|
Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus
|
$108.00 |
$108.00 |
$108.00 |
$151.25
|
|
Infectious agent nucleic acid amplified probe mycobacteria tuberculosis
|
$212.01 |
$212.01 |
$212.01 |
$201.60
|
|
Infectious agent nucleic acid amplified probe neisseria gonorrhoeae
|
$223.00 |
$223.00 |
$223.00 |
$135.80
|
|
Infectious agent nucleic acid amplified probe sars-cov-2/covid-19
|
$55.00 |
$55.00 |
$55.00 |
$100.00
|
|
Infectious agent nucleic acid amplified probe trichomonas vaginalis
|
$152.00 |
$152.00 |
$152.00 |
$105.00
|
|
Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance
|
$216.00 |
$216.00 |
$216.00 |
$184.80
|
|
Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets
|
$2,555.76 |
$2,555.76 |
$2,555.76 |
$711.93
|
|
Infectious agent nucleic acid quantification hepatitis b
|
$486.00 |
$486.00 |
$486.00 |
$238.80
|
|
Infectious agent nucleic acid quantification hepatitis c
|
$478.00 |
$478.00 |
$478.00 |
$252.60
|
|
Infectious agent nucleic acid quantification hiv-1
|
$532.00 |
$532.00 |
$532.00 |
$374.50
|
|
Initiation & management bipap/cpap initial day
|
$2,513.28 |
$2,513.28 |
$2,513.28 |
$576.00
|
|
Inj acetaminophen -fresenius
|
$69.84 |
$69.84 |
$69.84 |
$38.87
|
|
Inj, biorphen, 20 micrograms
|
$24.95 |
$24.95 |
$24.95 |
$17.12
|
|
Inj cefazolin sodium, hikma
|
$27.26 |
$27.26 |
$27.26 |
$29.10
|
|
Inj, cefiderocol, 10 mg
|
$1,127.33 |
$1,127.33 |
$1,127.33 |
$544.85
|
|
Inj crotalidae im f(ab')2 eq
|
$8,165.28 |
$8,165.28 |
$8,165.28 |
$2,613.60
|
|
Injection, cangrelor
|
$5,143.22 |
$5,143.22 |
$5,143.22 |
$1,889.78
|
|
Injection, caplacizumab-yhdp
|
$41,185.22 |
$41,185.22 |
$41,185.22 |
$16,642.50
|
|
Inj., eravacycline, 1 mg
|
$331.73 |
$331.73 |
$331.73 |
$206.64
|
|
Inj hydroxocobalamin IV 25mg
|
$5,221.71 |
$5,221.71 |
$5,221.71 |
$2,452.32
|
|
Inj mepivacaine hcl/10 ml
|
$34.95 |
$34.95 |
$34.95 |
$33.86
|
|
Inj meropenem (wg crit care)
|
$152.00 |
$152.00 |
$152.00 |
$77.97
|
|
Inj, nithiodote, 3mg / 125mg
|
$848.23 |
$848.23 |
$848.23 |
$452.89
|
|
Inj testosterone cypionate
|
$101.60 |
$101.60 |
$101.60 |
$62.80
|
|
Insitu hybridization auto
|
$592.00 |
$592.00 |
$592.00 |
$371.00
|
|
Insitu hybridization manual
|
$466.00 |
$466.00 |
$466.00 |
$388.20
|
|
In situ hybridization per specimen each additional single probe stain
|
$331.74 |
$331.74 |
$331.74 |
$243.60
|
|
In situ hybridization per specimen initial single probe stain
|
$319.00 |
$319.00 |
$319.00 |
$326.04
|
|
Insulin total
|
$417.00 |
$417.00 |
$417.00 |
$66.64
|
|
Intracranial complete study
|
$1,838.95 |
$1,838.95 |
$1,838.95 |
$900.50
|
|
Intracranial limited study
|
$1,190.84 |
$1,190.84 |
$1,190.84 |
$444.66
|
|
Intrinsic factor antibody
|
$802.00 |
$802.00 |
$802.00 |
$66.60
|
|
Intro long gi tube w/mult fluo
|
$2,118.04 |
$2,118.04 |
$2,118.04 |
$449.40
|
|
Ipratropium bromide non-comp
|
$47.81 |
$47.81 |
$47.81 |
$3.75
|
|
Iron
|
$452.00 |
$452.00 |
$452.00 |
$74.40
|
|
Iron binding capacity
|
$236.00 |
$236.00 |
$236.00 |
$63.79
|
|
Iron dextran 50 mg/ml injection solution
|
$172.25 |
$172.25 |
$172.25 |
$80.95
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1,183.30 |
$1,183.30 |
$1,183.30 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$122.00 |
$122.00 |
$122.00 |
$119.83
|
|
Ivc venogram s&i
|
$381.00 |
$381.00 |
$381.00 |
$3,316.95
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$192.00 |
$192.00 |
$192.00 |
$60.20
|
|
Kidney imag w/bld flow multi
|
$6,115.06 |
$6,115.06 |
$6,115.06 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$6,115.06 |
$6,115.06 |
$6,115.06 |
$1,427.40
|
|
Kras gene variants exon 2
|
$1,558.00 |
$1,558.00 |
$1,558.00 |
$486.45
|
|
Kyleena, 19.5 mg
|
$6,233.68 |
$6,233.68 |
$6,233.68 |
$2,125.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$534.88 |
$534.88 |
$534.88 |
$175.92
|
|
Lactoferrin fecal qualitative
|
$237.21 |
$237.21 |
$237.21 |
$80.40
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,169.09 |
$3,169.09 |
$3,169.09 |
$7,052.00
|
|
Levalbuterol non-comp con
|
$44.90 |
$44.90 |
$44.90 |
$21.60
|
|
Levalbuterol non-comp unit
|
$44.90 |
$44.90 |
$44.90 |
$6.00
|
|
Levetiracetam therapeutic drug level
|
$812.00 |
$812.00 |
$812.00 |
$88.92
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$33.93 |
$33.93 |
$33.93 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$176.00 |
$176.00 |
$176.00 |
$89.70
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,759.97 |
$1,759.97 |
$1,759.97 |
$125.66
|
|
Lipoprotein blood quant
|
$70.20 |
$70.20 |
$70.20 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$130.00 |
$130.00 |
$130.00 |
$57.50
|
|
Lithium therapeutic drug level
|
$130.00 |
$130.00 |
$130.00 |
$69.42
|
|
Liver imaging
|
$2,811.22 |
$2,811.22 |
$2,811.22 |
$1,093.50
|
|
Liver/spleen imag static only
|
$4,375.20 |
$4,375.20 |
$4,375.20 |
$1,123.50
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$20,105.43 |
$20,105.43 |
$20,105.43 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$15,341.70 |
$15,341.70 |
$15,341.70 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$10,093.47 |
$10,093.47 |
$10,093.47 |
$2,096.84
|
|
Lumbar diskogram s&i
|
$6,053.18 |
$6,053.18 |
$6,053.18 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$247.10 |
$247.10 |
$247.10 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$1,030.08 |
$1,030.08 |
$1,030.08 |
$295.35
|
|
Lung perfusion imaging
|
$4,774.44 |
$4,774.44 |
$4,774.44 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$5,669.64 |
$5,669.64 |
$5,669.64 |
$1,448.00
|
|
Macroscopic exam parasite
|
$92.13 |
$92.13 |
$92.13 |
$36.40
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$364.80 |
$364.80 |
$364.80 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$512.49 |
$512.49 |
$512.49 |
$152.54
|
|
Map tachycard site(s)
|
$48,571.85 |
$48,571.85 |
$48,571.85 |
$3,875.95
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$34,665.00 |
$34,665.00 |
$34,665.00 |
$1,941.63
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$107.00 |
$107.00 |
$107.00 |
$66.36
|
|
Mayo activated protein c resistance assay
|
$751.00 |
$751.00 |
$751.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$719.19 |
$719.19 |
$719.19 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$238.09 |
$238.09 |
$238.09 |
$102.96
|
|
Mayo alpha 1 antitrypsin
|
$234.00 |
$234.00 |
$234.00 |
$89.05
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$652.00 |
$652.00 |
$652.00 |
$359.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$7,164.45 |
$7,164.45 |
$7,164.45 |
$1,860.00
|
|
Mayo androstenedione
|
$804.00 |
$804.00 |
$804.00 |
$110.00
|
|
Mayo antithrombin iii antigen
|
$81.00 |
$81.00 |
$81.00 |
$72.35
|
|
Mayo avwpr vw factor activity
|
$937.00 |
$937.00 |
$937.00 |
$165.78
|
|
Mayo blastomyces antibody immunodiffusion
|
$98.00 |
$98.00 |
$98.00 |
$57.85
|
|
Mayo brcmg brucella antibody igm
|
$206.00 |
$206.00 |
$206.00 |
$44.14
|
|
Mayo c1 esterase inhibitor
|
$95.00 |
$95.00 |
$95.00 |
$85.00
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$260.00 |
$260.00 |
$260.00 |
$82.68
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$405.15 |
$405.15 |
$405.15 |
$113.50
|
|
Mayo ceruloplasmin
|
$455.00 |
$455.00 |
$455.00 |
$69.60
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$745.00 |
$745.00 |
$745.00 |
$346.32
|
|
Mayo chromium
|
$699.00 |
$699.00 |
$699.00 |
$70.85
|
|
Mayo coccidioides antibody
|
$443.00 |
$443.00 |
$443.00 |
$55.20
|
|
Mayo cortisol free
|
$365.00 |
$365.00 |
$365.00 |
$94.95
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$423.00 |
$423.00 |
$423.00 |
$61.80
|
|
Mayo cyanide
|
$310.00 |
$310.00 |
$310.00 |
$90.00
|
|
Mayo deoxyribonuclease antibody titer
|
$99.00 |
$99.00 |
$99.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$525.00 |
$525.00 |
$525.00 |
$113.10
|
|
Mayo dihydrotestosterone
|
$176.00 |
$176.00 |
$176.00 |
$78.00
|
|
Mayo efpo chloride stool
|
$699.00 |
$699.00 |
$699.00 |
$44.20
|
|
Mayo estriol
|
$296.00 |
$296.00 |
$296.00 |
$92.30
|
|
Mayo estrone
|
$1,009.00 |
$1,009.00 |
$1,009.00 |
$84.60
|
