|
Ligate/strip short leg vein
|
$344.25 |
$344.25 |
$344.25 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$343.71 |
$343.71 |
$343.71 |
$3,522.35
|
|
Ligation/biopsy of temporal artery 37609
|
$288.63 |
$288.63 |
$288.63 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$219.24 |
$219.24 |
$219.24 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$689.04 |
$689.04 |
$689.04 |
$3,483.84
|
|
Ligation internal/common carotid artery 37605
|
$635.31 |
$635.31 |
$635.31 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$353.97 |
$353.97 |
$353.97 |
$1,525.00
|
|
Ligation major artery neck
|
$476.01 |
$476.01 |
$476.01 |
$3,608.40
|
|
Ligation of abdomen artery 37617
|
$1,169.37 |
$1,169.37 |
$1,169.37 |
$2,200.20
|
|
Ligation of femoral vein
|
$400.41 |
$400.41 |
$400.41 |
$3,724.63
|
|
Ligation vericose vein cluster(s) 1 leg
|
$315.36 |
$315.36 |
$315.36 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$331.83 |
$331.83 |
$331.83 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$505.17 |
$505.17 |
$505.17 |
$3,724.63
|
|
Liletta, 52 mg
|
$488.97 |
$488.97 |
$488.97 |
$1,514.24
|
|
Limb exercise test
|
$83.43 |
$83.43 |
$83.43 |
$355.54
|
|
Limited visual field xm
|
$23.22 |
$23.22 |
$23.22 |
$79.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$53.56 |
$53.56 |
$53.56 |
$121.00
|
|
Lipase
|
$88.83 |
$88.83 |
$88.83 |
$91.65
|
|
Lip exc/transverse wedge/w closure 40510
|
$332.64 |
$332.64 |
$332.64 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$7.29 |
$7.29 |
$7.29 |
$86.42
|
|
Lipoprotein blood quant
|
$7.57 |
$7.57 |
$7.57 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$14.85 |
$14.85 |
$14.85 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$24.57 |
$24.57 |
$24.57 |
$61.60
|
|
Lithium therapeutic drug level
|
$31.59 |
$31.59 |
$31.59 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$94.50 |
$94.50 |
$94.50 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,098.90 |
$1,098.90 |
$1,098.90 |
$1,714.14
|
|
Liver Function Test
|
$56.70 |
$56.70 |
$56.70 |
$115.44
|
|
Liver imaging
|
$21.33 |
$21.33 |
$21.33 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$25.11 |
$25.11 |
$25.11 |
$1,227.60
|
|
Liver/spleen imag static only
|
$24.30 |
$24.30 |
$24.30 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$28.89 |
$28.89 |
$28.89 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$445.77 |
$445.77 |
$445.77 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$32.34 |
$32.34 |
$32.34 |
$37.37
|
|
Low back disk surgery
|
$845.91 |
$845.91 |
$845.91 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,560.33 |
$1,560.33 |
$1,560.33 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,447.47 |
$1,447.47 |
$1,447.47 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,066.23 |
$1,066.23 |
$1,066.23 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$810.00 |
$810.00 |
$810.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$675.00 |
$675.00 |
$675.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$607.50 |
$607.50 |
$607.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$227.61 |
$227.61 |
$227.61 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$763.02 |
$763.02 |
$763.02 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$831.06 |
$831.06 |
$831.06 |
$11,533.76
|
|
Lumbar diskogram s&i
|
$42.12 |
$42.12 |
$42.12 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$1,439.64 |
$1,439.64 |
$1,439.64 |
$14,331.20
|
|
Lung function test (mbc/mvv)
|
$10.53 |
$10.53 |
$10.53 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$141.48 |
$141.48 |
$141.48 |
$295.35
|
|
Lung perfusion imaging
|
$36.45 |
$36.45 |
$36.45 |
$1,059.97
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$657.45 |
$657.45 |
$657.45 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$58.32 |
$58.32 |
$58.32 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$42.39 |
$42.39 |
$42.39 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$54.54 |
$54.54 |
$54.54 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$145.26 |
$145.26 |
$145.26 |
$741.60
|
|
Lysis of labial adhesions
|
$173.07 |
$173.07 |
$173.07 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$187.92 |
$187.92 |
$187.92 |
$3,274.00
|
|
Macroscopic exam arthropod
|
$37.02 |
$37.02 |
$37.02 |
$38.58
|
|
Macroscopic exam parasite
|
$6.21 |
$6.21 |
$6.21 |
$36.55
|
|
Magnesium
|
$68.04 |
$68.04 |
$68.04 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$34.78 |
$34.78 |
$34.78 |
$59.88
|
|
Makena, 10 mg
|
$70.20 |
$70.20 |
$70.20 |
$1,405.80
|
|
Male sling procedure
|
$697.95 |
$697.95 |
$697.95 |
$8,465.18
|
|
Manipulate finger w/anesth
|
$359.91 |
$359.91 |
$359.91 |
$1,675.20
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$59.67 |
$59.67 |
$59.67 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$120.96 |
$120.96 |
$120.96 |
$160.80
|
|
Manipulation of hip joint
|
$176.58 |
$176.58 |
$176.58 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$114.21 |
$114.21 |
$114.21 |
$521.60
|
|
Mapping io sentinel lymph node
|
$121.77 |
$121.77 |
$121.77 |
$650.00
|
|
Marker biop eviva buckle ss
|
$52.38 |
$52.38 |
$52.38 |
$1,451.30
|
|
Mastectomy partial
|
$603.18 |
$603.18 |
$603.18 |
$4,531.42
|
|
Mast mod rad
|
$1,076.22 |
$1,076.22 |
$1,076.22 |
$7,127.17
|
|
Mastoids complete
|
$117.72 |
$117.72 |
$117.72 |
$299.50
|
|
Mastopexy
|
$741.96 |
$741.96 |
$741.96 |
$6,591.20
|
|
Mast radical
|
$1,045.44 |
$1,045.44 |
$1,045.44 |
$1,780.80
|
|
Mast rad urban type
|
$1,117.26 |
$1,117.26 |
$1,117.26 |
$2,772.00
|
|
Mast simple complete
|
$873.99 |
$873.99 |
$873.99 |
$6,174.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$2,065.50 |
$2,065.50 |
$2,065.50 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$3.47 |
$3.47 |
$3.47 |
$65.00
|
|
Mayo aathr protein s free
|
$3.68 |
$3.68 |
$3.68 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$3.68 |
$3.68 |
$3.68 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$56.84 |
$56.84 |
$56.84 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$26.08 |
$26.08 |
$26.08 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$39.69 |
$39.69 |
$39.69 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$4.81 |
$4.81 |
$4.81 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$36.72 |
$36.72 |
$36.72 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$9.82 |
$9.82 |
$9.82 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$3.62 |
$3.62 |
$3.62 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$2.32 |
$2.32 |
$2.32 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$2.32 |
$2.32 |
$2.32 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$29.19 |
$29.19 |
$29.19 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$26.81 |
$26.81 |
$26.81 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$36.99 |
$36.99 |
$36.99 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$390.83 |
$390.83 |
$390.83 |
$1,860.00
|
|
Mayo androstenedione
|
$7.03 |
$7.03 |
$7.03 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$3.50 |
$3.50 |
$3.50 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$2.59 |
$2.59 |
$2.59 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$4.06 |
$4.06 |
$4.06 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$25.65 |
$25.65 |
$25.65 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$8.14 |
$8.14 |
$8.14 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$98.28 |
$98.28 |
$98.28 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$2.44 |
$2.44 |
$2.44 |
$45.50
|
