|
Lipase
|
$574.45 |
$574.45 |
$574.45 |
$93.58
|
|
Lithium therapeutic drug level
|
$884.33 |
$884.33 |
$884.33 |
$69.42
|
|
Liver Function Test
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$115.44
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$324.54 |
$324.54 |
$324.54 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$11,362.99 |
$11,362.99 |
$11,362.99 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$12,279.50 |
$12,279.50 |
$12,279.50 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$11,987.34 |
$11,987.34 |
$11,987.34 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$18,638.31 |
$18,638.31 |
$18,638.31 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,607.09 |
$1,607.09 |
$1,607.09 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$11,471.75 |
$11,471.75 |
$11,471.75 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$2,804.87 |
$2,804.87 |
$2,804.87 |
$352.32
|
|
Macroscopic exam parasite
|
$50.00 |
$50.00 |
$50.00 |
$36.40
|
|
Magnesium
|
$892.58 |
$892.58 |
$892.58 |
$73.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,708.36 |
$1,708.36 |
$1,708.36 |
$359.00
|
|
Mayo blastomyces antibody immunodiffusion
|
$350.00 |
$350.00 |
$350.00 |
$57.85
|
|
Mayo chromium
|
$80.64 |
$80.64 |
$80.64 |
$70.85
|
|
Mayo coccidioides antibody
|
$280.00 |
$280.00 |
$280.00 |
$55.20
|
|
Mayo dhea (dehydroepiandrosterone)
|
$645.38 |
$645.38 |
$645.38 |
$113.10
|
|
Mayo estrone
|
$80.42 |
$80.42 |
$80.42 |
$84.60
|
|
Mayo fbl culture fungi blood
|
$1,117.83 |
$1,117.83 |
$1,117.83 |
$104.53
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$170.65 |
$170.65 |
$170.65 |
$165.55
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$170.65 |
$170.65 |
$170.65 |
$114.23
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$350.00 |
$350.00 |
$350.00 |
$52.80
|
|
Mayo hvdip HIV 1 antibody
|
$1,007.93 |
$1,007.93 |
$1,007.93 |
$67.24
|
|
Mayo hvdip HIV 2 antibody
|
$161.99 |
$161.99 |
$161.99 |
$75.04
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$238.00 |
$238.00 |
$238.00 |
$204.48
|
|
Mayo iodine
|
$301.58 |
$301.58 |
$301.58 |
$114.60
|
|
Mayo lamotrigine therapeutic drug level
|
$1,147.98 |
$1,147.98 |
$1,147.98 |
$69.75
|
|
Mayo microsomal antibody liver-kidney
|
$1,194.69 |
$1,194.69 |
$1,194.69 |
$82.33
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$257.00 |
$257.00 |
$257.00 |
$166.65
|
|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$300.00 |
$300.00 |
$300.00 |
$50.16
|
|
Mayo psaft prostate specific antigen free
|
$1,865.10 |
$1,865.10 |
$1,865.10 |
$90.00
|
|
Mayo renin
|
$2,633.81 |
$2,633.81 |
$2,633.81 |
$102.60
|
|
Mayo repu protein electrophoresis urine
|
$1,425.66 |
$1,425.66 |
$1,425.66 |
$92.70
|
|
Mayo selenium
|
$175.00 |
$175.00 |
$175.00 |
$79.75
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$530.01 |
$530.01 |
$530.01 |
$48.57
|
|
Mayo tgrp testosterone free
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$103.32
|
|
Mayo tgrp testosterone total
|
$3,287.51 |
$3,287.51 |
$3,287.51 |
$124.20
|
|
Mayo ttfb testosterone bioavailable direct
|
$1,061.00 |
$1,061.00 |
$1,061.00 |
$89.60
|
|
Metabolic Blood Panel (Basic)
|
$1,181.00 |
$1,181.00 |
$1,181.00 |
$117.50
|
|
Metabolic Blood Panel (Comprehensive)
|
$2,928.00 |
$2,928.00 |
$2,928.00 |
$157.50
|
|
Methotrexate sodium 2.5 mg tablet
|
$118.16 |
$118.16 |
$118.16 |
$8.20
|
|
Methylene blue (antidote) 5 mg/ml intravenous solution
|
$1,967.11 |
$1,967.11 |
$1,967.11 |
$1,085.02
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$401.98 |
$401.98 |
$401.98 |
$76.20
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$1,654.94 |
$1,654.94 |
$1,654.94 |
$407.16
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$327.18 |
$327.18 |
$327.18 |
$59.60
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$176.16 |
$176.16 |
$176.16 |
$14.85
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$73.50 |
$73.50 |
$73.50 |
$7.59
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$357.45 |
$357.45 |
$357.45 |
$22.10
|
|
Micafungin 100 mg intravenous solution
|
$3,890.82 |
$3,890.82 |
$3,890.82 |
$324.36
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$151.94 |
$151.94 |
$151.94 |
$89.08
|
|
Minoxidil, 10 mg
|
$33.23 |
$33.23 |
$33.23 |
$10.80
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$427.54 |
$427.54 |
$427.54 |
$210.23
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$1,209.94 |
$1,209.94 |
$1,209.94 |
$389.40
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$369.26 |
$369.26 |
$369.26 |
$330.89
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$369.26 |
$369.26 |
$369.26 |
$316.20
|
|
M/phmtrc alys ishquant/semiq
|
$1,390.64 |
$1,390.64 |
$1,390.64 |
$479.70
|
|
MRI orbit/face/neck without contrast
|
$13,277.49 |
$13,277.49 |
$13,277.49 |
$1,902.00
|
|
MRI orbit/face/neck without & w/contrast
|
$16,814.10 |
$16,814.10 |
$16,814.10 |
$2,854.80
|
|
Mr safety implant&/fb assmt clin staff ea add 30
|
$68.58 |
$68.58 |
$68.58 |
$58.08
|
|
Mr sfty implt&/fb asmt stf 1
|
$68.58 |
$68.58 |
$68.58 |
$45.56
|
|
Mycophenolate mofetil 250 mg capsule
|
$59.45 |
$59.45 |
$59.45 |
$10.79
|
|
Nalbuphine 10 mg/ml injection solution
|
$736.93 |
$736.93 |
$736.93 |
$38.69
|
|
Natriuretic peptide
|
$1,110.68 |
$1,110.68 |
$1,110.68 |
$176.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$10,152.49 |
$10,152.49 |
$10,152.49 |
$1,732.50
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$10,964.70 |
$10,964.70 |
$10,964.70 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$19,117.39 |
$19,117.39 |
$19,117.39 |
$2,881.80
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$11,471.75 |
$11,471.75 |
$11,471.75 |
$2,054.72
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$371.22 |
$371.22 |
$371.22 |
$264.31
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$188.15 |
$188.15 |
$188.15 |
$74.56
|
|
Olanzapine 10 mg intramuscular solution
|
$1,323.92 |
$1,323.92 |
$1,323.92 |
$109.58
|
|
Ondansetron 4 mg s0119
|
$615.00 |
$615.00 |
$615.00 |
$2.31
|
|
Ondansetron hcl (pf) 2 mg/ml injection (wrapper)
|
$158.44 |
$158.44 |
$158.44 |
$22.62
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$176.16 |
$176.16 |
$176.16 |
$50.63
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$78.15 |
$78.15 |
$78.15 |
$27.16
|
|
Parathormone (pth) intact
|
$1,167.22 |
$1,167.22 |
$1,167.22 |
$201.50
|
|
Paricalcitol
|
$151.44 |
$151.44 |
$151.44 |
$47.15
|
|
Pelvic CT scan (with contrast)
|
$9,909.77 |
$9,909.77 |
$9,909.77 |
$1,635.62
|
|
Pelvic CT scan (without contrast)
|
$8,953.88 |
$8,953.88 |
$8,953.88 |
$1,366.50
|
|
Pelvic MRI (with and without contrast)
|
$18,321.12 |
$18,321.12 |
$18,321.12 |
$2,870.36
|
|
Pelvic MRI (without contrast)
|
$676.82 |
$676.82 |
$676.82 |
$1,929.85
|
|
Pelvic Ultrasound (complete)
|
$3,034.74 |
$3,034.74 |
$3,034.74 |
$650.40
|
|
Pelvic Ultrasound (limited)
|
$1,313.66 |
$1,313.66 |
$1,313.66 |
$430.00
|
|
Penicillin g potassium in ns IV syringe 100,000 units/ml (neo/ped) - cnr
|
$231.36 |
$231.36 |
$231.36 |
$97.85
|
|
Phentolaine mesylate inj
|
$4,318.83 |
$4,318.83 |
$4,318.83 |
$1,028.40
|
|
Phenytoin total therapeutic drug level
|
$1,062.88 |
$1,062.88 |
$1,062.88 |
$112.50
|
|
Phosphorus
|
$722.29 |
$722.29 |
$722.29 |
$49.60
|
|
Phytonadione (vitamin k1) 10 mg/ml injection solution
|
$521.29 |
$521.29 |
$521.29 |
$85.79
|
|
Platelet automated
|
$655.00 |
$655.00 |
$655.00 |
$45.00
|
|
Poct blood gases ph pco2 po2 arterial calculated o2
|
$1,701.00 |
$1,701.00 |
$1,701.00 |
$187.04
|
|
Potassium 24 hour urine
|
$508.05 |
$508.05 |
$508.05 |
$50.70
|
|
Potassium serum/plasma/whole blood
|
$530.01 |
$530.01 |
$530.01 |
$46.00
|
|
Powder prem protct 1oz
|
$20.50 |
$20.50 |
$20.50 |
$5.43
|
|
Prealbumin
|
$1,224.90 |
$1,224.90 |
$1,224.90 |
$93.60
|
|
Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution
|
$58.15 |
$58.15 |
$58.15 |
$13.80
|
|
Pregnancy Ultrasound (complete, after first trimester)
|
$2,889.24 |
$2,889.24 |
$2,889.24 |
$592.71
|
|
Pregnancy Ultrasound (first trimester)
|
$2,396.62 |
$2,396.62 |
$2,396.62 |
$537.00
|
|
Procainamide 100 mg/ml injection (wrapper)
|
$2,528.26 |
$2,528.26 |
$2,528.26 |
$655.08
|
|
Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution
|
$560.43 |
$560.43 |
$560.43 |
$36.33
|
|
Progesterone
|
$1,612.15 |
$1,612.15 |
$1,612.15 |
$113.24
|