|
Lig/band angioaccess av fistula
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,453.50 |
$1,453.50 |
$1,453.50 |
$1,514.24
|
|
Limb exercise test
|
$286.00 |
$286.00 |
$286.00 |
$340.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.25 |
$0.25 |
$0.25 |
$119.81
|
|
Lipase
|
$139.75 |
$139.75 |
$139.75 |
$92.88
|
|
Lip exc/transverse wedge/w closure 40510
|
$1,253.20 |
$1,253.20 |
$1,253.20 |
$3,837.72
|
|
Lipoprotein blood quant
|
$28.60 |
$28.60 |
$28.60 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$48.10 |
$48.10 |
$48.10 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$70.85 |
$70.85 |
$70.85 |
$61.60
|
|
Lip surgery procedure
|
$423.80 |
$423.80 |
$423.80 |
$334.50
|
|
Lisocabtagene mara car pos t
|
$1,740,703.90 |
$1,740,703.90 |
$1,740,703.90 |
$1,336,907.88
|
|
Lithium therapeutic drug level
|
$34.45 |
$34.45 |
$34.45 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,113.20 |
$4,113.20 |
$4,113.20 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$742.30 |
$742.30 |
$742.30 |
$365.28
|
|
Liver elastography 91200
|
$585.00 |
$585.00 |
$585.00 |
$285.18
|
|
Liver Function Test
|
$93.60 |
$93.60 |
$93.60 |
$115.44
|
|
Liver imaging
|
$126.10 |
$126.10 |
$126.10 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$132.60 |
$132.60 |
$132.60 |
$1,227.60
|
|
Liver/spleen imag static only
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$148.20 |
$148.20 |
$148.20 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$11.27 |
$11.27 |
$11.27 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$67,929.65 |
$67,929.65 |
$67,929.65 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.44 |
$37.44 |
$37.44 |
$37.20
|
|
Low back disk surgery
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$8,412.89
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$596.70 |
$596.70 |
$596.70 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$997.75 |
$997.75 |
$997.75 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$596.70 |
$596.70 |
$596.70 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,355.25 |
$1,355.25 |
$1,355.25 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$596.70 |
$596.70 |
$596.70 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$596.70 |
$596.70 |
$596.70 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$596.70 |
$596.70 |
$596.70 |
$535.91
|
|
Lower Leg (Shin) X-ray (both sides)
|
$494.00 |
$494.00 |
$494.00 |
$338.40
|
|
Lsh uterus 250 g or less
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$11,378.21
|
|
Lsh w/t/o ut 250 g or less
|
$4,049.50 |
$4,049.50 |
$4,049.50 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$11,533.76
|
|
Lumbar diskogram s&i
|
$215.80 |
$215.80 |
$215.80 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$6,729.45 |
$6,729.45 |
$6,729.45 |
$14,331.20
|
|
Lumizyme injection
|
$2,370.97 |
$2,370.97 |
$2,370.97 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$1,163.50 |
$1,163.50 |
$1,163.50 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$13.00 |
$13.00 |
$13.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$585.00 |
$585.00 |
$585.00 |
$296.91
|
|
Lung perfusion imaging
|
$2,252.90 |
$2,252.90 |
$2,252.90 |
$1,067.57
|
|
Lurbinectedin 4 mg intravenous solution
|
$25,740.00 |
$25,740.00 |
$25,740.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$38,498.82 |
$38,498.82 |
$38,498.82 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$436.15 |
$436.15 |
$436.15 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$332.80 |
$332.80 |
$332.80 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$3,017.95 |
$3,017.95 |
$3,017.95 |
$1,487.90
|
|
Lymphocyte transformation mitogen
|
$206.70 |
$206.70 |
$206.70 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$3,466.45 |
$3,466.45 |
$3,466.45 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$8,709.35 |
$8,709.35 |
$8,709.35 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$210.60 |
$210.60 |
$210.60 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$17,646.20 |
$17,646.20 |
$17,646.20 |
$3,483.84
|
|
Lysis of labial adhesions
|
$525.20 |
$525.20 |
$525.20 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$863.20 |
$863.20 |
$863.20 |
$3,503.00
|
|
Macroscopic exam parasite
|
$9.10 |
$9.10 |
$9.10 |
$37.05
|
|
Magnesium
|
$96.85 |
$96.85 |
$96.85 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$5.20 |
$5.20 |
$5.20 |
$58.70
|
|
Magnetic image bone marrow
|
$457.60 |
$457.60 |
$457.60 |
$1,329.39
|
|
Male sling procedure
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
$8,465.18
|
|
Mannitol 12.5 gm/50 ml inj
|
$17.55 |
$17.55 |
$17.55 |
$26.29
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,322.10 |
$1,322.10 |
$1,322.10 |
$584.80
|
|
Mapping io sentinel lymph node
|
$650.00 |
$650.00 |
$650.00 |
$650.00
|
|
Map tachycard site(s)
|
$4,845.10 |
$4,845.10 |
$4,845.10 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$672.57 |
$672.57 |
$672.57 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$1,261.00 |
$1,261.00 |
$1,261.00 |
$1,501.50
|
|
Marsupialization liver lesion 47300
|
$4,716.40 |
$4,716.40 |
$4,716.40 |
$2,771.20
|
|
Mastectomy partial
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$4,627.00
|
|
Mast mod rad
|
$4,677.40 |
$4,677.40 |
$4,677.40 |
$7,218.34
|
|
Mastoids complete
|
$596.70 |
$596.70 |
$596.70 |
$299.50
|
|
Mast radical
|
$4,539.60 |
$4,539.60 |
$4,539.60 |
$1,720.80
|
|
Mast simple complete
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$6,839.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$29.90 |
$29.90 |
$29.90 |
$65.30
|
|
Mayo aathr protein s free
|
$16.25 |
$16.25 |
$16.25 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$24.05 |
$24.05 |
$24.05 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$157.95 |
$157.95 |
$157.95 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$56.55 |
$56.55 |
$56.55 |
$66.79
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$185.90 |
$185.90 |
$185.90 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$105.30 |
$105.30 |
$105.30 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$85.15 |
$85.15 |
$85.15 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$545.35 |
$545.35 |
$545.35 |
$475.92
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$486.20 |
$486.20 |
$486.20 |
$374.40
|
|
Mayo analysis gene smn1 dosage/deletion
|
$393.90 |
$393.90 |
$393.90 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,977.00 |
$2,977.00 |
$2,977.00 |
$1,860.00
|
|
Mayo androstenedione
|
$54.60 |
$54.60 |
$54.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$20.15 |
$20.15 |
$20.15 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$21.45 |
$21.45 |
$21.45 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$76.05 |
$76.05 |
$76.05 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$175.50 |
$175.50 |
$175.50 |
$171.50
|
|
Mayo bart bartonella henselae antibody igg
|
$30.55 |
$30.55 |
$30.55 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$873.60 |
$873.60 |
$873.60 |
$335.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$194.35 |
$194.35 |
$194.35 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$36.40 |
$36.40 |
$36.40 |
$56.40
|
|
Mayo brcmg brucella antibody igm
|
$52.65 |
$52.65 |
$52.65 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$143.65 |
$143.65 |
$143.65 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$29.25 |
$29.25 |
$29.25 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$94.25 |
$94.25 |
$94.25 |
$81.83
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$121.55 |
$121.55 |
$121.55 |
$112.00
|
