|
Liver ds alys 3 bmrk srm alg
|
$176.19 |
$176.19 |
$176.19 |
$660.00
|
|
Liver elastography 91200
|
$170.99 |
$170.99 |
$170.99 |
$312.00
|
|
Liver Function Test
|
$8.17 |
$8.17 |
$8.17 |
$92.85
|
|
Liver imaging
|
$588.26 |
$588.26 |
$588.26 |
$827.28
|
|
Liver imag w/vasclr flow
|
$588.26 |
$588.26 |
$588.26 |
$913.25
|
|
Liver/spleen imag static only
|
$439.15 |
$439.15 |
$439.15 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$439.15 |
$439.15 |
$439.15 |
$727.35
|
|
Lmtd oph exam general anes
|
$2,549.65 |
$2,549.65 |
$2,549.65 |
$2,549.65
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$216.74 |
$216.74 |
$216.74 |
$104,719.60
|
|
Loudness balance test
|
$340.32 |
$340.32 |
$340.32 |
$169.90
|
|
Low back disk surgery
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$7,907.11
|
|
Low cost skin substitute app
|
$668.98 |
$668.98 |
$668.98 |
$879.60
|
|
Low cost skin substitute app
|
$1,999.13 |
$1,999.13 |
$1,999.13 |
$2,147.57
|
|
Low cost skin substitute app
|
$668.98 |
$668.98 |
$668.98 |
$879.60
|
|
Low cost skin substitute app
|
$668.98 |
$668.98 |
$668.98 |
$1,214.40
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$194.55 |
$194.55 |
$194.55 |
$1,717.95
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$390.30 |
$390.30 |
$390.30 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$116.22 |
$116.22 |
$116.22 |
$1,444.30
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$390.30 |
$390.30 |
$390.30 |
$2,604.00
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$390.30 |
$390.30 |
$390.30 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$264.17 |
$264.17 |
$264.17 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$116.22 |
$116.22 |
$116.22 |
$328.23
|
|
Lower jaw bone graft
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,772.21
|
|
Low frequency non-thermal Ultrasound
|
$217.16 |
$217.16 |
$217.16 |
$275.88
|
|
Lsh uterus 250 g or less
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$9,184.73
|
|
Lsh uterus above 250 g
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,523.76
|
|
Lsh w/t/o ut 250 g or less
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,523.76
|
|
L/s ratio fetal lung
|
$21.99 |
$21.99 |
$21.99 |
$173.55
|
|
Lumbar diskogram s&i
|
$2,134.14 |
$2,134.14 |
$2,134.14 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$20,098.12 |
$20,098.12 |
$20,098.12 |
$6,729.45
|
|
Lumizyme injection
|
$206.62 |
$206.62 |
$206.62 |
$1,048.95
|
|
Lung function test (mbc/mvv)
|
$64.92 |
$64.92 |
$64.92 |
$166.95
|
|
Lung Function Test (Spirometry)
|
$170.99 |
$170.99 |
$170.99 |
$290.89
|
|
Lung perfusion imaging
|
$439.15 |
$439.15 |
$439.15 |
$916.51
|
|
Lurbinectedin 4 mg intravenous solution
|
$206.13 |
$206.13 |
$206.13 |
$298.13
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$41.96 |
$41.96 |
$41.96 |
$68.76
|
|
Lutetium lu 177 dotatat ther
|
$312.69 |
$312.69 |
$312.69 |
$436.15
|
|
Lutetium lu 177 vipivotide
|
$253.18 |
$253.18 |
$253.18 |
$332.80
|
|
Lw ntsty Ultrasound stimj bone healg
|
$26.76 |
$26.76 |
$26.76 |
$39.77
|
|
Lymphatics/lymph node imaging
|
$588.26 |
$588.26 |
$588.26 |
$1,330.00
|
|
Lymphocyte culture mixed
|
$36.56 |
$36.56 |
$36.56 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$49.03 |
$49.03 |
$49.03 |
$235.56
|
|
Lymphocytotoxicity assay
|
$189.51 |
$189.51 |
$189.51 |
$379.20
|
|
Lymph vessel x-ray arm/leg
|
$675.68 |
$675.68 |
$675.68 |
$919.20
|
|
Lymph vessel x-ray arms/legs
|
$1,697.72 |
$1,697.72 |
$1,697.72 |
$2,340.00
|
|
Lymph vessel x-ray trunk
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$2,494.49
|
|
Lymph vessel x-ray trunk
|
$3,439.84 |
$3,439.84 |
$3,439.84 |
$2,489.25
|
|
Lysis intranasal synechia 30560
|
$556.55 |
$556.55 |
$556.55 |
$714.40
|
|
Lysis of labial adhesions
|
$3,474.84 |
$3,474.84 |
$3,474.84 |
$3,522.35
|
|
Lysis penil circumic lesion
|
$2,238.78 |
$2,238.78 |
$2,238.78 |
$2,874.36
|
|
Macroscopic exam arthropod
|
$4.27 |
$4.27 |
$4.27 |
$38.50
|
|
Macroscopic exam parasite
|
$4.31 |
$4.31 |
$4.31 |
$35.98
|
|
Magnesium
|
$6.70 |
$6.70 |
$6.70 |
$68.25
|
|
Magnetic image bone marrow
|
$264.17 |
$264.17 |
$264.17 |
$880.80
|
|
Malaria antibody
|
$13.19 |
$13.19 |
$13.19 |
$48.57
|
|
Male sling procedure
|
$14,199.16 |
$14,199.16 |
$14,199.16 |
$9,674.50
|
|
Manipulate finger w/anesth
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,998.19
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$140.87 |
$140.87 |
$140.87 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$140.87 |
$140.87 |
$140.87 |
$146.22
|
|
Manipulation of hip joint
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,771.43
|
|
Manipulation of spine
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$1,771.43
|
|
Manipulat palm cord post inj
|
$262.16 |
$262.16 |
$262.16 |
$521.60
|
|
Manual diff wbc count b-coat
|
$5.07 |
$5.07 |
$5.07 |
$22.75
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$50.45 |
$50.45 |
$50.45 |
$74.79
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$11,379.91 |
$11,379.91 |
$11,379.91 |
$1,753.29
|
|
Mastectomy partial
|
$4,184.94 |
$4,184.94 |
$4,184.94 |
$4,306.52
|
|
Mast mod rad
|
$7,127.17 |
$7,127.17 |
$7,127.17 |
$5,886.40
|
|
Mastoidectomy
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,260.10
|
|
Mastoidectomy complete 69502
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,547.81
|
|
Mastoids complete
|
$116.22 |
$116.22 |
$116.22 |
$271.95
|
|
Mastoid surgery revision
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$6,553.49
|
|
Mastopexy
|
$7,127.17 |
$7,127.17 |
$7,127.17 |
$5,494.31
|
|
Mast simple complete
|
$7,127.17 |
$7,127.17 |
$7,127.17 |
$5,582.40
|
|
M.avium-intra dna amp prob
|
$35.09 |
$35.09 |
$35.09 |
$113.31
|
|
M.avium-intra dna dir prob
|
$27.29 |
$27.29 |
$27.29 |
$58.40
|
|
Maxillofacial fixation
|
$6,465.11 |
$6,465.11 |
$6,465.11 |
$5,164.84
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$14.46 |
$14.46 |
$14.46 |
$76.70
|
|
Mayo aathr protein s free
|
$15.32 |
$15.32 |
$15.32 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$15.32 |
$15.32 |
$15.32 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$38.57 |
$38.57 |
$38.57 |
$172.80
|
|
Mayo alkaline phosphatase isoenzyme
|
$14.78 |
$14.78 |
$14.78 |
$83.85
|
|
Mayo alpha 1 antitrypsin
|
$13.44 |
$13.44 |
$13.44 |
$91.65
|
|
Mayo amikacin trough therapeutic drug level
|
$15.08 |
$15.08 |
$15.08 |
$112.89
|
|
Mayo analysis gene calr common variants exon 9
|
$121.63 |
$121.63 |
$121.63 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$91.66 |
$91.66 |
$91.66 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$137.00 |
$137.00 |
$137.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,160.00 |
$1,160.00 |
$1,160.00 |
$1,922.13
|
|
Mayo androstenedione
|
$29.28 |
$29.28 |
$29.28 |
$131.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$14.60 |
$14.60 |
$14.60 |
$86.40
|
|
Mayo antithrombin iii antigen
|
$10.81 |
$10.81 |
$10.81 |
$75.00
|
|
Mayo aspergillus fumigatus antibody
|
$15.05 |
$15.05 |
$15.05 |
$72.60
|
|
Mayo avwpr vw factor activity
|
$30.86 |
$30.86 |
$30.86 |
$159.00
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$35.09 |
$35.09 |
$35.09 |
$147.20
|
|
Mayo bart bartonella henselae antibody igg
|
$10.18 |
$10.18 |
$10.18 |
$52.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$144.84 |
$144.84 |
$144.84 |
$366.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$214.62 |
$214.62 |
$214.62 |
$381.55
|
|
Mayo blastomyces antibody immunodiffusion
|
$12.90 |
$12.90 |
$12.90 |
$68.00
|
