|
Lithotripsy transluminal coronary percutaneous
|
$600.00 |
$600.00 |
$667.80 |
$4,371.12
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$1,714.14
|
|
Liver elastography 91200
|
$45.00 |
$45.00 |
$47.40 |
$285.18
|
|
Liver Function Test
|
$69.00 |
$69.00 |
$77.40 |
$115.44
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$2,586.00 |
$2,586.00 |
$2,715.60 |
$2,028.65
|
|
Liver/spleen imag static only
|
$540.00 |
$540.00 |
$589.80 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$849.60 |
$849.60 |
$928.20 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$1,188.60 |
$1,188.60 |
$1,248.00 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$121.97 |
$121.97 |
$121.97 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$45,267.20 |
$45,267.20 |
$50,204.85 |
$62,704.30
|
|
Loop ostmy bridg ster
|
$3.60 |
$3.60 |
$3.60 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$38.06 |
$38.06 |
$40.60 |
$37.20
|
|
Loudness balance test
|
$23.40 |
$23.40 |
$26.40 |
$344.68
|
|
Low back disk surgery
|
$2,007.60 |
$2,007.60 |
$2,107.80 |
$8,412.89
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$400.20 |
$400.20 |
$420.60 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,818.60 |
$1,818.60 |
$1,909.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,323.00 |
$1,323.00 |
$1,486.20 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,258.80 |
$1,258.80 |
$1,414.80 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,162.40 |
$2,162.40 |
$2,361.60 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,167.60 |
$1,167.60 |
$1,275.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,603.20 |
$1,603.20 |
$1,750.80 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$235.20 |
$235.20 |
$257.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$324.60 |
$324.60 |
$355.20 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$401.40 |
$401.40 |
$438.60 |
$535.91
|
|
Lower Leg (Shin) X-ray (both sides)
|
$228.00 |
$228.00 |
$249.00 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$230.40 |
$230.40 |
$242.40 |
$364.77
|
|
Lsh uterus 250 g or less
|
$1,599.60 |
$1,599.60 |
$1,679.40 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$1,816.80 |
$1,816.80 |
$1,907.40 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$1,786.20 |
$1,786.20 |
$1,875.60 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$1,966.20 |
$1,966.20 |
$2,064.60 |
$11,533.76
|
|
L/s ratio fetal lung
|
$87.00 |
$87.00 |
$97.20 |
$173.91
|
|
Lumbar diskogram s&i
|
$1,986.60 |
$1,986.60 |
$2,169.60 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$2,852.40 |
$2,852.40 |
$2,995.20 |
$14,331.20
|
|
Lumizyme injection
|
$1,688.06 |
$1,688.06 |
$1,789.05 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$398.40 |
$398.40 |
$444.00 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$96.00 |
$96.00 |
$107.40 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$116.40 |
$116.40 |
$126.00 |
$296.91
|
|
Lung volume reduction 32491
|
$2,141.40 |
$2,141.40 |
$2,248.20 |
$2,141.40
|
|
Lurbinectedin 4 mg intravenous solution
|
$13,573.37 |
$13,573.37 |
$14,405.83 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$20,203.54 |
$20,203.54 |
$21,867.91 |
$22,771.63
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$1,272.00 |
$1,272.00 |
$1,335.60 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$994.80 |
$994.80 |
$1,086.60 |
$1,487.90
|
|
Lymphocyte transformation mitogen
|
$463.80 |
$463.80 |
$516.00 |
$271.88
|
|
Lymph vessel x-ray trunk
|
$1,184.40 |
$1,184.40 |
$1,293.60 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$1,437.60 |
$1,437.60 |
$1,570.20 |
$3,483.84
|
|
Lysis intranasal synechia 30560
|
$501.60 |
$501.60 |
$526.80 |
$820.50
|
|
Lysis of labial adhesions
|
$268.20 |
$268.20 |
$281.40 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$486.60 |
$486.60 |
$511.20 |
$3,503.00
|
|
Macroscopic exam arthropod
|
$52.20 |
$52.20 |
$55.20 |
$38.58
|
|
Macroscopic exam parasite
|
$28.20 |
$28.20 |
$30.00 |
$37.05
|
|
Magnesium
|
$90.00 |
$90.00 |
$94.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$221.80 |
$221.80 |
$221.80 |
$58.70
|
|
Makena, 10 mg
|
$6,123.06 |
$6,123.06 |
$6,123.06 |
$1,405.80
|
|
Malaria antibody
|
$53.40 |
$53.40 |
$59.40 |
$94.80
|
|
Management of liver hemorrhage 47361
|
$4,174.20 |
$4,174.20 |
$4,383.00 |
$7,440.00
|
|
Mannitol 12.5 gm/50 ml inj
|
$17.29 |
$17.29 |
$17.38 |
$26.29
|
|
Manual diff wbc count b-coat
|
$17.40 |
$17.40 |
$19.80 |
$25.74
|
|
Mapping io sentinel lymph node
|
$244.80 |
$244.80 |
$256.80 |
$650.00
|
|
Map tachycard site(s)
|
$1,279.80 |
$1,279.80 |
$1,425.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$616.80 |
$616.80 |
$616.80 |
$1,501.50
|
|
Marsupialization liver lesion 47300
|
$2,026.80 |
$2,026.80 |
$2,128.20 |
$2,771.20
|
|
Mastectomy partial
|
$1,153.80 |
$1,153.80 |
$1,211.40 |
$4,627.00
|
|
Mast mod rad
|
$2,123.40 |
$2,123.40 |
$2,229.60 |
$7,218.34
|
|
Mastoidectomy complete 69502
|
$1,818.60 |
$1,818.60 |
$1,909.80 |
$6,969.40
|
|
Mastoids complete
|
$215.40 |
$215.40 |
$235.20 |
$299.50
|
|
Mastopexy
|
$1,673.40 |
$1,673.40 |
$1,756.80 |
$6,679.75
|
|
Mast simple complete
|
$1,787.40 |
$1,787.40 |
$1,876.80 |
$6,839.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$103.20 |
$103.20 |
$108.60 |
$65.30
|
|
Mayo aathr protein s free
|
$243.00 |
$243.00 |
$255.60 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$250.80 |
$250.80 |
$263.40 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$98.40 |
$98.40 |
$109.80 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$206.40 |
$206.40 |
$230.40 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$206.40 |
$206.40 |
$230.40 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$289.80 |
$289.80 |
$304.80 |
$66.79
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$186.60 |
$186.60 |
$208.20 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$138.60 |
$138.60 |
$145.80 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$109.80 |
$109.80 |
$122.40 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$336.00 |
$336.00 |
$374.40 |
$475.92
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$280.20 |
$280.20 |
$312.00 |
$374.40
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,462.80 |
$1,462.80 |
$1,628.40 |
$1,860.00
|
|
Mayo androstenedione
|
$240.00 |
$240.00 |
$252.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$149.40 |
$149.40 |
$157.20 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$283.20 |
$283.20 |
$297.60 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$74.40 |
$74.40 |
$78.60 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$252.00 |
$252.00 |
$280.80 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$274.80 |
$274.80 |
$306.00 |
$94.25
|
|
Mayo bart bartonella henselae antibody igg
|
$41.40 |
$41.40 |
$46.20 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$366.60 |
$366.60 |
$408.60 |
$335.00
|
|
Mayo blastomyces antibody immunodiffusion
|
$227.40 |
$227.40 |
$238.80 |
$56.40
|
|
Mayo bordetella pertussis antibody igg
|
$204.00 |
$204.00 |
$226.80 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$114.60 |
$114.60 |
$120.60 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$224.40 |
$224.40 |
$235.80 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$206.40 |
$206.40 |
$230.40 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$211.80 |
$211.80 |
$222.60 |
$81.83
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$306.60 |
$306.60 |
$342.00 |
$112.00
|
|
Mayo ceruloplasmin
|
$139.80 |
$139.80 |
$147.00 |
$69.55
|
|
Mayo chemiluminescent parathyroid related peptide
|
$462.00 |
$462.00 |
$485.40 |
$121.60
|
|
Mayo chikv chikungunya antibodies igg
|
$198.60 |
$198.60 |
$208.80 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$109.20 |
$109.20 |
$121.80 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$69.60 |
$69.60 |
$78.00 |
$50.88
|
