|
Inj, levothyroxine, freskabi
|
$287.00 |
$287.00 |
$287.00 |
$303.45
|
|
Inj mepivacaine hcl/10 ml
|
$41.00 |
$41.00 |
$41.00 |
$31.28
|
|
Inj meropenem (wg crit care)
|
$98.70 |
$98.70 |
$98.70 |
$99.20
|
|
Inj octafluoropropane mic,ml
|
$2,750.00 |
$2,750.00 |
$2,750.00 |
$169.22
|
|
Insulin total
|
$320.00 |
$320.00 |
$320.00 |
$67.60
|
|
Intrinsic factor antibody
|
$554.00 |
$554.00 |
$554.00 |
$59.95
|
|
Intro long gi tube w/mult fluo
|
$1,271.00 |
$1,271.00 |
$1,271.00 |
$477.85
|
|
Ipratropium bromide non-comp
|
$87.00 |
$87.00 |
$87.00 |
$4.77
|
|
Iron binding capacity
|
$447.00 |
$447.00 |
$447.00 |
$63.00
|
|
Iron stain peripheral blood
|
$168.00 |
$168.00 |
$168.00 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$646.00 |
$646.00 |
$646.00 |
$169.30
|
|
Ivc venogram s&i
|
$7,111.00 |
$7,111.00 |
$7,111.00 |
$3,332.55
|
|
Ivp w/wo kub w/wo tomography
|
$2,446.00 |
$2,446.00 |
$2,446.00 |
$713.05
|
|
Jak2 targeted sequence analysis
|
$408.00 |
$408.00 |
$408.00 |
$378.30
|
|
John cunningham antibody
|
$3,575.00 |
$3,575.00 |
$3,575.00 |
$48.57
|
|
Ketogenic steroids fract
|
$346.00 |
$346.00 |
$346.00 |
$79.54
|
|
Kidney imag w/bld flow multi
|
$6,240.00 |
$6,240.00 |
$6,240.00 |
$1,566.50
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$2,501.00 |
$2,501.00 |
$2,501.00 |
$668.25
|
|
Kras gene addl variants
|
$627.00 |
$627.00 |
$627.00 |
$346.45
|
|
Kras gene variants exon 2
|
$1,985.00 |
$1,985.00 |
$1,985.00 |
$495.00
|
|
Lactoferrin fecal qualitative
|
$187.00 |
$187.00 |
$187.00 |
$88.40
|
|
Lactoferrin fecal quant
|
$500.00 |
$500.00 |
$500.00 |
$106.10
|
|
Levalbuterol non-comp con
|
$73.00 |
$73.00 |
$73.00 |
$20.06
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$78.00 |
$78.00 |
$78.00 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$477.00 |
$477.00 |
$477.00 |
$71.40
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$14.00 |
$14.00 |
$14.00 |
$420.60
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$515.00 |
$515.00 |
$515.00 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$343.00 |
$343.00 |
$343.00 |
$83.85
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$1,915.00 |
$1,915.00 |
$1,915.00 |
$172.25
|
|
Lipase
|
$193.00 |
$193.00 |
$193.00 |
$83.20
|
|
Lipoprotein blood quant
|
$423.00 |
$423.00 |
$423.00 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$224.00 |
$224.00 |
$224.00 |
$55.90
|
|
Listeria monocytogenes
|
$265.00 |
$265.00 |
$265.00 |
$95.40
|
|
Lithium therapeutic drug level
|
$215.00 |
$215.00 |
$215.00 |
$67.60
|
|
Liver Function Test
|
$696.00 |
$696.00 |
$696.00 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$1,214.00 |
$1,214.00 |
$1,214.00 |
$15.38
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,271.00 |
$4,271.00 |
$4,271.00 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,476.00 |
$3,476.00 |
$3,476.00 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,942.00 |
$3,942.00 |
$3,942.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,133.00 |
$8,133.00 |
$8,133.00 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$7,498.00 |
$7,498.00 |
$7,498.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$6,808.00 |
$6,808.00 |
$6,808.00 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,877.00 |
$1,877.00 |
$1,877.00 |
$344.00
|
|
L/s ratio fetal lung
|
$1,147.00 |
$1,147.00 |
$1,147.00 |
$168.00
|
|
Lung perfusion imaging
|
$4,278.00 |
$4,278.00 |
$4,278.00 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$6,091.00 |
$6,091.00 |
$6,091.00 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$972.00 |
$972.00 |
$972.00 |
$266.20
|
|
Macroscopic exam parasite
|
$166.00 |
$166.00 |
$166.00 |
$38.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$280.00 |
$280.00 |
$280.00 |
$66.50
|
|
Mayo activated protein c resistance assay
|
$448.00 |
$448.00 |
$448.00 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$158.00 |
$158.00 |
$158.00 |
$172.90
|
|
Mayo alpha 1 antitrypsin
|
$224.00 |
$224.00 |
$224.00 |
$87.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$1,348.00 |
$1,348.00 |
$1,348.00 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$256.00 |
$256.00 |
$256.00 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,037.00 |
$3,037.00 |
$3,037.00 |
$1,909.44
|
|
Mayo androstenedione
|
$906.00 |
$906.00 |
$906.00 |
$105.30
|
|
Mayo antithrombin iii antigen
|
$395.00 |
$395.00 |
$395.00 |
$68.90
|
|
Mayo avwpr vw factor activity
|
$518.00 |
$518.00 |
$518.00 |
$157.95
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$956.00 |
$956.00 |
$956.00 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$179.00 |
$179.00 |
$179.00 |
$57.85
|
|
Mayo c1 esterase inhibitor
|
$215.00 |
$215.00 |
$215.00 |
$88.35
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$424.00 |
$424.00 |
$424.00 |
$83.97
|
|
Mayo ceruloplasmin
|
$252.00 |
$252.00 |
$252.00 |
$65.08
|
|
Mayo chromium
|
$530.00 |
$530.00 |
$530.00 |
$70.85
|
|
Mayo coccidioides antibody
|
$175.00 |
$175.00 |
$175.00 |
$58.37
|
|
Mayo cortisol free
|
$300.00 |
$300.00 |
$300.00 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$63.00 |
$63.00 |
$63.00 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$333.00 |
$333.00 |
$333.00 |
$61.02
|
|
Mayo cyanide
|
$252.00 |
$252.00 |
$252.00 |
$87.10
|
|
Mayo deoxyribonuclease antibody titer
|
$522.00 |
$522.00 |
$522.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$334.00 |
$334.00 |
$334.00 |
$88.45
|
|
Mayo dihydrotestosterone
|
$610.00 |
$610.00 |
$610.00 |
$81.90
|
|
Mayo estriol
|
$378.00 |
$378.00 |
$378.00 |
$98.70
|
|
Mayo estrone
|
$676.00 |
$676.00 |
$676.00 |
$84.70
|
|
Mayo ethosuximide therapeutic drug level
|
$383.00 |
$383.00 |
$383.00 |
$70.40
|
|
Mayo everolimus therapeutic drug level
|
$295.00 |
$295.00 |
$295.00 |
$80.50
|
|
Mayo factor ii
|
$831.00 |
$831.00 |
$831.00 |
$93.00
|
|
Mayo factor v
|
$814.00 |
$814.00 |
$814.00 |
$125.48
|
|
Mayo factor vii
|
$704.00 |
$704.00 |
$704.00 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$731.00 |
$731.00 |
$731.00 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$1,269.00 |
$1,269.00 |
$1,269.00 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$555.00 |
$555.00 |
$555.00 |
$129.60
|
|
Mayo factor x
|
$878.00 |
$878.00 |
$878.00 |
$139.50
|
|
Mayo factor xi
|
$878.00 |
$878.00 |
$878.00 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$343.00 |
$343.00 |
$343.00 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$190.00 |
$190.00 |
$190.00 |
$102.20
|
|
Mayo ffspg allergen clam igg
|
$119.00 |
$119.00 |
$119.00 |
$37.05
|
|
Mayo gabapentin bld/srm/plasma therapeutic drug level
|
$627.00 |
$627.00 |
$627.00 |
$69.96
|
|
Mayo hemosiderin qualitative urine
|
$159.00 |
$159.00 |
$159.00 |
$33.57
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$165.00
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-2
|
$1,176.00 |
$1,176.00 |
$1,176.00 |
$115.20
|
|
Mayo hiser histoplasma antibodies immunodiffusion
|
$646.00 |
$646.00 |
$646.00 |
$52.21
|
|
Mayo hla typing a/b/c single antigen
|
$666.00 |
$666.00 |
$666.00 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$256.00 |
$256.00 |
$256.00 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$647.00 |
$647.00 |
$647.00 |
$67.60
|
|
Mayo hydroxyprogesterone 17-d
|
$681.00 |
$681.00 |
$681.00 |
$93.45
|
|
Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal
|
$36.00 |
$36.00 |
$36.00 |
$107.62
|
|
Mayo infectious agent nucleic acid amplified probe enterovirus
|
$400.00 |
$400.00 |
$400.00 |
$178.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine
|
$755.00 |
$755.00 |
$755.00 |
$85.00
|
|
Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae
|
$906.00 |
$906.00 |
$906.00 |
$157.30
|
