|
Liver Function Test
|
$68.56 |
$68.56 |
$68.56 |
$115.44
|
|
Liver imaging
|
$417.60 |
$417.60 |
$417.60 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$446.40 |
$446.40 |
$446.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,048.74 |
$1,048.74 |
$1,048.74 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,197.98 |
$1,197.98 |
$1,197.98 |
$1,069.20
|
|
Lmtd oph exam general anes
|
$155.20 |
$155.20 |
$155.20 |
$2,760.73
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.44 |
$0.44 |
$0.44 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$73.52 |
$73.52 |
$73.52 |
$37.20
|
|
Loudness balance test
|
$93.60 |
$93.60 |
$93.60 |
$344.68
|
|
Low back disk surgery
|
$4,667.20 |
$4,667.20 |
$4,667.20 |
$8,412.89
|
|
Low cost skin substitute app
|
$1,103.34 |
$1,103.34 |
$1,103.34 |
$933.60
|
|
Low cost skin substitute app
|
$1,103.34 |
$1,103.34 |
$1,103.34 |
$1,018.50
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$260.80 |
$260.80 |
$260.80 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,920.60 |
$2,920.60 |
$2,920.60 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,714.26 |
$2,714.26 |
$2,714.26 |
$1,828.00
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,398.52 |
$2,398.52 |
$2,398.52 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,477.34 |
$4,477.34 |
$4,477.34 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,888.77 |
$3,888.77 |
$3,888.77 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,921.37 |
$2,921.37 |
$2,921.37 |
$2,080.20
|
|
Lower Back (Lumbar Spine) X-ray
|
$328.23 |
$328.23 |
$328.23 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$352.70 |
$352.70 |
$352.70 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$135.20 |
$135.20 |
$135.20 |
$540.60
|
|
Lower jaw bone graft
|
$10,059.20 |
$10,059.20 |
$10,059.20 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$241.04 |
$241.04 |
$241.04 |
$339.90
|
|
Low frequency non-thermal Ultrasound
|
$728.00 |
$728.00 |
$728.00 |
$364.77
|
|
Lsh uterus 250 g or less
|
$1,818.40 |
$1,818.40 |
$1,818.40 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$2,068.80 |
$2,068.80 |
$2,068.80 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$2,262.40 |
$2,262.40 |
$2,262.40 |
$11,533.76
|
|
Lso flex no ri stays pre ots
|
$164.80 |
$164.80 |
$164.80 |
$164.80
|
|
L/s ratio fetal lung
|
$55.20 |
$55.20 |
$55.20 |
$173.91
|
|
Lumbar diskogram s&i
|
$318.40 |
$318.40 |
$318.40 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$3,842.40 |
$3,842.40 |
$3,842.40 |
$14,331.20
|
|
Lumizyme injection
|
$216.00 |
$216.00 |
$216.00 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$223.93 |
$223.93 |
$223.93 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$48.00 |
$48.00 |
$48.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$203.75 |
$203.75 |
$203.75 |
$298.50
|
|
Lung perfusion imaging
|
$916.51 |
$916.51 |
$916.51 |
$1,072.46
|
|
Lw ntsty Ultrasound stimj bone healg
|
$132.00 |
$132.00 |
$132.00 |
$114.40
|
|
Lyme dis dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
$27.67
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$1,748.00 |
$1,748.00 |
$1,748.00 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$1,266.18 |
$1,266.18 |
$1,266.18 |
$1,491.70
|
|
Lymphocyte culture mixed
|
$92.00 |
$92.00 |
$92.00 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$123.20 |
$123.20 |
$123.20 |
$271.88
|
|
Lymphocytotoxicity assay
|
$379.20 |
$379.20 |
$379.20 |
$370.20
|
|
Lymphocytotoxicity assay
|
$120.00 |
$120.00 |
$120.00 |
$96.00
|
|
Lymph vessel x-ray arm/leg
|
$919.20 |
$919.20 |
$919.20 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$4,700.00 |
$4,700.00 |
$4,700.00 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$4,714.40 |
$4,714.40 |
$4,714.40 |
$3,451.60
|
|
Lysis intranasal synechia 30560
|
$714.40 |
$714.40 |
$714.40 |
$820.50
|
|
Lysis of labial adhesions
|
$408.00 |
$408.00 |
$408.00 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$641.60 |
$641.60 |
$641.60 |
$3,503.00
|
|
Macro exam dissect molec study ea
|
$77.60 |
$77.60 |
$77.60 |
$67.08
|
|
Macroscopic exam arthropod
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Macroscopic exam parasite
|
$38.58 |
$38.58 |
$38.58 |
$36.55
|
|
Magnesium
|
$33.57 |
$33.57 |
$33.57 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$42.44 |
$42.44 |
$42.44 |
$58.70
|
|
Magnetic image bone marrow
|
$880.80 |
$880.80 |
$880.80 |
$1,329.39
|
|
Makena, 10 mg
|
$35.20 |
$35.20 |
$35.20 |
$1,405.80
|
|
Malaria antibody
|
$48.57 |
$48.57 |
$48.57 |
$94.80
|
|
Male sling procedure
|
$1,900.80 |
$1,900.80 |
$1,900.80 |
$8,465.18
|
|
Management of liver hemorrhage 47361
|
$7,440.00 |
$7,440.00 |
$7,440.00 |
$7,440.00
|
|
Manipulate finger w/anesth
|
$1,675.20 |
$1,675.20 |
$1,675.20 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$2,084.80 |
$2,084.80 |
$2,084.80 |
$2,341.00
|
|
Manipulation of hip joint
|
$449.60 |
$449.60 |
$449.60 |
$2,211.05
|
|
Manipulation of spine
|
$320.80 |
$320.80 |
$320.80 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$521.60 |
$521.60 |
$521.60 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$4.80 |
$4.80 |
$4.80 |
$26.29
|
|
Man's shoe oxford brace
|
$188.80 |
$188.80 |
$188.80 |
$175.11
|
|
Manual diff wbc count b-coat
|
$11.20 |
$11.20 |
$11.20 |
$25.74
|
|
Mapping functional cort/subcort ea add'l hr
|
$584.80 |
$584.80 |
$584.80 |
$584.80
|
|
Mapping io sentinel lymph node
|
$676.80 |
$676.80 |
$676.80 |
$650.00
|
|
Map tachycard site(s)
|
$1,076.80 |
$1,076.80 |
$1,076.80 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$209.60 |
$209.60 |
$209.60 |
$1,433.25
|
|
Marsupialization liver lesion 47300
|
$2,771.20 |
$2,771.20 |
$2,771.20 |
$2,771.20
|
|
Mastectomy partial
|
$3,208.00 |
$3,208.00 |
$3,208.00 |
$4,627.00
|
|
Mast mod rad
|
$5,886.40 |
$5,886.40 |
$5,886.40 |
$7,218.34
|
|
Mastoidectomy
|
$3,524.80 |
$3,524.80 |
$3,524.80 |
$6,406.40
|
|
Mastoidectomy complete 69502
|
$4,686.40 |
$4,686.40 |
$4,686.40 |
$6,969.40
|
|
Mastoids complete
|
$421.94 |
$421.94 |
$421.94 |
$299.50
|
|
Mastoid surgery revision
|
$6,180.80 |
$6,180.80 |
$6,180.80 |
$7,000.36
|
|
Mastopexy
|
$3,820.80 |
$3,820.80 |
$3,820.80 |
$6,679.75
|
|
Mast radical
|
$5,561.60 |
$5,561.60 |
$5,561.60 |
$1,720.80
|
|
Mast rad urban type
|
$5,900.80 |
$5,900.80 |
$5,900.80 |
$2,731.08
|
|
Mast simple complete
|
$4,684.80 |
$4,684.80 |
$4,684.80 |
$6,839.00
|
|
M.avium-intra dna amp prob
|
$88.80 |
$88.80 |
$88.80 |
$141.00
|
|
M.avium-intra dna dir prob
|
$58.40 |
$58.40 |
$58.40 |
$58.40
|
|
M.avium-intra dna quant
|
$108.00 |
$108.00 |
$108.00 |
$59.12
|
|
Maxillofacial fixation
|
$2,070.40 |
$2,070.40 |
$2,070.40 |
$6,553.49
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$64.28 |
$64.28 |
$64.28 |
$65.28
|
|
Mayo aathr protein s free
|
$39.20 |
$39.20 |
$39.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$39.20 |
$39.20 |
$39.20 |
$97.20
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$77.60 |
$77.60 |
$77.60 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$72.14 |
$72.14 |
$72.14 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$126.43 |
$126.43 |
$126.43 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$64.28 |
$64.28 |
$64.28 |
$66.79
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$72.14 |
$72.14 |
$72.14 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$64.28 |
$64.28 |
$64.28 |
$88.55
|
