|
Ligation/divis of long saph vein 37700
|
$1,487.20 |
$1,487.20 |
$1,487.20 |
$4,255.00
|
|
Ligation of inf vena cava
|
$7,534.80 |
$7,534.80 |
$7,534.80 |
$5,983.35
|
|
Ligation of salivary duct
|
$4,560.40 |
$4,560.40 |
$4,560.40 |
$4,558.89
|
|
Ligation vericose vein cluster(s) 1 leg
|
$4,810.00 |
$4,810.00 |
$4,810.00 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$6,026.80 |
$6,026.80 |
$6,026.80 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,514.24 |
$1,514.24 |
$1,514.24 |
$1,514.24
|
|
Limb exercise test
|
$395.72 |
$395.72 |
$395.72 |
$355.54
|
|
Limited visual field xm
|
$148.20 |
$148.20 |
$148.20 |
$79.20
|
|
Lincomycin injection
|
$74.00 |
$74.00 |
$74.00 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$110.86 |
$110.86 |
$110.86 |
$121.00
|
|
Lipase
|
$147.68 |
$147.68 |
$147.68 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$191.88 |
$191.88 |
$191.88 |
$86.42
|
|
Lipoprotein blood quant
|
$252.72 |
$252.72 |
$252.72 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$63.44 |
$63.44 |
$63.44 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$83.72 |
$83.72 |
$83.72 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$63.44 |
$63.44 |
$63.44 |
$47.18
|
|
Lip surgery procedure
|
$1,612.52 |
$1,612.52 |
$1,612.52 |
$335.50
|
|
Lisocabtagene mara car pos t
|
$765,912.32 |
$765,912.32 |
$765,912.32 |
$824,828.65
|
|
Listeria monocytogenes
|
$117.52 |
$117.52 |
$117.52 |
$106.15
|
|
Lithium therapeutic drug level
|
$91.00 |
$91.00 |
$91.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$4,113.20
|
|
Liver Function Test
|
$151.32 |
$151.32 |
$151.32 |
$115.44
|
|
Liver imaging
|
$1,658.80 |
$1,658.80 |
$1,658.80 |
$1,143.00
|
|
Liver/spleen imag static only
|
$1,279.20 |
$1,279.20 |
$1,279.20 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,398.80 |
$1,398.80 |
$1,398.80 |
$1,069.20
|
|
Lmtd oph exam general anes
|
$1,430.00 |
$1,430.00 |
$1,430.00 |
$2,590.36
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$1,471.60 |
$1,471.60 |
$1,471.60 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$103.28 |
$103.28 |
$103.28 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$42,438.02 |
$42,438.02 |
$42,438.02 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$29.88 |
$29.88 |
$29.88 |
$37.37
|
|
Low back disk surgery
|
$3,255.20 |
$3,255.20 |
$3,255.20 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,912.00 |
$2,912.00 |
$2,912.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,224.00 |
$3,224.00 |
$3,224.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,704.00 |
$2,704.00 |
$2,704.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,496.00 |
$2,496.00 |
$2,496.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$457.60 |
$457.60 |
$457.60 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$364.00 |
$364.00 |
$364.00 |
$364.00
|
|
Lsh w/t/o ut 250 g or less
|
$4,659.20 |
$4,659.20 |
$4,659.20 |
$7,961.97
|
|
L/s ratio fetal lung
|
$178.36 |
$178.36 |
$178.36 |
$178.36
|
|
Lumbar diskogram s&i
|
$4,274.40 |
$4,274.40 |
$4,274.40 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$14,331.20 |
$14,331.20 |
$14,331.20 |
$14,331.20
|
|
Lumizyme injection
|
$1,614.23 |
$1,614.23 |
$1,614.23 |
$1,738.40
|
|
Lung function test (mbc/mvv)
|
$223.08 |
$223.08 |
$223.08 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$321.88 |
$321.88 |
$321.88 |
$295.35
|
|
Lung perfusion imaging
|
$1,866.80 |
$1,866.80 |
$1,866.80 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$13,408.20 |
$13,408.20 |
$13,408.20 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$18,482.04 |
$18,482.04 |
$18,482.04 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$100,429.05 |
$100,429.05 |
$100,429.05 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$76,652.79 |
$76,652.79 |
$76,652.79 |
$345.87
|
|
Lw ntsty Ultrasound stimj bone healg
|
$114.40 |
$114.40 |
$114.40 |
$114.40
|
|
Lymphatics/lymph node imaging
|
$2,033.20 |
$2,033.20 |
$2,033.20 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$379.60 |
$379.60 |
$379.60 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$1,877.20 |
$1,877.20 |
$1,877.20 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$3,546.40 |
$3,546.40 |
$3,546.40 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$7,056.40 |
$7,056.40 |
$7,056.40 |
$3,380.00
|
|
Lysis of labial adhesions
|
$4,446.00 |
$4,446.00 |
$4,446.00 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$3,863.60 |
$3,863.60 |
$3,863.60 |
$3,274.00
|
|
Macro exam dissect molec study ea
|
$67.08 |
$67.08 |
$67.08 |
$67.08
|
|
Macroscopic exam arthropod
|
$35.36 |
$35.36 |
$35.36 |
$38.58
|
|
Macroscopic exam parasite
|
$45.76 |
$45.76 |
$45.76 |
$36.55
|
|
Magnesium
|
$106.08 |
$106.08 |
$106.08 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$87.36 |
$87.36 |
$87.36 |
$59.88
|
|
Makena, 10 mg
|
$1,305.39 |
$1,305.39 |
$1,305.39 |
$1,405.80
|
|
Malaria antibody
|
$117.52 |
$117.52 |
$117.52 |
$94.80
|
|
Male sling procedure
|
$5,808.40 |
$5,808.40 |
$5,808.40 |
$8,465.18
|
|
Mammosite ced
|
$4,672.20 |
$4,672.20 |
$4,672.20 |
$5,031.60
|
|
Manipulate finger w/anesth
|
$946.40 |
$946.40 |
$946.40 |
$1,675.20
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$127.92 |
$127.92 |
$127.92 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$243.36 |
$243.36 |
$243.36 |
$160.80
|
|
Manipulat palm cord post inj
|
$535.60 |
$535.60 |
$535.60 |
$521.60
|
|
Manual diff wbc count b-coat
|
$30.68 |
$30.68 |
$30.68 |
$25.74
|
|
Mapping io sentinel lymph node
|
$3,598.40 |
$3,598.40 |
$3,598.40 |
$650.00
|
|
Map tachycard site(s)
|
$5,813.60 |
$5,813.60 |
$5,813.60 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$4,686.52 |
$4,686.52 |
$4,686.52 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$3,534.44 |
$3,534.44 |
$3,534.44 |
$1,451.30
|
|
Mastectomy partial
|
$6,687.20 |
$6,687.20 |
$6,687.20 |
$4,531.42
|
|
Mast mod rad
|
$8,309.60 |
$8,309.60 |
$8,309.60 |
$7,127.17
|
|
Mastoidectomy
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$6,406.40
|
|
Mastoids complete
|
$494.00 |
$494.00 |
$494.00 |
$299.50
|
|
Mastopexy
|
$2,953.60 |
$2,953.60 |
$2,953.60 |
$6,591.20
|
|
Mast simple complete
|
$7,373.60 |
$7,373.60 |
$7,373.60 |
$6,174.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$6,385.03 |
$6,385.03 |
$6,385.03 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$105.04 |
$105.04 |
$105.04 |
$65.00
|
|
Mayo aathr protein s free
|
$161.72 |
$161.72 |
$161.72 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$139.36 |
$139.36 |
$139.36 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$110.76 |
$110.76 |
$110.76 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$121.16 |
$121.16 |
$121.16 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$126.36 |
$126.36 |
$126.36 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$120.12 |
$120.12 |
$120.12 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$248.56 |
$248.56 |
$248.56 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$93.08 |
$93.08 |
$93.08 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$185.12 |
$185.12 |
$185.12 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$130.00 |
$130.00 |
$130.00 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$150.80 |
$150.80 |
$150.80 |
$75.90
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$448.24 |
$448.24 |
$448.24 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$422.76 |
$422.76 |
$422.76 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$978.12 |
$978.12 |
$978.12 |
$1,860.00
|
