|
IV Push Injection (each additional drug)
|
$122.05 |
$122.05 |
$122.05 |
$167.50
|
|
IV Push Injection (first drug)
|
$267.03 |
$267.03 |
$267.03 |
$252.76
|
|
Jak2 targeted sequence analysis
|
$391.36 |
$391.36 |
$391.36 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$355.25 |
$355.25 |
$355.25 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$195.53 |
$195.53 |
$195.53 |
$362.05
|
|
John cunningham antibody
|
$45.82 |
$45.82 |
$45.82 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$314.20 |
$314.20 |
$314.20 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$72.55 |
$72.55 |
$72.55 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$0.95 |
$0.95 |
$0.95 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$995.44 |
$995.44 |
$995.44 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$736.47 |
$736.47 |
$736.47 |
$490.75
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$58.82 |
$58.82 |
$58.82 |
$174.00
|
|
Kit gene analys d816 variant
|
$321.96 |
$321.96 |
$321.96 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$4,929.48 |
$4,929.48 |
$4,929.48 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,282.34 |
$2,282.34 |
$2,282.34 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,043.12 |
$3,043.12 |
$3,043.12 |
$2,130.88
|
|
Knee X-ray
|
$299.88 |
$299.88 |
$299.88 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$257.69 |
$257.69 |
$257.69 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$215.10 |
$215.10 |
$215.10 |
$363.60
|
|
Kyleena, 19.5 mg
|
$1,611.43 |
$1,611.43 |
$1,611.43 |
$2,125.00
|
|
Lactate dehydrogenase (ldh)
|
$65.93 |
$65.93 |
$65.93 |
$55.50
|
|
Lactated ringers intravenous solution
|
$427.64 |
$427.64 |
$427.64 |
$43.74
|
|
Lactic acid
|
$58.99 |
$58.99 |
$58.99 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$106.61 |
$106.61 |
$106.61 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$64.64 |
$64.64 |
$64.64 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$667.15 |
$667.15 |
$667.15 |
$740.40
|
|
Largsc w/rmvl foreign bdy(s)
|
$420.87 |
$420.87 |
$420.87 |
$765.97
|
|
Lead capillary
|
$93.05 |
$93.05 |
$93.05 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,032.51 |
$1,032.51 |
$1,032.51 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,309.46 |
$1,309.46 |
$1,309.46 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$759.34 |
$759.34 |
$759.34 |
$1,372.50
|
|
Legion pneumo dna dir prob
|
$41.54 |
$41.54 |
$41.54 |
$49.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,032.51 |
$1,032.51 |
$1,032.51 |
$1,092.58
|
|
Levetiracetam therapeutic drug level
|
$216.49 |
$216.49 |
$216.49 |
$88.92
|
|
Lidocaine therapeutic drug level
|
$28.65 |
$28.65 |
$28.65 |
$87.45
|
|
Lipase
|
$93.80 |
$93.80 |
$93.80 |
$93.58
|
|
Lipoprotein blood quant
|
$66.67 |
$66.67 |
$66.67 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$27.79 |
$27.79 |
$27.79 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$103.30 |
$103.30 |
$103.30 |
$61.60
|
|
Listeria monocytogenes
|
$26.80 |
$26.80 |
$26.80 |
$100.40
|
|
Lithium therapeutic drug level
|
$64.49 |
$64.49 |
$64.49 |
$69.75
|
|
Liver Function Test
|
$149.47 |
$149.47 |
$149.47 |
$115.44
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$247.40 |
$247.40 |
$247.40 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,529.13 |
$1,529.13 |
$1,529.13 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,047.53 |
$2,047.53 |
$2,047.53 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,199.23 |
$1,199.23 |
$1,199.23 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,077.13 |
$4,077.13 |
$4,077.13 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,043.12 |
$3,043.12 |
$3,043.12 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,642.74 |
$2,642.74 |
$2,642.74 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$307.13 |
$307.13 |
$307.13 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$414.03 |
$414.03 |
$414.03 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$540.95 |
$540.95 |
$540.95 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$221.49 |
$221.49 |
$221.49 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$490.70 |
$490.70 |
$490.70 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$87.78 |
$87.78 |
$87.78 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$356.86 |
$356.86 |
$356.86 |
$296.91
|
|
Lymphocyte transformation mitogen
|
$166.21 |
$166.21 |
$166.21 |
$271.88
|
|
Macroscopic exam parasite
|
$8.76 |
$8.76 |
$8.76 |
$37.05
|
|
Magnesium
|
$108.80 |
$108.80 |
$108.80 |
$73.00
|
|
Manipulat palm cord post inj
|
$75.78 |
$75.78 |
$75.78 |
$521.60
|
|
Marker biop eviva buckle ss
|
$479.38 |
$479.38 |
$479.38 |
$1,451.30
|
|
Mastoids complete
|
$237.53 |
$237.53 |
$237.53 |
$299.50
|
|
M.avium-intra dna dir prob
|
$57.67 |
$57.67 |
$57.67 |
$58.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$172.54 |
$172.54 |
$172.54 |
$65.28
|
|
Mayo aathr protein s free
|
$256.05 |
$256.05 |
$256.05 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$101.86 |
$101.86 |
$101.86 |
$97.50
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$79.00 |
$79.00 |
$79.00 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$65.93 |
$65.93 |
$65.93 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$106.61 |
$106.61 |
$106.61 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$210.61 |
$210.61 |
$210.61 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$72.55 |
$72.55 |
$72.55 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$51.10 |
$51.10 |
$51.10 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$57.37 |
$57.37 |
$57.37 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$72.84 |
$72.84 |
$72.84 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$257.03 |
$257.03 |
$257.03 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$583.52 |
$583.52 |
$583.52 |
$374.73
|
|
Mayo androstenedione
|
$93.18 |
$93.18 |
$93.18 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$78.05 |
$78.05 |
$78.05 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$115.38 |
$115.38 |
$115.38 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$30.58 |
$30.58 |
$30.58 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$62.71 |
$62.71 |
$62.71 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$71.30 |
$71.30 |
$71.30 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$127.72 |
$127.72 |
$127.72 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$52.76 |
$52.76 |
$52.76 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$309.51 |
$309.51 |
$309.51 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$120.17 |
$120.17 |
$120.17 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$25.16 |
$25.16 |
$25.16 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$394.95 |
$394.95 |
$394.95 |
$62.79
|
|
Mayo brcmg brucella antibody igm
|
$117.88 |
$117.88 |
$117.88 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$172.54 |
$172.54 |
$172.54 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$70.33 |
$70.33 |
$70.33 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$66.32 |
$66.32 |
$66.32 |
$81.00
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$54.41 |
$54.41 |
$54.41 |
$110.02
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$238.33 |
$238.33 |
$238.33 |
$283.40
|
|
Mayo ceruloplasmin
|
$32.96 |
$32.96 |
$32.96 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$78.75 |
$78.75 |
$78.75 |
$122.20
|
|
Mayo chikv chikungunya antibodies igg
|
$253.86 |
$253.86 |
$253.86 |
$109.54
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$151.65 |
$151.65 |
$151.65 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$143.98 |
$143.98 |
$143.98 |
$50.88
|
|
Mayo chromium
|
$132.60 |
$132.60 |
$132.60 |
$75.60
|