|
Laparo-vag hyst incl t/o
|
$37,283.00 |
$37,283.00 |
$37,283.00 |
$7,595.42
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,418.00 |
$1,418.00 |
$1,418.00 |
$765.97
|
|
Laryngeal function studies
|
$819.00 |
$819.00 |
$819.00 |
$335.40
|
|
Laryngoscopy telescopic
|
$2,107.00 |
$2,107.00 |
$2,107.00 |
$762.30
|
|
Laryngoscopy w/fb removal
|
$5,647.00 |
$5,647.00 |
$5,647.00 |
$3,390.75
|
|
Laryngoscopy with biopsy 31510
|
$10,117.00 |
$10,117.00 |
$10,117.00 |
$3,630.67
|
|
Laser surgery of prostate
|
$16,654.00 |
$16,654.00 |
$16,654.00 |
$5,631.74
|
|
Laser surgery of prostate
|
$23,198.00 |
$23,198.00 |
$23,198.00 |
$5,741.00
|
|
Laser surg penis lesion(s)
|
$6,465.00 |
$6,465.00 |
$6,465.00 |
$2,164.64
|
|
Lb with mastopexy 15839
|
$10,030.00 |
$10,030.00 |
$10,030.00 |
$3,386.84
|
|
Lead capillary
|
$87.00 |
$87.00 |
$87.00 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,249.00 |
$2,249.00 |
$5,737.31 |
$1,100.74
|
|
Leishmania antibody
|
$185.00 |
$185.00 |
$185.00 |
$58.50
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$30.00 |
$563.50 |
$1,969.34 |
$146.32
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,370.00 |
$1,370.00 |
$1,370.00 |
$3,271.64
|
|
Levalbuterol non-comp unit
|
$52.92 |
$52.92 |
$52.92 |
$11.90
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$7.70 |
$7.70 |
$275.53 |
$89.14
|
|
Levetiracetam therapeutic drug level
|
$12.58 |
$12.58 |
$949.00 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$156.86 |
$156.86 |
$156.86 |
$66.59
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$367.10 |
$367.10 |
$367.10 |
$319.12
|
|
L hrt cath chd nm/abn nt cnj
|
$21,049.00 |
$21,049.00 |
$21,049.00 |
$6,242.85
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$48.48 |
$48.48 |
$592.80 |
$49.11
|
|
Lidocaine therapeutic drug level
|
$112.08 |
$112.08 |
$116.00 |
$83.85
|
|
Ligation/biopsy of temporal artery 37609
|
$14,755.00 |
$14,755.00 |
$14,755.00 |
$2,968.00
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$65.55 |
$106.00 |
$249.61 |
$177.90
|
|
Lipase
|
$368.00 |
$368.00 |
$368.00 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$46.50 |
$46.50 |
$167.00 |
$89.52
|
|
Lipoprotein blood quant
|
$95.70 |
$95.70 |
$151.00 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$343.00 |
$343.00 |
$1,415.44 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$217.00 |
$217.00 |
$217.00 |
$60.00
|
|
Listeria monocytogenes
|
$152.55 |
$152.55 |
$152.55 |
$95.40
|
|
Lithium therapeutic drug level
|
$917.00 |
$917.00 |
$917.00 |
$67.60
|
|
Liver elastography 91200
|
$833.00 |
$833.00 |
$833.00 |
$291.74
|
|
Liver Function Test
|
$419.00 |
$419.00 |
$2,820.79 |
$110.50
|
|
Liver imag w/vasclr flow
|
$9,811.00 |
$9,811.00 |
$9,811.00 |
$1,255.15
|
|
Liver/spleen imag static only
|
$3,875.00 |
$3,875.00 |
$12,309.20 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$7,557.00 |
$7,557.00 |
$7,557.00 |
$949.00
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$13,546.00 |
$13,546.00 |
$13,546.00 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$52.10 |
$52.10 |
$52.10 |
$16.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$55.96 |
$55.96 |
$55.96 |
$45.56
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$7,090.00 |
$7,090.00 |
$22,277.42 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$7,026.00 |
$7,026.00 |
$22,141.42 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$6,540.00 |
$6,540.00 |
$22,141.42 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$13,509.00 |
$13,509.00 |
$18,905.01 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$13,509.00 |
$13,509.00 |
$17,845.92 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$8,563.00 |
$8,563.00 |
$14,712.97 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,063.00 |
$1,063.00 |
$4,259.17 |
$344.00
|
|
L/s ratio fetal lung
|
$54.80 |
$54.80 |
$55.00 |
$168.00
|
|
Lumbar diskogram s&i
|
$2,024.00 |
$2,024.00 |
$2,024.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$165.00 |
$165.00 |
$335.92 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$832.00 |
$832.00 |
$2,480.93 |
$298.50
|
|
Lung perfusion imaging
|
$4,195.00 |
$16,217.63 |
$17,353.15 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$4,212.00 |
$8,307.10 |
$8,887.95 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$96.95 |
$96.95 |
$1,050.00 |
$266.20
|
|
Lymph vessel x-ray arm/leg
|
$4,106.00 |
$4,106.00 |
$4,106.00 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$6,362.00 |
$6,362.00 |
$6,362.00 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$21,142.00 |
$21,142.00 |
$21,142.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$19,837.00 |
$19,837.00 |
$19,837.00 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$1,707.00 |
$1,707.00 |
$1,707.00 |
$714.40
|
|
Lysis penil circumic lesion
|
$3,669.00 |
$3,669.00 |
$3,669.00 |
$4,173.43
|
|
Macroscopic exam parasite
|
$20.48 |
$20.48 |
$95.00 |
$38.50
|
|
Magnesium
|
$445.00 |
$445.00 |
$445.00 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$156.86 |
$156.86 |
$156.86 |
$65.49
|
|
Mammosite ced
|
$15,901.00 |
$15,901.00 |
$15,901.00 |
$5,100.00
|
|
Manipulate finger w/anesth
|
$4,730.00 |
$4,730.00 |
$4,730.00 |
$1,893.86
|
|
Manipulate wrist w/anesthes
|
$5,258.00 |
$5,258.00 |
$5,258.00 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$304.00 |
$387.30 |
$415.05 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$233.00 |
$387.30 |
$425.05 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$173.40 |
$173.40 |
$173.40 |
$40.12
|
|
Map tachycard site(s)
|
$1,285.00 |
$1,285.00 |
$12,541.00 |
$3,960.00
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$59,492.43 |
$59,492.43 |
$59,492.43 |
$34,164.07
|
|
Marker biop eviva buckle ss
|
$1,867.00 |
$1,867.00 |
$1,867.00 |
$1,213.20
|
|
Mastoids complete
|
$1,257.00 |
$1,257.00 |
$1,257.00 |
$271.95
|
|
Matrion 1 sq cm
|
$517.00 |
$517.00 |
$517.00 |
$764.03
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$320.00 |
$320.00 |
$320.00 |
$7,478.44
|
|
M.avium-intra dna dir prob
|
$59.40 |
$59.40 |
$97.00 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$17.24 |
$17.25 |
$121.00 |
$66.50
|
|
Mayo aathr protein s free
|
$897.00 |
$897.00 |
$897.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$43.65 |
$43.65 |
$536.00 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$906.00 |
$906.00 |
$906.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$405.00 |
$405.00 |
$405.00 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$16.83 |
$16.83 |
$116.00 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$5.95 |
$5.95 |
$126.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$597.00 |
$597.00 |
$597.00 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$102.00 |
$102.00 |
$419.00 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$448.00 |
$448.00 |
$448.00 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$87.00 |
$87.00 |
$87.00 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$34.00 |
$34.00 |
$293.00 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$208.55 |
$208.55 |
$1,429.00 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$197.90 |
$197.90 |
$1,234.00 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$840.00 |
$840.00 |
$840.00 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,489.80 |
$1,489.80 |
$2,017.00 |
$1,909.44
|
|
Mayo androstenedione
|
$11.88 |
$11.95 |
$130.00 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$101.00 |
$101.00 |
$101.00 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$9.68 |
$9.75 |
$504.00 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$107.00 |
$107.00 |
$107.00 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$160.38 |
$160.90 |
$2,529.00 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$633.00 |
$633.00 |
$633.00 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$15.83 |
$15.83 |
$277.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$111.00 |
$111.00 |
$111.00 |
$45.75
|
