$28.60 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$35.42 |
$35.42 |
$44.62 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$5.91 |
$5.91 |
$5.91 |
$28.48
|
|
Marker biop eviva buckle ss
|
$1,282.55 |
$1,282.55 |
$1,615.90 |
$1,213.20
|
|
Mastoids complete
|
$398.40 |
$398.40 |
$398.40 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$1,952.66 |
$1,952.66 |
$1,952.66 |
$6,321.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$24.97 |
$24.97 |
$31.46 |
$66.50
|
|
Mayo aathr protein s free
|
$16.35 |
$16.35 |
$20.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$24.52 |
$24.52 |
$30.89 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$34.96 |
$34.96 |
$44.05 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$20.21 |
$20.21 |
$25.46 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$68.10 |
$68.10 |
$85.80 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$47.67 |
$47.67 |
$60.06 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$224.05 |
$224.05 |
$282.29 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$681.00 |
$681.00 |
$858.00 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$442.20 |
$442.20 |
$557.13 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,368.81 |
$1,368.81 |
$1,724.58 |
$1,909.44
|
|
Mayo androstenedione
|
$90.58 |
$90.58 |
$114.12 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$25.66 |
$25.66 |
$32.32 |
$72.46
|