|
Lap paraesophag hern repair
|
$1,175.36 |
$1,175.36 |
$1,175.36 |
$12,260.88
|
|
Lap part colectomy w/stoma 44206
|
$1,344.32 |
$1,344.32 |
$1,344.32 |
$4,307.20
|
|
Lap revision perm ip cath
|
$320.00 |
$320.00 |
$320.00 |
$6,904.15
|
|
Lap rmvl gastr adj all parts
|
$746.56 |
$746.56 |
$746.56 |
$4,502.13
|
|
Lap rmvl gastr adj device
|
$736.96 |
$736.96 |
$736.96 |
$4,502.13
|
|
Laps abltj uterine fibroids
|
$494.72 |
$494.72 |
$494.72 |
$12,320.22
|
|
Laps esophgl sphnctr agmntj 43284
|
$512.64 |
$512.64 |
$512.64 |
$10,500.26
|
|
Lap sleeve gastrectomy
|
$834.56 |
$834.56 |
$834.56 |
$2,733.60
|
|
Laps surg prst8ect rpbic rad
|
$939.52 |
$939.52 |
$939.52 |
$12,320.22
|
|
Laps surg prst8ect smpl stot
|
$826.56 |
$826.56 |
$826.56 |
$12,320.22
|
|
Lap tot proctocolectomy 44210
|
$1,382.72 |
$1,382.72 |
$1,382.72 |
$3,798.00
|
|
Largsc w/njx augmentation
|
$119.36 |
$119.36 |
$119.36 |
$3,297.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$106.56 |
$106.56 |
$106.56 |
$765.97
|
|
Laryngoscope w/vc inj
|
$180.16 |
$180.16 |
$180.16 |
$4,108.00
|
|
Laryngoscop w/vc inj + scope
|
$210.24 |
$210.24 |
$210.24 |
$4,362.99
|
|
Laryngoscopy w/biopsy
|
$150.40 |
$150.40 |
$150.40 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$166.72 |
$166.72 |
$166.72 |
$4,362.99
|
|
Laser surgery of prostate
|
$551.04 |
$551.04 |
$551.04 |
$6,822.11
|
|
Lb with mastopexy 15839
|
$599.36 |
$599.36 |
$599.36 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$4,390.40 |
$4,390.40 |
$4,390.40 |
$5,534.00
|
|
Lead capillary
|
$57.60 |
$57.60 |
$57.60 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$8,640.00 |
$8,640.00 |
$8,640.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$342.72 |
$342.72 |
$342.72 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$380.16 |
$380.16 |
$380.16 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,388.16 |
$2,388.16 |
$2,388.16 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$219.84 |
$219.84 |
$219.84 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$109.04 |
$109.04 |
$109.04 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$5,192.31 |
$5,192.31 |
$5,192.31 |
$6,236.52
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$42.62 |
$42.62 |
$42.62 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$54.40 |
$54.40 |
$54.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$15.42 |
$15.42 |
$15.42 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$129.41 |
$129.41 |
$129.41 |
$420.60
|
|
Liberta rc ipg
|
$40,404.80 |
$40,404.80 |
$40,404.80 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$16.76 |
$16.76 |
$16.76 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$13.76 |
$13.76 |
$13.76 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$13.44 |
$13.44 |
$13.44 |
$87.45
|
|
Ligate oviduct(s) add-on 58611
|
$58.24 |
$58.24 |
$58.24 |
$800.00
|
|
Lig/band angioaccess av fistula
|
$285.76 |
$285.76 |
$285.76 |
$4,676.50
|
|
Liletta, 52 mg
|
$715.52 |
$715.52 |
$715.52 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$27.00 |
$27.00 |
$27.00 |
$121.00
|
|
Lipase
|
$43.52 |
$43.52 |
$43.52 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$22.72 |
$22.72 |
$22.72 |
$86.42
|
|
Lipoprotein blood quant
|
$28.48 |
$28.48 |
$28.48 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$40.96 |
$40.96 |
$40.96 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$13.76 |
$13.76 |
$13.76 |
$61.60
|
|
Lithium therapeutic drug level
|
$59.20 |
$59.20 |
$59.20 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,628.16 |
$2,628.16 |
$2,628.16 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,119.04 |
$1,119.04 |
$1,119.04 |
$1,714.14
|
|
Liver Function Test
|
$104.00 |
$104.00 |
$104.00 |
$115.44
|
|
Liver imaging
|
$814.40 |
$814.40 |
$814.40 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$729.28 |
$729.28 |
$729.28 |
$1,227.60
|
|
Liver/spleen imag w/vasclr flow
|
$481.92 |
$481.92 |
$481.92 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.47 |
$1.47 |
$1.47 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.54 |
$13.54 |
$13.54 |
$37.37
|
|
Low back disk surgery
|
$729.60 |
$729.60 |
$729.60 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$831.04 |
$831.04 |
$831.04 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$758.08 |
$758.08 |
$758.08 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$718.08 |
$718.08 |
$718.08 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,125.12 |
$1,125.12 |
$1,125.12 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$846.08 |
$846.08 |
$846.08 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$775.36 |
$775.36 |
$775.36 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$145.60 |
$145.60 |
$145.60 |
$356.16
|
|
Lsh uterus above 250 g
|
$510.40 |
$510.40 |
$510.40 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$662.08 |
$662.08 |
$662.08 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$720.00 |
$720.00 |
$720.00 |
$11,533.76
|
|
Lumbar diskogram s&i
|
$1,168.32 |
$1,168.32 |
$1,168.32 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$127.36 |
$127.36 |
$127.36 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$161.28 |
$161.28 |
$161.28 |
$295.35
|
|
Lung perfusion imaging
|
$450.56 |
$450.56 |
$450.56 |
$1,059.97
|
|
Lymphatics/lymph node imaging
|
$463.36 |
$463.36 |
$463.36 |
$1,463.22
|
|
Lysis penil circumic lesion
|
$161.92 |
$161.92 |
$161.92 |
$3,274.00
|
|
Macro exam dissect molec study ea
|
$111.04 |
$111.04 |
$111.04 |
$67.08
|
|
Macroscopic exam arthropod
|
$6.40 |
$6.40 |
$6.40 |
$38.58
|
|
Macroscopic exam parasite
|
$6.40 |
$6.40 |
$6.40 |
$36.55
|
|
Magnesium
|
$43.52 |
$43.52 |
$43.52 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$18.23 |
$18.23 |
$18.23 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$105.28 |
$105.28 |
$105.28 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$105.28 |
$105.28 |
$105.28 |
$160.80
|
|
Mapping io sentinel lymph node
|
$104.32 |
$104.32 |
$104.32 |
$650.00
|
|
Map tachycard site(s)
|
$737.92 |
$737.92 |
$737.92 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,332.80 |
$2,332.80 |
$2,332.80 |
$1,451.30
|
|
Mastectomy partial
|
$520.96 |
$520.96 |
$520.96 |
$4,531.42
|
|
Mast mod rad
|
$923.84 |
$923.84 |
$923.84 |
$7,127.17
|
|
Mastoids complete
|
$203.52 |
$203.52 |
$203.52 |
$299.50
|
|
Mast radical
|
$897.60 |
$897.60 |
$897.60 |
$1,780.80
|
|
Mast simple complete
|
$752.64 |
$752.64 |
$752.64 |
$6,174.00
|
|
M.avium-intra dna dir prob
|
$52.16 |
$52.16 |
$52.16 |
$58.40
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$83.52 |
$83.52 |
$83.52 |
$65.00
|
|
Mayo aathr protein s free
|
$20.16 |
$20.16 |
$20.16 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$20.16 |
$20.16 |
$20.16 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$134.72 |
$134.72 |
$134.72 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$78.40 |
$78.40 |
$78.40 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$95.04 |
$95.04 |
$95.04 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$57.60 |
$57.60 |
$57.60 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$104.32 |
$104.32 |
$104.32 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$71.36 |
$71.36 |
$71.36 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$70.40 |
$70.40 |
$70.40 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$14.08 |
$14.08 |
$14.08 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$54.72 |
$54.72 |
$54.72 |
$75.90
|
