|
Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets
|
$235.00 |
$235.00 |
$235.00 |
$861.00
|
|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$140.36 |
$140.36 |
$140.36 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$166.72 |
$166.72 |
$166.72 |
$201.60
|
|
Infectious agent nucleic acid amp probe multiplex chlamydia trachomatis neisseria gonorrhoeae
|
$403.32 |
$403.32 |
$403.32 |
$250.50
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$2,180.00 |
$2,180.00 |
$2,180.00 |
$184.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$2,051.00 |
$2,051.00 |
$2,051.00 |
$252.60
|
|
Initiation & management bipap/cpap initial day
|
$3,133.36 |
$3,133.36 |
$3,133.36 |
$576.00
|
|
Inj, biorphen, 20 micrograms
|
$46.44 |
$46.44 |
$46.44 |
$17.12
|
|
Inj cefazolin sodium, hikma
|
$76.00 |
$76.00 |
$76.00 |
$29.10
|
|
Inj cefazolin (wg crit care)
|
$70.47 |
$70.47 |
$70.47 |
$18.30
|
|
Inj, cefiderocol, 10 mg
|
$2,312.42 |
$2,312.42 |
$2,312.42 |
$544.85
|
|
Inj ceftolozane tazobactam
|
$1,966.23 |
$1,966.23 |
$1,966.23 |
$408.00
|
|
Inj crotalidae im f(ab')2 eq
|
$3,841.82 |
$3,841.82 |
$3,841.82 |
$2,613.60
|
|
Injection,onabotulinumtoxina
|
$3,531.76 |
$3,531.76 |
$3,531.76 |
$2,241.61
|
|
Inj fluphenazine hcl 1.25 mg
|
$116.28 |
$116.28 |
$116.28 |
$37.93
|
|
Inj hydroxocobalamin IV 25mg
|
$2,522.92 |
$2,522.92 |
$2,522.92 |
$2,452.32
|
|
Inj meropenem (wg crit care)
|
$271.00 |
$271.00 |
$271.00 |
$77.97
|
|
Inj progesterone per 50 mg
|
$98.71 |
$98.71 |
$98.71 |
$14.93
|
|
Inj testosterone cypionate
|
$314.37 |
$314.37 |
$314.37 |
$62.80
|
|
Inj vocal cord bulking agent
|
$4,709.00 |
$4,709.00 |
$4,709.00 |
$1,480.00
|
|
In situ hybridization per specimen each additional single probe stain
|
$228.08 |
$228.08 |
$228.08 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$756.44 |
$756.44 |
$756.44 |
$326.04
|
|
Intro long gi tube w/mult fluo
|
$1,435.41 |
$1,435.41 |
$1,435.41 |
$449.40
|
|
Ipratropium bromide non-comp
|
$50.28 |
$50.28 |
$50.28 |
$3.75
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,861.03 |
$1,861.03 |
$1,861.03 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$362.02 |
$362.02 |
$362.02 |
$119.83
|
|
Kidney img w/bldflw sgl without rx
|
$4,834.97 |
$4,834.97 |
$4,834.97 |
$1,427.40
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$945.40 |
$945.40 |
$945.40 |
$175.92
|
|
Lactoferrin fecal qualitative
|
$78.80 |
$78.80 |
$78.80 |
$80.40
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$603.58 |
$603.58 |
$603.58 |
$163.62
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$484.07 |
$484.07 |
$484.07 |
$95.68
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,063.76 |
$1,063.76 |
$1,063.76 |
$385.62
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$78.84 |
$78.84 |
$78.84 |
$39.37
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$2,954.97 |
$2,954.97 |
$2,954.97 |
$125.66
|
|
Liver/spleen imag static only
|
$3,255.00 |
$3,255.00 |
$3,255.00 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$157.92 |
$157.92 |
$157.92 |
$37.20
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$13,103.90 |
$13,103.90 |
$13,103.90 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$11,498.12 |
$11,498.12 |
$11,498.12 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$8,454.45 |
$8,454.45 |
$8,454.45 |
$2,096.84
|
|
Lumbar diskogram s&i
|
$4,464.66 |
$4,464.66 |
$4,464.66 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$465.06 |
$465.06 |
$465.06 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$1,420.99 |
$1,420.99 |
$1,420.99 |
$295.35
|
|
Lymphatics/lymph node imaging
|
$3,643.75 |
$3,643.75 |
$3,643.75 |
$1,448.00
|
|
Macroscopic exam parasite
|
$17.24 |
$17.24 |
$17.24 |
$36.40
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$455.72 |
$455.72 |
$455.72 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$548.37 |
$548.37 |
$548.37 |
$152.54
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$483.00 |
$483.00 |
$483.00 |
$5,065.63
|
|
Mayo activated protein c resistance assay
|
$52.23 |
$52.23 |
$52.23 |
$97.50
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$322.00 |
$322.00 |
$322.00 |
$102.96
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$971.90 |
$971.90 |
$971.90 |
$80.08
|
|
Mayo analysis gene calr common variants exon 9
|
$734.96 |
$734.96 |
$734.96 |
$467.61
|
|
Mayo androstenedione
|
$12.71 |
$12.71 |
$12.71 |
$110.00
|
|
Mayo antithrombin iii antigen
|
$43.24 |
$43.24 |
$43.24 |
$72.35
|
|
Mayo avwpr vw factor activity
|
$171.49 |
$171.49 |
$171.49 |
$165.78
|
|
Mayo cortisol free
|
$540.00 |
$540.00 |
$540.00 |
$94.95
|
|
Mayo cyanide
|
$607.78 |
$607.78 |
$607.78 |
$90.00
|
|
Mayo fbl culture fungi blood
|
$1,156.00 |
$1,156.00 |
$1,156.00 |
$104.53
|
|
Mayo hemosiderin qualitative urine
|
$378.50 |
$378.50 |
$378.50 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$140.36 |
$140.36 |
$140.36 |
$165.55
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$140.36 |
$140.36 |
$140.36 |
$114.23
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$238.00 |
$238.00 |
$238.00 |
$109.00
|
|
Mayo infectious disease hepatitis c chronic six biochemical assays
|
$123.48 |
$123.48 |
$123.48 |
$211.86
|
|
Mayo lacosamide therapeutic drug level
|
$438.75 |
$438.75 |
$438.75 |
$105.00
|
|
Mayo mgrm acetylcholine receptor binding antibody
|
$73.60 |
$73.60 |
$73.60 |
$65.00
|
|
Mayo muscle-specific kinase (musk) antibody
|
$73.60 |
$73.60 |
$73.60 |
$232.50
|
|
Mayo phospholipid neutralization hexagonal lupus anticoagulant
|
$71.92 |
$71.92 |
$71.92 |
$83.40
|
|
Mayo renin
|
$781.05 |
$781.05 |
$781.05 |
$102.60
|
|
Mayo ticks babesia microti antibody igg
|
$85.66 |
$85.66 |
$85.66 |
$64.84
|
|
Mayo ttfb testosterone bioavailable direct
|
$934.00 |
$934.00 |
$934.00 |
$89.60
|
|
Mayo zonisamide therapeutic drug level
|
$53.00 |
$53.00 |
$53.00 |
$86.40
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$1,436.65 |
$1,436.65 |
$1,436.65 |
$190.81
|
|
Membrane collgn porcine maci w/autologous cult chondrocytes
|
$212,918.00 |
$212,918.00 |
$212,918.00 |
$77,166.00
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$36.34 |
$36.34 |
$36.34 |
$29.31
|
|
Mercaptopurine 50 mg
|
$50.28 |
$50.28 |
$50.28 |
$49.17
|
|
Metabolic panel ionized ca
|
$54.92 |
$54.92 |
$54.92 |
$144.95
|
|
Methadone oral 5mg
|
$55.58 |
$55.58 |
$55.58 |
$7.80
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$1,053.09 |
$1,053.09 |
$1,053.09 |
$75.00
|
|
Methotrexate sodium 2.5 mg tablet
|
$81.69 |
$81.69 |
$81.69 |
$8.20
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$213.72 |
$213.72 |
$213.72 |
$76.20
|
|
Methylprednisolone 4 mg tablet
|
$50.28 |
$50.28 |
$50.28 |
$4.49
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$138.19 |
$138.19 |
$138.19 |
$14.85
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$11.88 |
$11.88 |
$11.88 |
$7.59
|
|
Micafungin 100 mg intravenous solution
|
$5,080.08 |
$5,080.08 |
$5,080.08 |
$324.36
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$326.27 |
$326.27 |
$326.27 |
$104.50
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$165.02 |
$165.02 |
$165.02 |
$89.08
|
|
Minocycline hydrochloride
|
$2,601.31 |
$2,601.31 |
$2,601.31 |
$623.04
|
|
Mitomycin 40 mg intravenous solution
|
$1,304.59 |
$1,304.59 |
$1,304.59 |
$1,650.98
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$31.00 |
$31.00 |
$31.00 |
$22.12
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$385.76 |
$385.76 |
$385.76 |
$389.40
|
|
MRA chest w IV cont
|
$7,824.21 |
$7,824.21 |
$7,824.21 |
$1,813.48
|
|
MRA without fol w/cont, abd
|
$6,825.28 |
$6,825.28 |
$6,825.28 |
$2,497.30
|
|
MRA without fol w/cont, pelvis
|
$6,482.45 |
$6,482.45 |
$6,482.45 |
$2,356.90
|
|
MRI cardiac morph & func wo IV cont
|
$1,889.30 |
$1,889.30 |
$1,889.30 |
$1,367.88
|
|
MRI cardiac morph & func wwo IV cont
|
$1,873.51 |
$1,873.51 |
$1,873.51 |
$1,946.48
|
|
MRI cardiac morph & func wwo IV cont w/stress img
|
$3,639.83 |
$3,639.83 |
$3,639.83 |
$2,510.00
|
|
MRI chest without contrast
|
$7,952.88 |
$7,952.88 |
$7,952.88 |
$1,830.00
|
|
MRI chest without & w/contrast
|
$3,212.04 |
$3,212.04 |
$3,212.04 |
$2,652.73
|
|
MRI orbit/face/neck without contrast
|
$5,823.94 |
$5,823.94 |
$5,823.94 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$9,423.30 |
$9,423.30 |
$9,423.30 |
$2,854.80
|
|
MRI tmj
|
$9,515.91 |
$9,515.91 |
$9,515.91 |
$1,787.50
|