|
Long tongue stirrup
|
$168.00 |
$168.00 |
$168.00 |
$249.12
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$32.18 |
$32.18 |
$32.18 |
$37.37
|
|
Lo sag rig pnl stays pre cst
|
$86.80 |
$86.80 |
$86.80 |
$167.74
|
|
Loudness balance test
|
$380.80 |
$380.80 |
$380.80 |
$344.68
|
|
Low back disk surgery
|
$19,471.20 |
$19,471.20 |
$19,471.20 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$4,664.80 |
$4,664.80 |
$4,664.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,948.00 |
$3,948.00 |
$3,948.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,231.20 |
$3,231.20 |
$3,231.20 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,182.40 |
$6,182.40 |
$6,182.40 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,995.20 |
$4,995.20 |
$4,995.20 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,281.60 |
$3,281.60 |
$3,281.60 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$554.40 |
$554.40 |
$554.40 |
$356.16
|
|
Lower jaw bone graft
|
$14,604.80 |
$14,604.80 |
$14,604.80 |
$7,000.36
|
|
Low frequency non-thermal Ultrasound
|
$470.40 |
$470.40 |
$470.40 |
$364.00
|
|
Lsh uterus 250 g or less
|
$14,145.60 |
$14,145.60 |
$14,145.60 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$13,826.40 |
$13,826.40 |
$13,826.40 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$18,586.40 |
$18,586.40 |
$18,586.40 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$16,592.80 |
$16,592.80 |
$16,592.80 |
$11,533.76
|
|
Lso corset front
|
$145.60 |
$145.60 |
$145.60 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$92.40 |
$92.40 |
$92.40 |
$164.80
|
|
Lso full corset
|
$173.60 |
$173.60 |
$173.60 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$179.20 |
$179.20 |
$179.20 |
$326.82
|
|
Lso sag-coronal panel custom
|
$1,453.20 |
$1,453.20 |
$1,453.20 |
$2,518.78
|
|
Lso sagit rigid panel prefab
|
$1,346.80 |
$1,346.80 |
$1,346.80 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$1,996.40 |
$1,996.40 |
$1,996.40 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$316.40 |
$316.40 |
$316.40 |
$577.00
|
|
Lso s/c shell/panel custom
|
$1,153.60 |
$1,153.60 |
$1,153.60 |
$2,252.16
|
|
Lso s/c shell/panel prefab
|
$1,332.80 |
$1,332.80 |
$1,332.80 |
$1,332.80
|
|
L/s ratio fetal lung
|
$224.56 |
$224.56 |
$224.56 |
$178.36
|
|
Lumbar bolster pad
|
$72.80 |
$72.80 |
$72.80 |
$169.29
|
|
Lumbar derotation pad
|
$112.00 |
$112.00 |
$112.00 |
$168.53
|
|
Lumbar diskogram s&i
|
$6,434.40 |
$6,434.40 |
$6,434.40 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$112.00 |
$112.00 |
$112.00 |
$191.69
|
|
Lumbar sling
|
$131.60 |
$131.60 |
$131.60 |
$217.56
|
|
Lumbar Spinal Fusion (single level)
|
$17,645.60 |
$17,645.60 |
$17,645.60 |
$14,331.20
|
|
Lumizyme injection
|
$1,738.40 |
$1,738.40 |
$1,738.40 |
$1,738.40
|
|
Lung function test (mbc/mvv)
|
$453.60 |
$453.60 |
$453.60 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$487.20 |
$487.20 |
$487.20 |
$295.35
|
|
Lung perfusion imaging
|
$991.20 |
$991.20 |
$991.20 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$14,439.60 |
$14,439.60 |
$14,439.60 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$19,903.74 |
$19,903.74 |
$19,903.74 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$108,154.36 |
$108,154.36 |
$108,154.36 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$82,549.16 |
$82,549.16 |
$82,549.16 |
$345.87
|
|
Lvad shower bag heartmate
|
$608.16 |
$608.16 |
$608.16 |
$905.92
|
|
Lw ntsty Ultrasound stimj bone healg
|
$221.76 |
$221.76 |
$221.76 |
$114.40
|
|
Lwr ext dynamic prosth pylon
|
$313.60 |
$313.60 |
$313.60 |
$313.60
|
|
Lyme dis dna dir probe
|
$203.28 |
$203.28 |
$203.28 |
$27.67
|
|
Lymphatics/lymph node imaging
|
$3,393.60 |
$3,393.60 |
$3,393.60 |
$1,463.22
|
|
Lymphocyte culture mixed
|
$554.40 |
$554.40 |
$554.40 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$582.40 |
$582.40 |
$582.40 |
$271.88
|
|
Lymphocytotoxicity assay
|
$509.60 |
$509.60 |
$509.60 |
$379.20
|
|
Lymphocytotoxicity assay
|
$203.28 |
$203.28 |
$203.28 |
$96.00
|
|
Lymph vessel x-ray arm/leg
|
$2,564.80 |
$2,564.80 |
$2,564.80 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$4,424.00 |
$4,424.00 |
$4,424.00 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$741.60
|
|
Lysis of labial adhesions
|
$9,794.40 |
$9,794.40 |
$9,794.40 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$2,150.40 |
$2,150.40 |
$2,150.40 |
$3,274.00
|
|
Macro exam dissect molec study ea
|
$336.00 |
$336.00 |
$336.00 |
$67.08
|
|
Macroscopic exam arthropod
|
$21.84 |
$21.84 |
$21.84 |
$38.58
|
|
Macroscopic exam parasite
|
$57.12 |
$57.12 |
$57.12 |
$36.55
|
|
Magnesium
|
$120.40 |
$120.40 |
$120.40 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$94.08 |
$94.08 |
$94.08 |
$59.88
|
|
Magnetic image bone marrow
|
$3,959.20 |
$3,959.20 |
$3,959.20 |
$1,302.80
|
|
Makena, 10 mg
|
$1,405.80 |
$1,405.80 |
$1,405.80 |
$1,405.80
|
|
Malaria antibody
|
$134.40 |
$134.40 |
$134.40 |
$94.80
|
|
Male sling procedure
|
$19,768.00 |
$19,768.00 |
$19,768.00 |
$8,465.18
|
|
Mammosite ced
|
$5,031.60 |
$5,031.60 |
$5,031.60 |
$5,031.60
|
|
Manipulate finger w/anesth
|
$1,120.00 |
$1,120.00 |
$1,120.00 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$5,700.80 |
$5,700.80 |
$5,700.80 |
$2,211.05
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$256.48 |
$256.48 |
$256.48 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$210.00 |
$210.00 |
$210.00 |
$160.80
|
|
Manipulation of hip joint
|
$5,700.80 |
$5,700.80 |
$5,700.80 |
$2,211.05
|
|
Manipulation of spine
|
$5,112.80 |
$5,112.80 |
$5,112.80 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$1,114.40 |
$1,114.40 |
$1,114.40 |
$521.60
|
|
Man's shoe oxford brace
|
$95.20 |
$95.20 |
$95.20 |
$175.11
|
|
Manual diff wbc count b-coat
|
$45.36 |
$45.36 |
$45.36 |
$25.74
|
|
Mapping functional cort/subcort ea add'l hr
|
$733.60 |
$733.60 |
$733.60 |
$636.50
|
|
Mapping io sentinel lymph node
|
$2,917.60 |
$2,917.60 |
$2,917.60 |
$650.00
|
|
Map tachycard site(s)
|
$2,749.60 |
$2,749.60 |
$2,749.60 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$5,047.02 |
$5,047.02 |
$5,047.02 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$50,715.28 |
$50,715.28 |
$50,715.28 |
$1,451.30
|
|
Mastectomy form
|
$235.20 |
$235.20 |
$235.20 |
$235.20
|
|
Mastectomy partial
|
$10,376.80 |
$10,376.80 |
$10,376.80 |
$4,531.42
|
|
Mast mod rad
|
$11,860.80 |
$11,860.80 |
$11,860.80 |
$7,127.17
|
|
Mastoidectomy
|
$6,406.40 |
$6,406.40 |
$6,406.40 |
$6,406.40
|
|
Mastoidectomy complete 69502
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$6,969.40
|
|
Mastoids complete
|
$862.40 |
$862.40 |
$862.40 |
$299.50
|
|
Mastoid surgery revision
|
$14,319.20 |
$14,319.20 |
$14,319.20 |
$7,000.36
|
|
Mastopexy
|
$8,360.80 |
$8,360.80 |
$8,360.80 |
$6,591.20
|
|
Mast simple complete
|
$8,853.60 |
$8,853.60 |
$8,853.60 |
$6,174.00
|
|
Matrion 1 sq cm
|
$16.80 |
$16.80 |
$16.80 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6,876.19 |
$6,876.19 |
$6,876.19 |
$6,321.66
|
|
M.avium-intra dna amp prob
|
$425.60 |
$425.60 |
$425.60 |
$141.00
|
|
M.avium-intra dna dir prob
|
$149.52 |
$149.52 |
$149.52 |
$58.40
|
|
M.avium-intra dna quant
|
$431.20 |
$431.20 |
$431.20 |
$59.12
|
|
Maxillofacial fixation
|
$11,933.60 |
$11,933.60 |
$11,933.60 |
$6,553.49
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$24.64 |
$24.64 |
$24.64 |
$65.00
|
|
Mayo aathr protein s free
|
$123.76 |
$123.76 |
$123.76 |
$130.00
|
