|
Lithotripsy transluminal coronary percutaneous
|
$2,400.30 |
$2,400.30 |
$2,400.30 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$396.20 |
$396.20 |
$396.20 |
$365.28
|
|
Liver elastography 91200
|
$242.20 |
$242.20 |
$242.20 |
$280.00
|
|
Liver Function Test
|
$276.50 |
$276.50 |
$276.50 |
$115.44
|
|
Liver imaging
|
$1,508.50 |
$1,508.50 |
$1,508.50 |
$1,143.00
|
|
Liver/spleen imag static only
|
$2,182.60 |
$2,182.60 |
$2,182.60 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,261.40 |
$1,261.40 |
$1,261.40 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$101.51 |
$101.51 |
$101.51 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$2.62 |
$2.62 |
$2.62 |
$37.37
|
|
Low back disk surgery
|
$53,118.92 |
$53,118.92 |
$53,118.92 |
$8,412.89
|
|
Low cost skin substitute app
|
$1,207.50 |
$1,207.50 |
$1,207.50 |
$933.60
|
|
Low cost skin substitute app
|
$2,969.40 |
$2,969.40 |
$2,969.40 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,210.30 |
$1,210.30 |
$1,210.30 |
$428.35
|
|
Low cost skin substitute app
|
$3,444.00 |
$3,444.00 |
$3,444.00 |
$408.04
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,717.00 |
$3,717.00 |
$3,717.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,506.30 |
$3,506.30 |
$3,506.30 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,083.50 |
$3,083.50 |
$3,083.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,706.80 |
$4,706.80 |
$4,706.80 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,172.70 |
$4,172.70 |
$4,172.70 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,837.40 |
$3,837.40 |
$3,837.40 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$651.70 |
$651.70 |
$651.70 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$419.30 |
$419.30 |
$419.30 |
$364.00
|
|
Lsh w/t/o uterus above 250 g
|
$95,189.07 |
$95,189.07 |
$95,189.07 |
$11,533.76
|
|
L/s ratio fetal lung
|
$672.70 |
$672.70 |
$672.70 |
$178.36
|
|
Lumbar diskogram s&i
|
$2,509.50 |
$2,509.50 |
$2,509.50 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$508.20 |
$508.20 |
$508.20 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$469.00 |
$469.00 |
$469.00 |
$295.35
|
|
Lung perfusion imaging
|
$1,514.80 |
$1,514.80 |
$1,514.80 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$48,150.20 |
$48,150.20 |
$48,150.20 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$72,090.20 |
$72,090.20 |
$72,090.20 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$923.30 |
$923.30 |
$923.30 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$526.40 |
$526.40 |
$526.40 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$2,416.40 |
$2,416.40 |
$2,416.40 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$704.90 |
$704.90 |
$704.90 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$1,558.20 |
$1,558.20 |
$1,558.20 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,635.90 |
$1,635.90 |
$1,635.90 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$898.10 |
$898.10 |
$898.10 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,283.40 |
$2,283.40 |
$2,283.40 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$50,143.09 |
$50,143.09 |
$50,143.09 |
$741.60
|
|
Lysis of labial adhesions
|
$16,021.80 |
$16,021.80 |
$16,021.80 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$14,835.09 |
$14,835.09 |
$14,835.09 |
$3,274.00
|
|
Macro exam dissect molec study ea
|
$20,944.52 |
$20,944.52 |
$20,944.52 |
$67.08
|
|
Macroscopic exam arthropod
|
$54.60 |
$54.60 |
$54.60 |
$38.58
|
|
Macroscopic exam parasite
|
$152.60 |
$152.60 |
$152.60 |
$36.55
|
|
Magnesium
|
$81.20 |
$81.20 |
$81.20 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$210.00 |
$210.00 |
$210.00 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$148.40 |
$148.40 |
$148.40 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$171.50 |
$171.50 |
$171.50 |
$160.80
|
|
Mapping io sentinel lymph node
|
$53,144.01 |
$53,144.01 |
$53,144.01 |
$650.00
|
|
Map tachycard site(s)
|
$8,255.80 |
$8,255.80 |
$8,255.80 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$7,457.69 |
$7,457.69 |
$7,457.69 |
$1,451.30
|
|
Mastoids complete
|
$531.30 |
$531.30 |
$531.30 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$26,172.52 |
$26,172.52 |
$26,172.52 |
$6,321.66
|
|
M.avium-intra dna amp prob
|
$235.90 |
$235.90 |
$235.90 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$89.60 |
$89.60 |
$89.60 |
$65.00
|
|
Mayo aathr protein s free
|
$331.80 |
$331.80 |
$331.80 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$131.60 |
$131.60 |
$131.60 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$667.10 |
$667.10 |
$667.10 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$338.80 |
$338.80 |
$338.80 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$306.60 |
$306.60 |
$306.60 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$81.90 |
$81.90 |
$81.90 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$207.20 |
$207.20 |
$207.20 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$175.00 |
$175.00 |
$175.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$105.70 |
$105.70 |
$105.70 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$39.20 |
$39.20 |
$39.20 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$45.50 |
$45.50 |
$45.50 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$605.50 |
$605.50 |
$605.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$476.00 |
$476.00 |
$476.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$893.90 |
$893.90 |
$893.90 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$4,201.40 |
$4,201.40 |
$4,201.40 |
$1,860.00
|
|
Mayo androstenedione
|
$330.40 |
$330.40 |
$330.40 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$144.90 |
$144.90 |
$144.90 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$167.30 |
$167.30 |
$167.30 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$171.50 |
$171.50 |
$171.50 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$869.40 |
$869.40 |
$869.40 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$99.40 |
$99.40 |
$99.40 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$40.60 |
$40.60 |
$40.60 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$175.70 |
$175.70 |
$175.70 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$2,981.30 |
$2,981.30 |
$2,981.30 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$314.30 |
$314.30 |
$314.30 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$173.60 |
$173.60 |
$173.60 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$252.70 |
$252.70 |
$252.70 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$186.90 |
$186.90 |
$186.90 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$60.20 |
$60.20 |
$60.20 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$188.30 |
$188.30 |
$188.30 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$238.00 |
$238.00 |
$238.00 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$411.60 |
$411.60 |
$411.60 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$194.60 |
$194.60 |
$194.60 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$326.20 |
$326.20 |
$326.20 |
$281.50
|
|
Mayo ceruloplasmin
|
$263.90 |
$263.90 |
$263.90 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$992.60 |
$992.60 |
$992.60 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$307.30 |
$307.30 |
$307.30 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$154.70 |
$154.70 |
$154.70 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$162.40 |
$162.40 |
$162.40 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$666.40 |
$666.40 |
$666.40 |
$360.33
|
|
Mayo chromium
|
$655.20 |
$655.20 |
$655.20 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$207.20 |
$207.20 |
$207.20 |
$100.00
|
|
Mayo coccidioides antibody
|
$61.60 |
$61.60 |
$61.60 |
$53.90
|
|
Mayo cocou cortisone urine
|
$1,499.40 |
$1,499.40 |
$1,499.40 |
$213.92
|
|
Mayo cortisol free
|
$426.30 |
$426.30 |
$426.30 |
$94.95
|
