|
Liver ds alys 3 bmrk srm alg
|
$742.30 |
$742.30 |
$742.30 |
$365.28
|
|
Liver elastography 91200
|
$644.80 |
$644.80 |
$644.80 |
$285.18
|
|
Liver Function Test
|
$93.60 |
$93.60 |
$93.60 |
$115.44
|
|
Liver imaging
|
$3,144.05 |
$3,144.05 |
$3,144.05 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$3,150.55 |
$3,150.55 |
$3,150.55 |
$1,227.60
|
|
Liver/spleen imag static only
|
$2,380.30 |
$2,380.30 |
$2,380.30 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$2,401.10 |
$2,401.10 |
$2,401.10 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$1,739.40 |
$1,739.40 |
$1,739.40 |
$3,839.54
|
|
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
|
|
Lo sag rig pnl stays pre cst
|
$113.10 |
$113.10 |
$113.10 |
$167.74
|
|
Loudness balance test
|
$67.60 |
$67.60 |
$67.60 |
$344.68
|
|
Low back disk surgery
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$8,412.89
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$905.45 |
$905.45 |
$905.45 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,361.10 |
$1,361.10 |
$1,361.10 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,351.05 |
$2,351.05 |
$2,351.05 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$882.70 |
$882.70 |
$882.70 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,597.40 |
$2,597.40 |
$2,597.40 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,464.80 |
$2,464.80 |
$2,464.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,740.05 |
$1,740.05 |
$1,740.05 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$659.75 |
$659.75 |
$659.75 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$670.80 |
$670.80 |
$670.80 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$682.50 |
$682.50 |
$682.50 |
$535.91
|
|
Lower jaw bone graft
|
$3,179.80 |
$3,179.80 |
$3,179.80 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$535.60 |
$535.60 |
$535.60 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$742.95 |
$742.95 |
$742.95 |
$364.77
|
|
Lsh uterus 250 g or less
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$4,115.80 |
$4,115.80 |
$4,115.80 |
$11,886.69
|
|
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
|
|
Lubricant per ounce
|
$8.45 |
$8.45 |
$8.45 |
$3.13
|
|
Lumbar diskogram s&i
|
$11,163.75 |
$11,163.75 |
$11,163.75 |
$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
|
$1,226.55 |
$1,226.55 |
$1,226.55 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$234.65 |
$234.65 |
$234.65 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$633.75 |
$633.75 |
$633.75 |
$296.91
|
|
Lung perfusion imaging
|
$2,445.30 |
$2,445.30 |
$2,445.30 |
$1,067.57
|
|
Lung volume reduction 32491
|
$6,562.40 |
$6,562.40 |
$6,562.40 |
$2,141.40
|
|
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
|
$76,161.80 |
$76,161.80 |
$76,161.80 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$332.80 |
$332.80 |
$332.80 |
$357.85
|
|
Lvad shower bag heartmate
|
$585.00 |
$585.00 |
$585.00 |
$893.74
|
|
Lw ntsty Ultrasound stimj bone healg
|
$161.20 |
$161.20 |
$161.20 |
$114.40
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$2,875.60 |
$2,875.60 |
$2,875.60 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$3,329.95 |
$3,329.95 |
$3,329.95 |
$1,487.90
|
|
Lymphocyte transformation mitogen
|
$284.05 |
$284.05 |
$284.05 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$3,677.05 |
$3,677.05 |
$3,677.05 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$9,044.10 |
$9,044.10 |
$9,044.10 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$17,856.80 |
$17,856.80 |
$17,856.80 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$17,950.40 |
$17,950.40 |
$17,950.40 |
$3,483.84
|
|
Lysis intranasal synechia 30560
|
$340.60 |
$340.60 |
$340.60 |
$820.50
|
|
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 arthropod
|
$37.05 |
$37.05 |
$37.05 |
$38.58
|
|
Macroscopic exam parasite
|
$9.10 |
$9.10 |
$9.10 |
$37.05
|
|
Magnesium
|
$154.05 |
$154.05 |
$154.05 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$3.90 |
$3.90 |
$3.90 |
$58.70
|
|
Magnetic image bone marrow
|
$1,812.85 |
$1,812.85 |
$1,812.85 |
$1,329.39
|
|
Malaria antibody
|
$44.85 |
$44.85 |
$44.85 |
$94.80
|
|
Male sling procedure
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
$8,465.18
|
|
Mammosite ced
|
$2,413.45 |
$2,413.45 |
$2,413.45 |
$5,031.60
|
|
Management of liver hemorrhage 47361
|
$13,676.00 |
$13,676.00 |
$13,676.00 |
$7,440.00
|
|
Manipulate finger w/anesth
|
$728.00 |
$728.00 |
$728.00 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$2,341.00
|
|
Manipulation of hip joint
|
$603.20 |
$603.20 |
$603.20 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$896.35 |
$896.35 |
$896.35 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.51 |
$0.51 |
$0.51 |
$26.29
|
|
Manual diff wbc count b-coat
|
$22.10 |
$22.10 |
$22.10 |
$25.74
|
|
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)
|
$6,260.15 |
$6,260.15 |
$6,260.15 |
$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
|
|
Mastoidectomy
|
$2,394.60 |
$2,394.60 |
$2,394.60 |
$6,406.40
|
|
Mastoidectomy complete 69502
|
$3,265.60 |
$3,265.60 |
$3,265.60 |
$6,969.40
|
|
Mastoids complete
|
$694.20 |
$694.20 |
$694.20 |
$299.50
|
|
Mastoid surgery revision
|
$3,692.00 |
$3,692.00 |
$3,692.00 |
$7,000.36
|
|
Mastopexy
|
$3,172.00 |
$3,172.00 |
$3,172.00 |
$6,679.75
|
|
Mast radical
|
$4,539.60 |
$4,539.60 |
$4,539.60 |
$1,720.80
|
|
Mast rad urban type
|
$4,713.80 |
$4,713.80 |
$4,713.80 |
$2,731.08
|
|
Mast simple complete
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$6,839.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$8.00 |
$8.00 |
$8.00 |
$4,472.40
|
|
M.avium-intra dna amp prob
|
$206.05 |
$206.05 |
$206.05 |
$141.00
|
|
M.avium-intra dna dir prob
|
$156.00 |
$156.00 |
$156.00 |
$58.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$32.50 |
$32.50 |
$32.50 |
$65.30
|
|
Mayo aathr protein s free
|
$243.75 |
$243.75 |
$243.75 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$172.25 |
$172.25 |
$172.25 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$440.70 |
$440.70 |
$440.70 |
$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
|
$107.90 |
$107.90 |
$107.90 |
$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
|
