|
Infectious agent nucleic acid quantification bk virus
|
$357.50 |
$357.50 |
$357.50 |
$300.00
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$286.00 |
$286.00 |
$286.00 |
$242.50
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$324.35 |
$324.35 |
$324.35 |
$280.20
|
|
Infectious agent nucleic acid quantification hiv-1
|
$191.75 |
$191.75 |
$191.75 |
$381.55
|
|
Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets
|
$304.20 |
$304.20 |
$304.20 |
$303.59
|
|
Infliximab-dyyb 100 mg intravenous solution
|
$3,111.16 |
$3,111.16 |
$3,111.16 |
$157.14
|
|
Initial nursing facility care/day 35 minutes
|
$198.25 |
$198.25 |
$198.25 |
$244.00
|
|
Initial nursing facility care/day 45 minutes
|
$231.40 |
$231.40 |
$231.40 |
$333.60
|
|
Initial nursing facility care/day low severity 99304
|
$145.60 |
$145.60 |
$145.60 |
$162.40
|
|
Initiation & management bipap/cpap initial day
|
$1,046.50 |
$1,046.50 |
$1,046.50 |
$608.40
|
|
Inj ceftolozane tazobactam
|
$838.29 |
$838.29 |
$838.29 |
$248.93
|
|
Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides)
|
$298.35 |
$298.35 |
$298.35 |
$1,017.28
|
|
Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s)
|
$131.95 |
$131.95 |
$131.95 |
$517.24
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug
|
$136.50 |
$136.50 |
$136.50 |
$153.60
|
|
Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug
|
$136.50 |
$136.50 |
$136.50 |
$150.00
|
|
Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug
|
$170.95 |
$170.95 |
$170.95 |
$303.60
|
|
Injection therapeutic/prophylactic/diagnostic subcutaneous/im
|
$105.95 |
$105.95 |
$105.95 |
$130.19
|
|
Inj, levothyroxine, freskabi
|
$193.99 |
$193.99 |
$193.99 |
$244.63
|
|
Inj meropenem (wg crit care)
|
$20.78 |
$20.78 |
$20.78 |
$20.78
|
|
Inj multihance
|
$124.11 |
$124.11 |
$124.11 |
$86.40
|
|
Insertion catheter bladder non indwelling
|
$143.65 |
$143.65 |
$143.65 |
$230.40
|
|
Insertion catheter bladder temporary simple
|
$211.90 |
$211.90 |
$211.90 |
$245.00
|
|
Insertion nontunneled centrally inserted central venous catheter >= 5 years old
|
$448.50 |
$448.50 |
$448.50 |
$2,457.24
|
|
Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years
|
$1,459.90 |
$1,459.90 |
$1,459.90 |
$2,079.43
|
|
Insitu hybridization manual
|
$364.65 |
$364.65 |
$364.65 |
$407.11
|
|
In situ hybridization per specimen each additional single probe stain
|
$230.75 |
$230.75 |
$230.75 |
$291.00
|
|
In situ hybridization per specimen initial single probe stain
|
$304.20 |
$304.20 |
$304.20 |
$364.00
|
|
Insulin total
|
$75.40 |
$75.40 |
$75.40 |
$72.15
|
|
Intrinsic factor antibody
|
$79.30 |
$79.30 |
$79.30 |
$76.77
|
|
Intro long gi tube
|
$661.05 |
$661.05 |
$661.05 |
$880.75
|
|
Intubation endotracheal emergency procedure
|
$776.75 |
$776.75 |
$776.75 |
$565.00
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$111.12 |
$111.12 |
$111.12 |
$145.52
|
|
Iron
|
$55.25 |
$55.25 |
$55.25 |
$67.50
|
|
Iron binding capacity
|
$58.50 |
$58.50 |
$58.50 |
$55.00
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$262.08 |
$262.08 |
$262.08 |
$211.09
|
|
Irradiation of blood product each unit reference
|
$79.95 |
$79.95 |
$79.95 |
$127.49
|
|
Irrigation implantable venous access device for drug delivery systems
|
$130.65 |
$130.65 |
$130.65 |
$149.00
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$157.95 |
$157.95 |
$157.95 |
$186.55
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$157.95 |
$157.95 |
$157.95 |
$170.94
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$157.95 |
$157.95 |
$157.95 |
$153.40
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$196.95 |
$196.95 |
$196.95 |
$476.50
|
|
John cunningham antibody
|
$1,034.80 |
$1,034.80 |
$1,034.80 |
$39.65
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$58.50 |
$58.50 |
$58.50 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$12.47 |
$12.47 |
$12.47 |
$17.11
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$657.15 |
$657.15 |
$657.15 |
$618.54
|
|
Knee MRI (with and without contrast)
|
$3,021.20 |
$3,021.20 |
$3,021.20 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$2,113.15 |
$2,113.15 |
$2,113.15 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$3,618.55 |
$3,618.55 |
$3,618.55 |
$2,120.00
|
|
Knee X-ray
|
$539.50 |
$539.50 |
$539.50 |
$387.20
|
|
Kras gene addl variants
|
$386.75 |
$386.75 |
$386.75 |
$366.56
|
|
Kras gene variants exon 2
|
$628.55 |
$628.55 |
$628.55 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$7.15 |
$7.15 |
$7.15 |
$13.00
|
|
Lactate dehydrogenase (ldh)
|
$42.25 |
$42.25 |
$42.25 |
$50.55
|
|
Lactated ringers intravenous solution
|
$42.25 |
$42.25 |
$42.25 |
$46.35
|
|
Lactic acid
|
$177.45 |
$177.45 |
$177.45 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$81.25 |
$81.25 |
$81.25 |
$88.40
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$544.70 |
$544.70 |
$544.70 |
$2,480.71
|
|
Lead capillary
|
$58.50 |
$58.50 |
$58.50 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$975.00 |
$975.00 |
$975.00 |
$1,053.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$17.02 |
$17.02 |
$17.02 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$112.45 |
$112.45 |
$112.45 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$58.40 |
$58.40 |
$58.40 |
$43.61
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$30.62 |
$30.62 |
$30.62 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$80.60 |
$80.60 |
$80.60 |
$82.50
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$61.68 |
$61.68 |
$61.68 |
$84.28
|
|
Lipase
|
$86.45 |
$86.45 |
$86.45 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$70.85 |
$70.85 |
$70.85 |
$90.60
|
|
Lipoprotein blood quant
|
$143.65 |
$143.65 |
$143.65 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$48.75 |
$48.75 |
$48.75 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$48.75 |
$48.75 |
$48.75 |
$61.60
|
|
Lithium therapeutic drug level
|
$68.25 |
$68.25 |
$68.25 |
$62.40
|
|
Liver Function Test
|
$109.20 |
$109.20 |
$109.20 |
$92.85
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.00 |
$13.00 |
$13.00 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,507.05 |
$2,507.05 |
$2,507.05 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,848.60 |
$1,848.60 |
$1,848.60 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,556.75 |
$1,556.75 |
$1,556.75 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,893.15 |
$2,893.15 |
$2,893.15 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,499.25 |
$2,499.25 |
$2,499.25 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,262.00 |
$2,262.00 |
$2,262.00 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$356.85 |
$356.85 |
$356.85 |
$328.23
|
|
L/s ratio fetal lung
|
$176.15 |
$176.15 |
$176.15 |
$173.55
|
|
Lung Function Test (Spirometry)
|
$367.25 |
$367.25 |
$367.25 |
$290.89
|
|
Macroscopic exam arthropod
|
$36.40 |
$36.40 |
$36.40 |
$38.50
|
|
Macroscopic exam parasite
|
$36.40 |
$36.40 |
$36.40 |
$35.98
|
|
Magnesium
|
$68.25 |
$68.25 |
$68.25 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$55.12 |
$55.12 |
$55.12 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$89.70 |
$89.70 |
$89.70 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$109.85 |
$109.85 |
$109.85 |
$147.72
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$76.70 |
$76.70 |
$76.70 |
$76.70
|
|
Mayo aathr protein s free
|
$135.20 |
$135.20 |
$135.20 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$89.70 |
$89.70 |
$89.70 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$215.15 |
$215.15 |
$215.15 |
$172.80
|
|
Mayo alkaline phosphatase isoenzyme
|
$83.85 |
$83.85 |
$83.85 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$89.05 |
$89.05 |
$89.05 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$98.80 |
$98.80 |
$98.80 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$646.75 |
$646.75 |
$646.75 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$423.80 |
$423.80 |
$423.80 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$400.40 |
$400.40 |
$400.40 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,488.50 |
$1,488.50 |
$1,488.50 |
$1,922.13
|
|
Mayo androstenedione
|
$111.15 |
$111.15 |
$111.15 |
$131.30
|