|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$333.25 |
$586.80 |
$3,140.89 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$266.57 |
$469.33 |
$2,935.36 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$420.62 |
$630.92 |
$4,047.09 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$350.55 |
$525.83 |
$3,878.44 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$280.37 |
$420.56 |
$3,462.92 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$83.79 |
$136.71 |
$658.16 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$95.57 |
$155.93 |
$816.20 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$113.24 |
$177.01 |
$822.88 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$60.04 |
$93.85 |
$1,065.52 |
|
|
Low frequency non-thermal Ultrasound
|
$26.52 |
$71.87 |
$191.39 |
|
|
Lsh uterus 250 g or less
|
$224.20 |
$224.20 |
$224.20 |
|
|
Lso full corset
|
$304.84 |
$304.84 |
$304.84 |
|
|
Lso sag-coronal panel custom
|
$2,440.98 |
$2,440.98 |
$2,440.98 |
|
|
Lso s/c shell/panel custom
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
|
|
L/s ratio fetal lung
|
$51.19 |
$53.82 |
$58.05 |
|
|
Lumbar diskogram s&i
|
$669.12 |
$928.03 |
$6,467.28 |
|
|
Lumbar Spinal Fusion (single level)
|
$2,447.86 |
$2,447.86 |
$2,447.86 |
|
|
Lumizyme injection
|
$1,283.52 |
$1,283.52 |
$1,283.52 |
|
|
Lung Function Test Before and After an Inhaler
|
$15.41 |
$159.22 |
$681.90 |
|
|
Lung function test (mbc/mvv)
|
$5.42 |
$30.51 |
$156.62 |
|
|
Lung Function Test (Spirometry)
|
$12.19 |
$103.57 |
$352.04 |
|
|
Lung perfusion imaging
|
$62.79 |
$434.65 |
$1,360.09 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$12,162.50 |
$12,162.50 |
$12,162.50 |
|
|
Lutetium lu 177 dotatat ther
|
$174.56 |
$329.41 |
$373.60 |
|
|
Lutetium lu 177 vipivotide
|
$262.86 |
$344.19 |
$345.87 |
|
|
Lvad shower bag heartmate
|
$889.34 |
$889.34 |
$1,136.84 |
|
|
Lymphatics/lymph node imaging
|
$288.64 |
$603.12 |
$2,592.55 |
|
|
Lymphocyte transformation mitogen
|
$19.39 |
$30.78 |
$573.00 |
|
|
Lymphocytotoxicity assay
|
$47.18 |
$47.18 |
$50.89 |
|
|
Lymph vessel x-ray arm/leg
|
$547.50 |
$604.16 |
$665.52 |
|
|
Lymph vessel x-ray arms/legs
|
$821.10 |
$821.10 |
$849.95 |
|
|
Lymph vessel x-ray trunk
|
$440.40 |
$525.56 |
$843.46 |
|
|
Lymph vessel x-ray trunk
|
$636.90 |
$709.92 |
$1,265.57 |
|
|
Lysis penil circumic lesion
|
$3,198.11 |
$3,198.11 |
$3,198.11 |
|
|
Macro exam dissect molec study ea
|
$8.94 |
$9.64 |
$77.17 |
|
|
Macroscopic exam arthropod
|
$2.12 |
$3.17 |
$209.34 |
|
|
Macroscopic exam parasite
|
$6.50 |
$12.93 |
$27.43 |
|
|
Magnesium
|
$11.09 |
$21.91 |
$102.40 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$0.01 |
$51.20 |
$93.80 |
|
|
Magnetic image bone marrow
|
$307.24 |
$374.51 |
$870.66 |
|
|
Mammosite ced
|
$2,962.14 |
$4,168.50 |
$7,642.25 |
|
|
Manipulate finger w/anesth
|
$557.99 |
$557.99 |
$557.99 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.29 |
$80.15 |
$93.80 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$165.13 |
$228.08 |
$445.16 |
|
|
Mapping io sentinel lymph node
|
$209.99 |
$209.99 |
$209.99 |
|
|
Map tachycard site(s)
|
$993.33 |
$3,285.00 |
$7,621.83 |
|
|
Marker biop eviva buckle ss
|
$715.22 |
$1,611.72 |
$6,551.30 |
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
|
|
Mastectomy partial
|
$1,021.74 |
$1,021.74 |
$1,215.18 |
|
|
Mast mod rad
|
$1,824.58 |
$1,824.58 |
$3,196.88 |
|
|
Mastoids complete
|
$115.80 |
$214.02 |
$890.40 |
|
|
Mastopexy
|
$1,228.01 |
$1,228.01 |
$1,228.01 |
|
|
Mast radical
|
$1,780.80 |
$1,780.80 |
$1,780.80 |
|
|
Mast simple complete
|
$1,481.04 |
$1,481.04 |
$1,481.04 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$23.92 |
$29.95 |
$15,925.64 |
|
|
M.avium-intra dna amp prob
|
$17.28 |
$24.80 |
$255.94 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$5.29 |
$10.46 |
$65.30 |
|
|
Mayo aathr protein s free
|
$4.22 |
$14.92 |
$1,132.84 |
|
|
Mayo activated protein c resistance assay
|
$4.22 |
$14.92 |
$147.66 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$25.20 |
$48.00 |
$450.76 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$13.27 |
$24.96 |
$88.64 |
|
|
Mayo alcohol definitive assay volatile screen
|
$34.16 |
$64.06 |
$243.73 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$4.79 |
$9.46 |
$89.04 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$13.44 |
$25.28 |
$68.62 |
|
|
Mayo alpha 1 antitrypsin
|
$4.96 |
$9.79 |
$65.40 |
|
|
Mayo amikacin trough therapeutic drug level
|
$5.21 |
$10.29 |
$112.31 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$13.10 |
$24.65 |
$87.52 |
|
|
Mayo analysis gene calr common variants exon 9
|
$39.26 |
$127.16 |
$855.68 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$29.61 |
$98.06 |
$709.00 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$113.92 |
$134.81 |
$231.00 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$374.46 |
$1,243.52 |
$4,033.32 |
|
|
Mayo androstenedione
|
$7.39 |
$14.61 |
$86.91 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$5.12 |
$10.13 |
$118.72 |
|
|
Mayo antithrombin iii antigen
|
$4.42 |
$14.63 |
$116.90 |
|
|
Mayo aspergillus fumigatus antibody
|
$7.20 |
$13.47 |
$138.02 |
|
|
Mayo avwpr vw factor activity
|
$10.50 |
$31.32 |
$395.76 |
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$34.53 |
$37.62 |
$92.07 |
|
|
Mayo barbiturates definitive assay confirmation urine
|
$14.62 |
$27.49 |
$88.64 |
|
|
Mayo bart bartonella henselae antibody igg
|
$8.12 |
$12.90 |
$92.75 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$38.17 |
$151.47 |
$839.95 |
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$38.17 |
$224.60 |
$746.40 |
|
|
Mayo blastomyces antibody immunodiffusion
|
$10.22 |
$16.22 |
$63.48 |
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$4.70 |
$8.85 |
$31.42 |
|
|
Mayo bordetella pertussis antibody igg
|
$9.17 |
$14.56 |
$127.63 |
|
|
Mayo brcmg brucella antibody igm
|
$8.78 |
$12.83 |
$70.49 |
|
|
Mayo c1 esterase inhibitor
|
$6.05 |
$11.95 |
$218.13 |
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$7.06 |
$13.27 |
$49.21 |
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$9.66 |
$18.40 |
$294.14 |
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$11.91 |
$20.00 |
$165.47 |
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$24.59 |
$85.84 |
$502.72 |
|
|
Mayo ceruloplasmin
|
$4.45 |
$8.80 |
$31.88 |
|
|
Mayo chemiluminescent parathyroid related peptide
|
$5.88 |
$11.62 |
$783.56 |
|
|
Mayo chikv chikungunya antibodies igg
|
$31.44 |
$49.92 |
$298.73 |
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$10.61 |
$16.85 |
$167.70 |
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$7.56 |
$12.48 |
$110.56 |
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$30.35 |
$121.39 |
$882.98 |
|
|
Mayo chromium
|
$5.12 |
$10.13 |
$449.62 |
|
|
Mayo cocaine definitive assay confirmation urine
|
$12.52 |
$23.54 |
$83.59 |
|
|
Mayo coccidioides antibody
|
$8.98 |
$31.62 |
$174.47 |
|
|
Mayo cocou cortisone urine
|
$43.94 |
$166.49 |
$994.28 |
|
