|
Iron dextran 50 mg/ml injection solution
|
$30.46 |
$30.46 |
$30.46 |
$73.22
|
|
Iron stain peripheral blood
|
$16.53 |
$16.53 |
$16.53 |
$17.60
|
|
Iron sucrose 20 mg iron/ml intravenous solution (wrapper)
|
$1.14 |
$1.14 |
$1.14 |
$169.30
|
|
Irradiation of blood product each unit reference
|
$71.82 |
$71.82 |
$71.82 |
$124.24
|
|
Irrigation implantable venous access device for drug delivery systems
|
$75.81 |
$75.81 |
$75.81 |
$154.50
|
|
Ivc venogram s&i
|
$2,040.03 |
$2,040.03 |
$2,040.03 |
$3,332.55
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$123.12 |
$123.12 |
$123.12 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$84.93 |
$84.93 |
$84.93 |
$174.40
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$84.93 |
$84.93 |
$84.93 |
$155.00
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$271.89 |
$271.89 |
$271.89 |
$460.85
|
|
IV inj ra drug dx study
|
$647.52 |
$647.52 |
$647.52 |
$560.00
|
|
Jak2 targeted sequence analysis
|
$453.15 |
$453.15 |
$453.15 |
$378.30
|
|
John cunningham antibody
|
$22.80 |
$22.80 |
$22.80 |
$48.57
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$27.93 |
$27.93 |
$27.93 |
$56.61
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$3.03 |
$3.03 |
$3.03 |
$29.52
|
|
Kidney imag w/bld flow multi
|
$2,231.55 |
$2,231.55 |
$2,231.55 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$966.72 |
$966.72 |
$966.72 |
$1,468.04
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$410.97 |
$410.97 |
$410.97 |
$668.25
|
|
Knee MRI (with and without contrast)
|
$1,047.66 |
$1,047.66 |
$1,047.66 |
$2,950.00
|
|
Knee MRI (with contrast)
|
$987.24 |
$987.24 |
$987.24 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$926.82 |
$926.82 |
$926.82 |
$2,181.10
|
|
Knee X-ray
|
$183.54 |
$183.54 |
$183.54 |
$443.90
|
|
Kras gene addl variants
|
$395.58 |
$395.58 |
$395.58 |
$346.45
|
|
Kras gene variants exon 2
|
$417.24 |
$417.24 |
$417.24 |
$495.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$11.77 |
$11.77 |
$11.77 |
$39.72
|
|
Lactate dehydrogenase (ldh)
|
$15.39 |
$15.39 |
$15.39 |
$53.30
|
|
Lactic acid
|
$36.48 |
$36.48 |
$36.48 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$42.18 |
$42.18 |
$42.18 |
$88.40
|
|
Laryngoscopy telescopic
|
$437.76 |
$437.76 |
$437.76 |
$762.30
|
|
Lead capillary
|
$25.08 |
$25.08 |
$25.08 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,094.40 |
$1,094.40 |
$1,094.40 |
$1,100.74
|
|
Lens iol ant bicnvx 24.0 multi
|
$295.94 |
$295.94 |
$295.94 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$188.10 |
$188.10 |
$188.10 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$21.27 |
$21.27 |
$21.27 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$266.17 |
$266.17 |
$266.17 |
$5,001.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.19 |
$0.19 |
$0.19 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$41.61 |
$41.61 |
$41.61 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.05 |
$7.05 |
$7.05 |
$64.88
|
|
Lidocaine therapeutic drug level
|
$46.74 |
$46.74 |
$46.74 |
$83.85
|
|
Lift heel adj small gl60404sm
|
$202.35 |
$202.35 |
$202.35 |
$155.52
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$34.29 |
$34.29 |
$34.29 |
$172.25
|
|
Lipase
|
$39.33 |
$39.33 |
$39.33 |
$83.20
|
|
Lipoprotein blood quant
|
$64.41 |
$64.41 |
$64.41 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$21.09 |
$21.09 |
$21.09 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$23.94 |
$23.94 |
$23.94 |
$60.00
|
|
Lithium therapeutic drug level
|
$21.09 |
$21.09 |
$21.09 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,444.95 |
$1,444.95 |
$1,444.95 |
$4,371.12
|
|
Liver Function Test
|
$64.98 |
$64.98 |
$64.98 |
$110.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$4.76 |
$4.76 |
$4.76 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$570.57 |
$570.57 |
$570.57 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$428.64 |
$428.64 |
$428.64 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$369.36 |
$369.36 |
$369.36 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,100.67 |
$1,100.67 |
$1,100.67 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,508.79 |
$1,508.79 |
$1,508.79 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,451.79 |
$1,451.79 |
$1,451.79 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$99.18 |
$99.18 |
$99.18 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,179.33 |
$1,179.33 |
$1,179.33 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$160.74 |
$160.74 |
$160.74 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$203.49 |
$203.49 |
$203.49 |
$298.50
|
|
Lung perfusion imaging
|
$648.09 |
$648.09 |
$648.09 |
$1,100.39
|
|
Lutetium lu 177 vipivotide
|
$282.72 |
$282.72 |
$282.72 |
$332.80
|
|
Lymphatics/lymph node imaging
|
$910.86 |
$910.86 |
$910.86 |
$1,543.75
|
|
Lymph vessel x-ray trunk
|
$1,818.30 |
$1,818.30 |
$1,818.30 |
$2,542.41
|
|
Macroscopic exam arthropod
|
$11.40 |
$11.40 |
$11.40 |
$38.58
|
|
Macroscopic exam parasite
|
$11.40 |
$11.40 |
$11.40 |
$38.50
|
|
Magnesium
|
$27.93 |
$27.93 |
$27.93 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$9.49 |
$9.49 |
$9.49 |
$69.30
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$57.00 |
$57.00 |
$57.00 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$57.00 |
$57.00 |
$57.00 |
$178.75
|
|
Map tachycard site(s)
|
$7,643.13 |
$7,643.13 |
$7,643.13 |
$3,960.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$17.10 |
$17.10 |
$17.10 |
$66.50
|
|
Mayo aathr protein s free
|
$43.89 |
$43.89 |
$43.89 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$60.99 |
$60.99 |
$60.99 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$40.47 |
$40.47 |
$40.47 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$42.18 |
$42.18 |
$42.18 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$35.34 |
$35.34 |
$35.34 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$42.18 |
$42.18 |
$42.18 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$33.06 |
$33.06 |
$33.06 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$45.03 |
$45.03 |
$45.03 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$208.05 |
$208.05 |
$208.05 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$274.17 |
$274.17 |
$274.17 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$234.27 |
$234.27 |
$234.27 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,059.06 |
$1,059.06 |
$1,059.06 |
$1,909.44
|
|
Mayo androstenedione
|
$69.54 |
$69.54 |
$69.54 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$35.91 |
$35.91 |
$35.91 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$25.65 |
$25.65 |
$25.65 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$22.80 |
$22.80 |
$22.80 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$306.09 |
$306.09 |
$306.09 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$42.18 |
$42.18 |
$42.18 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$14.82 |
$14.82 |
$14.82 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$420.66 |
$420.66 |
$420.66 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$32.49 |
$32.49 |
$32.49 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$18.81 |
$18.81 |
$18.81 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$57.00 |
$57.00 |
$57.00 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$88.35 |
$88.35 |
$88.35 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$43.32 |
$43.32 |
$43.32 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$78.66 |
$78.66 |
$78.66 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$53.58 |
$53.58 |
$53.58 |
$110.00
|
|
Mayo ceruloplasmin
|
$26.79 |
$26.79 |
$26.79 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$51.30 |
$51.30 |
$51.30 |
$123.73
|