|
Ligation/divis of long saph vein 37700
|
$14,689.08 |
$14,689.08 |
$21,414.51 |
$4,255.00
|
|
Ligation of femoral vein
|
$8,081.46 |
$8,081.46 |
$8,081.46 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$27,032.46 |
$27,032.46 |
$27,032.46 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$532.48 |
$532.48 |
$532.48 |
$109.20
|
|
Limited motion knee joint
|
$415.01 |
$415.01 |
$415.01 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$178.20 |
$178.20 |
$186.12 |
$121.00
|
|
Lipase
|
$74.40 |
$74.40 |
$74.40 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$71.40 |
$71.40 |
$71.40 |
$86.42
|
|
Lipoprotein blood quant
|
$88.80 |
$88.80 |
$88.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$82.20 |
$82.20 |
$82.20 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$78.00 |
$78.00 |
$78.00 |
$61.60
|
|
Listeria monocytogenes
|
$126.60 |
$126.60 |
$126.60 |
$106.15
|
|
Lithium therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$277.20 |
$277.20 |
$277.20 |
$365.28
|
|
Liver Function Test
|
$126.60 |
$126.60 |
$126.60 |
$115.44
|
|
Liver imaging
|
$2,593.20 |
$2,593.20 |
$2,593.20 |
$1,143.00
|
|
Liver/spleen imag static only
|
$1,616.40 |
$1,616.40 |
$1,616.40 |
$1,123.50
|
|
Lmtd oph exam general anes
|
$5,329.44 |
$5,329.44 |
$5,329.44 |
$2,590.36
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$41,512.88 |
$41,512.88 |
$88,268.41 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$60.00 |
$60.00 |
$60.00 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$84,965.22 |
$84,965.22 |
$84,965.22 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$7.50 |
$7.50 |
$7.50 |
$37.37
|
|
Lo rig pos pnl l1-l5 pre ots
|
$618.07 |
$618.07 |
$618.07 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$254.00 |
$254.00 |
$254.00 |
$167.74
|
|
Low back disk surgery
|
$27,246.64 |
$27,246.64 |
$27,246.64 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,168.80 |
$1,168.80 |
$1,168.80 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$822.60 |
$822.60 |
$822.60 |
$1,470.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$223.20 |
$223.20 |
$223.20 |
$356.16
|
|
Lsh uterus 250 g or less
|
$37,171.31 |
$37,171.31 |
$37,171.31 |
$11,378.21
|
|
Lsh w/t/o ut 250 g or less
|
$38,418.91 |
$38,418.91 |
$38,418.91 |
$7,961.97
|
|
Lso corset front
|
$377.10 |
$377.10 |
$377.10 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$407.46 |
$407.46 |
$407.46 |
$164.80
|
|
Lso full corset
|
$535.69 |
$535.69 |
$535.69 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$607.97 |
$607.97 |
$607.97 |
$326.82
|
|
Lso sag-coronal panel custom
|
$3,970.45 |
$3,970.45 |
$3,970.45 |
$2,518.78
|
|
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
|
$580.31 |
$580.31 |
$580.31 |
$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 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$934.57 |
$934.57 |
$934.57 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$1,027.39 |
$1,027.39 |
$1,027.39 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,616.00 |
$2,616.00 |
$2,616.00 |
$2,252.16
|
|
L/s ratio fetal lung
|
$165.60 |
$165.60 |
$165.60 |
$178.36
|
|
Lumbar bolster pad
|
$280.54 |
$280.54 |
$280.54 |
$169.29
|
|
Lumbar derotation pad
|
$325.84 |
$325.84 |
$325.84 |
$168.53
|
|
Lumbar diskogram s&i
|
$3,423.60 |
$3,423.60 |
$3,423.60 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$317.66 |
$317.66 |
$317.66 |
$191.69
|
|
Lumbar sling
|
$360.53 |
$360.53 |
$360.53 |
$217.56
|
|
Lumbar Spinal Fusion (single level)
|
$91,721.52 |
$91,721.52 |
$91,721.52 |
$14,331.20
|
|
Lung perfusion imaging
|
$845.40 |
$845.40 |
$845.40 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$38,610.00 |
$38,610.00 |
$42,075.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$20,977.02 |
$20,977.02 |
$57,748.26 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$33,537.60 |
$33,537.60 |
$33,537.60 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$106,368.96 |
$106,368.96 |
$106,368.96 |
$345.87
|
|
Lvad shower bag heartmate
|
$1,192.10 |
$1,192.10 |
$1,192.10 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$1,102.80 |
$1,102.80 |
$1,102.80 |
$1,463.22
|
|
Lymphocyte culture mixed
|
$60.00 |
$60.00 |
$60.00 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$298.20 |
$298.20 |
$298.20 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$1,192.80 |
$1,192.80 |
$1,192.80 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,433.40 |
$1,433.40 |
$1,433.40 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$5,172.60 |
$5,172.60 |
$5,172.60 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$198.60 |
$198.60 |
$198.60 |
$38.58
|
|
Macroscopic exam parasite
|
$24.00 |
$24.00 |
$24.00 |
$36.55
|
|
Magnesium
|
$100.20 |
$100.20 |
$100.20 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$69.42 |
$69.42 |
$72.48 |
$59.88
|
|
Malaria antibody
|
$94.80 |
$94.80 |
$94.80 |
$94.80
|
|
Mammosite ced
|
$7,938.26 |
$7,938.26 |
$7,938.26 |
$5,031.60
|
|
Man's shoe oxford brace
|
$264.45 |
$264.45 |
$264.45 |
$175.11
|
|
Mapping io sentinel lymph node
|
$16,851.78 |
$16,851.78 |
$33,549.52 |
$650.00
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$12,512.88 |
$12,512.88 |
$13,635.78 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$14,826.85 |
$14,826.85 |
$14,826.85 |
$1,451.30
|
|
Mastectomy partial
|
$28,717.54 |
$28,717.54 |
$35,120.41 |
$4,531.42
|
|
Mast mod rad
|
$37,969.39 |
$37,969.39 |
$37,969.39 |
$7,127.17
|
|
Mastopexy
|
$41,508.12 |
$41,508.12 |
$41,508.12 |
$6,591.20
|
|
Mast simple complete
|
$16,851.78 |
$16,851.78 |
$60,630.93 |
$6,174.00
|
|
Matrion 1 sq cm
|
$30,736.42 |
$30,736.42 |
$30,736.42 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$129,104.86 |
$129,104.86 |
$129,104.86 |
$6,321.66
|
|
M.avium-intra dna amp prob
|
$103.80 |
$103.80 |
$103.80 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$33.60 |
$33.60 |
$33.60 |
$65.00
|
|
Mayo aathr protein s free
|
$229.20 |
$229.20 |
$229.20 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$27.00 |
$27.00 |
$27.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$231.60 |
$231.60 |
$231.60 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$143.40 |
$143.40 |
$143.40 |
$100.00
|
|
Mayo alkaline phosphatase isoenzyme
|
$66.00 |
$66.00 |
$66.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$55.80 |
$55.80 |
$55.80 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$537.00 |
$537.00 |
$537.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$231.60 |
$231.60 |
$231.60 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$263.40 |
$263.40 |
$520.20 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,521.60 |
$1,521.60 |
$1,521.60 |
$1,860.00
|
|
Mayo androstenedione
|
$37.20 |
$37.20 |
$37.20 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$63.00 |
$63.00 |
$63.00 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$39.60 |
$39.60 |
$39.60 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$105.60 |
$105.60 |
$105.60 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$170.40 |
$170.40 |
$170.40 |
$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
|
$22.80 |
$22.80 |
$22.80 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$314.40 |
$314.40 |
$314.40 |
$328.20
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$280.80 |
$280.80 |
$280.80 |
$312.98
|
