|
Levetiracetam therapeutic drug level
|
$14.58 |
$14.58 |
$14.58 |
$71.40
|
|
L hrt cath chd nm/abn nt cnj
|
$1,480.96 |
$1,480.96 |
$1,480.96 |
$6,242.85
|
|
Lidocaine therapeutic drug level
|
$16.16 |
$16.16 |
$16.16 |
$83.85
|
|
Ligate leg veins open
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,486.86
|
|
Ligate leg veins radical 37760
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligate/strip long leg vein
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,762.53
|
|
Ligation/biopsy of temporal artery 37609
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,968.00
|
|
Ligation/divis of long saph vein 37700
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligation external carotid artery 37600
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,467.79
|
|
Ligation internal/common carotid artery 37605
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,564.80
|
|
Ligation major artery neck
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligation nasal sinus artery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligation of femoral vein
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligation of inf vena cava
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,872.94
|
|
Ligation of neck artery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Ligation of salivary duct
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,837.72
|
|
Ligation upper jaw artery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,486.86
|
|
Ligation vericose vein cluster(s) 1 leg
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,486.86
|
|
Lig/band angioaccess av fistula
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,240.23
|
|
Lig&div&compl strpg saph vn
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,724.63
|
|
Lipase
|
$7.58 |
$7.58 |
$7.58 |
$83.20
|
|
Lip exc/transverse wedge/w closure 40510
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,780.73
|
|
Lipoprotein blood high res frac & quant
|
$37.25 |
$37.25 |
$37.25 |
$89.52
|
|
Lipoprotein blood quant
|
$37.61 |
$37.61 |
$37.61 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$9.01 |
$9.01 |
$9.01 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$11.55 |
$11.55 |
$11.55 |
$60.00
|
|
Lipoprtn dir meas sd ldl chl
|
$37.61 |
$37.61 |
$37.61 |
$37.61
|
|
Lip surgery procedure
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$325.68
|
|
Listeria monocytogenes
|
$14.51 |
$14.51 |
$14.51 |
$95.40
|
|
Lithium therapeutic drug level
|
$7.27 |
$7.27 |
$7.27 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$127.14 |
$127.14 |
$127.14 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$193.81 |
$193.81 |
$193.81 |
$365.28
|
|
Liver Function Test
|
$8.99 |
$8.99 |
$8.99 |
$110.50
|
|
Liver imaging
|
$422.74 |
$422.74 |
$422.74 |
$1,241.25
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,839.54
|
|
Low back disk surgery
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$7,907.11
|
|
Low cost skin substitute app
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
$1,030.00
|
|
Low cost skin substitute app
|
$904.81 |
$904.81 |
$904.81 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,523.34 |
$1,523.34 |
$1,523.34 |
$1,132.56
|
|
Low cost skin substitute app
|
$1,009.49 |
$1,009.49 |
$1,009.49 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$592.89 |
$592.89 |
$592.89 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$514.49 |
$514.49 |
$514.49 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$506.01 |
$506.01 |
$506.01 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,029.62 |
$1,029.62 |
$1,029.62 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$711.13 |
$711.13 |
$711.13 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$604.76 |
$604.76 |
$604.76 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$112.94 |
$112.94 |
$112.94 |
$344.00
|
|
Lower jaw bone graft
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,839.00
|
|
Low frequency non-thermal Ultrasound
|
$148.96 |
$148.96 |
$148.96 |
$275.88
|
|
Lsh uterus 250 g or less
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,839.00
|
|
Lsh uterus above 250 g
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,839.00
|
|
Lsh w/t/o ut 250 g or less
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,839.00
|
|
L/s ratio fetal lung
|
$24.19 |
$24.19 |
$24.19 |
$168.00
|
|
Lumbar Spinal Fusion (single level)
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,311.00
|
|
Lung function test (mbc/mvv)
|
$55.72 |
$55.72 |
$55.72 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$187.95 |
$187.95 |
$187.95 |
$298.50
|
|
Lung perfusion imaging
|
$402.61 |
$402.61 |
$402.61 |
$1,100.39
|
|
Lutetium lu 177 dotatat ther
|
$145.15 |
$145.15 |
$145.15 |
$365.20
|
|
Lutetium lu 177 vipivotide
|
$115.06 |
$115.06 |
$115.06 |
$332.80
|
|
Lvad shower bag heartmate
|
$127.14 |
$127.14 |
$127.14 |
$972.60
|
|
Lw ntsty Ultrasound stimj bone healg
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$39.77
|
|
Lymphatics/lymph node imaging
|
$443.50 |
$443.50 |
$443.50 |
$1,543.75
|
|
Lymphocyte culture mixed
|
$40.22 |
$40.22 |
$40.22 |
$50.45
|
|
Lymphocyte transformation mitogen
|
$53.93 |
$53.93 |
$53.93 |
$266.20
|
|
Lymphocytotoxicity assay
|
$208.46 |
$208.46 |
$208.46 |
$370.20
|
|
Lysis intranasal synechia 30560
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$714.40
|
|
Lysis of labial adhesions
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$3,762.53
|
|
Lysis penil circumic lesion
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,173.43
|
|
Macro exam dissect molec study ea
|
$24.58 |
$24.58 |
$24.58 |
$75.00
|
|
Macroscopic exam arthropod
|
$4.70 |
$4.70 |
$4.70 |
$38.58
|
|
Macroscopic exam parasite
|
$4.74 |
$4.74 |
$4.74 |
$38.50
|
|
Magnesium
|
$7.37 |
$7.37 |
$7.37 |
$71.50
|
|
Malaria antibody
|
$14.51 |
$14.51 |
$14.51 |
$38.80
|
|
Male sling procedure
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$8,465.18
|
|
Manipulate finger w/anesth
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,893.86
|
|
Manipulate wrist w/anesthes
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$65.47 |
$65.47 |
$65.47 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$59.33 |
$59.33 |
$59.33 |
$178.75
|
|
Manipulation of hip joint
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,893.86
|
|
Manipulation of spine
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$1,893.86
|
|
Manipulat palm cord post inj
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$521.60
|
|
Manual diff wbc count b-coat
|
$5.58 |
$5.58 |
$5.58 |
$22.75
|
|
Map tachycard site(s)
|
$1,814.71 |
$1,814.71 |
$1,814.71 |
$3,960.00
|
|
Mastectomy partial
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$4,509.59
|
|
Mast mod rad
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,886.40
|
|
Mastoidectomy
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,260.10
|
|
Mastoidectomy complete 69502
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,465.11
|
|
Mastoid surgery revision
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$6,553.49
|
|
Mastopexy
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,774.26
|
|
Mast simple complete
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,419.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$426.50 |
$426.50 |
$426.50 |
$6,321.00
|
|
M.avium-intra dna amp prob
|
$38.60 |
$38.60 |
$38.60 |
$113.31
|
|
M.avium-intra dna dir prob
|
$30.02 |
$30.02 |
$30.02 |
$58.25
|
|
Maxillofacial fixation
|
$6,839.00 |
$6,839.00 |
$6,839.00 |
$5,419.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$15.91 |
$15.91 |
$15.91 |
$66.50
|
|
Mayo aathr protein s free
|
$16.85 |
$16.85 |
$16.85 |
$130.00
|