|
Irrigation implantable venous access device for drug delivery systems
|
$43.93 |
$43.93 |
$43.93 |
$142.20
|
|
Ivc venogram s&i
|
$1,810.79 |
$1,810.79 |
$1,810.79 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$96.14 |
$96.14 |
$96.14 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$60.26 |
$60.26 |
$60.26 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$63.71 |
$63.71 |
$63.71 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$184.00 |
$184.00 |
$184.00 |
$439.56
|
|
IV inj ra drug dx study
|
$159.39 |
$159.39 |
$159.39 |
$549.70
|
|
Ivp w/wo kub w/wo tomography
|
$256.68 |
$256.68 |
$256.68 |
$692.18
|
|
John cunningham antibody
|
$13.34 |
$13.34 |
$13.34 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$85.33 |
$85.33 |
$85.33 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$51.75 |
$51.75 |
$51.75 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$14.58 |
$14.58 |
$14.58 |
$23.50
|
|
Kidney img w/bldflw sgl without rx
|
$537.74 |
$537.74 |
$537.74 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$280.83 |
$280.83 |
$280.83 |
$666.00
|
|
Kit gene analys d816 variant
|
$52.67 |
$52.67 |
$52.67 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$1,109.52 |
$1,109.52 |
$1,109.52 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$1,073.87 |
$1,073.87 |
$1,073.87 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,022.58 |
$1,022.58 |
$1,022.58 |
$2,169.60
|
|
Knee X-ray
|
$131.56 |
$131.56 |
$131.56 |
$425.55
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$35.12 |
$35.12 |
$35.12 |
$32.34
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$877.68 |
$877.68 |
$877.68 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$14.72 |
$14.72 |
$14.72 |
$55.50
|
|
Lactated ringers intravenous solution
|
$391.46 |
$391.46 |
$391.46 |
$45.56
|
|
Lactic acid
|
$104.42 |
$104.42 |
$104.42 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$37.26 |
$37.26 |
$37.26 |
$80.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$4,272.52 |
$4,272.52 |
$4,272.52 |
$19,124.00
|
|
Lead capillary
|
$57.96 |
$57.96 |
$57.96 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$686.55 |
$686.55 |
$686.55 |
$1,088.26
|
|
Leishmania antibody
|
$9.20 |
$9.20 |
$9.20 |
$68.25
|
|
Lens iol ant bicnvx 24.0 multi
|
$126.73 |
$126.73 |
$126.73 |
$1,065.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$55.01 |
$55.01 |
$55.01 |
$163.62
|
|
Leuprolide acetate injeciton
|
$1,138.58 |
$1,138.58 |
$1,138.58 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$38.12 |
$38.12 |
$38.12 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$119.83 |
$119.83 |
$119.83 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$34.00 |
$34.00 |
$34.00 |
$55.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$15.52 |
$15.52 |
$15.52 |
$39.37
|
|
Lincomycin injection
|
$151.63 |
$151.63 |
$151.63 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$39.85 |
$39.85 |
$39.85 |
$125.66
|
|
Lipase
|
$29.90 |
$29.90 |
$29.90 |
$93.58
|
|
Lipoprotein direct measurement hdl
|
$36.34 |
$36.34 |
$36.34 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$25.07 |
$25.07 |
$25.07 |
$61.60
|
|
Lip surgery procedure
|
$70.15 |
$70.15 |
$70.15 |
$334.50
|
|
Lithium therapeutic drug level
|
$28.52 |
$28.52 |
$28.52 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$361.10 |
$361.10 |
$361.10 |
$340.00
|
|
Liver Function Test
|
$95.68 |
$95.68 |
$95.68 |
$115.44
|
|
Liver/spleen imag w/vasclr flow
|
$379.96 |
$379.96 |
$379.96 |
$1,067.48
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$34.64 |
$34.64 |
$34.64 |
$37.20
|
|
Low cost skin substitute app
|
$290.95 |
$290.95 |
$290.95 |
$909.35
|
|
Low cost skin substitute app
|
$974.05 |
$974.05 |
$974.05 |
$2,164.64
|
|
Low cost skin substitute app
|
$290.95 |
$290.95 |
$290.95 |
$933.60
|
|
Low cost skin substitute app
|
$678.04 |
$678.04 |
$678.04 |
$1,016.16
|
|
Low cost skin substitute app
|
$76.13 |
$76.13 |
$76.13 |
$429.50
|
|
Low cost skin substitute app
|
$206.08 |
$206.08 |
$206.08 |
$659.75
|
|
Low cost skin substitute app
|
$76.13 |
$76.13 |
$76.13 |
$349.44
|
|
Low cost skin substitute app
|
$206.08 |
$206.08 |
$206.08 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$900.22 |
$900.22 |
$900.22 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$827.08 |
$827.08 |
$827.08 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$790.51 |
$790.51 |
$790.51 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,302.49 |
$1,302.49 |
$1,302.49 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,020.74 |
$1,020.74 |
$1,020.74 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$939.55 |
$939.55 |
$939.55 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$137.08 |
$137.08 |
$137.08 |
$352.32
|
|
Lung Function Test (Spirometry)
|
$129.72 |
$129.72 |
$129.72 |
$295.35
|
|
Lung perfusion imaging
|
$406.64 |
$406.64 |
$406.64 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$220.11 |
$220.11 |
$220.11 |
$1,448.00
|
|
Magnesium
|
$39.56 |
$39.56 |
$39.56 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$56.32 |
$56.32 |
$56.32 |
$58.70
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$37.49 |
$37.49 |
$37.49 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$51.75 |
$51.75 |
$51.75 |
$152.54
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.66 |
$9.66 |
$9.66 |
$27.81
|
|
Marker biop eviva buckle ss
|
$67.39 |
$67.39 |
$67.39 |
$1,152.48
|
|
Mayo aathr protein s free
|
$153.41 |
$153.41 |
$153.41 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$107.41 |
$107.41 |
$107.41 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$27.83 |
$27.83 |
$27.83 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$50.14 |
$50.14 |
$50.14 |
$102.96
|
|
Mayo alcohol definitive assay volatile screen
|
$73.83 |
$73.83 |
$73.83 |
$112.85
|
|
Mayo alkaline phosphatase isoenzyme
|
$43.01 |
$43.01 |
$43.01 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$105.11 |
$105.11 |
$105.11 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$182.16 |
$182.16 |
$182.16 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$39.56 |
$39.56 |
$39.56 |
$82.80
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$73.83 |
$73.83 |
$73.83 |
$80.08
|
|
Mayo analysis gene calr common variants exon 9
|
$96.14 |
$96.14 |
$96.14 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$88.09 |
$88.09 |
$88.09 |
$359.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$114.77 |
$114.77 |
$114.77 |
$361.50
|
|
Mayo androstenedione
|
$32.20 |
$32.20 |
$32.20 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$76.82 |
$76.82 |
$76.82 |
$73.08
|
|
Mayo aspergillus fumigatus antibody
|
$13.57 |
$13.57 |
$13.57 |
$67.60
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$25.99 |
$25.99 |
$25.99 |
$95.45
|
|
Mayo barbiturates definitive assay confirmation urine
|
$73.83 |
$73.83 |
$73.83 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$24.15 |
$24.15 |
$24.15 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$129.26 |
$129.26 |
$129.26 |
$325.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$39.56 |
$39.56 |
$39.56 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$68.08 |
$68.08 |
$68.08 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$45.08 |
$45.08 |
$45.08 |
$44.14
|
|
Mayo c1 esterase inhibitor
|
$54.28 |
$54.28 |
$54.28 |
$85.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$73.83 |
$73.83 |
$73.83 |
$106.70
|
|
Mayo ceruloplasmin
|
$100.74 |
$100.74 |
$100.74 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$89.70 |
$89.70 |
$89.70 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$54.28 |
$54.28 |
$54.28 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$55.43 |
$55.43 |
$55.43 |
$53.30
|