|
Ivp w/wo kub w/wo tomography
|
$330.32 |
$330.32 |
$330.32 |
$687.80
|
|
Ixabepilone 15 mg intravenous solution
|
$139.88 |
$139.88 |
$139.88 |
$189.96
|
|
Jak2 targeted sequence analysis
|
$215.62 |
$215.62 |
$215.62 |
$465.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$64.10 |
$64.10 |
$64.10 |
$52.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$9.71 |
$9.71 |
$9.71 |
$17.11
|
|
Kidney imaging morphology
|
$769.51 |
$769.51 |
$769.51 |
$693.60
|
|
Kidney imag w/bld flow multi
|
$1,257.54 |
$1,257.54 |
$1,257.54 |
$1,319.61
|
|
Kidney img w/bldflw sgl without rx
|
$782.83 |
$782.83 |
$782.83 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$400.16 |
$400.16 |
$400.16 |
$618.54
|
|
Kit gene analys d816 variant
|
$269.27 |
$269.27 |
$269.27 |
$276.38
|
|
Kit sound processor cochlear osia 2
|
$22,008.58 |
$22,008.58 |
$22,008.58 |
$22,008.58
|
|
Knee MRI (with and without contrast)
|
$1,070.87 |
$1,070.87 |
$1,070.87 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$1,113.05 |
$1,113.05 |
$1,113.05 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$1,953.60 |
$1,953.60 |
$1,953.60 |
$2,120.00
|
|
Knee X-ray
|
$303.22 |
$303.22 |
$303.22 |
$387.20
|
|
Kras gene addl variants
|
$128.52 |
$128.52 |
$128.52 |
$366.56
|
|
Kras gene variants exon 2
|
$128.52 |
$128.52 |
$128.52 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$77.89 |
$77.89 |
$77.89 |
$102.70
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$9.25 |
$9.25 |
$9.25 |
$171.00
|
|
Lactate dehydrogenase (ldh)
|
$27.84 |
$27.84 |
$27.84 |
$50.55
|
|
Lactated ringers intravenous solution
|
$48.56 |
$48.56 |
$48.56 |
$46.35
|
|
Lactic acid
|
$163.91 |
$163.91 |
$163.91 |
$85.20
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$8,377.30 |
$8,377.30 |
$8,377.30 |
$21,470.76
|
|
Largsc w/rmvl foreign bdy(s)
|
$447.15 |
$447.15 |
$447.15 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,256.91 |
$2,256.91 |
$2,256.91 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$2,423.50 |
$2,423.50 |
$2,423.50 |
$3,505.20
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$169.37 |
$169.37 |
$169.37 |
$537.80
|
|
Lead capillary
|
$41.16 |
$41.16 |
$41.16 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$407.46 |
$407.46 |
$407.46 |
$1,053.00
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,026.49 |
$2,026.49 |
$2,026.49 |
$1,136.25
|
|
Lens iol ant chamb 10.5
|
$269.71 |
$269.71 |
$269.71 |
$191.25
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$115.27 |
$115.27 |
$115.27 |
$115.27
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$8,124.05 |
$8,124.05 |
$8,124.05 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,175.52 |
$4,175.52 |
$4,175.52 |
$4,308.91
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.11 |
$0.11 |
$0.11 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$70.39 |
$70.39 |
$70.39 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$34.00 |
$34.00 |
$34.00 |
$43.61
|
|
Lidocaine therapeutic drug level
|
$59.29 |
$59.29 |
$59.29 |
$82.50
|
|
Ligation/biopsy of temporal artery 37609
|
$1,044.33 |
$1,044.33 |
$1,044.33 |
$3,679.25
|
|
Ligation/major artery/extremity 37618
|
$1,044.42 |
$1,044.42 |
$1,044.42 |
$1,497.00
|
|
Ligation of inf vena cava
|
$4,675.69 |
$4,675.69 |
$4,675.69 |
$5,983.35
|
|
Ligation vericose vein cluster(s) 1 leg
|
$3,071.93 |
$3,071.93 |
$3,071.93 |
$3,182.01
|
|
Lig/band angioaccess av fistula
|
$3,662.26 |
$3,662.26 |
$3,662.26 |
$4,240.23
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$64.58 |
$64.58 |
$64.58 |
$84.28
|
|
Lipase
|
$44.68 |
$44.68 |
$44.68 |
$67.68
|
|
Lipoprotein blood quant
|
$40.05 |
$40.05 |
$40.05 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$36.72 |
$36.72 |
$36.72 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$29.79 |
$29.79 |
$29.79 |
$61.60
|
|
Lithium therapeutic drug level
|
$45.51 |
$45.51 |
$45.51 |
$62.40
|
|
Liver Function Test
|
$44.31 |
$44.31 |
$44.31 |
$92.85
|
|
Liver imaging
|
$321.62 |
$321.62 |
$321.62 |
$827.28
|
|
Liver/spleen imag static only
|
$406.08 |
$406.08 |
$406.08 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$429.48 |
$429.48 |
$429.48 |
$727.35
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.55 |
$1.55 |
$1.55 |
$2.57
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.56 |
$13.56 |
$13.56 |
$37.37
|
|
Low cost skin substitute app
|
$2,147.57 |
$2,147.57 |
$2,147.57 |
$2,147.57
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$715.30 |
$715.30 |
$715.30 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$902.80 |
$902.80 |
$902.80 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$843.69 |
$843.69 |
$843.69 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,396.84 |
$1,396.84 |
$1,396.84 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,054.87 |
$1,054.87 |
$1,054.87 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$924.82 |
$924.82 |
$924.82 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$148.46 |
$148.46 |
$148.46 |
$328.23
|
|
Low frequency non-thermal Ultrasound
|
$182.78 |
$182.78 |
$182.78 |
$275.88
|
|
Lung function test (mbc/mvv)
|
$69.75 |
$69.75 |
$69.75 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$99.16 |
$99.16 |
$99.16 |
$290.89
|
|
Lung perfusion imaging
|
$394.33 |
$394.33 |
$394.33 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$563.97 |
$563.97 |
$563.97 |
$1,330.00
|
|
Lymphocyte transformation mitogen
|
$95.55 |
$95.55 |
$95.55 |
$235.56
|
|
Lymph vessel x-ray trunk
|
$711.05 |
$711.05 |
$711.05 |
$2,494.49
|
|
Macro exam dissect molec study ea
|
$36.54 |
$36.54 |
$36.54 |
$76.70
|
|
Macroscopic exam arthropod
|
$49.03 |
$49.03 |
$49.03 |
$38.50
|
|
Macroscopic exam parasite
|
$30.43 |
$30.43 |
$30.43 |
$35.98
|
|
Magnesium
|
$51.06 |
$51.06 |
$51.06 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$31.45 |
$31.45 |
$31.45 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$27.47 |
$27.47 |
$27.47 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$78.81 |
$78.81 |
$78.81 |
$147.72
|
|
Manipulation of spine
|
$1,649.37 |
$1,649.37 |
$1,649.37 |
$1,771.43
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.25 |
$9.25 |
$9.25 |
$33.24
|
|
Manual diff wbc count b-coat
|
$15.73 |
$15.73 |
$15.73 |
$22.75
|
|
Map tachycard site(s)
|
$1,092.24 |
$1,092.24 |
$1,092.24 |
$3,875.95
|
|
Marker biop eviva buckle ss
|
$2,042.79 |
$2,042.79 |
$2,042.79 |
$1,126.34
|
|
Mastoids complete
|
$93.61 |
$93.61 |
$93.61 |
$271.95
|
|
M.avium-intra dna amp prob
|
$113.31 |
$113.31 |
$113.31 |
$113.31
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$42.09 |
$42.09 |
$42.09 |
$76.70
|
|
Mayo aathr protein s free
|
$99.44 |
$99.44 |
$99.44 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$95.92 |
$95.92 |
$95.92 |
$100.26
|
|
Mayo alkaline phosphatase isoenzyme
|
$66.79 |
$66.79 |
$66.79 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$55.04 |
$55.04 |
$55.04 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$65.86 |
$65.86 |
$65.86 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$83.99 |
$83.99 |
$83.99 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$258.35 |
$258.35 |
$258.35 |
$343.20
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
$1,922.13
|
|
Mayo androstenedione
|
$115.44 |
$115.44 |
$115.44 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$61.61 |
$61.61 |
$61.61 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$103.51 |
$103.51 |
$103.51 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$59.29 |
$59.29 |
$59.29 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$159.66 |
$159.66 |
$159.66 |
$159.66
|
|
Mayo bart bartonella henselae antibody igg
|
$27.38 |
$27.38 |
$27.38 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$109.24 |
$109.24 |
$109.24 |
$364.90
|