|
Lithium therapeutic drug level
|
$57.00 |
$57.00 |
$57.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$105.00 |
$105.00 |
$105.00 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$1,714.14
|
|
Liver Function Test
|
$129.30 |
$129.30 |
$129.30 |
$115.44
|
|
Liver imaging
|
$23.70 |
$23.70 |
$23.70 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$27.90 |
$27.90 |
$27.90 |
$1,227.60
|
|
Liver/spleen imag static only
|
$27.00 |
$27.00 |
$27.00 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$32.10 |
$32.10 |
$32.10 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$495.30 |
$495.30 |
$495.30 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$15.69 |
$15.69 |
$15.69 |
$37.37
|
|
Low back disk surgery
|
$939.90 |
$939.90 |
$939.90 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,732.50 |
$1,732.50 |
$1,732.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,539.30 |
$1,539.30 |
$1,539.30 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,387.80 |
$1,387.80 |
$1,387.80 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,213.90 |
$3,213.90 |
$3,213.90 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,860.00 |
$1,860.00 |
$1,860.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$251.70 |
$251.70 |
$251.70 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$847.80 |
$847.80 |
$847.80 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$923.40 |
$923.40 |
$923.40 |
$11,533.76
|
|
Lumbar diskogram s&i
|
$46.80 |
$46.80 |
$46.80 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$1,599.60 |
$1,599.60 |
$1,599.60 |
$14,331.20
|
|
Lung function test (mbc/mvv)
|
$148.50 |
$148.50 |
$148.50 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$184.80 |
$184.80 |
$184.80 |
$295.35
|
|
Lung perfusion imaging
|
$40.50 |
$40.50 |
$40.50 |
$1,059.97
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$730.50 |
$730.50 |
$730.50 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$64.80 |
$64.80 |
$64.80 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$90.75 |
$90.75 |
$90.75 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$60.60 |
$60.60 |
$60.60 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$161.40 |
$161.40 |
$161.40 |
$741.60
|
|
Lysis of labial adhesions
|
$192.30 |
$192.30 |
$192.30 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$208.80 |
$208.80 |
$208.80 |
$3,274.00
|
|
Macroscopic exam parasite
|
$1.14 |
$1.14 |
$1.14 |
$36.55
|
|
Magnesium
|
$69.90 |
$69.90 |
$69.90 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$32.34 |
$32.34 |
$32.34 |
$59.88
|
|
Makena, 10 mg
|
$78.00 |
$78.00 |
$78.00 |
$1,405.80
|
|
Male sling procedure
|
$775.50 |
$775.50 |
$775.50 |
$8,465.18
|
|
Manipulate finger w/anesth
|
$399.90 |
$399.90 |
$399.90 |
$1,675.20
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$110.40 |
$110.40 |
$110.40 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$170.70 |
$170.70 |
$170.70 |
$160.80
|
|
Manipulation of hip joint
|
$196.20 |
$196.20 |
$196.20 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$126.90 |
$126.90 |
$126.90 |
$521.60
|
|
Mapping io sentinel lymph node
|
$135.30 |
$135.30 |
$135.30 |
$650.00
|
|
Marker biop eviva buckle ss
|
$293.40 |
$293.40 |
$293.40 |
$1,451.30
|
|
Mastectomy partial
|
$670.20 |
$670.20 |
$670.20 |
$4,531.42
|
|
Mast mod rad
|
$1,195.80 |
$1,195.80 |
$1,195.80 |
$7,127.17
|
|
Mastoids complete
|
$19.20 |
$19.20 |
$19.20 |
$299.50
|
|
Mastopexy
|
$824.40 |
$824.40 |
$824.40 |
$6,591.20
|
|
Mast radical
|
$1,161.60 |
$1,161.60 |
$1,161.60 |
$1,780.80
|
|
Mast rad urban type
|
$1,241.40 |
$1,241.40 |
$1,241.40 |
$2,772.00
|
|
Mast simple complete
|
$971.10 |
$971.10 |
$971.10 |
$6,174.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$15.30 |
$15.30 |
$15.30 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$3.86 |
$3.86 |
$3.86 |
$65.00
|
|
Mayo aathr protein s free
|
$4.09 |
$4.09 |
$4.09 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$4.09 |
$4.09 |
$4.09 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$63.15 |
$63.15 |
$63.15 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$28.98 |
$28.98 |
$28.98 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$106.50 |
$106.50 |
$106.50 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$5.34 |
$5.34 |
$5.34 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$40.80 |
$40.80 |
$40.80 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$10.91 |
$10.91 |
$10.91 |
$87.10
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$1.80 |
$1.80 |
$1.80 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$2.58 |
$2.58 |
$2.58 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$84.00 |
$84.00 |
$84.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$58.50 |
$58.50 |
$58.50 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$42.30 |
$42.30 |
$42.30 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$434.25 |
$434.25 |
$434.25 |
$1,860.00
|
|
Mayo androstenedione
|
$7.81 |
$7.81 |
$7.81 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$3.89 |
$3.89 |
$3.89 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$2.88 |
$2.88 |
$2.88 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$4.01 |
$4.01 |
$4.01 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$28.50 |
$28.50 |
$28.50 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$9.05 |
$9.05 |
$9.05 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$9.67 |
$9.67 |
$9.67 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$2.72 |
$2.72 |
$2.72 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$12.86 |
$12.86 |
$12.86 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$15.30 |
$15.30 |
$15.30 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$3.44 |
$3.44 |
$3.44 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$43.80 |
$43.80 |
$43.80 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$3.52 |
$3.52 |
$3.52 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$2.38 |
$2.38 |
$2.38 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$18.53 |
$18.53 |
$18.53 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$15.90 |
$15.90 |
$15.90 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$4.50 |
$4.50 |
$4.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$12.40 |
$12.40 |
$12.40 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$32.59 |
$32.59 |
$32.59 |
$281.50
|
|
Mayo chemiluminescent parathyroid related peptide
|
$25.35 |
$25.35 |
$25.35 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$38.63 |
$38.63 |
$38.63 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$15.60 |
$15.60 |
$15.60 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$16.80 |
$16.80 |
$16.80 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$117.00 |
$117.00 |
$117.00 |
$360.33
|
|
Mayo chromium
|
$5.41 |
$5.41 |
$5.41 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$5.03 |
$5.03 |
$5.03 |
$100.00
|
|
Mayo coccidioides antibody
|
$3.06 |
$3.06 |
$3.06 |
$53.90
|
|
Mayo cocou cortisone urine
|
$97.50 |
$97.50 |
$97.50 |
$213.92
|
|
Mayo cortisol free
|
$4.46 |
$4.46 |
$4.46 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$41.10 |
$41.10 |
$41.10 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$3.23 |
$3.23 |
$3.23 |
$58.10
|
|
Mayo csmpu benzodiazepines definitive assay >=13 urine
|
$7.70 |
$7.70 |
$7.70 |
$92.50
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$3.41 |
$3.41 |
$3.41 |
$66.00
|
