|
Iron
|
$144.06 |
$144.06 |
$144.06 |
$70.72
|
|
Iron binding capacity
|
$152.28 |
$152.28 |
$152.28 |
$63.00
|
|
Iron dextran 50 mg/ml injection solution
|
$57.76 |
$57.76 |
$57.76 |
$62.70
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$156.96 |
$156.96 |
$156.96 |
$198.01
|
|
Irrigation implantable venous access device for drug delivery systems
|
$260.79 |
$260.79 |
$260.79 |
$154.50
|
|
Isatuximab-irfc 20 mg/ml intravenous solution
|
$10,621.76 |
$10,621.76 |
$10,621.76 |
$13,419.80
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$270.73 |
$270.73 |
$270.73 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$604.40 |
$604.40 |
$604.40 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$170.94 |
$170.94 |
$170.94 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$481.25 |
$481.25 |
$481.25 |
$460.85
|
|
Jak2 targeted sequence analysis
|
$1,339.96 |
$1,339.96 |
$1,339.96 |
$378.30
|
|
Ketamine and metabolite screen - quest
|
$140.84 |
$140.84 |
$140.84 |
$68.15
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$155.88 |
$155.88 |
$155.88 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$42.80 |
$42.80 |
$42.80 |
$30.08
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$1,495.12 |
$1,495.12 |
$1,495.12 |
$668.25
|
|
Knee MRI (without contrast)
|
$5,058.83 |
$5,058.83 |
$5,058.83 |
$2,181.10
|
|
Knee X-ray
|
$632.34 |
$632.34 |
$632.34 |
$443.90
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$90.87 |
$90.87 |
$90.87 |
$42.38
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$78.63 |
$78.63 |
$78.63 |
$188.92
|
|
Lactate dehydrogenase (ldh)
|
$165.27 |
$165.27 |
$165.27 |
$53.30
|
|
Lactated ringers intravenous solution
|
$54.11 |
$54.11 |
$54.11 |
$54.11
|
|
Lactic acid
|
$173.90 |
$173.90 |
$173.90 |
$102.90
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$10,971.25 |
$10,971.25 |
$10,971.25 |
$22,903.90
|
|
Lead capillary
|
$144.33 |
$144.33 |
$144.33 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,975.02 |
$2,975.02 |
$2,975.02 |
$1,100.74
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$540.95 |
$540.95 |
$540.95 |
$146.32
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$757.87 |
$757.87 |
$757.87 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$229.24 |
$229.24 |
$229.24 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$438.15 |
$438.15 |
$438.15 |
$66.59
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$688.05 |
$688.05 |
$688.05 |
$177.90
|
|
Lipase
|
$181.79 |
$181.79 |
$181.79 |
$83.20
|
|
Lithium therapeutic drug level
|
$169.38 |
$169.38 |
$169.38 |
$67.60
|
|
Liver Function Test
|
$298.80 |
$298.80 |
$298.80 |
$110.50
|
|
Locm 100-199mg/ml iodine,1ml
|
$44.10 |
$44.10 |
$44.10 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$28.24 |
$28.24 |
$28.24 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,984.05 |
$2,984.05 |
$2,984.05 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,685.06 |
$6,685.06 |
$6,685.06 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$5,058.83 |
$5,058.83 |
$5,058.83 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$453.03 |
$453.03 |
$453.03 |
$344.00
|
|
Lung Function Test (Spirometry)
|
$406.97 |
$406.97 |
$406.97 |
$298.50
|
|
Magnesium
|
$181.79 |
$181.79 |
$181.79 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$438.15 |
$438.15 |
$438.15 |
$65.49
|
|
Mannitol 12.5 gm/50 ml inj
|
$45.28 |
$45.28 |
$45.28 |
$40.12
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$34,164.07 |
$34,164.07 |
$34,164.07 |
$34,164.07
|
|
Mayo aathr protein s free
|
$470.31 |
$470.31 |
$470.31 |
$130.00
|
|
Mayo alkaline phosphatase isoenzyme
|
$231.90 |
$231.90 |
$231.90 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$316.04 |
$316.04 |
$316.04 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$149.11 |
$149.11 |
$149.11 |
$87.60
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$186.82 |
$186.82 |
$186.82 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$225.39 |
$225.39 |
$225.39 |
$73.60
|
|
Mayo androstenedione
|
$113.57 |
$113.57 |
$113.57 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$92.43 |
$92.43 |
$92.43 |
$72.46
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$184.50 |
$184.50 |
$184.50 |
$105.00
|
|
Mayo bart bartonella henselae antibody igg
|
$112.95 |
$112.95 |
$112.95 |
$45.75
|
|
Mayo bordetella pertussis antibody igg
|
$138.38 |
$138.38 |
$138.38 |
$59.15
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$228.34 |
$228.34 |
$228.34 |
$96.85
|
|
Mayo chromium
|
$279.05 |
$279.05 |
$279.05 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$251.10 |
$251.10 |
$251.10 |
$89.53
|
|
Mayo cortisol free
|
$152.95 |
$152.95 |
$152.95 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$139.71 |
$139.71 |
$139.71 |
$72.60
|
|
Mayo deoxyribonuclease antibody titer
|
$74.80 |
$74.80 |
$74.80 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$114.98 |
$114.98 |
$114.98 |
$88.45
|
|
Mayo dihydrotestosterone
|
$279.38 |
$279.38 |
$279.38 |
$81.90
|
|
Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid
|
$1,175.48 |
$1,175.48 |
$1,175.48 |
$33.57
|
|
Mayo factor ii
|
$141.49 |
$141.49 |
$141.49 |
$93.00
|
|
Mayo factor vii
|
$87.79 |
$87.79 |
$87.79 |
$141.00
|
|
Mayo factor x
|
$379.85 |
$379.85 |
$379.85 |
$139.50
|
|
Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative
|
$943.70 |
$943.70 |
$943.70 |
$165.00
|
|
Mayo hla typing a/b/c single antigen
|
$267.41 |
$267.41 |
$267.41 |
$118.33
|
|
Mayo hvdip HIV 1 antibody
|
$226.47 |
$226.47 |
$226.47 |
$67.57
|
|
Mayo hvdip HIV 2 antibody
|
$282.63 |
$282.63 |
$282.63 |
$67.60
|
|
Mayo immunoassay c1 esterase inhibitor antibody quantitative
|
$586.54 |
$586.54 |
$586.54 |
$202.63
|
|
Mayo immunoassay infectious agent antibody quantitative diptheria igg
|
$341.54 |
$341.54 |
$341.54 |
$86.84
|
|
Mayo immunoassay tumor antigen quantitative ca 27.29
|
$431.17 |
$431.17 |
$431.17 |
$112.50
|
|
Mayo immunoassay tumor antigen quantitative chromogranin a
|
$27.00 |
$27.00 |
$27.00 |
$103.20
|
|
Mayo lacosamide therapeutic drug level
|
$318.49 |
$318.49 |
$318.49 |
$99.20
|
|
Mayo lamotrigine therapeutic drug level
|
$229.24 |
$229.24 |
$229.24 |
$66.43
|
|
Mayo ld_i lactate dehydrogenase isoenzymes
|
$66.37 |
$66.37 |
$66.37 |
$55.12
|
|
Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory
|
$546.00 |
$546.00 |
$546.00 |
$69.55
|
|
Mayo manganese
|
$270.70 |
$270.70 |
$270.70 |
$89.15
|
|
Mayo metanephrines plasma
|
$605.19 |
$605.19 |
$605.19 |
$104.50
|
|
Mayo methadone definitive assay confirmation urine
|
$70.88 |
$70.88 |
$70.88 |
$101.14
|
|
Mayo microsomal antibody liver-kidney
|
$170.05 |
$170.05 |
$170.05 |
$90.00
|
|
Mayo mitotane (lysodren) therapeutic drug level
|
$470.33 |
$470.33 |
$470.33 |
$167.70
|
|
Mayo opatu opiates definitive assay >=1
|
$128.69 |
$128.69 |
$128.69 |
$99.00
|
|
Mayo organic acid methylmalonic single quantitative
|
$125.64 |
$125.64 |
$125.64 |
$104.13
|
|
Mayo parvs parvovirus b19 antibody igg
|
$142.67 |
$142.67 |
$142.67 |
$56.80
|
|
Mayo paval fluorescent antibody screen agna type 1
|
$93.32 |
$93.32 |
$93.32 |
$190.20
|
|
Mayo pntft phenytoin free therapeutic drug level
|
$91.78 |
$91.78 |
$91.78 |
$71.20
|
|
Mayo pregnenolone
|
$671.41 |
$671.41 |
$671.41 |
$81.00
|
|
Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative
|
$298.20 |
$298.20 |
$298.20 |
$263.97
|
|
Mayo renin
|
$388.12 |
$388.12 |
$388.12 |
$96.60
|
|
Mayo repu protein electrophoresis urine
|
$288.97 |
$288.97 |
$288.97 |
$92.70
|
|
Mayo serotonin
|
$200.70 |
$200.70 |
$200.70 |
$126.75
|
|
Mayo syphilis test non-treponemal antibody qualitative vdrl
|
$139.73 |
$139.73 |
$139.73 |
$48.00
|
|
Mayo tgrp testosterone free
|
$376.76 |
$376.76 |
$376.76 |
$96.05
|
|
Mayo tgrp testosterone total
|
$286.63 |
$286.63 |
$286.63 |
$139.34
|
|
Mayo thyroglobulin
|
$168.00 |
$168.00 |
$168.00 |
$106.85
|
|
Mayo ticks anaplasma phagocytophilum antibody igg
|
$142.29 |
$142.29 |
$142.29 |
$68.53
|
|
Mayo ticks babesia microti antibody igg
|
$411.03 |
$411.03 |
$411.03 |
$69.00
|