|
Intro long gi tube
|
$1,950.00 |
$1,950.00 |
$1,950.00 |
$1,036.00
|
|
Intro long gi tube w/mult fluo
|
$378.30 |
$378.30 |
$378.30 |
$477.85
|
|
Intubation endotracheal emergency procedure
|
$355.55 |
$355.55 |
$355.55 |
$617.60
|
|
Iodine i-123 sod iodide mil
|
$42,185.00 |
$42,185.00 |
$42,185.00 |
$677.98
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$4.36 |
$4.36 |
$4.36 |
$149.13
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$160.81 |
$160.81 |
$160.81 |
$153.98
|
|
Iron
|
$18.20 |
$18.20 |
$18.20 |
$70.72
|
|
Iron binding capacity
|
$16.90 |
$16.90 |
$16.90 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$59.24 |
$59.24 |
$59.24 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$236.18 |
$236.18 |
$236.18 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$139.75 |
$139.75 |
$139.75 |
$154.50
|
|
Ivc venogram s&i
|
$3,604.90 |
$3,604.90 |
$3,604.90 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$247.65 |
$247.65 |
$247.65 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$110.50 |
$110.50 |
$110.50 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$98.15 |
$98.15 |
$98.15 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$328.90 |
$328.90 |
$328.90 |
$460.85
|
|
Ivp w/wo kub w/wo tomography
|
$759.85 |
$759.85 |
$759.85 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$583.05 |
$583.05 |
$583.05 |
$378.30
|
|
Jejunstmy tube plcmt
|
$2,871.70 |
$2,871.70 |
$2,871.70 |
$2,244.82
|
|
John cunningham antibody
|
$3,831.10 |
$3,831.10 |
$3,831.10 |
$48.57
|
|
Ketamine and metabolite screen - quest
|
$558.35 |
$558.35 |
$558.35 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$98.15 |
$98.15 |
$98.15 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$23.50 |
$23.50 |
$23.50 |
$30.08
|
|
Kidney img w/bldflw sgl without rx
|
$1,127.75 |
$1,127.75 |
$1,127.75 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$640.90 |
$640.90 |
$640.90 |
$668.25
|
|
Kit gene analys d816 variant
|
$1,064.05 |
$1,064.05 |
$1,064.05 |
$355.00
|
|
Kit lead specify 5-6-5
|
$6,359.18 |
$6,359.18 |
$6,359.18 |
$17,205.92
|
|
Knee MRI (with and without contrast)
|
$4,218.50 |
$4,218.50 |
$4,218.50 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$3,835.00 |
$3,835.00 |
$3,835.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,486.60 |
$3,486.60 |
$3,486.60 |
$2,181.10
|
|
Knee X-ray
|
$713.70 |
$713.70 |
$713.70 |
$443.90
|
|
Kras gene variants exon 2
|
$2,598.05 |
$2,598.05 |
$2,598.05 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$27.43 |
$27.43 |
$27.43 |
$42.38
|
|
Lactate dehydrogenase (ldh)
|
$14.95 |
$14.95 |
$14.95 |
$53.30
|
|
Lactated ringers intravenous solution
|
$43.17 |
$43.17 |
$43.17 |
$54.11
|
|
Lactic acid
|
$92.30 |
$92.30 |
$92.30 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$36.40 |
$36.40 |
$36.40 |
$88.40
|
|
Lactoferrin fecal quant
|
$557.05 |
$557.05 |
$557.05 |
$106.10
|
|
Laryngoscopy telescopic
|
$747.50 |
$747.50 |
$747.50 |
$762.30
|
|
Lead capillary
|
$29.90 |
$29.90 |
$29.90 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$746.73 |
$746.73 |
$746.73 |
$3,842.56
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$1,100.74
|
|
Leishmania antibody
|
$94.90 |
$94.90 |
$94.90 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$39.49 |
$39.49 |
$39.49 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$25.35 |
$25.35 |
$25.35 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$40.30 |
$40.30 |
$40.30 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$62.72 |
$62.72 |
$62.72 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$274.85 |
$274.85 |
$274.85 |
$319.12
|
|
Liberta rc ipg
|
$1,707.10 |
$1,707.10 |
$1,707.10 |
$39,406.68
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$49.11 |
$49.11 |
$49.11 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$66.30 |
$66.30 |
$66.30 |
$83.85
|
|
Ligation/biopsy of temporal artery 37609
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$2,968.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$58.63 |
$58.63 |
$58.63 |
$177.90
|
|
Lipase
|
$72.80 |
$72.80 |
$72.80 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$116.35 |
$116.35 |
$116.35 |
$89.52
|
|
Lipoprotein blood quant
|
$57.20 |
$57.20 |
$57.20 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$20.15 |
$20.15 |
$20.15 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$27.95 |
$27.95 |
$27.95 |
$60.00
|
|
Listeria monocytogenes
|
$193.70 |
$193.70 |
$193.70 |
$95.40
|
|
Lithium therapeutic drug level
|
$20.15 |
$20.15 |
$20.15 |
$67.60
|
|
Liver Function Test
|
$20.15 |
$20.15 |
$20.15 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$625.01 |
$625.01 |
$625.01 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$24.16 |
$24.16 |
$24.16 |
$45.56
|
|
Low cost skin substitute app
|
$319.80 |
$319.80 |
$319.80 |
$862.55
|
|
Low cost skin substitute app
|
$415.35 |
$415.35 |
$415.35 |
$2,164.64
|
|
Low cost skin substitute app
|
$460.20 |
$460.20 |
$460.20 |
$933.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,338.35 |
$1,338.35 |
$1,338.35 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,217.45 |
$1,217.45 |
$1,217.45 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,106.30 |
$1,106.30 |
$1,106.30 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,468.05 |
$2,468.05 |
$2,468.05 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,080.00 |
$2,080.00 |
$2,080.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,691.95 |
$1,691.95 |
$1,691.95 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$321.10 |
$321.10 |
$321.10 |
$344.00
|
|
Low frequency non-thermal Ultrasound
|
$616.85 |
$616.85 |
$616.85 |
$275.88
|
|
L/s ratio fetal lung
|
$534.95 |
$534.95 |
$534.95 |
$168.00
|
|
Lumbar diskogram s&i
|
$4,009.85 |
$4,009.85 |
$4,009.85 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$306.15 |
$306.15 |
$306.15 |
$298.50
|
|
Lung perfusion imaging
|
$870.35 |
$870.35 |
$870.35 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$1,543.75 |
$1,543.75 |
$1,543.75 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$325.00 |
$325.00 |
$325.00 |
$266.20
|
|
Lymph vessel x-ray arm/leg
|
$3,183.70 |
$3,183.70 |
$3,183.70 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$9,553.70 |
$9,553.70 |
$9,553.70 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$12,056.20 |
$12,056.20 |
$12,056.20 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$12,056.20 |
$12,056.20 |
$12,056.20 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$54.60 |
$54.60 |
$54.60 |
$38.58
|
|
Macroscopic exam parasite
|
$105.30 |
$105.30 |
$105.30 |
$38.50
|
|
Magnesium
|
$37.70 |
$37.70 |
$37.70 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$46.93 |
$46.93 |
$46.93 |
$65.49
|
|
Magnetic image bone marrow
|
$1,947.40 |
$1,947.40 |
$1,947.40 |
$1,152.80
|
|
Malaria antibody
|
$29.90 |
$29.90 |
$29.90 |
$38.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$209.30 |
$209.30 |
$209.30 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$209.30 |
$209.30 |
$209.30 |
$178.75
|
|
Marker biop eviva buckle ss
|
$209.64 |
$209.64 |
$209.64 |
$1,213.20
|
|
Mastoids complete
|
$713.70 |
$713.70 |
$713.70 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$85.15 |
$85.15 |
$85.15 |
$66.50
|
|
Mayo aathr protein s free
|
$44.85 |
$44.85 |
$44.85 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$37.70 |
$37.70 |
$37.70 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$768.30 |
$768.30 |
$768.30 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$153.40 |
$153.40 |
$153.40 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$279.50 |
$279.50 |
$279.50 |
$118.95
|