|
Knee Arthroscopy (Meniscus Repair)
|
$5,933.74 |
$5,933.74 |
$5,933.74 |
$3,705.22
|
|
Knee arthroscopy/surgery
|
$6,515.18 |
$6,515.18 |
$6,515.18 |
$3,591.33
|
|
Knee arthroscopy/surgery
|
$6,545.12 |
$6,545.12 |
$6,545.12 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$5,912.85 |
$5,912.85 |
$5,912.85 |
$3,594.44
|
|
Knee MRI (with and without contrast)
|
$2,486.90 |
$2,486.90 |
$2,486.90 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$2,267.20 |
$2,267.20 |
$2,267.20 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$2,304.90 |
$2,304.90 |
$2,304.90 |
$2,120.00
|
|
Knee X-ray
|
$583.70 |
$583.70 |
$583.70 |
$387.20
|
|
Kras gene addl variants
|
$343.20 |
$343.20 |
$343.20 |
$366.56
|
|
Kras gene variants exon 2
|
$564.20 |
$564.20 |
$564.20 |
$495.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$43.55 |
$43.55 |
$43.55 |
$102.70
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$16.90 |
$16.90 |
$16.90 |
$13.00
|
|
Lactate dehydrogenase (ldh)
|
$63.70 |
$63.70 |
$63.70 |
$50.55
|
|
Lactated ringers intravenous solution
|
$23.40 |
$23.40 |
$23.40 |
$46.35
|
|
Lactic acid
|
$178.10 |
$178.10 |
$178.10 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$90.35 |
$90.35 |
$90.35 |
$88.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$20,497.41 |
$20,497.41 |
$20,497.41 |
$21,470.76
|
|
Laparo cholecystectomy/graph
|
$11,752.13 |
$11,752.13 |
$11,752.13 |
$6,870.89
|
|
Laparo proc abdm/per/oment 49329
|
$232.05 |
$232.05 |
$232.05 |
$6,622.75
|
|
Laparoscopy aspiration
|
$921.70 |
$921.70 |
$921.70 |
$5,922.01
|
|
Laparoscopye procstom 43659
|
$19,396.02 |
$19,396.02 |
$19,396.02 |
$6,870.89
|
|
Laparoscopy excise lesions
|
$6,878.22 |
$6,878.22 |
$6,878.22 |
$5,747.73
|
|
Laparoscopy fundoplasty
|
$27,340.40 |
$27,340.40 |
$27,340.40 |
$11,191.12
|
|
Lap close enterostomy with resect 44227
|
$4,102.15 |
$4,102.15 |
$4,102.15 |
$4,097.60
|
|
Lap enterectomy 44202
|
$2,061.15 |
$2,061.15 |
$2,061.15 |
$3,404.00
|
|
Lap enterolysis
|
$1,927.90 |
$1,927.90 |
$1,927.90 |
$5,868.27
|
|
Lap gastric bypass/roux-en-y
|
$3,747.90 |
$3,747.90 |
$3,747.90 |
$4,255.20
|
|
Lap ing hernia repair init
|
$13,315.15 |
$13,315.15 |
$13,315.15 |
$6,457.82
|
|
Lap ing hernia repair recur
|
$1,409.20 |
$1,409.20 |
$1,409.20 |
$6,376.26
|
|
Lap insert tunnel ip cath
|
$8,670.54 |
$8,670.54 |
$8,670.54 |
$6,457.82
|
|
Lap paraesophag hern repair
|
$13,038.93 |
$13,038.93 |
$13,038.93 |
$8,854.66
|
|
Lap part colectomy w/stoma 44206
|
$3,414.45 |
$3,414.45 |
$3,414.45 |
$4,307.20
|
|
Lap revision perm ip cath
|
$1,161.55 |
$1,161.55 |
$1,161.55 |
$6,376.26
|
|
Lap rmvl gastr adj all parts
|
$1,799.85 |
$1,799.85 |
$1,799.85 |
$4,097.60
|
|
Lead capillary
|
$89.05 |
$89.05 |
$89.05 |
$66.32
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$802.10 |
$802.10 |
$802.10 |
$1,053.00
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,799.93 |
$2,799.93 |
$2,799.93 |
$5,001.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$17.37 |
$17.37 |
$17.37 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$141.70 |
$141.70 |
$141.70 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$25.77 |
$25.77 |
$25.77 |
$43.61
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$38.02 |
$38.02 |
$38.02 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$103.35 |
$103.35 |
$103.35 |
$82.50
|
|
Ligation/biopsy of temporal artery 37609
|
$698.75 |
$698.75 |
$698.75 |
$3,679.25
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$139.42 |
$139.42 |
$139.42 |
$84.28
|
|
Lipase
|
$55.25 |
$55.25 |
$55.25 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$83.85 |
$83.85 |
$83.85 |
$90.60
|
|
Lipoprotein blood quant
|
$98.80 |
$98.80 |
$98.80 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$75.40 |
$75.40 |
$75.40 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$33.80 |
$33.80 |
$33.80 |
$61.60
|
|
Lithium therapeutic drug level
|
$67.60 |
$67.60 |
$67.60 |
$62.40
|
|
Liver Function Test
|
$63.70 |
$63.70 |
$63.70 |
$92.85
|
|
Liver/spleen imag static only
|
$945.10 |
$945.10 |
$945.10 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$949.00 |
$949.00 |
$949.00 |
$727.35
|
|
Locm 100-199mg/ml iodine,1ml
|
$169.21 |
$169.21 |
$169.21 |
$2.57
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.00 |
$13.00 |
$13.00 |
$37.37
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,141.10 |
$2,141.10 |
$2,141.10 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,572.35 |
$1,572.35 |
$1,572.35 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,086.15 |
$1,086.15 |
$1,086.15 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,112.20 |
$3,112.20 |
$3,112.20 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,541.50 |
$2,541.50 |
$2,541.50 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,862.90 |
$1,862.90 |
$1,862.90 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$249.60 |
$249.60 |
$249.60 |
$328.23
|
|
L/s ratio fetal lung
|
$234.65 |
$234.65 |
$234.65 |
$173.55
|
|
Lung function test (mbc/mvv)
|
$98.15 |
$98.15 |
$98.15 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$232.70 |
$232.70 |
$232.70 |
$290.89
|
|
Lung perfusion imaging
|
$1,336.40 |
$1,336.40 |
$1,336.40 |
$919.75
|
|
Lymphatics/lymph node imaging
|
$1,275.95 |
$1,275.95 |
$1,275.95 |
$1,330.00
|
|
Macroscopic exam arthropod
|
$42.90 |
$42.90 |
$42.90 |
$38.50
|
|
Macroscopic exam parasite
|
$43.55 |
$43.55 |
$43.55 |
$35.98
|
|
Magnesium
|
$87.75 |
$87.75 |
$87.75 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$27.04 |
$27.04 |
$27.04 |
$39.81
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$71.50 |
$71.50 |
$71.50 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$101.40 |
$101.40 |
$101.40 |
$147.72
|
|
Mast mod rad
|
$2,364.70 |
$2,364.70 |
$2,364.70 |
$5,886.40
|
|
Mastoids complete
|
$235.30 |
$235.30 |
$235.30 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$101.40 |
$101.40 |
$101.40 |
$76.70
|
|
Mayo aathr protein s free
|
$182.65 |
$182.65 |
$182.65 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$161.20 |
$161.20 |
$161.20 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$200.85 |
$200.85 |
$200.85 |
$172.80
|
|
Mayo alcohol definitive assay volatile screen
|
$116.35 |
$116.35 |
$116.35 |
$118.40
|
|
Mayo alkaline phosphatase isoenzyme
|
$94.25 |
$94.25 |
$94.25 |
$83.85
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$87.75 |
$87.75 |
$87.75 |
$96.10
|
|
Mayo alpha 1 antitrypsin
|
$127.40 |
$127.40 |
$127.40 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$247.00 |
$247.00 |
$247.00 |
$112.89
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$109.20 |
$109.20 |
$109.20 |
$94.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$102.05 |
$102.05 |
$102.05 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$633.75 |
$633.75 |
$633.75 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$312.65 |
$312.65 |
$312.65 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$516.10 |
$516.10 |
$516.10 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,474.85 |
$1,474.85 |
$1,474.85 |
$1,922.13
|
|
Mayo androstenedione
|
$195.65 |
$195.65 |
$195.65 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$141.05 |
$141.05 |
$141.05 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$133.90 |
$133.90 |
$133.90 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$99.45 |
$99.45 |
$99.45 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$161.85 |
$161.85 |
$161.85 |
$159.66
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$185.25 |
$185.25 |
$185.25 |
$147.20
|
|
Mayo barbiturates definitive assay confirmation urine
|
$72.80 |
$72.80 |
$72.80 |
$80.39
|
|
Mayo bart bartonella henselae antibody igg
|
$63.70 |
$63.70 |
$63.70 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$421.85 |
$421.85 |
$421.85 |
$364.90
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$386.75 |
$386.75 |
$386.75 |
$381.55
|