|
Ivp w/wo kub w/wo tomography
|
$1,054.32 |
$1,054.32 |
$1,054.32 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$202.34 |
$202.34 |
$202.34 |
$378.30
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$41.82 |
$41.82 |
$41.82 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$5.33 |
$5.33 |
$5.33 |
$29.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$735.34 |
$735.34 |
$735.34 |
$668.25
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$5,040.54 |
$5,040.54 |
$5,040.54 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$26,229.14 |
$26,229.14 |
$26,229.14 |
$31,352.76
|
|
Kit ipg optimizer smart
|
$23,844.78 |
$23,844.78 |
$23,844.78 |
$46,737.60
|
|
Kit lead specify 5-6-5
|
$8,519.80 |
$8,519.80 |
$8,519.80 |
$15,875.64
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$890.52 |
$890.52 |
$890.52 |
$1,391.79
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$234.08
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$1,158.25 |
$1,158.25 |
$1,158.25 |
$2,306.56
|
|
Knee MRI (with and without contrast)
|
$3,465.53 |
$3,465.53 |
$3,465.53 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$3,010.02 |
$3,010.02 |
$3,010.02 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$2,071.12 |
$2,071.12 |
$2,071.12 |
$2,181.10
|
|
Knee X-ray
|
$596.55 |
$596.55 |
$596.55 |
$443.90
|
|
Kras gene addl variants
|
$118.90 |
$118.90 |
$118.90 |
$346.45
|
|
Kras gene variants exon 2
|
$118.90 |
$118.90 |
$118.90 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$5.33 |
$5.33 |
$5.33 |
$39.72
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$102.30 |
$102.30 |
$102.30 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$96.15 |
$96.15 |
$96.15 |
$53.30
|
|
Lactated ringers intravenous solution
|
$11.07 |
$11.07 |
$11.07 |
$48.56
|
|
Lactic acid
|
$170.56 |
$170.56 |
$170.56 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$18.25 |
$18.25 |
$18.25 |
$88.40
|
|
Lanthanum carbonate oral 5mg
|
$9.64 |
$9.64 |
$9.64 |
$14.41
|
|
Lead acuity x4 spiral l 86cm
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$5,831.00
|
|
Lead capillary
|
$20.91 |
$20.91 |
$20.91 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$3,877.17 |
$3,877.17 |
$3,877.17 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$5,040.54 |
$5,040.54 |
$5,040.54 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$820.21 |
$820.21 |
$820.21 |
$1,100.74
|
|
Lens iol ant bicnvx 24.0 multi
|
$471.91 |
$471.91 |
$471.91 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$213.82 |
$213.82 |
$213.82 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$44.28 |
$44.28 |
$44.28 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,456.31 |
$2,456.31 |
$2,456.31 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,546.11 |
$1,546.11 |
$1,546.11 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$11.07 |
$11.07 |
$11.07 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$54.12 |
$54.12 |
$54.12 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$40.59 |
$40.59 |
$40.59 |
$64.88
|
|
Liberta rc ipg
|
$28,851.91 |
$28,851.91 |
$28,851.91 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$21.12 |
$21.12 |
$21.12 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$22.14 |
$22.14 |
$22.14 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$108.65 |
$108.65 |
$108.65 |
$155.52
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$53.30 |
$53.30 |
$53.30 |
$172.25
|
|
Lipase
|
$126.69 |
$126.69 |
$126.69 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$38.54 |
$38.54 |
$38.54 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$74.62 |
$74.62 |
$74.62 |
$60.00
|
|
Lithium therapeutic drug level
|
$18.86 |
$18.86 |
$18.86 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,452.18 |
$5,452.18 |
$5,452.18 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$209.10 |
$209.10 |
$209.10 |
$365.28
|
|
Liver Function Test
|
$321.85 |
$321.85 |
$321.85 |
$110.50
|
|
Liver/spleen imag static only
|
$467.20 |
$467.20 |
$467.20 |
$1,140.78
|
|
Locm 100-199mg/ml iodine,1ml
|
$75.65 |
$75.65 |
$75.65 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$560.88 |
$560.88 |
$560.88 |
$43.95
|
|
Low cost skin substitute app
|
$219.97 |
$219.97 |
$219.97 |
$1,030.00
|
|
Low cost skin substitute app
|
$756.04 |
$756.04 |
$756.04 |
$2,164.64
|
|
Low cost skin substitute app
|
$219.97 |
$219.97 |
$219.97 |
$1,132.56
|
|
Low cost skin substitute app
|
$343.79 |
$343.79 |
$343.79 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,111.70 |
$3,111.70 |
$3,111.70 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,779.80 |
$2,779.80 |
$2,779.80 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,382.93 |
$1,382.93 |
$1,382.93 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,313.01 |
$3,313.01 |
$3,313.01 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,920.84 |
$2,920.84 |
$2,920.84 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,960.42 |
$1,960.42 |
$1,960.42 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$370.44 |
$370.44 |
$370.44 |
$344.00
|
|
Lumbar diskogram s&i
|
$983.39 |
$983.39 |
$983.39 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$71.96 |
$71.96 |
$71.96 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$252.36 |
$252.36 |
$252.36 |
$298.50
|
|
Lung perfusion imaging
|
$824.51 |
$824.51 |
$824.51 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$2,973.53 |
$2,973.53 |
$2,973.53 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$101.48 |
$101.48 |
$101.48 |
$266.20
|
|
Lymph vessel x-ray trunk
|
$1,083.02 |
$1,083.02 |
$1,083.02 |
$3,380.00
|
|
Macroscopic exam parasite
|
$17.84 |
$17.84 |
$17.84 |
$38.50
|
|
Magnesium
|
$147.19 |
$147.19 |
$147.19 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$11.07 |
$11.07 |
$11.07 |
$69.30
|
|
Mammosite ced
|
$278.39 |
$278.39 |
$278.39 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$20.50 |
$20.50 |
$20.50 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$31.98 |
$31.98 |
$31.98 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$5.33 |
$5.33 |
$5.33 |
$28.48
|
|
Mapping functional cort/subcort ea add'l hr
|
$152.32 |
$152.32 |
$152.32 |
$705.82
|
|
Map tachycard site(s)
|
$1,280.43 |
$1,280.43 |
$1,280.43 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$1,158.25 |
$1,158.25 |
$1,158.25 |
$1,213.20
|
|
Mastoids complete
|
$285.57 |
$285.57 |
$285.57 |
$271.95
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$1,763.41 |
$1,763.41 |
$1,763.41 |
$6,321.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$22.55 |
$22.55 |
$22.55 |
$66.50
|
|
Mayo aathr protein s free
|
$14.76 |
$14.76 |
$14.76 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$22.14 |
$22.14 |
$22.14 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$31.57 |
$31.57 |
$31.57 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$18.25 |
$18.25 |
$18.25 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$61.50 |
$61.50 |
$61.50 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$43.05 |
$43.05 |
$43.05 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$202.34 |
$202.34 |
$202.34 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$615.00 |
$615.00 |
$615.00 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$399.34 |
$399.34 |
$399.34 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,236.15 |
$1,236.15 |
$1,236.15 |
$1,909.44
|
|
Mayo androstenedione
|
$81.80 |
$81.80 |
$81.80 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$23.17 |
$23.17 |
$23.17 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$22.35 |
$22.35 |
$22.35 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$57.20 |
$57.20 |
$57.20 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$74.83 |
$74.83 |
$74.83 |
$157.95
|
|
Mayo bart bartonella henselae antibody igg
|
$9.84 |
$9.84 |
$9.84 |
$45.75
|