|
Laparoscopy excise lesions
|
$54,981.36 |
$54,981.36 |
$54,981.36 |
$6,376.26
|
|
Laparoscopy remove adnexa
|
$54,981.36 |
$54,981.36 |
$54,981.36 |
$6,904.15
|
|
Laparo sling operation 51992
|
$59,775.03 |
$59,775.03 |
$59,775.03 |
$5,419.00
|
|
Laparo-vag hyst incl t/o
|
$101,345.45 |
$101,345.45 |
$101,345.45 |
$7,595.42
|
|
Largsc w/rmvl foreign bdy(s)
|
$2,078.57 |
$2,078.57 |
$2,078.57 |
$765.97
|
|
Laronidase injection
|
$3,211.68 |
$3,211.68 |
$3,211.68 |
$1,927.01
|
|
Laryngeal function studies
|
$762.01 |
$762.01 |
$762.01 |
$335.40
|
|
Laryngoscopy telescopic
|
$2,078.57 |
$2,078.57 |
$2,078.57 |
$762.30
|
|
Laryngoscopy w/fb removal
|
$17,485.67 |
$17,485.67 |
$17,485.67 |
$3,390.75
|
|
Laryngoscopy with biopsy 31510
|
$11,065.34 |
$11,065.34 |
$11,065.34 |
$3,630.67
|
|
Laser surgery of prostate
|
$52,345.62 |
$52,345.62 |
$52,345.62 |
$5,631.74
|
|
Laser surgery of prostate
|
$52,345.62 |
$52,345.62 |
$52,345.62 |
$5,741.00
|
|
Laser surg penis lesion(s)
|
$10,691.85 |
$10,691.85 |
$10,691.85 |
$2,164.64
|
|
Lb with mastopexy 15839
|
$29,964.18 |
$29,964.18 |
$29,964.18 |
$3,386.84
|
|
Lead capillary
|
$186.92 |
$186.92 |
$186.92 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,833.35 |
$2,833.35 |
$13,115.41 |
$1,100.74
|
|
Leishmania antibody
|
$189.08 |
$189.08 |
$189.08 |
$58.50
|
|
Lens iol ant chamb 10.5
|
$124.34 |
$124.34 |
$124.34 |
$216.48
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$68.01 |
$1,282.79 |
$1,337.57 |
$164.09
|
|
Leukocyte phagocytosis
|
$65.40 |
$65.40 |
$65.40 |
$49.28
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$22,130.00 |
$22,130.00 |
$22,130.00 |
$6,694.24
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$293.79 |
$310.92 |
$338.43 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$11.54 |
$200.83 |
$200.83 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$174.34 |
$174.34 |
$199.75 |
$64.88
|
|
L hrt cath chd nm/abn nt cnj
|
$29,195.99 |
$29,195.99 |
$29,195.99 |
$6,242.85
|
|
Lidocaine therapeutic drug level
|
$226.74 |
$226.74 |
$226.74 |
$83.85
|
|
Ligation/biopsy of temporal artery 37609
|
$16,444.17 |
$16,444.17 |
$16,444.17 |
$2,968.00
|
|
Lig/band angioaccess av fistula
|
$8,023.82 |
$8,023.82 |
$8,023.82 |
$4,240.23
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$267.70 |
$308.14 |
$918.00 |
$172.25
|
|
Lipase
|
$405.09 |
$405.09 |
$2,049.85 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$287.50 |
$287.50 |
$522.63 |
$89.52
|
|
Lipoprotein blood quant
|
$527.72 |
$527.72 |
$527.72 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$218.69 |
$218.69 |
$1,368.82 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$124.40 |
$124.40 |
$124.40 |
$60.00
|
|
Lithium therapeutic drug level
|
$192.19 |
$192.19 |
$850.99 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$23,278.68 |
$23,278.68 |
$23,278.68 |
$4,371.12
|
|
Liver elastography 91200
|
$539.42 |
$539.42 |
$539.42 |
$291.74
|
|
Liver Function Test
|
$714.68 |
$714.68 |
$1,415.92 |
$110.50
|
|
Liver imaging
|
$4,228.74 |
$4,228.74 |
$10,087.65 |
$1,241.25
|
|
Liver imag w/vasclr flow
|
$4,228.74 |
$4,228.74 |
$10,087.65 |
$1,255.15
|
|
Liver/spleen imag static only
|
$1,592.04 |
$1,592.04 |
$16,376.14 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$3,951.75 |
$3,951.75 |
$10,087.65 |
$949.00
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$31,045.79 |
$31,045.79 |
$31,045.79 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$16.54 |
$16.54 |
$44.10 |
$15.38
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$24.61 |
$49.18 |
$52.25 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$10,728.83 |
$10,728.83 |
$23,220.98 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$8,472.61 |
$8,472.61 |
$17,681.55 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$7,813.32 |
$7,813.32 |
$17,394.51 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,443.80 |
$8,443.80 |
$10,929.51 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,475.43 |
$4,343.99 |
$6,783.32 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,342.78 |
$5,197.00 |
$10,134.50 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,857.44 |
$1,857.44 |
$6,500.12 |
$344.00
|
|
L/s ratio fetal lung
|
$11.55 |
$11.55 |
$11.55 |
$168.00
|
|
Lumbar diskogram s&i
|
$6,598.98 |
$6,598.98 |
$6,598.98 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$576.85 |
$670.29 |
$670.29 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$903.11 |
$903.11 |
$1,189.13 |
$298.50
|
|
Lung perfusion imaging
|
$3,083.23 |
$3,083.23 |
$11,332.86 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$3,978.62 |
$4,344.81 |
$6,360.96 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$95.00 |
$350.44 |
$756.78 |
$266.20
|
|
Lymph vessel x-ray arm/leg
|
$6,317.82 |
$6,317.82 |
$6,317.82 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$12,975.70 |
$12,975.70 |
$12,975.70 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$26,854.65 |
$26,854.65 |
$26,854.65 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$5,519.35 |
$5,519.35 |
$5,519.35 |
$714.40
|
|
Lysis penil circumic lesion
|
$18,806.12 |
$18,806.12 |
$18,806.12 |
$4,173.43
|
|
Macroscopic exam arthropod
|
$16.00 |
$16.00 |
$16.00 |
$38.58
|
|
Macroscopic exam parasite
|
$7.63 |
$66.53 |
$162.43 |
$38.50
|
|
Magnesium
|
$230.83 |
$230.83 |
$230.83 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$174.34 |
$174.34 |
$199.75 |
$69.30
|
|
Mammosite ced
|
$15,192.67 |
$15,192.67 |
$15,192.67 |
$5,100.00
|
|
Manipulate finger w/anesth
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$1,893.86
|
|
Manipulate wrist w/anesthes
|
$16,347.39 |
$16,347.39 |
$16,347.39 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$364.82 |
$364.82 |
$389.59 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$94.99 |
$330.89 |
$389.59 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$117.36 |
$127.62 |
$159.00 |
$28.48
|
|
Manual diff wbc count b-coat
|
$4.35 |
$4.35 |
$4.35 |
$22.75
|
|
Map tachycard site(s)
|
$3,832.98 |
$3,832.98 |
$9,126.05 |
$3,960.00
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$93,057.41 |
$93,057.41 |
$93,778.53 |
$8,622.65
|
|
Mastoids complete
|
$1,494.73 |
$1,494.73 |
$1,890.02 |
$271.95
|
|
Matrion 1 sq cm
|
$764.03 |
$764.03 |
$1,216.93 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$234.51 |
$263.76 |
$6,994.40 |
$6,321.00
|
|
M.avium-intra dna dir prob
|
$10.00 |
$22.99 |
$421.22 |
$58.25
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$19.41 |
$71.78 |
$71.78 |
$66.50
|
|
Mayo aathr protein s free
|
$239.65 |
$239.65 |
$239.65 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$75.92 |
$75.92 |
$75.92 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$277.00 |
$595.33 |
$595.33 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$109.00 |
$161.53 |
$161.53 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$14.00 |
$138.94 |
$138.94 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$8.72 |
$29.00 |
$228.13 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$63.22 |
$292.10 |
$292.10 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$207.45 |
$207.45 |
$207.45 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$74.82 |
$74.82 |
$74.82 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$223.55 |
$223.55 |
$233.55 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$49.73 |
$49.73 |
$49.73 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$1,877.36 |
$1,877.36 |
$1,877.36 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$194.00 |
$1,414.77 |
$1,414.77 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$2,114.60 |
$2,114.60 |
$2,114.60 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,250.00 |
$17,904.60 |
$17,904.60 |
$1,909.44
|
|
Mayo androstenedione
|
$165.84 |
$165.84 |
$678.49 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$72.46 |
$72.46 |
$72.46 |
$72.46
|