|
Lower jaw bone graft
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$395.20 |
$395.20 |
$436.80 |
$339.90
|
|
Low frequency non-thermal Ultrasound
|
$594.10 |
$594.10 |
$594.10 |
$364.77
|
|
Lsh uterus 250 g or less
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$4,115.80 |
$4,115.80 |
$4,115.80 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$4,049.50 |
$4,049.50 |
$4,049.50 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$11,533.76
|
|
Lso flex no ri stays pre ots
|
$295.10 |
$295.10 |
$295.10 |
$164.80
|
|
Lso r post pnl sj-t9 pre cst
|
$295.10 |
$295.10 |
$295.10 |
$326.82
|
|
Lso sc r pos/lat pnl pre cst
|
$219.41 |
$219.41 |
$219.41 |
$577.00
|
|
Lso s/c shell/panel custom
|
$800.61 |
$800.61 |
$800.61 |
$2,252.16
|
|
L/s ratio fetal lung
|
$98.80 |
$98.80 |
$98.80 |
$173.91
|
|
Lumbar derotation pad
|
$69.59 |
$69.59 |
$69.59 |
$168.53
|
|
Lumbar diskogram s&i
|
$8,758.10 |
$8,758.10 |
$8,973.90 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$6,729.45 |
$6,729.45 |
$6,729.45 |
$14,331.20
|
|
Lumizyme injection
|
$2,370.97 |
$2,370.97 |
$2,370.97 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$930.80 |
$930.80 |
$993.85 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$177.45 |
$177.45 |
$190.45 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$468.00 |
$468.00 |
$516.75 |
$298.50
|
|
Lung perfusion imaging
|
$1,802.45 |
$1,802.45 |
$1,994.85 |
$1,072.46
|
|
Lung transplant double
|
$21,964.80 |
$21,964.80 |
$21,964.80 |
$6,462.44
|
|
Lung transplant single
|
$15,506.40 |
$15,506.40 |
$15,506.40 |
$4,639.04
|
|
Lung transplant with bypass
|
$17,030.00 |
$17,030.00 |
$17,030.00 |
$5,044.02
|
|
Lung transplant with bypass
|
$23,400.00 |
$23,400.00 |
$23,400.00 |
$6,858.37
|
|
Lung volume reduction 32491
|
$6,562.40 |
$6,562.40 |
$6,562.40 |
$2,141.40
|
|
Lurbinectedin 4 mg intravenous solution
|
$25,740.00 |
$25,740.00 |
$25,740.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$38,498.82 |
$38,498.82 |
$38,498.82 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$436.15 |
$436.15 |
$69,238.00 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$332.80 |
$332.80 |
$332.80 |
$357.85
|
|
Lvad shower bag heartmate
|
$438.75 |
$438.75 |
$438.75 |
$893.74
|
|
Lw ntsty Ultrasound stimj bone healg
|
$161.20 |
$161.20 |
$161.20 |
$114.40
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$2,875.60 |
$2,875.60 |
$2,875.60 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$2,414.10 |
$2,414.10 |
$2,726.10 |
$1,491.70
|
|
Lymphocyte transformation mitogen
|
$219.70 |
$219.70 |
$219.70 |
$271.88
|
|
Lymphocytotoxicity assay
|
$850.20 |
$850.20 |
$850.20 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$2,772.90 |
$2,772.90 |
$2,983.50 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$6,967.35 |
$6,967.35 |
$7,302.10 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$14,327.30 |
$14,327.30 |
$14,327.30 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$14,116.70 |
$14,116.70 |
$14,420.90 |
$3,451.60
|
|
Lysis intranasal synechia 30560
|
$1,522.95 |
$1,522.95 |
$1,522.95 |
$820.50
|
|
Lysis of labial adhesions
|
$9,506.90 |
$9,506.90 |
$9,506.90 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$6,124.95 |
$6,124.95 |
$6,124.95 |
$3,503.00
|
|
Macro exam dissect molec study ea
|
$177.45 |
$177.45 |
$177.45 |
$67.08
|
|
Macroscopic exam arthropod
|
$18.85 |
$18.85 |
$18.85 |
$38.58
|
|
Macroscopic exam parasite
|
$19.50 |
$19.50 |
$19.50 |
$36.55
|
|
Magnesium
|
$29.90 |
$29.90 |
$29.90 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$2.32 |
$2.32 |
$4.88 |
$58.70
|
|
Makena, 10 mg
|
$75.17 |
$75.17 |
$75.17 |
$1,405.80
|
|
Malaria antibody
|
$59.15 |
$59.15 |
$59.15 |
$94.80
|
|
Male sling procedure
|
$3,473.60 |
$3,473.60 |
$3,473.60 |
$8,465.18
|
|
Mammosite ced
|
$36.40 |
$36.40 |
$3,378.70 |
$5,031.60
|
|
Management of liver hemorrhage 47361
|
$13,676.00 |
$13,676.00 |
$13,676.00 |
$7,440.00
|
|
Manipulate finger w/anesth
|
$728.00 |
$728.00 |
$728.00 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$1,050.40 |
$1,050.40 |
$1,050.40 |
$2,341.00
|
|
Manipulation of hip joint
|
$603.20 |
$603.20 |
$603.20 |
$2,211.05
|
|
Manipulation of spine
|
$486.20 |
$486.20 |
$486.20 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$716.95 |
$716.95 |
$716.95 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.51 |
$0.51 |
$4.16 |
$26.29
|
|
Man's shoe oxford brace
|
$56.47 |
$56.47 |
$56.47 |
$175.11
|
|
Manual diff wbc count b-coat
|
$22.75 |
$22.75 |
$22.75 |
$25.74
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,224.60 |
$1,224.60 |
$1,224.60 |
$584.80
|
|
Mapping io sentinel lymph node
|
$650.00 |
$1,595.10 |
$1,595.10 |
$650.00
|
|
Map tachycard site(s)
|
$3,875.95 |
$3,875.95 |
$5,291.00 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$672.57 |
$672.57 |
$672.57 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$536.25 |
$780.00 |
$780.00 |
$1,433.25
|
|
Marsupialization liver lesion 47300
|
$4,716.40 |
$4,716.40 |
$4,716.40 |
$2,771.20
|
|
Mastectomy partial
|
$2,633.80 |
$2,633.80 |
$2,633.80 |
$4,627.00
|
|
Mast mod rad
|
$4,677.40 |
$4,677.40 |
$4,677.40 |
$7,218.34
|
|
Mastoidectomy
|
$2,394.60 |
$2,394.60 |
$2,394.60 |
$6,406.40
|
|
Mastoidectomy complete 69502
|
$3,265.60 |
$3,265.60 |
$3,265.60 |
$6,969.40
|
|
Mastoids complete
|
$574.60 |
$574.60 |
$574.60 |
$299.50
|
|
Mastoid surgery revision
|
$3,692.00 |
$3,692.00 |
$3,692.00 |
$7,000.36
|
|
Mastopexy
|
$3,172.00 |
$3,172.00 |
$3,172.00 |
$6,679.75
|
|
Mast radical
|
$4,539.60 |
$4,539.60 |
$4,539.60 |
$1,720.80
|
|
Mast rad urban type
|
$4,713.80 |
$4,713.80 |
$4,713.80 |
$2,731.08
|
|
Mast simple complete
|
$3,900.00 |
$3,900.00 |
$3,900.00 |
$6,839.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$9.10 |
$9.10 |
$13.86 |
$4,472.40
|
|
M.avium-intra dna dir prob
|
$122.20 |
$122.20 |
$122.20 |
$58.40
|
|
Maxillofacial fixation
|
$1,229.80 |
$1,229.80 |
$1,229.80 |
$6,553.49
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$65.00 |
$65.00 |
$65.00 |
$65.28
|
|
Mayo aathr protein s free
|
$68.90 |
$68.90 |
$68.90 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$68.90 |
$68.90 |
$68.90 |
$97.20
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$172.90 |
$172.90 |
$172.90 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$163.80 |
$163.80 |
$163.80 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$102.70 |
$102.70 |
$102.70 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$66.30 |
$66.30 |
$66.30 |
$66.79
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$217.10 |
$217.10 |
$217.10 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$60.45 |
$60.45 |
$60.45 |
$88.55
|
|
Mayo amikacin trough therapeutic drug level
|
$67.60 |
$67.60 |
$67.60 |
$82.80
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$18.20 |
$18.20 |
$18.20 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$545.35 |
$545.35 |
$545.35 |
$486.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$410.80 |
$410.80 |
$410.80 |
$372.60
|
|
Mayo analysis gene smn1 dosage/deletion
|
$614.25 |
$614.25 |
$614.25 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,925.00 |
$2,925.00 |
$2,925.00 |
$1,860.00
|
|
Mayo androstenedione
|
$131.30 |
$131.30 |
$131.30 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$65.65 |
$65.65 |
$65.65 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$48.75 |
$48.75 |
$48.75 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$67.60 |
$67.60 |
$67.60 |
$67.20
|
|
Mayo avwpr vw factor activity
|
$138.45 |
$138.45 |
$138.45 |
$171.50
|
|
Mayo bart bartonella henselae antibody igg
|
$45.50 |
$45.50 |
$45.50 |
$45.50
|
