|
Limb exercise test
|
$52.53 |
$52.53 |
$52.53 |
$355.54
|
|
Limited visual field xm
|
$14.62 |
$14.62 |
$14.62 |
$79.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$48.86 |
$48.86 |
$48.86 |
$121.00
|
|
Lipase
|
$98.94 |
$98.94 |
$98.94 |
$91.65
|
|
Lip exc/transverse wedge/w closure 40510
|
$885.36 |
$885.36 |
$885.36 |
$3,837.72
|
|
Lipoprotein blood quant
|
$16.49 |
$16.49 |
$16.49 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$102.34 |
$102.34 |
$102.34 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$118.83 |
$118.83 |
$118.83 |
$61.60
|
|
Lithium therapeutic drug level
|
$126.14 |
$126.14 |
$126.14 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,783.41 |
$2,783.41 |
$2,783.41 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$691.90 |
$691.90 |
$691.90 |
$1,714.14
|
|
Liver Function Test
|
$168.64 |
$168.64 |
$168.64 |
$115.44
|
|
Liver imaging
|
$13.43 |
$13.43 |
$13.43 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$15.81 |
$15.81 |
$15.81 |
$1,227.60
|
|
Liver/spleen imag static only
|
$182.58 |
$182.58 |
$182.58 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$218.62 |
$218.62 |
$218.62 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$280.67 |
$280.67 |
$280.67 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$4.59 |
$4.59 |
$4.59 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$23.62 |
$23.62 |
$23.62 |
$37.37
|
|
Low back disk surgery
|
$532.61 |
$532.61 |
$532.61 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,045.50 |
$1,045.50 |
$1,045.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$986.85 |
$986.85 |
$986.85 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$861.22 |
$861.22 |
$861.22 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,439.90 |
$1,439.90 |
$1,439.90 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$944.35 |
$944.35 |
$944.35 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$707.20 |
$707.20 |
$707.20 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$155.21 |
$155.21 |
$155.21 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$480.42 |
$480.42 |
$480.42 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$523.26 |
$523.26 |
$523.26 |
$11,533.76
|
|
Lumbar diskogram s&i
|
$1,250.01 |
$1,250.01 |
$1,250.01 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$906.44 |
$906.44 |
$906.44 |
$14,331.20
|
|
Lung function test (mbc/mvv)
|
$19.04 |
$19.04 |
$19.04 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$129.37 |
$129.37 |
$129.37 |
$295.35
|
|
Lung perfusion imaging
|
$326.74 |
$326.74 |
$326.74 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$9,088.20 |
$9,088.20 |
$9,088.20 |
$19,182.33
|
|
Lutetium lu 177 vipivotide
|
$116.11 |
$116.11 |
$116.11 |
$345.87
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$413.95 |
$413.95 |
$413.95 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$438.77 |
$438.77 |
$438.77 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$26.69 |
$26.69 |
$26.69 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$34.34 |
$34.34 |
$34.34 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$165.07 |
$165.07 |
$165.07 |
$741.60
|
|
Lysis of labial adhesions
|
$108.97 |
$108.97 |
$108.97 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$118.32 |
$118.32 |
$118.32 |
$3,274.00
|
|
Macroscopic exam arthropod
|
$23.31 |
$23.31 |
$23.31 |
$38.58
|
|
Macroscopic exam parasite
|
$57.12 |
$57.12 |
$57.12 |
$36.55
|
|
Magnesium
|
$84.66 |
$84.66 |
$84.66 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$31.35 |
$31.35 |
$31.35 |
$59.88
|
|
Magnetic image bone marrow
|
$470.73 |
$470.73 |
$470.73 |
$1,302.80
|
|
Makena, 10 mg
|
$44.20 |
$44.20 |
$44.20 |
$1,405.80
|
|
Male sling procedure
|
$439.45 |
$439.45 |
$439.45 |
$8,465.18
|
|
Manipulate finger w/anesth
|
$226.61 |
$226.61 |
$226.61 |
$1,675.20
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$65.79 |
$65.79 |
$65.79 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$131.07 |
$131.07 |
$131.07 |
$160.80
|
|
Manipulation of hip joint
|
$111.18 |
$111.18 |
$111.18 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$71.91 |
$71.91 |
$71.91 |
$521.60
|
|
Mapping io sentinel lymph node
|
$76.67 |
$76.67 |
$76.67 |
$650.00
|
|
Marker biop eviva buckle ss
|
$189.21 |
$189.21 |
$189.21 |
$1,451.30
|
|
Mastectomy partial
|
$379.78 |
$379.78 |
$379.78 |
$4,531.42
|
|
Mast mod rad
|
$677.62 |
$677.62 |
$677.62 |
$7,127.17
|
|
Mastoidectomy complete 69502
|
$3,084.48 |
$3,084.48 |
$3,084.48 |
$6,969.40
|
|
Mastoids complete
|
$176.12 |
$176.12 |
$176.12 |
$299.50
|
|
Mastopexy
|
$467.16 |
$467.16 |
$467.16 |
$6,591.20
|
|
Mast radical
|
$658.24 |
$658.24 |
$658.24 |
$1,780.80
|
|
Mast rad urban type
|
$703.46 |
$703.46 |
$703.46 |
$2,772.00
|
|
Mast simple complete
|
$550.29 |
$550.29 |
$550.29 |
$6,174.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$1,352.52 |
$1,352.52 |
$1,352.52 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$2.19 |
$2.19 |
$2.19 |
$65.00
|
|
Mayo aathr protein s free
|
$14.39 |
$14.39 |
$14.39 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$14.39 |
$14.39 |
$14.39 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$35.79 |
$35.79 |
$35.79 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$16.42 |
$16.42 |
$16.42 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$134.64 |
$134.64 |
$134.64 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$3.03 |
$3.03 |
$3.03 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$23.12 |
$23.12 |
$23.12 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$6.18 |
$6.18 |
$6.18 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$2.28 |
$2.28 |
$2.28 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$1.46 |
$1.46 |
$1.46 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$1.46 |
$1.46 |
$1.46 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$54.69 |
$54.69 |
$54.69 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$54.12 |
$54.12 |
$54.12 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$23.29 |
$23.29 |
$23.29 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$246.08 |
$246.08 |
$246.08 |
$1,860.00
|
|
Mayo androstenedione
|
$8.65 |
$8.65 |
$8.65 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$2.21 |
$2.21 |
$2.21 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$1.63 |
$1.63 |
$1.63 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$2.56 |
$2.56 |
$2.56 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$16.15 |
$16.15 |
$16.15 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$5.13 |
$5.13 |
$5.13 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$51.34 |
$51.34 |
$51.34 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$1.54 |
$1.54 |
$1.54 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$24.62 |
$24.62 |
$24.62 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$8.67 |
$8.67 |
$8.67 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$1.95 |
$1.95 |
$1.95 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$24.82 |
$24.82 |
$24.82 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$1.99 |
$1.99 |
$1.99 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$1.35 |
$1.35 |
$1.35 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$23.80 |
$23.80 |
$23.80 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$105.40 |
$105.40 |
$105.40 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$2.55 |
$2.55 |
$2.55 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$26.99 |
$26.99 |
$26.99 |
$110.00
|
