|
Liver Function Test
|
$146.40 |
$146.40 |
$146.40 |
$115.44
|
|
Liver imaging
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$1,227.60
|
|
Liver/spleen imag static only
|
$2,976.00 |
$2,976.00 |
$2,976.00 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$2,800.20 |
$2,800.20 |
$2,800.20 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$71,119.07 |
$71,119.07 |
$71,119.07 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$36.00 |
$36.00 |
$36.00 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$412.56 |
$412.56 |
$412.56 |
$37.37
|
|
Lo rig pos pnl l1-l5 pre ots
|
$469.69 |
$469.69 |
$469.69 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$193.02 |
$193.02 |
$193.02 |
$167.74
|
|
Low back disk surgery
|
$69,778.95 |
$69,778.95 |
$69,778.95 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,335.40 |
$3,335.40 |
$3,335.40 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,095.40 |
$3,095.40 |
$3,095.40 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,529.00 |
$2,529.00 |
$2,529.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,807.80 |
$4,807.80 |
$4,807.80 |
$3,070.20
|
|
Lower Back (Lumbar Spine) X-ray
|
$657.60 |
$657.60 |
$657.60 |
$356.16
|
|
Lso corset front
|
$286.57 |
$286.57 |
$286.57 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$309.64 |
$309.64 |
$309.64 |
$164.80
|
|
Lso full corset
|
$407.09 |
$407.09 |
$407.09 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$462.02 |
$462.02 |
$462.02 |
$326.82
|
|
Lso sag-coronal panel custom
|
$4,568.87 |
$4,568.87 |
$4,568.87 |
$2,518.78
|
|
Lso sag-co shell pnl pre ots
|
$3,527.30 |
$3,527.30 |
$3,527.30 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$441.00 |
$441.00 |
$441.00 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$2,720.60 |
$2,720.60 |
$2,720.60 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$3,691.42 |
$3,691.42 |
$3,691.42 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$710.21 |
$710.21 |
$710.21 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$780.76 |
$780.76 |
$780.76 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,591.60 |
$2,591.60 |
$2,591.60 |
$2,252.16
|
|
L/s ratio fetal lung
|
$244.80 |
$244.80 |
$244.80 |
$178.36
|
|
Lumbar bolster pad
|
$213.19 |
$213.19 |
$213.19 |
$169.29
|
|
Lumbar derotation pad
|
$247.62 |
$247.62 |
$247.62 |
$168.53
|
|
Lumbar diskogram s&i
|
$5,316.60 |
$5,316.60 |
$5,316.60 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$241.40 |
$241.40 |
$241.40 |
$191.69
|
|
Lumbar sling
|
$273.98 |
$273.98 |
$273.98 |
$217.56
|
|
Lumbar Spinal Fusion (single level)
|
$109,403.05 |
$109,403.05 |
$109,403.05 |
$14,331.20
|
|
Lung perfusion imaging
|
$2,178.60 |
$2,178.60 |
$2,178.60 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$70,290.00 |
$70,290.00 |
$70,290.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$35,043.96 |
$35,043.96 |
$35,043.96 |
$22,210.87
|
|
Lutetium lu 177 vipivotide
|
$30,999.00 |
$30,999.00 |
$30,999.00 |
$345.87
|
|
Lvad shower bag heartmate
|
$905.92 |
$905.92 |
$905.92 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$3,144.00 |
$3,144.00 |
$3,144.00 |
$1,463.22
|
|
Lymphocyte culture mixed
|
$60.00 |
$60.00 |
$60.00 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$252.00 |
$252.00 |
$252.00 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$1,137.60 |
$1,137.60 |
$1,137.60 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,537.80 |
$1,537.80 |
$1,537.80 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,313.60 |
$2,313.60 |
$2,313.60 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$48.00 |
$48.00 |
$48.00 |
$38.58
|
|
Macroscopic exam parasite
|
$80.40 |
$80.40 |
$80.40 |
$36.55
|
|
Magnesium
|
$130.20 |
$130.20 |
$130.20 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$233.64 |
$233.64 |
$233.64 |
$59.88
|
|
Malaria antibody
|
$94.80 |
$94.80 |
$94.80 |
$94.80
|
|
Mammosite ced
|
$9,134.71 |
$9,134.71 |
$9,134.71 |
$5,031.60
|
|
Manipulate finger w/anesth
|
$29,366.56 |
$29,366.56 |
$29,366.56 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$28,775.26 |
$28,775.26 |
$28,775.26 |
$2,211.05
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$229.80 |
$229.80 |
$229.80 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$585.00 |
$585.00 |
$585.00 |
$160.80
|
|
Man's shoe oxford brace
|
$200.96 |
$200.96 |
$200.96 |
$175.11
|
|
Mapping io sentinel lymph node
|
$177,408.15 |
$177,408.15 |
$177,408.15 |
$650.00
|
|
Map tachycard site(s)
|
$3,734.40 |
$3,734.40 |
$3,734.40 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$22,779.78 |
$22,779.78 |
$22,779.78 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$17,061.53 |
$17,061.53 |
$17,061.53 |
$1,451.30
|
|
Mastectomy partial
|
$66,577.74 |
$66,577.74 |
$66,577.74 |
$4,531.42
|
|
Mastoids complete
|
$598.80 |
$598.80 |
$598.80 |
$299.50
|
|
Mastopexy
|
$64,958.94 |
$64,958.94 |
$64,958.94 |
$6,591.20
|
|
Mast simple complete
|
$137,046.80 |
$137,046.80 |
$137,046.80 |
$6,174.00
|
|
Matrion 1 sq cm
|
$23,357.69 |
$23,357.69 |
$23,357.69 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$98,111.35 |
$98,111.35 |
$98,111.35 |
$6,321.66
|
|
M.avium-intra dna amp prob
|
$99.60 |
$99.60 |
$99.60 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$145.20 |
$145.20 |
$145.20 |
$65.00
|
|
Mayo aathr protein s free
|
$192.00 |
$192.00 |
$192.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$121.20 |
$121.20 |
$121.20 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$148.80 |
$148.80 |
$148.80 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$148.20 |
$148.20 |
$148.20 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$246.00 |
$246.00 |
$246.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$265.80 |
$265.80 |
$265.80 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$457.20 |
$457.20 |
$457.20 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$345.00 |
$345.00 |
$345.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$595.20 |
$595.20 |
$595.20 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,615.40 |
$2,615.40 |
$2,615.40 |
$1,860.00
|
|
Mayo androstenedione
|
$240.60 |
$240.60 |
$240.60 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$213.60 |
$213.60 |
$213.60 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$120.60 |
$120.60 |
$120.60 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$122.40 |
$122.40 |
$122.40 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$149.40 |
$149.40 |
$149.40 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$93.00 |
$93.00 |
$93.00 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$100.80 |
$100.80 |
$100.80 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$543.60 |
$543.60 |
$543.60 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$280.80 |
$280.80 |
$280.80 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$122.40 |
$122.40 |
$122.40 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$91.20 |
$91.20 |
$91.20 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$100.80 |
$100.80 |
$100.80 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$176.40 |
$176.40 |
$176.40 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$154.20 |
$154.20 |
$154.20 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$92.40 |
$92.40 |
$92.40 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$459.00 |
$459.00 |
$459.00 |
$281.50
|
|
Mayo ceruloplasmin
|
$183.60 |
$183.60 |
$183.60 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$183.00 |
$183.00 |
$183.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$133.20 |
$133.20 |
$133.20 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$124.20 |
$124.20 |
$124.20 |
$52.66
|
