|
Laryngoscopy w/fb removal
|
$1,778.70 |
$1,778.70 |
$1,778.70 |
$3,390.75
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$1,242.45 |
$1,242.45 |
$1,242.45 |
$660.10
|
|
Lead acuity x4 spiral l 86cm
|
$1,992.77 |
$1,992.77 |
$1,992.77 |
$5,831.00
|
|
Lead capillary
|
$92.40 |
$92.40 |
$92.40 |
$62.40
|
|
Lead ingevity 45cm pfret MRI
|
$329.02 |
$329.02 |
$329.02 |
$3,842.56
|
|
Lead tachy durata sj4 58cm
|
$1,999.26 |
$1,999.26 |
$1,999.26 |
$6,551.30
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,779.80 |
$1,779.80 |
$1,779.80 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$386.04 |
$386.04 |
$386.04 |
$1,690.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$155.63 |
$155.63 |
$155.63 |
$1,546.87
|
|
Levetiracetam therapeutic drug level
|
$67.65 |
$67.65 |
$67.65 |
$71.40
|
|
Liberta rc ipg
|
$15,441.89 |
$15,441.89 |
$15,441.89 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$87.45 |
$87.45 |
$87.45 |
$83.85
|
|
Ligate/transect fallopian tubes 58600
|
$5,760.15 |
$5,760.15 |
$5,760.15 |
$3,762.53
|
|
Ligation/major artery/extremity 37618
|
$807.40 |
$807.40 |
$807.40 |
$1,567.80
|
|
Ligation of inf vena cava
|
$4,433.55 |
$4,433.55 |
$4,433.55 |
$5,872.94
|
|
Lig/band angioaccess av fistula
|
$2,635.60 |
$2,635.60 |
$2,635.60 |
$4,240.23
|
|
Lipase
|
$68.20 |
$68.20 |
$68.20 |
$83.20
|
|
Lip exc/transverse wedge/w closure 40510
|
$3,773.00 |
$3,773.00 |
$3,773.00 |
$3,780.73
|
|
Lipoprotein blood high res frac & quant
|
$64.35 |
$64.35 |
$64.35 |
$89.52
|
|
Lipoprotein blood quant
|
$157.85 |
$157.85 |
$157.85 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$24.20 |
$24.20 |
$24.20 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$33.00 |
$33.00 |
$33.00 |
$60.00
|
|
Lip surgery procedure
|
$293.15 |
$293.15 |
$293.15 |
$325.68
|
|
Lithium therapeutic drug level
|
$146.30 |
$146.30 |
$146.30 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$7,667.55 |
$7,667.55 |
$7,667.55 |
$4,371.12
|
|
Liver Function Test
|
$78.65 |
$78.65 |
$78.65 |
$110.50
|
|
Liver imag w/vasclr flow
|
$1,227.60 |
$1,227.60 |
$1,227.60 |
$1,255.15
|
|
Liver/spleen imag static only
|
$774.40 |
$774.40 |
$774.40 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$892.65 |
$892.65 |
$892.65 |
$949.00
|
|
Low cost skin substitute app
|
$1,285.35 |
$1,285.35 |
$1,285.35 |
$862.55
|
|
Low cost skin substitute app
|
$3,469.40 |
$3,469.40 |
$3,469.40 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,392.05 |
$1,392.05 |
$1,392.05 |
$933.40
|
|
Low cost skin substitute app
|
$1,036.75 |
$1,036.75 |
$1,036.75 |
$868.70
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,222.65 |
$1,222.65 |
$1,222.65 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,018.60 |
$1,018.60 |
$1,018.60 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$815.10 |
$815.10 |
$815.10 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,474.45 |
$2,474.45 |
$2,474.45 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,670.35 |
$1,670.35 |
$1,670.35 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,613.15 |
$1,613.15 |
$1,613.15 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$276.10 |
$276.10 |
$276.10 |
$344.00
|
|
L/s ratio fetal lung
|
$227.70 |
$227.70 |
$227.70 |
$168.00
|
|
Lumbar diskogram s&i
|
$3,406.70 |
$3,406.70 |
$3,406.70 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$262.35 |
$262.35 |
$262.35 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$295.35 |
$295.35 |
$295.35 |
$298.50
|
|
Lung perfusion imaging
|
$591.25 |
$591.25 |
$591.25 |
$1,100.39
|
|
Lymphatics/lymph node imaging
|
$821.70 |
$821.70 |
$821.70 |
$1,543.75
|
|
Lymphocyte transformation mitogen
|
$266.20 |
$266.20 |
$266.20 |
$266.20
|
|
Lymph vessel x-ray arm/leg
|
$602.80 |
$602.80 |
$602.80 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$1,205.60 |
$1,205.60 |
$1,205.60 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$1,800.15 |
$1,800.15 |
$1,800.15 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$3,600.30 |
$3,600.30 |
$3,600.30 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$84.70 |
$84.70 |
$84.70 |
$38.58
|
|
Macroscopic exam parasite
|
$74.25 |
$74.25 |
$74.25 |
$38.50
|
|
Magnesium
|
$51.70 |
$51.70 |
$51.70 |
$71.50
|
|
Magnetic image bone marrow
|
$1,152.80 |
$1,152.80 |
$1,152.80 |
$1,152.80
|
|
Mammosite ced
|
$230.59 |
$230.59 |
$230.59 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$123.75 |
$123.75 |
$123.75 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$233.20 |
$233.20 |
$233.20 |
$178.75
|
|
Map tachycard site(s)
|
$2,735.70 |
$2,735.70 |
$2,735.70 |
$3,960.00
|
|
Marker biop eviva buckle ss
|
$723.69 |
$723.69 |
$723.69 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$658.22 |
$658.22 |
$658.22 |
$1,753.29
|
|
Mastoids complete
|
$374.00 |
$374.00 |
$374.00 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$150.70 |
$150.70 |
$150.70 |
$66.50
|
|
Mayo aathr protein s free
|
$137.50 |
$137.50 |
$137.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$159.50 |
$159.50 |
$159.50 |
$98.70
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$275.00 |
$275.00 |
$275.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$110.00 |
$110.00 |
$110.00 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$44.00 |
$44.00 |
$44.00 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$45.65 |
$45.65 |
$45.65 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$151.25 |
$151.25 |
$151.25 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$66.00 |
$66.00 |
$66.00 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$59.40 |
$59.40 |
$59.40 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$33.00 |
$33.00 |
$33.00 |
$92.30
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$119.35 |
$119.35 |
$119.35 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$903.10 |
$903.10 |
$903.10 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$636.35 |
$636.35 |
$636.35 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$322.30 |
$322.30 |
$322.30 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$4,158.00 |
$4,158.00 |
$4,158.00 |
$1,909.44
|
|
Mayo androstenedione
|
$77.00 |
$77.00 |
$77.00 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$62.15 |
$62.15 |
$62.15 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$37.95 |
$37.95 |
$37.95 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$54.45 |
$54.45 |
$54.45 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$146.85 |
$146.85 |
$146.85 |
$157.95
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$103.40 |
$103.40 |
$103.40 |
$105.00
|
|
Mayo barbiturates definitive assay confirmation urine
|
$101.20 |
$101.20 |
$101.20 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$20.90 |
$20.90 |
$20.90 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$312.40 |
$312.40 |
$312.40 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$45.65 |
$45.65 |
$45.65 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$160.60 |
$160.60 |
$160.60 |
$66.00
|
|
Mayo bordetella pertussis antibody igg
|
$36.30 |
$36.30 |
$36.30 |
$59.15
|
|
Mayo brcmg brucella antibody igm
|
$37.40 |
$37.40 |
$37.40 |
$48.57
|
|
Mayo c1 esterase inhibitor
|
$168.30 |
$168.30 |
$168.30 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$106.70 |
$106.70 |
$106.70 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$73.15 |
$73.15 |
$73.15 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$187.55 |
$187.55 |
$187.55 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$332.75 |
$332.75 |
$332.75 |
$274.40
|
|
Mayo ceruloplasmin
|
$43.45 |
$43.45 |
$43.45 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$215.60 |
$215.60 |
$215.60 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$68.75 |
$68.75 |
$68.75 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$44.55 |
$44.55 |
$44.55 |
$54.40
|