|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$286.04 |
$286.04 |
$286.04 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$125.84 |
$125.84 |
$125.84 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$125.84 |
$125.84 |
$125.84 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$125.84 |
$125.84 |
$125.84 |
$535.91
|
|
Lower jaw bone graft
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$104.19 |
$104.19 |
$104.19 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$235.13 |
$235.13 |
$235.13 |
$364.77
|
|
Lsh uterus 250 g or less
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,533.76
|
|
L/s ratio fetal lung
|
$21.99 |
$21.99 |
$21.99 |
$173.91
|
|
Lumbar diskogram s&i
|
$2,310.83 |
$2,310.83 |
$2,310.83 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$21,762.05 |
$21,762.05 |
$21,762.05 |
$14,331.20
|
|
Lumizyme injection
|
$201.97 |
$201.97 |
$201.97 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$381.24 |
$381.24 |
$381.24 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$70.29 |
$70.29 |
$70.29 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$220.60 |
$220.60 |
$220.60 |
$296.91
|
|
Lung perfusion imaging
|
$475.51 |
$475.51 |
$475.51 |
$1,067.57
|
|
Lurbinectedin 4 mg intravenous solution
|
$203.60 |
$203.60 |
$203.60 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$40.62 |
$40.62 |
$40.62 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$296.25 |
$296.25 |
$296.25 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$241.24 |
$241.24 |
$241.24 |
$357.85
|
|
Lw ntsty Ultrasound stimj bone healg
|
$29.55 |
$29.55 |
$29.55 |
$114.40
|
|
Lyme dis dna dir probe
|
$20.05 |
$20.05 |
$20.05 |
$27.67
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$8,350.42 |
$8,350.42 |
$8,350.42 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$636.97 |
$636.97 |
$636.97 |
$1,487.90
|
|
Lymphocyte culture mixed
|
$36.56 |
$36.56 |
$36.56 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$49.03 |
$49.03 |
$49.03 |
$271.88
|
|
Lymphocytotoxicity assay
|
$189.51 |
$189.51 |
$189.51 |
$370.20
|
|
Lymphocytotoxicity assay
|
$47.59 |
$47.59 |
$47.59 |
$96.00
|
|
Lymph vessel x-ray arm/leg
|
$731.62 |
$731.62 |
$731.62 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$1,838.28 |
$1,838.28 |
$1,838.28 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$3,724.63 |
$3,724.63 |
$3,724.63 |
$3,483.84
|
|
Lysis intranasal synechia 30560
|
$602.63 |
$602.63 |
$602.63 |
$820.50
|
|
Lysis of labial adhesions
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$2,424.12 |
$2,424.12 |
$2,424.12 |
$3,503.00
|
|
Macroscopic exam arthropod
|
$4.27 |
$4.27 |
$4.27 |
$38.58
|
|
Macroscopic exam parasite
|
$4.31 |
$4.31 |
$4.31 |
$37.05
|
|
Magnesium
|
$6.70 |
$6.70 |
$6.70 |
$73.00
|
|
Magnetic image bone marrow
|
$286.04 |
$286.04 |
$286.04 |
$1,329.39
|
|
Makena, 10 mg
|
$14.46 |
$14.46 |
$14.46 |
$1,405.80
|
|
Malaria antibody
|
$13.19 |
$13.19 |
$13.19 |
$94.80
|
|
Male sling procedure
|
$15,374.71 |
$15,374.71 |
$15,374.71 |
$8,465.18
|
|
Manipulate finger w/anesth
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,341.00
|
|
Manipulation of hip joint
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,211.05
|
|
Manipulation of spine
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$283.86 |
$283.86 |
$283.86 |
$521.60
|
|
Manual diff wbc count b-coat
|
$5.07 |
$5.07 |
$5.07 |
$25.74
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$48.21 |
$48.21 |
$48.21 |
$5,930.92
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,137.96 |
$1,137.96 |
$1,137.96 |
$1,941.63
|
|
Mastectomy partial
|
$4,531.42 |
$4,531.42 |
$4,531.42 |
$4,627.00
|
|
Mast mod rad
|
$7,717.23 |
$7,717.23 |
$7,717.23 |
$7,218.34
|
|
Mastoidectomy
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,406.40
|
|
Mastoidectomy complete 69502
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,969.40
|
|
Mastoids complete
|
$125.84 |
$125.84 |
$125.84 |
$299.50
|
|
Mastoid surgery revision
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$7,000.36
|
|
Mastopexy
|
$7,717.23 |
$7,717.23 |
$7,717.23 |
$6,679.75
|
|
Mast simple complete
|
$7,717.23 |
$7,717.23 |
$7,717.23 |
$6,839.00
|
|
Matrion 1 sq cm
|
$127.14 |
$127.14 |
$127.14 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$127.14 |
$127.14 |
$127.14 |
$4,472.40
|
|
M.avium-intra dna amp prob
|
$35.09 |
$35.09 |
$35.09 |
$141.00
|
|
M.avium-intra dna dir prob
|
$27.29 |
$27.29 |
$27.29 |
$58.40
|
|
M.avium-intra dna quant
|
$42.84 |
$42.84 |
$42.84 |
$59.12
|
|
Maxillofacial fixation
|
$7,000.36 |
$7,000.36 |
$7,000.36 |
$6,553.49
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$14.46 |
$14.46 |
$14.46 |
$65.30
|
|
Mayo aathr protein s free
|
$15.32 |
$15.32 |
$15.32 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$15.32 |
$15.32 |
$15.32 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$38.57 |
$38.57 |
$38.57 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$14.78 |
$14.78 |
$14.78 |
$66.79
|
|
Mayo alpha 1 antitrypsin
|
$13.44 |
$13.44 |
$13.44 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$15.08 |
$15.08 |
$15.08 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$121.63 |
$121.63 |
$121.63 |
$475.92
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$91.66 |
$91.66 |
$91.66 |
$374.40
|
|
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 |
$1,860.00
|
|
Mayo androstenedione
|
$29.28 |
$29.28 |
$29.28 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$14.60 |
$14.60 |
$14.60 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$10.81 |
$10.81 |
$10.81 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$15.05 |
$15.05 |
$15.05 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$30.86 |
$30.86 |
$30.86 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$35.09 |
$35.09 |
$35.09 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$10.18 |
$10.18 |
$10.18 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$144.84 |
$144.84 |
$144.84 |
$335.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$214.62 |
$214.62 |
$214.62 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$12.90 |
$12.90 |
$12.90 |
$56.40
|
|
Mayo bordetella pertussis antibody igg
|
$13.19 |
$13.19 |
$13.19 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$8.93 |
$8.93 |
$8.93 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$13.60 |
$13.60 |
$13.60 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$16.87 |
$16.87 |
$16.87 |
$81.83
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$26.78 |
$26.78 |
$26.78 |
$112.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$122.22 |
$122.22 |
$122.22 |
$283.70
|
|
Mayo ceruloplasmin
|
$10.74 |
$10.74 |
$10.74 |
$69.55
|
|
Mayo chemiluminescent parathyroid related peptide
|
$14.12 |
$14.12 |
$14.12 |
$121.60
|
|
Mayo chikv chikungunya antibodies igg
|
$12.88 |
$12.88 |
$12.88 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$11.82 |
$11.82 |
$11.82 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$12.68 |
$12.68 |
$12.68 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$116.49 |
$116.49 |
$116.49 |
$365.54
|
