|
Intro cath svc/ivc
|
$1,604.80 |
$1,604.80 |
$1,604.80 |
$1,323.27
|
|
Intrvasc Ultrasound noncoronary 1st vessel
|
$4,220.80 |
$4,220.80 |
$4,220.80 |
$3,409.29
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$1,132.80 |
$1,132.80 |
$1,132.80 |
$1,747.80
|
|
Intubation endotracheal emergency procedure
|
$877.60 |
$877.60 |
$877.60 |
$598.80
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$8.00 |
$8.00 |
$8.00 |
$170.06
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1.60 |
$1.60 |
$1.60 |
$288.11
|
|
Iron
|
$20.00 |
$20.00 |
$20.00 |
$72.29
|
|
Iron dextran 50 mg/ml injection solution
|
$99.80 |
$99.80 |
$99.80 |
$81.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$312.80 |
$312.80 |
$312.80 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$100.00 |
$100.00 |
$100.00 |
$144.62
|
|
Ivc venogram s&i
|
$2,898.40 |
$2,898.40 |
$2,898.40 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$283.20 |
$283.20 |
$283.20 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$123.20 |
$123.20 |
$123.20 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$154.40 |
$154.40 |
$154.40 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$552.00 |
$552.00 |
$552.00 |
$437.45
|
|
Ivp w/wo kub w/wo tomography
|
$844.00 |
$844.00 |
$844.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$770.40 |
$770.40 |
$770.40 |
$393.43
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$40.80 |
$40.80 |
$40.80 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$21.20 |
$21.20 |
$21.20 |
$23.77
|
|
Kidney img w/bldflw sgl without rx
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$893.60 |
$893.60 |
$893.60 |
$673.36
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,204.00 |
$6,204.00 |
$6,204.00 |
$9,482.25
|
|
Kit hfx iq ipg bundle
|
$32,828.40 |
$32,828.40 |
$32,828.40 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$10,956.00 |
$10,956.00 |
$10,956.00 |
$16,965.41
|
|
Knee MRI (with and without contrast)
|
$712.50 |
$712.50 |
$712.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$645.00 |
$645.00 |
$645.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$462.00 |
$462.00 |
$462.00 |
$2,110.76
|
|
Knee X-ray
|
$736.80 |
$736.80 |
$736.80 |
$425.55
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$22.00 |
$22.00 |
$22.00 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$273.20 |
$273.20 |
$273.20 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$25.00 |
$25.00 |
$25.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$8.00 |
$8.00 |
$8.00 |
$44.91
|
|
Lactic acid
|
$75.20 |
$75.20 |
$75.20 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$82.40 |
$82.40 |
$82.40 |
$81.00
|
|
Lead acuity x4 spiral l 86cm
|
$1,500.84 |
$1,500.84 |
$1,500.84 |
$5,534.00
|
|
Lead capillary
|
$50.40 |
$50.40 |
$50.40 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$582.12 |
$582.12 |
$582.12 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$5,928.91 |
$5,928.91 |
$5,928.91 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,147.20 |
$1,147.20 |
$1,147.20 |
$1,092.58
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$5.20 |
$5.20 |
$5.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$43.00 |
$43.00 |
$43.00 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$195.40 |
$195.40 |
$195.40 |
$420.60
|
|
Liberta rc ipg
|
$28,050.00 |
$28,050.00 |
$28,050.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$24.20 |
$24.20 |
$24.20 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$32.00 |
$32.00 |
$32.00 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$60.80 |
$60.80 |
$60.80 |
$87.45
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$30.00 |
$30.00 |
$30.00 |
$121.00
|
|
Lipase
|
$41.60 |
$41.60 |
$41.60 |
$91.65
|
|
Lipoprotein blood quant
|
$142.40 |
$142.40 |
$142.40 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$34.40 |
$34.40 |
$34.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$44.00 |
$44.00 |
$44.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$27.20 |
$27.20 |
$27.20 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$31,708.00 |
$31,708.00 |
$31,708.00 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$2,094.40 |
$2,094.40 |
$2,094.40 |
$365.28
|
|
Liver Function Test
|
$25.00 |
$25.00 |
$25.00 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$42.40 |
$42.40 |
$42.40 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$21.80 |
$21.80 |
$21.80 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$569.00 |
$569.00 |
$569.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$472.00 |
$472.00 |
$472.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$286.00 |
$286.00 |
$286.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$700.50 |
$700.50 |
$700.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$635.50 |
$635.50 |
$635.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$454.00 |
$454.00 |
$454.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$650.40 |
$650.40 |
$650.40 |
$356.16
|
|
Lung Function Test (Spirometry)
|
$495.20 |
$495.20 |
$495.20 |
$295.35
|
|
Lung perfusion imaging
|
$1,713.60 |
$1,713.60 |
$1,713.60 |
$1,059.97
|
|
Lymphatics/lymph node imaging
|
$2,225.60 |
$2,225.60 |
$2,225.60 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$21.60 |
$21.60 |
$21.60 |
$38.58
|
|
Macroscopic exam parasite
|
$18.40 |
$18.40 |
$18.40 |
$36.55
|
|
Magnesium
|
$30.00 |
$30.00 |
$30.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$36.80 |
$36.80 |
$36.80 |
$59.88
|
|
Mammosite ced
|
$455.34 |
$455.34 |
$455.34 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$240.00 |
$240.00 |
$240.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$328.00 |
$328.00 |
$328.00 |
$160.80
|
|
Mastoids complete
|
$501.60 |
$501.60 |
$501.60 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$72.00 |
$72.00 |
$72.00 |
$65.00
|
|
Mayo aathr protein s free
|
$107.20 |
$107.20 |
$107.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$108.00 |
$108.00 |
$108.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$95.20 |
$95.20 |
$95.20 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$61.60 |
$61.60 |
$61.60 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$56.00 |
$56.00 |
$56.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$62.40 |
$62.40 |
$62.40 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$505.60 |
$505.60 |
$505.60 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$380.80 |
$380.80 |
$380.80 |
$369.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$4,825.60 |
$4,825.60 |
$4,825.60 |
$1,860.00
|
|
Mayo androstenedione
|
$146.40 |
$146.40 |
$146.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$73.60 |
$73.60 |
$73.60 |
$73.60
|
|
Mayo aspergillus fumigatus antibody
|
$62.40 |
$62.40 |
$62.40 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$157.60 |
$157.60 |
$157.60 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$162.40 |
$162.40 |
$162.40 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$50.40 |
$50.40 |
$50.40 |
$45.50
|
|
Mayo brcmg brucella antibody igm
|
$37.60 |
$37.60 |
$37.60 |
$44.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$84.00 |
$84.00 |
$84.00 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$107.20 |
$107.20 |
$107.20 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$508.00 |
$508.00 |
$508.00 |
$281.50
|
|
Mayo ceruloplasmin
|
$44.80 |
$44.80 |
$44.80 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$59.20 |
$59.20 |
$59.20 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$64.00 |
$64.00 |
$64.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$63.20 |
$63.20 |
$63.20 |
$49.29
|