|
Intrvasc Ultrasound noncoronary 1st vessel
|
$2,455.00 |
$2,455.00 |
$2,455.00 |
$3,303.76
|
|
Intrvasc Ultrasound noncoronary addl vessel
|
$2,090.00 |
$2,090.00 |
$2,090.00 |
$1,633.03
|
|
Intubation endotracheal emergency procedure
|
$302.50 |
$302.50 |
$302.50 |
$589.60
|
|
Iodine i-123 sod iodide mil
|
$307.50 |
$307.50 |
$307.50 |
$350.74
|
|
Iopamidol 250 mg iodine/ml (51 %) intravenous solution
|
$5.96 |
$5.96 |
$5.96 |
$172.98
|
|
Iopamidol 300 mg iodine/ml (61 %) intravenous solution
|
$1.80 |
$1.80 |
$1.80 |
$279.10
|
|
Iron
|
$82.50 |
$82.50 |
$82.50 |
$74.40
|
|
Iron binding capacity
|
$72.50 |
$72.50 |
$72.50 |
$63.79
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.26 |
$1.26 |
$1.26 |
$187.06
|
|
Irradiation of blood product each unit reference
|
$65.00 |
$65.00 |
$65.00 |
$119.83
|
|
Irrigation implantable venous access device for drug delivery systems
|
$112.50 |
$112.50 |
$112.50 |
$142.20
|
|
Ivc venogram s&i
|
$2,095.00 |
$2,095.00 |
$2,095.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$140.00 |
$140.00 |
$140.00 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$140.00 |
$140.00 |
$140.00 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$140.00 |
$140.00 |
$140.00 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$337.50 |
$337.50 |
$337.50 |
$439.56
|
|
IV inj ra drug dx study
|
$505.00 |
$505.00 |
$505.00 |
$549.70
|
|
Ivp w/wo kub w/wo tomography
|
$670.00 |
$670.00 |
$670.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$475.00 |
$475.00 |
$475.00 |
$379.87
|
|
John cunningham antibody
|
$65.00 |
$65.00 |
$65.00 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$225.00 |
$225.00 |
$225.00 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$47.50 |
$47.50 |
$47.50 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$38.97 |
$38.97 |
$38.97 |
$23.50
|
|
Kidney function study
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$783.86
|
|
Kidney imaging morphology
|
$1,295.00 |
$1,295.00 |
$1,295.00 |
$785.00
|
|
Kidney img w/bldflw sgl without rx
|
$1,595.00 |
$1,595.00 |
$1,595.00 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$585.00 |
$585.00 |
$585.00 |
$666.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$9,423.50 |
$9,423.50 |
$9,423.50 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$382.50 |
$382.50 |
$382.50 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$53,608.50 |
$53,608.50 |
$53,608.50 |
$30,006.00
|
|
Kit lead specify 5-6-5
|
$15,639.00 |
$15,639.00 |
$15,639.00 |
$15,639.00
|
|
Knee MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$4,220.00 |
$4,220.00 |
$4,220.00 |
$2,169.60
|
|
Knee X-ray
|
$585.00 |
$585.00 |
$585.00 |
$425.55
|
|
Kras gene addl variants
|
$875.00 |
$875.00 |
$875.00 |
$384.80
|
|
Kras gene variants exon 2
|
$260.00 |
$260.00 |
$260.00 |
$486.45
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$28.03 |
$28.03 |
$28.03 |
$32.34
|
|
Lactate dehydrogenase (ldh)
|
$47.50 |
$47.50 |
$47.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$126.46 |
$126.46 |
$126.46 |
$45.56
|
|
Lactic acid
|
$65.00 |
$65.00 |
$65.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$75.00 |
$75.00 |
$75.00 |
$80.40
|
|
Lead capillary
|
$57.50 |
$57.50 |
$57.50 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$694.59 |
$694.59 |
$694.59 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$4,669.00 |
$4,669.00 |
$4,669.00 |
$8,000.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,015.00 |
$1,015.00 |
$1,015.00 |
$1,088.26
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$200.00 |
$200.00 |
$200.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$318.53 |
$318.53 |
$318.53 |
$1,065.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.45 |
$0.45 |
$0.45 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$100.00 |
$100.00 |
$100.00 |
$88.92
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$21.81 |
$21.81 |
$21.81 |
$385.62
|
|
Lidocaine therapeutic drug level
|
$122.50 |
$122.50 |
$122.50 |
$89.70
|
|
Ligation/biopsy of temporal artery 37609
|
$3,385.00 |
$3,385.00 |
$3,385.00 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$4,255.00 |
$4,255.00 |
$4,255.00 |
$4,026.79
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$29.84 |
$29.84 |
$29.84 |
$125.66
|
|
Lipase
|
$105.00 |
$105.00 |
$105.00 |
$93.58
|
|
Lipoprotein blood quant
|
$137.50 |
$137.50 |
$137.50 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$60.00 |
$60.00 |
$60.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$67.50 |
$67.50 |
$67.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$62.50 |
$62.50 |
$62.50 |
$69.42
|
|
Liver Function Test
|
$140.00 |
$140.00 |
$140.00 |
$115.44
|
|
Liver/spleen imag static only
|
$1,380.00 |
$1,380.00 |
$1,380.00 |
$1,123.50
|
|
Lmtd oph exam general anes
|
$3,275.00 |
$3,275.00 |
$3,275.00 |
$2,590.36
|
|
Locm 100-199mg/ml iodine,1ml
|
$8.35 |
$8.35 |
$8.35 |
$45.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$56.16 |
$56.16 |
$56.16 |
$37.20
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,305.00 |
$2,305.00 |
$2,305.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,570.00 |
$1,570.00 |
$1,570.00 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,470.00 |
$1,470.00 |
$1,470.00 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,265.00 |
$3,265.00 |
$3,265.00 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,210.00 |
$2,210.00 |
$2,210.00 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,110.00 |
$2,110.00 |
$2,110.00 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$380.00 |
$380.00 |
$380.00 |
$352.32
|
|
Lumbar diskogram s&i
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$115.00 |
$115.00 |
$115.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$265.00 |
$265.00 |
$265.00 |
$295.35
|
|
Lung perfusion imaging
|
$1,095.00 |
$1,095.00 |
$1,095.00 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$1,385.00 |
$1,385.00 |
$1,385.00 |
$1,448.00
|
|
Lymph vessel x-ray arm/leg
|
$815.00 |
$815.00 |
$815.00 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$815.00 |
$815.00 |
$815.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$1,225.00 |
$1,225.00 |
$1,225.00 |
$3,452.15
|
|
Macroscopic exam arthropod
|
$20.00 |
$20.00 |
$20.00 |
$38.50
|
|
Macroscopic exam parasite
|
$20.00 |
$20.00 |
$20.00 |
$36.40
|
|
Magnesium
|
$75.00 |
$75.00 |
$75.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$35.15 |
$35.15 |
$35.15 |
$58.70
|
|
Malaria antibody
|
$82.50 |
$82.50 |
$82.50 |
$94.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$60.00 |
$60.00 |
$60.00 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$120.00 |
$120.00 |
$120.00 |
$152.54
|
|
Manual diff wbc count b-coat
|
$37.50 |
$37.50 |
$37.50 |
$30.68
|
|
Marker biop eviva buckle ss
|
$380.00 |
$380.00 |
$380.00 |
$1,152.48
|
|
M.avium-intra dna amp prob
|
$137.50 |
$137.50 |
$137.50 |
$132.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$100.00 |
$100.00 |
$100.00 |
$66.36
|
|
Mayo aathr protein s free
|
$160.00 |
$160.00 |
$160.00 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$140.00 |
$140.00 |
$140.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$357.50 |
$357.50 |
$357.50 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$147.50 |
$147.50 |
$147.50 |
$102.96
|
|
Mayo alcohol definitive assay volatile screen
|
$112.50 |
$112.50 |
$112.50 |
$112.85
|
|
Mayo alkaline phosphatase isoenzyme
|
$70.00 |
$70.00 |
$70.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$225.00 |
$225.00 |
$225.00 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$100.00 |
$100.00 |
$100.00 |
$89.05
|
