|
Levetiracetam 500 mg/5 ml intravenous solution
|
$10.50 |
$10.50 |
$48.54 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$115.80 |
$131.40 |
$131.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$32.52 |
$46.02 |
$49.44 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$385.62 |
$385.62 |
$385.62 |
$385.62
|
|
Liberta rc ipg
|
$81,180.25 |
$81,180.25 |
$81,180.25 |
$36,300.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$24.78 |
$33.42 |
$65.46 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$27.12 |
$32.58 |
$34.98 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$49.80 |
$49.80 |
$49.80 |
$89.70
|
|
Lift heel adj small gl60404sm
|
$174.51 |
$174.51 |
$174.51 |
$148.39
|
|
Lift heel adjustable med
|
$90.22 |
$90.22 |
$90.22 |
$57.90
|
|
Lifts elevation metal extens
|
$1,339.06 |
$1,339.06 |
$1,339.06 |
$959.80
|
|
Ligation/biopsy of temporal artery 37609
|
$12,889.54 |
$12,889.54 |
$14,576.52 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$41,186.86 |
$41,186.86 |
$41,186.86 |
$4,026.79
|
|
Lig/band angioaccess av fistula
|
$12,583.96 |
$12,583.96 |
$12,583.96 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$351.65 |
$351.65 |
$351.65 |
$123.05
|
|
Limited motion knee joint
|
$274.07 |
$274.07 |
$274.07 |
$278.92
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$37.92 |
$37.92 |
$59.22 |
$125.66
|
|
Lipase
|
$68.40 |
$68.40 |
$68.40 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$58.20 |
$72.00 |
$72.00 |
$90.35
|
|
Lipoprotein blood quant
|
$72.00 |
$90.60 |
$90.60 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$66.60 |
$66.60 |
$66.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$84.00 |
$84.00 |
$84.00 |
$61.60
|
|
Lisocabtagene mara car pos t
|
$2,072,266.56 |
$2,072,266.56 |
$2,072,266.56 |
$824,828.65
|
|
Lithium therapeutic drug level
|
$61.80 |
$61.80 |
$61.80 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$444.00 |
$444.00 |
$444.00 |
$340.00
|
|
Liver Function Test
|
$73.80 |
$73.80 |
$73.80 |
$115.44
|
|
Liver imaging
|
$2,319.60 |
$2,319.60 |
$2,319.60 |
$1,093.50
|
|
Liver/spleen imag static only
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,287.60 |
$1,287.60 |
$1,287.60 |
$1,067.48
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$93,813.94 |
$93,813.94 |
$106,926.10 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$5.40 |
$5.40 |
$5.40 |
$45.90
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$6.00 |
$6.00 |
$11.58 |
$37.20
|
|
Lo rig pos pnl l1-l5 pre ots
|
$408.17 |
$408.17 |
$408.17 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$167.74 |
$167.74 |
$167.74 |
$167.74
|
|
Low back disk surgery
|
$25,119.81 |
$34,240.99 |
$50,893.18 |
$7,913.97
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$989.40 |
$989.40 |
$989.40 |
$1,504.05
|
|
Lower Back (Lumbar Spine) X-ray
|
$404.40 |
$404.40 |
$404.40 |
$352.32
|
|
Lower jaw bone graft
|
$110,977.80 |
$110,977.80 |
$110,977.80 |
$7,000.36
|
|
Lsh w/t/o ut 250 g or less
|
$63,394.49 |
$63,394.49 |
$63,394.49 |
$6,839.00
|
|
Lso corset front
|
$249.04 |
$249.04 |
$249.04 |
$172.04
|
|
Lso flex no ri stays pre ots
|
$269.09 |
$269.09 |
$269.09 |
$195.00
|
|
Lso full corset
|
$353.77 |
$353.77 |
$353.77 |
$320.92
|
|
Lso r post pnl sj-t9 pre cst
|
$401.51 |
$401.51 |
$401.51 |
$326.82
|
|
Lso sag-coronal panel custom
|
$3,970.45 |
$3,970.45 |
$3,970.45 |
$2,440.98
|
|
Lso sag-co shell pnl pre ots
|
$3,065.30 |
$3,065.30 |
$3,065.30 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$383.24 |
$383.24 |
$383.24 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$2,364.26 |
$2,364.26 |
$2,364.26 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$3,207.92 |
$3,207.92 |
$3,207.92 |
$3,092.00
|
|
Lso sc r pos/lat pnl pre cst
|
$617.19 |
$617.19 |
$617.19 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$678.49 |
$678.49 |
$678.49 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,252.16 |
$2,252.16 |
$2,252.16 |
$2,252.16
|
|
Lumbar bolster pad
|
$185.27 |
$185.27 |
$185.27 |
$185.27
|
|
Lumbar derotation pad
|
$215.18 |
$215.18 |
$215.18 |
$215.18
|
|
Lumbar diskogram s&i
|
$2,622.60 |
$2,754.00 |
$2,754.00 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$209.78 |
$209.78 |
$209.78 |
$209.78
|
|
Lumbar sling
|
$238.10 |
$238.10 |
$238.10 |
$238.10
|
|
Lumbar Spinal Fusion (single level)
|
$83,448.23 |
$83,448.23 |
$83,448.23 |
$14,331.20
|
|
Lumizyme injection
|
$4,291.32 |
$4,291.32 |
$4,291.32 |
$1,738.40
|
|
Lung perfusion imaging
|
$974.40 |
$974.40 |
$974.40 |
$1,075.25
|
|
Lvad shower bag heartmate
|
$787.27 |
$787.27 |
$787.27 |
$887.68
|
|
Lymphatics/lymph node imaging
|
$674.40 |
$674.40 |
$674.40 |
$1,448.00
|
|
Lymphocyte transformation mitogen
|
$236.40 |
$236.40 |
$236.40 |
$266.20
|
|
Lymphocytotoxicity assay
|
$190.80 |
$237.60 |
$237.60 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$973.80 |
$973.80 |
$973.80 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$2,446.80 |
$2,446.80 |
$2,446.80 |
$2,229.24
|
|
Macroscopic exam arthropod
|
$49.80 |
$49.80 |
$49.80 |
$38.50
|
|
Macroscopic exam parasite
|
$29.40 |
$29.40 |
$29.40 |
$36.40
|
|
Magnesium
|
$64.80 |
$64.80 |
$64.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$41.10 |
$68.04 |
$73.14 |
$58.70
|
|
Male sling procedure
|
$41,693.30 |
$41,693.30 |
$41,693.30 |
$8,465.18
|
|
Mammosite ced
|
$7,938.26 |
$7,938.26 |
$7,938.26 |
$5,152.06
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$87.00 |
$87.00 |
$87.00 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$126.00 |
$126.00 |
$126.00 |
$152.54
|
|
Man's shoe oxford brace
|
$174.64 |
$174.64 |
$174.64 |
$175.11
|
|
Mapping io sentinel lymph node
|
$28,207.31 |
$39,295.16 |
$115,208.54 |
$650.00
|
|
Marker biop eviva buckle ss
|
$14,826.85 |
$14,826.85 |
$14,826.85 |
$1,152.48
|
|
Mastectomy partial
|
$28,207.31 |
$44,659.00 |
$52,138.54 |
$4,531.42
|
|
Mast mod rad
|
$41,020.80 |
$41,020.80 |
$53,271.82 |
$7,127.17
|
|
Mastoidectomy complete 69502
|
$25,322.73 |
$25,322.73 |
$25,322.73 |
$6,969.40
|
|
Mastoids complete
|
$294.60 |
$441.00 |
$441.00 |
$299.50
|
|
Mastopexy
|
$38,317.23 |
$38,317.23 |
$38,317.23 |
$6,311.00
|
|
Mast simple complete
|
$42,558.73 |
$43,570.85 |
$111,024.55 |
$6,052.48
|
|
Matrion 1 sq cm
|
$20,298.34 |
$20,298.34 |
$20,298.34 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$85,260.91 |
$85,260.91 |
$85,260.91 |
$5,065.63
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$30.60 |
$30.60 |
$30.60 |
$66.36
|
|
Mayo aathr protein s free
|
$150.60 |
$150.60 |
$150.60 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$151.80 |
$151.80 |
$151.80 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$357.60 |
$357.60 |
$357.60 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$62.40 |
$62.40 |
$62.40 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$126.00 |
$126.00 |
$126.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$196.20 |
$196.20 |
$196.20 |
$82.80
|
|
Mayo analysis gene calr common variants exon 9
|
$379.20 |
$379.20 |
$379.20 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$209.40 |
$209.40 |
$209.40 |
$359.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$219.60 |
$219.60 |
$219.60 |
$361.50
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,315.40 |
$2,315.40 |
$2,315.40 |
$1,860.00
|
|
Mayo androstenedione
|
$66.60 |
$66.60 |
$66.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$66.00 |
$66.00 |
$66.00 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$28.80 |
$28.80 |
$28.80 |
$72.35
|
