|
IV Push Injection (first drug)
|
$215.36 |
$215.36 |
$215.36 |
$252.76
|
|
Ivp w/nephrotomography
|
$1,054.50 |
$1,054.50 |
$1,054.50 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$1,167.29 |
$1,167.29 |
$1,167.29 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$335.27 |
$335.27 |
$335.27 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$295.23 |
$295.23 |
$295.23 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$376.23 |
$376.23 |
$376.23 |
$362.05
|
|
John cunningham antibody
|
$38.56 |
$38.56 |
$38.56 |
$78.00
|
|
Ketamine and metabolite screen - quest
|
$96.43 |
$96.43 |
$96.43 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$40.57 |
$40.57 |
$40.57 |
$58.56
|
|
Kidney img w/bldflw sgl without rx
|
$758.03 |
$758.03 |
$758.03 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$885.27 |
$885.27 |
$885.27 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$290.49 |
$290.49 |
$290.49 |
$490.75
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$2,681.52 |
$2,681.52 |
$2,681.52 |
$1,635.87
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$6,074.48 |
$6,074.48 |
$6,074.48 |
$2,254.50
|
|
Knee MRI (with and without contrast)
|
$2,728.18 |
$2,728.18 |
$2,728.18 |
$3,022.20
|
|
Knee MRI (with contrast)
|
$2,273.87 |
$2,273.87 |
$2,273.87 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,818.79 |
$1,818.79 |
$1,818.79 |
$2,130.88
|
|
Knee X-ray
|
$442.85 |
$442.85 |
$442.85 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$238.46 |
$238.46 |
$238.46 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$290.69 |
$290.69 |
$290.69 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$398.18 |
$398.18 |
$398.18 |
$251.20
|
|
Kras gene addl variants
|
$349.74 |
$349.74 |
$349.74 |
$387.20
|
|
Kras gene variants exon 2
|
$349.74 |
$349.74 |
$349.74 |
$536.20
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$66.99 |
$66.99 |
$66.99 |
$109.20
|
|
Lactate dehydrogenase (ldh)
|
$37.91 |
$37.91 |
$37.91 |
$55.50
|
|
Lactic acid
|
$85.79 |
$85.79 |
$85.79 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$65.17 |
$65.17 |
$65.17 |
$82.16
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$849.46 |
$849.46 |
$849.46 |
$740.40
|
|
Laryngoscopy w/fb removal
|
$252.56 |
$252.56 |
$252.56 |
$2,854.09
|
|
Lead capillary
|
$52.54 |
$52.54 |
$52.54 |
$57.50
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,078.80 |
$1,078.80 |
$1,078.80 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,407.66 |
$1,407.66 |
$1,407.66 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,125.99 |
$1,125.99 |
$1,125.99 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,244.10 |
$1,244.10 |
$1,244.10 |
$1,092.58
|
|
Leishmania antibody
|
$27.97 |
$27.97 |
$27.97 |
$58.50
|
|
Lens, intraocular (new tech)
|
$2,300.69 |
$2,300.69 |
$2,300.69 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,841.41 |
$1,841.41 |
$1,841.41 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$1,841.41 |
$1,841.41 |
$1,841.41 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$41.90 |
$41.90 |
$41.90 |
$88.92
|
|
Lifileucel til/dose 7.5b-72b snij
|
$3,209,450.97 |
$3,209,450.97 |
$3,209,450.97 |
$30,744.64
|
|
Lipase
|
$38.57 |
$38.57 |
$38.57 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$67.83 |
$67.83 |
$67.83 |
$87.00
|
|
Lipoprotein blood quant
|
$68.50 |
$68.50 |
$68.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$42.56 |
$42.56 |
$42.56 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$62.51 |
$62.51 |
$62.51 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$68.50 |
$68.50 |
$68.50 |
$47.18
|
|
Lithium therapeutic drug level
|
$34.58 |
$34.58 |
$34.58 |
$69.75
|
|
Liver Function Test
|
$71.82 |
$71.82 |
$71.82 |
$115.44
|
|
Liver/spleen imag static only
|
$1,045.46 |
$1,045.46 |
$1,045.46 |
$1,138.55
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.91 |
$1.91 |
$1.91 |
$49.70
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$377.16 |
$377.16 |
$377.16 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,221.34 |
$3,221.34 |
$3,221.34 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,684.80 |
$2,684.80 |
$2,684.80 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,147.56 |
$2,147.56 |
$2,147.56 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,762.91 |
$1,762.91 |
$1,762.91 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,469.09 |
$1,469.09 |
$1,469.09 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,175.27 |
$1,175.27 |
$1,175.27 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$283.88 |
$283.88 |
$283.88 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$635.12 |
$635.12 |
$635.12 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$644.96 |
$644.96 |
$644.96 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$201.36 |
$201.36 |
$201.36 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$216.00 |
$216.00 |
$216.00 |
$364.77
|
|
Lung Function Test Before and After an Inhaler
|
$388.59 |
$388.59 |
$388.59 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$115.85 |
$115.85 |
$115.85 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$305.18 |
$305.18 |
$305.18 |
$296.91
|
|
Lung perfusion imaging
|
$833.32 |
$833.32 |
$833.32 |
$1,069.25
|
|
Magnesium
|
$58.52 |
$58.52 |
$58.52 |
$73.00
|
|
Mammosite ced
|
$13,825.52 |
$13,825.52 |
$13,825.52 |
$5,031.60
|
|
Marker biop eviva buckle ss
|
$1,126.34 |
$1,126.34 |
$1,126.34 |
$1,451.30
|
|
Mastoids complete
|
$248.30 |
$248.30 |
$248.30 |
$299.50
|
|
M.avium-intra dna amp prob
|
$189.54 |
$189.54 |
$189.54 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$41.90 |
$41.90 |
$41.90 |
$65.28
|
|
Mayo aathr protein s free
|
$45.34 |
$45.34 |
$45.34 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$45.34 |
$45.34 |
$45.34 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$199.50 |
$199.50 |
$199.50 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$105.07 |
$105.07 |
$105.07 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$89.11 |
$89.11 |
$89.11 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$37.91 |
$37.91 |
$37.91 |
$66.60
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$80.47 |
$80.47 |
$80.47 |
$112.77
|
|
Mayo alpha 1 antitrypsin
|
$39.24 |
$39.24 |
$39.24 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$41.23 |
$41.23 |
$41.23 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$46.55 |
$46.55 |
$46.55 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$220.10 |
$220.10 |
$220.10 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$165.82 |
$165.82 |
$165.82 |
$374.73
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,098.44 |
$2,098.44 |
$2,098.44 |
$1,860.00
|
|
Mayo androstenedione
|
$58.52 |
$58.52 |
$58.52 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$40.57 |
$40.57 |
$40.57 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$47.40 |
$47.40 |
$47.40 |
$74.74
|
|
Mayo aspergillus fumigatus antibody
|
$41.58 |
$41.58 |
$41.58 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$112.67 |
$112.67 |
$112.67 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$105.07 |
$105.07 |
$105.07 |
$93.60
|
|
Mayo bart bartonella henselae antibody igg
|
$46.87 |
$46.87 |
$46.87 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$262.30 |
$262.30 |
$262.30 |
$333.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$388.33 |
$388.33 |
$388.33 |
$310.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$58.97 |
$58.97 |
$58.97 |
$56.00
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$37.24 |
$37.24 |
$37.24 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$52.92 |
$52.92 |
$52.92 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$50.65 |
$50.65 |
$50.65 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$47.88 |
$47.88 |
$47.88 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$55.86 |
$55.86 |
$55.86 |
$106.70
|