|
Lidocaine therapeutic drug level
|
$184.20 |
$184.20 |
$184.20 |
$91.20
|
|
Lift heel adj small gl60404sm
|
$311.81 |
$311.81 |
$311.81 |
$148.39
|
|
Lift heel adjustable med
|
$172.34 |
$172.34 |
$172.34 |
$60.31
|
|
Lifts elevation metal extens
|
$1,349.38 |
$1,349.38 |
$1,349.38 |
$959.80
|
|
Ligation internal/common carotid artery 37605
|
$5,478.60 |
$5,478.60 |
$5,478.60 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$1,525.00
|
|
Limited ankle motion ea jnt
|
$581.29 |
$581.29 |
$581.29 |
$123.05
|
|
Limited motion knee joint
|
$453.06 |
$453.06 |
$453.06 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$52.92 |
$52.92 |
$52.92 |
$125.66
|
|
Lipase
|
$163.20 |
$163.20 |
$163.20 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$70.80 |
$70.80 |
$70.80 |
$89.52
|
|
Lipoprotein blood quant
|
$204.00 |
$204.00 |
$204.00 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$93.60 |
$93.60 |
$93.60 |
$58.10
|
|
Lipoprotein direct measurement ldl
|
$73.80 |
$73.80 |
$73.80 |
$61.60
|
|
Lip surgery procedure
|
$377.40 |
$377.40 |
$377.40 |
$334.50
|
|
Listeria monocytogenes
|
$170.40 |
$170.40 |
$170.40 |
$117.52
|
|
Lithium therapeutic drug level
|
$85.20 |
$85.20 |
$85.20 |
$69.42
|
|
Liver Function Test
|
$155.40 |
$155.40 |
$155.40 |
$115.44
|
|
Liver/spleen imag static only
|
$1,626.60 |
$1,626.60 |
$1,626.60 |
$1,138.55
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$37.20
|
|
Lo rig pos pnl l1-l5 pre ots
|
$622.25 |
$622.25 |
$622.25 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$299.71 |
$299.71 |
$299.71 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,640.00 |
$2,640.00 |
$2,640.00 |
$1,955.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,509.40 |
$3,509.40 |
$3,509.40 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,668.60 |
$1,668.60 |
$1,668.60 |
$1,495.45
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$6,889.20 |
$6,889.20 |
$6,889.20 |
$3,075.80
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$6,082.80 |
$6,082.80 |
$6,082.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$4,230.60 |
$4,230.60 |
$4,230.60 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$421.20 |
$421.20 |
$421.20 |
$355.32
|
|
Lso corset front
|
$444.97 |
$444.97 |
$444.97 |
$180.29
|
|
Lso flex no ri stays pre ots
|
$464.20 |
$464.20 |
$464.20 |
$164.80
|
|
Lso full corset
|
$584.81 |
$584.81 |
$584.81 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$612.10 |
$612.10 |
$612.10 |
$326.82
|
|
Lso sag-coronal panel custom
|
$4,001.04 |
$4,001.04 |
$4,001.04 |
$2,694.35
|
|
Lso sag-co shell pnl pre ots
|
$3,088.92 |
$3,088.92 |
$3,088.92 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$633.52 |
$633.52 |
$633.52 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$2,382.48 |
$2,382.48 |
$2,382.48 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$3,232.64 |
$3,232.64 |
$3,232.64 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$864.74 |
$864.74 |
$864.74 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$856.43 |
$856.43 |
$856.43 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,269.51 |
$2,269.51 |
$2,269.51 |
$2,252.16
|
|
L/s ratio fetal lung
|
$136.80 |
$136.80 |
$136.80 |
$178.36
|
|
Lumbar bolster pad
|
$331.03 |
$331.03 |
$331.03 |
$169.29
|
|
Lumbar derotation pad
|
$384.49 |
$384.49 |
$384.49 |
$196.62
|
|
Lumbar or lumbar rib pad
|
$374.83 |
$374.83 |
$374.83 |
$191.69
|
|
Lumbar sling
|
$425.42 |
$425.42 |
$425.42 |
$222.80
|
|
Lung function test (mbc/mvv)
|
$222.60 |
$222.60 |
$222.60 |
$180.50
|
|
Lung Function Test (Spirometry)
|
$366.60 |
$366.60 |
$366.60 |
$296.91
|
|
Lung perfusion imaging
|
$1,646.40 |
$1,646.40 |
$1,646.40 |
$1,082.75
|
|
Lvad shower bag heartmate
|
$894.53 |
$894.53 |
$894.53 |
$887.68
|
|
Lymphatics/lymph node imaging
|
$1,371.60 |
$1,371.60 |
$1,371.60 |
$1,487.90
|
|
Lymphocyte culture mixed
|
$63.00 |
$63.00 |
$63.00 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$402.00 |
$402.00 |
$402.00 |
$267.30
|
|
Macroscopic exam arthropod
|
$29.40 |
$29.40 |
$29.40 |
$38.58
|
|
Macroscopic exam parasite
|
$88.80 |
$88.80 |
$88.80 |
$38.50
|
|
Magnesium
|
$60.00 |
$60.00 |
$60.00 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$60.78 |
$60.78 |
$60.78 |
$60.00
|
|
Malaria antibody
|
$109.20 |
$109.20 |
$109.20 |
$94.80
|
|
Mammosite ced
|
$7,999.43 |
$7,999.43 |
$7,999.43 |
$5,100.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$117.00 |
$117.00 |
$117.00 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$161.40 |
$161.40 |
$161.40 |
$157.44
|
|
Man's shoe oxford brace
|
$312.04 |
$312.04 |
$312.04 |
$175.11
|
|
Marker biop eviva buckle ss
|
$14,941.09 |
$14,941.09 |
$14,941.09 |
$1,282.55
|
|
Mastectomy partial
|
$35,960.04 |
$35,960.04 |
$35,960.04 |
$4,531.42
|
|
Matrion 1 sq cm
|
$20,454.74 |
$20,454.74 |
$20,454.74 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$85,917.86 |
$85,917.86 |
$85,917.86 |
$4,784.00
|
|
M.avium-intra dna amp prob
|
$104.40 |
$104.40 |
$104.40 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$192.60 |
$192.60 |
$192.60 |
$65.30
|
|
Mayo aathr protein s free
|
$160.80 |
$160.80 |
$160.80 |
$133.20
|
|
Mayo activated protein c resistance assay
|
$160.80 |
$160.80 |
$160.80 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$148.80 |
$148.80 |
$148.80 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$196.80 |
$196.80 |
$196.80 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$202.80 |
$202.80 |
$202.80 |
$91.44
|
|
Mayo amikacin trough therapeutic drug level
|
$78.00 |
$78.00 |
$78.00 |
$83.04
|
|
Mayo analysis gene calr common variants exon 9
|
$400.20 |
$400.20 |
$400.20 |
$492.00
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$325.20 |
$325.20 |
$325.20 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$528.00 |
$528.00 |
$528.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,162.00 |
$3,162.00 |
$3,162.00 |
$1,860.00
|
|
Mayo androstenedione
|
$319.20 |
$319.20 |
$319.20 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$116.40 |
$116.40 |
$116.40 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$153.00 |
$153.00 |
$153.00 |
$71.50
|
|
Mayo aspergillus fumigatus antibody
|
$115.80 |
$115.80 |
$115.80 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$172.80 |
$172.80 |
$172.80 |
$170.25
|
|
Mayo bart bartonella henselae antibody igg
|
$105.60 |
$105.60 |
$105.60 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$476.40 |
$476.40 |
$476.40 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$280.80 |
$280.80 |
$280.80 |
$326.80
|
|
Mayo blastomyces antibody immunodiffusion
|
$115.80 |
$115.80 |
$115.80 |
$57.77
|
|
Mayo bordetella pertussis antibody igg
|
$105.60 |
$105.60 |
$105.60 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$115.80 |
$115.80 |
$115.80 |
$44.86
|
|
Mayo c1 esterase inhibitor
|
$192.60 |
$192.60 |
$192.60 |
$85.02
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$204.00 |
$204.00 |
$204.00 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$107.40 |
$107.40 |
$107.40 |
$115.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$420.00 |
$420.00 |
$420.00 |
$276.00
|
|
Mayo ceruloplasmin
|
$84.60 |
$84.60 |
$84.60 |
$70.20
|
|
Mayo chemiluminescent parathyroid related peptide
|
$200.40 |
$200.40 |
$200.40 |
$121.60
|
|
Mayo chikv chikungunya antibodies igg
|
$153.60 |
$153.60 |
$153.60 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$116.40 |
$116.40 |
$116.40 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$115.80 |
$115.80 |
$115.80 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$782.40 |
$782.40 |
$782.40 |
$355.29
|
|
Mayo chromium
|
$50.40 |
$50.40 |
$50.40 |
$73.30
|
