|
In situ hybridization per specimen initial single probe stain
|
$407.20 |
$407.20 |
$407.20 |
$338.40
|
|
Insulin total
|
$115.20 |
$115.20 |
$115.20 |
$66.64
|
|
Intrinsic factor antibody
|
$56.80 |
$56.80 |
$56.80 |
$65.00
|
|
Intubation endotracheal emergency procedure
|
$480.00 |
$480.00 |
$480.00 |
$601.28
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$20.00 |
$20.00 |
$20.00 |
$165.67
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$100.00 |
$100.00 |
$100.00 |
$279.10
|
|
Ipratropium bromide non-comp
|
$5.29 |
$5.29 |
$5.29 |
$4.06
|
|
Iron
|
$64.00 |
$64.00 |
$64.00 |
$75.00
|
|
Iron binding capacity
|
$72.80 |
$72.80 |
$72.80 |
$63.91
|
|
Iron dextran 50 mg/ml injection solution
|
$87.64 |
$87.64 |
$87.64 |
$80.67
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$66.59 |
$66.59 |
$66.59 |
$187.06
|
|
Irrigation implantable venous access device for drug delivery systems
|
$172.00 |
$172.00 |
$172.00 |
$146.11
|
|
IV Fluids (each additional hour)
|
$163.20 |
$163.20 |
$163.20 |
$133.90
|
|
IV Fluids (first hour)
|
$530.40 |
$530.40 |
$530.40 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$184.00 |
$184.00 |
$184.00 |
$162.68
|
|
IV Medicine Infusion (additional drug)
|
$206.40 |
$206.40 |
$206.40 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$179.20 |
$179.20 |
$179.20 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$528.00 |
$528.00 |
$528.00 |
$439.56
|
|
IV Push Injection (each additional drug)
|
$128.00 |
$128.00 |
$128.00 |
$167.50
|
|
IV Push Injection (first drug)
|
$228.00 |
$228.00 |
$228.00 |
$252.76
|
|
Ivp w/nephrotomography
|
$1,183.20 |
$1,183.20 |
$1,183.20 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,095.20 |
$1,095.20 |
$1,095.20 |
$713.40
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$465.60 |
$465.60 |
$465.60 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$514.40 |
$514.40 |
$514.40 |
$362.05
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$48.80 |
$48.80 |
$48.80 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$61.39 |
$61.39 |
$61.39 |
$23.52
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$921.60 |
$921.60 |
$921.60 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$720.00 |
$720.00 |
$720.00 |
$490.75
|
|
Kit gene analys d816 variant
|
$526.40 |
$526.40 |
$526.40 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$4,055.20 |
$4,055.20 |
$4,055.20 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$3,369.60 |
$3,369.60 |
$3,369.60 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,053.60 |
$3,053.60 |
$3,053.60 |
$2,130.88
|
|
Knee X-ray
|
$533.60 |
$533.60 |
$533.60 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$322.40 |
$322.40 |
$322.40 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$376.80 |
$376.80 |
$376.80 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$328.80 |
$328.80 |
$328.80 |
$251.20
|
|
Ko elastic w/joints pre ots
|
$114.40 |
$114.40 |
$114.40 |
$137.05
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$60.38 |
$60.38 |
$60.38 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$62.40 |
$62.40 |
$62.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$86.40 |
$86.40 |
$86.40 |
$43.74
|
|
Lactic acid
|
$58.40 |
$58.40 |
$58.40 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$119.20 |
$119.20 |
$119.20 |
$82.16
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$12,807.27 |
$12,807.27 |
$12,807.27 |
$19,124.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$883.20 |
$883.20 |
$883.20 |
$740.40
|
|
Lead capillary
|
$100.00 |
$100.00 |
$100.00 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,280.80 |
$1,280.80 |
$1,280.80 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,866.40 |
$1,866.40 |
$1,866.40 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$2,195.20 |
$2,195.20 |
$2,195.20 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,326.40 |
$1,326.40 |
$1,326.40 |
$1,092.58
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$72.24 |
$72.24 |
$72.24 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$298.42 |
$298.42 |
$298.42 |
$6,360.76
|
|
Levalbuterol non-comp unit
|
$7.78 |
$7.78 |
$7.78 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$61.47 |
$61.47 |
$61.47 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$146.40 |
$146.40 |
$146.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$111.62 |
$111.62 |
$111.62 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$323.33 |
$323.33 |
$323.33 |
$420.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$63.55 |
$63.55 |
$63.55 |
$46.02
|
|
Lipase
|
$95.20 |
$95.20 |
$95.20 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$56.00 |
$56.00 |
$56.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$56.80 |
$56.80 |
$56.80 |
$61.60
|
|
Lithium therapeutic drug level
|
$76.80 |
$76.80 |
$76.80 |
$69.75
|
|
Liver Function Test
|
$118.40 |
$118.40 |
$118.40 |
$115.44
|
|
Locm 100-199mg/ml iodine,1ml
|
$20.00 |
$20.00 |
$20.00 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$61.23 |
$61.23 |
$61.23 |
$37.20
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$1,058.40 |
$1,058.40 |
$1,058.40 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,624.80 |
$2,624.80 |
$2,624.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,539.20 |
$2,539.20 |
$2,539.20 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,430.40 |
$4,430.40 |
$4,430.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,362.40 |
$3,362.40 |
$3,362.40 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,128.80 |
$3,128.80 |
$3,128.80 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$425.60 |
$425.60 |
$425.60 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$617.60 |
$617.60 |
$617.60 |
$505.83
|
|
Lower Leg (Shin) X-ray (both sides)
|
$337.60 |
$337.60 |
$337.60 |
$338.40
|
|
Lung Function Test Before and After an Inhaler
|
$562.40 |
$562.40 |
$562.40 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$244.80 |
$244.80 |
$244.80 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$348.00 |
$348.00 |
$348.00 |
$296.91
|
|
Lung perfusion imaging
|
$1,431.20 |
$1,431.20 |
$1,431.20 |
$1,069.25
|
|
Macroscopic exam arthropod
|
$61.60 |
$61.60 |
$61.60 |
$38.58
|
|
Magnesium
|
$68.80 |
$68.80 |
$68.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$85.65 |
$85.65 |
$85.65 |
$58.70
|
|
Mannitol 12.5 gm/50 ml inj
|
$61.40 |
$61.40 |
$61.40 |
$26.29
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$66.40 |
$66.40 |
$66.40 |
$65.28
|
|
Mayo aathr protein s free
|
$266.40 |
$266.40 |
$266.40 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$183.20 |
$183.20 |
$183.20 |
$97.50
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$70.40 |
$70.40 |
$70.40 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$160.00 |
$160.00 |
$160.00 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$50.40 |
$50.40 |
$50.40 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$112.00 |
$112.00 |
$112.00 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$128.00 |
$128.00 |
$128.00 |
$89.05
|
|
Mayo analysis gene calr common variants exon 9
|
$498.40 |
$498.40 |
$498.40 |
$486.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$460.00 |
$460.00 |
$460.00 |
$1,860.00
|
|
Mayo androstenedione
|
$68.80 |
$68.80 |
$68.80 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$132.80 |
$132.80 |
$132.80 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$68.80 |
$68.80 |
$68.80 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$110.40 |
$110.40 |
$110.40 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$80.00 |
$80.00 |
$80.00 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$93.60 |
$93.60 |
$93.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$353.60 |
$353.60 |
$353.60 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$524.00 |
$524.00 |
$524.00 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$68.80 |
$68.80 |
$68.80 |
$56.00
|