|
Mayo pqnu porphobilinogen urine quantitative 24 hour urine
|
$1,929.96 |
$1,929.96 |
$1,929.96 |
$46.20
|
|
Mayo pregnenolone
|
$749.52 |
$749.52 |
$749.52 |
$81.00
|
|
Mayo proinsulin
|
$1,132.92 |
$1,132.92 |
$1,132.92 |
$97.50
|
|
Mayo psaft prostate specific antigen free
|
$608.04 |
$608.04 |
$608.04 |
$92.50
|
|
Mayo receptor assay transferrin soluble
|
$709.56 |
$709.56 |
$709.56 |
$125.34
|
|
Mayo renin
|
$803.52 |
$803.52 |
$803.52 |
$96.60
|
|
Mayo serotonin
|
$608.04 |
$608.04 |
$608.04 |
$126.75
|
|
Mayo tgrp testosterone free
|
$1,392.12 |
$1,392.12 |
$1,392.12 |
$96.05
|
|
Mayo tgrp testosterone total
|
$966.60 |
$966.60 |
$966.60 |
$139.34
|
|
Mayo vitamin b-2 (riboflavin)
|
$238.68 |
$238.68 |
$238.68 |
$91.00
|
|
Mayo vitamin k
|
$1,639.44 |
$1,639.44 |
$1,639.44 |
$98.88
|
|
Mayo zonisamide therapeutic drug level
|
$612.36 |
$612.36 |
$612.36 |
$78.00
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$653.40 |
$653.40 |
$653.40 |
$227.25
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$34.56 |
$34.56 |
$34.56 |
$41.34
|
|
Mercaptopurine 50 mg
|
$24.84 |
$24.84 |
$24.84 |
$49.17
|
|
Metabolic Blood Panel (Basic)
|
$749.52 |
$749.52 |
$749.52 |
$107.25
|
|
Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain)
|
$48.60 |
$48.60 |
$48.60 |
$84.13
|
|
Methotrexate sodium 2.5 mg tablet
|
$87.48 |
$87.48 |
$87.48 |
$9.93
|
|
Methotrexate sodium (pf) 1 gram solution for injection
|
$211.68 |
$211.68 |
$211.68 |
$133.53
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$255.96 |
$255.96 |
$255.96 |
$76.59
|
|
Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper)
|
$6,562.08 |
$6,562.08 |
$6,562.08 |
$432.83
|
|
Methylprednisolone 4 mg tablet
|
$85.32 |
$85.32 |
$85.32 |
$4.77
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$212.76 |
$212.76 |
$212.76 |
$67.62
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$43.20 |
$43.20 |
$43.20 |
$22.62
|
|
Metoprolol tartrate 5 mg/5 ml intravenous (wrapper)
|
$77.76 |
$77.76 |
$77.76 |
$10.70
|
|
Middle cerebral artery echo
|
$2,664.94 |
$2,664.94 |
$2,664.94 |
$293.09
|
|
Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr
|
$750.60 |
$750.60 |
$750.60 |
$167.58
|
|
Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain
|
$2,507.76 |
$2,507.76 |
$2,507.76 |
$402.00
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted
|
$627.48 |
$627.48 |
$627.48 |
$328.79
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$1,006.56 |
$1,006.56 |
$1,006.56 |
$309.50
|
|
M/phmtrc alys ishquant/semiq
|
$705.24 |
$705.24 |
$705.24 |
$574.00
|
|
MRA chest wo IV cont
|
$10,038.90 |
$10,038.90 |
$10,038.90 |
$1,337.22
|
|
MRA chest wwo IV cont
|
$7,347.69 |
$7,347.69 |
$7,347.69 |
$2,288.40
|
|
MRA pelvis wo IV cont
|
$5,916.52 |
$5,916.52 |
$5,916.52 |
$1,056.43
|
|
MRA w/cont, abd
|
$6,165.04 |
$6,165.04 |
$6,165.04 |
$1,670.76
|
|
MRA without cont, abd
|
$3,817.18 |
$3,817.18 |
$3,817.18 |
$1,651.00
|
|
MRA without fol w/cont, abd
|
$7,717.20 |
$7,717.20 |
$7,717.20 |
$2,547.05
|
|
MRA without fol w/cont, pelvis
|
$5,045.61 |
$5,045.61 |
$5,045.61 |
$1,795.30
|
|
MRI breast without cont bi
|
$12,275.58 |
$12,275.58 |
$12,275.58 |
$1,778.00
|
|
MRI chest without & w/contrast
|
$11,753.47 |
$11,753.47 |
$11,753.47 |
$2,564.10
|
|
MRI loex nonjt w IV cont
|
$10,051.98 |
$10,051.98 |
$10,051.98 |
$2,035.00
|
|
MRI orbit/face/neck without contrast
|
$7,135.14 |
$7,135.14 |
$7,135.14 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$11,821.05 |
$11,821.05 |
$11,821.05 |
$2,674.83
|
|
MRI tmj
|
$7,347.69 |
$7,347.69 |
$7,347.69 |
$1,818.25
|
|
MRI w/cont, breast, bi
|
$12,275.58 |
$12,275.58 |
$12,275.58 |
$1,967.55
|
|
MRI without fol w/cont, breast
|
$11,834.13 |
$11,834.13 |
$11,834.13 |
$2,056.69
|
|
Mr sfty implt&/fb asmt stf 1
|
$65.40 |
$65.40 |
$65.40 |
$45.00
|
|
Mycophenolic acid
|
$20.52 |
$20.52 |
$20.52 |
$12.84
|
|
Nalbuphine 10 mg/ml injection solution
|
$123.12 |
$123.12 |
$123.12 |
$43.66
|
|
Natural killer cells total count
|
$841.32 |
$841.32 |
$841.32 |
$131.82
|
|
Neck (Cervical Spine) CT scan (with and without contrast)
|
$7,014.80 |
$7,014.80 |
$7,014.80 |
$2,055.15
|
|
Neck (Cervical Spine) CT scan (with contrast)
|
$6,677.84 |
$6,677.84 |
$6,677.84 |
$1,766.05
|
|
Neck (Cervical Spine) CT scan (without contrast)
|
$4,499.04 |
$4,499.04 |
$4,499.04 |
$1,513.95
|
|
Neck (Cervical Spine) MRI (with and without contrast)
|
$12,324.63 |
$12,324.63 |
$12,324.63 |
$2,854.80
|
|
Neck (Cervical Spine) MRI (with contrast)
|
$7,983.16 |
$7,983.16 |
$7,983.16 |
$2,301.53
|
|
Neck (Cervical Spine) MRI (without contrast)
|
$7,717.20 |
$7,717.20 |
$7,717.20 |
$2,001.81
|
|
Neck MRA (blood vessel MRI, with and without contrast)
|
$10,575.18 |
$10,575.18 |
$10,575.18 |
$2,651.36
|
|
Neck MRA (blood vessel MRI, without contrast)
|
$6,162.86 |
$6,162.86 |
$6,162.86 |
$1,790.58
|
|
Neuromatrix nerve cuff, cm
|
$2,082.00 |
$2,082.00 |
$2,082.00 |
$1,071.29
|
|
Nicardipine 25 mg/10 ml intravenous solution
|
$313.21 |
$313.21 |
$313.21 |
$295.57
|
|
Nitroglycerin 50 mg/250 ml (200 mcg/ml) in 5 % dextrose intravenous
|
$82.08 |
$82.08 |
$82.08 |
$71.09
|
|
Nm imaging bone/joint 3 phase study
|
$3,923.64 |
$3,923.64 |
$3,923.64 |
$1,798.90
|
|
Nm imaging bone/joint whole body
|
$4,374.00 |
$4,374.00 |
$4,374.00 |
$1,736.40
|
|
Nm imaging cardiac blood pooling planar single study at rest or stress
|
$5,137.56 |
$5,137.56 |
$5,137.56 |
$1,428.50
|
|
Nm imaging gastric emptying study
|
$3,462.48 |
$3,462.48 |
$3,462.48 |
$1,431.75
|
|
Nm imaging gastrointestinal acute blood loss
|
$2,140.56 |
$2,140.56 |
$2,140.56 |
$1,264.90
|
|
Nm imaging hepatobiliary system w/pharmacologic intervention
|
$1,437.48 |
$1,437.48 |
$1,437.48 |
$1,774.30
|
|
Nm imaging kidney morphology vascular flow/function single study w/pharmacological intervention
|
$6,487.56 |
$6,487.56 |
$6,487.56 |
$1,574.40
|
|
Nm imaging pulmonary ventilation/perfusion
|
$1,004.40 |
$1,004.40 |
$1,004.40 |
$1,574.40
|
|
Nm imaging thyroid single/multiple uptake(s) quantitative measurement(s)
|
$4,351.32 |
$4,351.32 |
$4,351.32 |
$1,186.03
|
|
Nuclear Stress Test (Heart)
|
$4,597.56 |
$4,597.56 |
$4,597.56 |
$3,921.45
|
|
Ob Ultrasound nuchal meas 1 gest
|
$882.96 |
$882.96 |
$882.96 |
$331.29
|
|
Ob Ultrasound nuchal meas add-on
|
$882.96 |
$882.96 |
$882.96 |
$243.29
|
|
Olanzapine 10 mg intramuscular solution
|
$511.92 |
$511.92 |
$511.92 |
$120.17
|
|
Oncoprotein dcp
|
$1,347.84 |
$1,347.84 |
$1,347.84 |
$167.75
|
|
Orphenadrine citrate 30 mg/ml injection solution
|
$282.96 |
$282.96 |
$282.96 |
$56.42
|
|
Osmolality blood
|
$176.04 |
$176.04 |
$176.04 |
$67.60
|
|
Osmolality urine
|
$889.92 |
$889.92 |
$889.92 |
$65.65
|
|
Ostomy clamp, replacement
|
$12.00 |
$12.00 |
$12.00 |
$12.00
|
|
Ost skn barr extnd >4 sq
|
$15.00 |
$15.00 |
$15.00 |
$17.77
|
|
Ot evaluation high complexity patient/family
|
$732.24 |
$732.24 |
$732.24 |
$303.05
|
|
Ot evaluation low complexity patient/family
|
$690.12 |
$690.12 |
$690.12 |
$238.00
|
|
Ot evaluation moderate complexity patient/family
|
$710.64 |
$710.64 |
$710.64 |
$270.58
|
|
Ot management/training orthotic(s) upper/lower extremities and/or trunk each 15 minutes
|
$172.80 |
$172.80 |
$172.80 |
$107.40
|
|
Ot re-evaluation patient/family
|
$412.56 |
$412.56 |
$412.56 |
$174.00
|
|
Oxytocin 10 unit/ml injection solution
|
$58.32 |
$58.32 |
$58.32 |
$48.29
|
|
Pantoprazole in ns IV syringe 0.8 mg/ml (neo/ped) - cnr
|
$71.28 |
$71.28 |
$71.28 |
$35.43
|
|
Parathormone (pth) intact
|
$962.28 |
$962.28 |
$962.28 |
$200.23
|
|
Parathyroid planar img w/tomo spect
|
$2,913.84 |
$2,913.84 |
$2,913.84 |
$1,398.75
|
|
Paricalcitol
|
$154.44 |
$154.44 |
$154.44 |
$47.38
|
|
Passy muir valve metal trach
|
$293.00 |
$293.00 |
$293.00 |
$242.47
|
|
Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe
|
$30,219.48 |
$30,219.48 |
$30,219.48 |
$4,749.07
|
|
Pelvic CT scan (with and without contrast)
|
$6,402.24 |
$6,402.24 |
$6,402.24 |
$1,918.15
|
|
Pelvic CT scan (with contrast)
|
$4,235.92 |
$4,235.92 |
$4,235.92 |
$1,669.00
|
|
Pelvic CT scan (without contrast)
|
$3,867.76 |
$3,867.76 |
$3,867.76 |
$1,332.80
|
|
Pelvic MRI (with and without contrast)
|
$11,849.39 |
$11,849.39 |
$11,849.39 |
$2,744.64
|
|
Pelvic MRI (with contrast)
|
$6,598.86 |
$6,598.86 |
$6,598.86 |
$2,087.21
|
|
Pelvic MRI (without contrast)
|
$6,598.86 |
$6,598.86 |
$6,598.86 |
$1,879.15
|
|
Pelvic Ultrasound (limited)
|
$1,226.16 |
$1,226.16 |
$1,226.16 |
$445.00
|
|
Perflutren lipid microspheres 1.1 mg/ml intravenous suspension
|
$805.12 |
$805.12 |
$805.12 |
$321.71
|