|
Irrigation implantable venous access device for drug delivery systems
|
$100.00 |
$100.00 |
$100.00 |
$144.62
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$287.20 |
$287.20 |
$287.20 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$299.60 |
$299.60 |
$299.60 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$318.00 |
$318.00 |
$318.00 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$1,100.00 |
$1,100.00 |
$1,100.00 |
$437.45
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$73.20 |
$73.20 |
$73.20 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$17.41 |
$17.41 |
$17.41 |
$23.77
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$898.20 |
$898.20 |
$898.20 |
$673.36
|
|
Kit lead specify 5-6-5
|
$30,619.80 |
$30,619.80 |
$30,619.80 |
$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
|
$696.80 |
$696.80 |
$696.80 |
$425.55
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$20.20 |
$20.20 |
$20.20 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$25.00 |
$25.00 |
$25.00 |
$55.50
|
|
Lactic acid
|
$149.40 |
$149.40 |
$149.40 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$62.00 |
$62.00 |
$62.00 |
$81.00
|
|
Laryngoscopy telescopic
|
$2,076.20 |
$2,076.20 |
$2,076.20 |
$852.80
|
|
Lead capillary
|
$187.20 |
$187.20 |
$187.20 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,140.60 |
$2,140.60 |
$2,140.60 |
$1,092.58
|
|
Levetiracetam therapeutic drug level
|
$426.20 |
$426.20 |
$426.20 |
$88.92
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$5.20 |
$5.20 |
$5.20 |
$46.02
|
|
Lipase
|
$174.20 |
$174.20 |
$174.20 |
$91.65
|
|
Lipoprotein direct measurement hdl
|
$81.00 |
$81.00 |
$81.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$205.00 |
$205.00 |
$205.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$127.80 |
$127.80 |
$127.80 |
$69.42
|
|
Liver Function Test
|
$25.00 |
$25.00 |
$25.00 |
$115.44
|
|
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
|
$563.60 |
$563.60 |
$563.60 |
$356.16
|
|
Lung perfusion imaging
|
$1,850.20 |
$1,850.20 |
$1,850.20 |
$1,059.97
|
|
Magnesium
|
$30.00 |
$30.00 |
$30.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$29.20 |
$29.20 |
$29.20 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$157.80 |
$157.80 |
$157.80 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$369.20 |
$369.20 |
$369.20 |
$160.80
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$388.40 |
$388.40 |
$388.40 |
$65.00
|
|
Mayo aathr protein s free
|
$322.60 |
$322.60 |
$322.60 |
$130.00
|
|
Mayo alkaline phosphatase isoenzyme
|
$168.40 |
$168.40 |
$168.40 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$301.40 |
$301.40 |
$301.40 |
$87.10
|
|
Mayo androstenedione
|
$330.40 |
$330.40 |
$330.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$174.60 |
$174.60 |
$174.60 |
$73.60
|
|
Mayo aspergillus fumigatus antibody
|
$154.00 |
$154.00 |
$154.00 |
$66.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$162.40 |
$162.40 |
$162.40 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$91.00 |
$91.00 |
$91.00 |
$45.50
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$405.80 |
$405.80 |
$405.80 |
$80.16
|
|
Mayo ceruloplasmin
|
$228.20 |
$228.20 |
$228.20 |
$68.40
|
|
Mayo chikv chikungunya antibodies igg
|
$267.40 |
$267.40 |
$267.40 |
$109.20
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$2,698.20 |
$2,698.20 |
$2,698.20 |
$360.33
|
|
Mayo cocou cortisone urine
|
$465.80 |
$465.80 |
$465.80 |
$213.92
|
|
Mayo cortisol free
|
$387.20 |
$387.20 |
$387.20 |
$94.95
|
|
Mayo dhea (dehydroepiandrosterone)
|
$514.60 |
$514.60 |
$514.60 |
$105.60
|
|
Mayo dihydrotestosterone
|
$465.80 |
$465.80 |
$465.80 |
$74.25
|
|
Mayo estrone
|
$260.80 |
$260.80 |
$260.80 |
$85.00
|
|
Mayo factor viii vw factor antigen
|
$215.20 |
$215.20 |
$215.20 |
$122.62
|
|
Mayo factor viii vw factor multimetric analysis
|
$452.80 |
$452.80 |
$452.80 |
$130.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$285.80 |
$285.80 |
$285.80 |
$141.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$145.60 |
$145.60 |
$145.60 |
$165.55
|
|
Mayo hla typing a/b/c single antigen
|
$107.20 |
$107.20 |
$107.20 |
$122.80
|
|
Mayo hvdip HIV 2 antibody
|
$56.80 |
$56.80 |
$56.80 |
$77.77
|
|
Mayo hydroxyprogesterone 17-d
|
$205.40 |
$205.40 |
$205.40 |
$106.65
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$300.60 |
$300.60 |
$300.60 |
$210.80
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$85.00 |
$85.00 |
$85.00 |
$107.14
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$405.80 |
$405.80 |
$405.80 |
$108.96
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$288.00 |
$288.00 |
$288.00 |
$89.40
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$179.20 |
$179.20 |
$179.20 |
$109.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$147.20 |
$147.20 |
$147.20 |
$82.83
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$145.60 |
$145.60 |
$145.60 |
$155.00
|
|
Mayo infectious agent nucleic acid quantification cytomegalovirus
|
$973.40 |
$973.40 |
$973.40 |
$230.65
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$300.00 |
$300.00 |
$300.00 |
$226.20
|
|
Mayo inhab inhibin a
|
$475.20 |
$475.20 |
$475.20 |
$79.95
|
|
Mayo insulin antibodies
|
$305.40 |
$305.40 |
$305.40 |
$97.80
|
|
Mayo lacosamide therapeutic drug level
|
$426.20 |
$426.20 |
$426.20 |
$104.00
|
|
Mayo lamotrigine therapeutic drug level
|
$426.20 |
$426.20 |
$426.20 |
$66.43
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$226.80 |
$226.80 |
$226.80 |
$69.55
|
|
Mayo metanephrines plasma
|
$462.60 |
$462.60 |
$462.60 |
$122.40
|
|
Mayo microsomal antibody liver-kidney
|
$243.40 |
$243.40 |
$243.40 |
$81.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$361.20 |
$361.20 |
$361.20 |
$170.50
|
|
Mayo myoglobin
|
$558.00 |
$558.00 |
$558.00 |
$92.00
|
|
Mayo organic acid methylmalonic single quantitative
|
$718.00 |
$718.00 |
$718.00 |
$102.00
|
|
Mayo parvs parvovirus b19 antibody igg
|
$748.60 |
$748.60 |
$748.60 |
$63.60
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$253.40 |
$253.40 |
$253.40 |
$210.88
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$55.20 |
$55.20 |
$55.20 |
$86.14
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$228.40 |
$228.40 |
$228.40 |
$69.00
|
|
Mayo proinsulin
|
$498.00 |
$498.00 |
$498.00 |
$97.50
|
|
Mayo psaft prostate specific antigen free
|
$45.00 |
$45.00 |
$45.00 |
$90.00
|
|
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative
|
$443.80 |
$443.80 |
$443.80 |
$240.00
|
|
Mayo receptor assay transferrin soluble
|
$711.20 |
$711.20 |
$711.20 |
$114.88
|
|
Mayo renin
|
$226.60 |
$226.60 |
$226.60 |
$102.60
|
|
Mayo repu protein electrophoresis urine
|
$45.00 |
$45.00 |
$45.00 |
$93.62
|
|
Mayo selenium
|
$351.20 |
$351.20 |
$351.20 |
$81.00
|
|
Mayo sfgp rickettsia rickettsii antibody igg
|
$234.40 |
$234.40 |
$234.40 |
$75.20
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$60.60 |
$60.60 |
$60.60 |
$48.75
|
|
Mayo tgrp testosterone free
|
$326.60 |
$326.60 |
$326.60 |
$99.00
|
|
Mayo tgrp testosterone total
|
$221.00 |
$221.00 |
$221.00 |
$125.60
|
|
Mayo thiopurine s-methyltransferase
|
$204.00 |
$204.00 |
$204.00 |
$93.93
|
|
Mayo thyroglobulin
|
$129.80 |
$129.80 |
$129.80 |
$95.00
|
|
Mayo ticks anaplasma phagocytophilum antibody igg
|
$230.20 |
$230.20 |
$230.20 |
$66.60
|
