|
Lap rmvl gastr adj all parts
|
$11,053.74 |
$11,053.74 |
$11,053.74 |
$4,097.60
|
|
Laps abltj uterine fibroids
|
$12,563.92 |
$12,563.92 |
$12,563.92 |
$11,378.21
|
|
Laps surg prst8ect rpbic rad
|
$20,602.81 |
$20,602.81 |
$20,602.81 |
$11,523.76
|
|
Laps surg prst8ect smpl stot
|
$24,024.53 |
$24,024.53 |
$24,024.53 |
$11,378.21
|
|
Laps tot hyst resj mal
|
$26,279.16 |
$26,279.16 |
$26,279.16 |
$4,734.40
|
|
Largsc w/ther injection
|
$763.61 |
$763.61 |
$763.61 |
$1,962.76
|
|
Laryngoscope w/vc inj
|
$5,939.41 |
$5,939.41 |
$5,939.41 |
$3,442.73
|
|
Laryngoscop w/vc inj + scope
|
$5,950.42 |
$5,950.42 |
$5,950.42 |
$3,918.74
|
|
Laryngoscopy and dilation
|
$6,466.69 |
$6,466.69 |
$6,466.69 |
$4,080.94
|
|
Laryngoscopy and dilation
|
$5,707.08 |
$5,707.08 |
$5,707.08 |
$3,773.21
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$5,388.51 |
$5,388.51 |
$5,388.51 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$6,670.93 |
$6,670.93 |
$6,670.93 |
$3,825.43
|
|
Laryngoscopy w/bx & op scope
|
$5,640.67 |
$5,640.67 |
$5,640.67 |
$3,236.70
|
|
Laryngoscopy w/fb & op scope
|
$6,161.31 |
$6,161.31 |
$6,161.31 |
$3,549.99
|
|
Larynscop w/tumr exc + scope
|
$6,197.04 |
$6,197.04 |
$6,197.04 |
$4,029.39
|
|
Laser surgery of cervix 57513
|
$5,942.70 |
$5,942.70 |
$5,942.70 |
$3,287.80
|
|
Laser surgery of prostate
|
$11,052.50 |
$11,052.50 |
$11,052.50 |
$5,983.74
|
|
Laser surg penis lesion(s)
|
$5,862.45 |
$5,862.45 |
$5,862.45 |
$2,024.70
|
|
Lead acuity x4 spiral l 86cm
|
$2,445.95 |
$2,445.95 |
$2,445.95 |
$4,863.24
|
|
Lead capillary
|
$106.60 |
$106.60 |
$106.60 |
$66.32
|
|
Lead ingevity 45cm pfret MRI
|
$633.75 |
$633.75 |
$633.75 |
$4,132.20
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,532.70 |
$1,532.70 |
$1,532.70 |
$1,053.00
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,617.20 |
$1,617.20 |
$1,617.20 |
$609.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$517.29 |
$517.29 |
$517.29 |
$115.27
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$49,431.22 |
$49,431.22 |
$49,431.22 |
$5,001.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$49,890.44 |
$49,890.44 |
$49,890.44 |
$4,308.91
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$13.12 |
$13.12 |
$13.12 |
$45.50
|
|
Levetiracetam therapeutic drug level
|
$128.05 |
$128.05 |
$128.05 |
$99.45
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$47.90 |
$47.90 |
$47.90 |
$43.61
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$461.86 |
$461.86 |
$461.86 |
$343.13
|
|
Liberta rc ipg
|
$48,321.00 |
$48,321.00 |
$48,321.00 |
$48,321.00
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$39.37 |
$39.37 |
$39.37 |
$25.89
|
|
Lidocaine therapeutic drug level
|
$152.10 |
$152.10 |
$152.10 |
$82.50
|
|
Ligation/biopsy of temporal artery 37609
|
$5,158.81 |
$5,158.81 |
$5,158.81 |
$3,679.25
|
|
Lig/band angioaccess av fistula
|
$5,792.97 |
$5,792.97 |
$5,792.97 |
$4,240.23
|
|
Lincomycin injection
|
$12.03 |
$12.03 |
$12.03 |
$13.25
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$82.68 |
$82.68 |
$82.68 |
$84.28
|
|
Lipase
|
$184.60 |
$184.60 |
$184.60 |
$67.68
|
|
Lipoprotein blood high res frac & quant
|
$160.55 |
$160.55 |
$160.55 |
$90.60
|
|
Lipoprotein blood quant
|
$178.10 |
$178.10 |
$178.10 |
$106.43
|
|
Lipoprotein direct measurement hdl
|
$55.90 |
$55.90 |
$55.90 |
$54.60
|
|
Lipoprotein direct measurement ldl
|
$76.70 |
$76.70 |
$76.70 |
$61.60
|
|
Lithium therapeutic drug level
|
$59.15 |
$59.15 |
$59.15 |
$62.40
|
|
Liver Function Test
|
$99.45 |
$99.45 |
$99.45 |
$92.85
|
|
Liver imaging
|
$44,123.49 |
$44,123.49 |
$44,123.49 |
$827.28
|
|
Liver/spleen imag static only
|
$915.20 |
$915.20 |
$915.20 |
$1,135.20
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$90.79 |
$90.79 |
$90.79 |
$37.37
|
|
Low back disk surgery
|
$14,258.51 |
$14,258.51 |
$14,258.51 |
$7,907.11
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,972.10 |
$1,972.10 |
$1,972.10 |
$1,731.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,815.45 |
$1,815.45 |
$1,815.45 |
$1,705.08
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,595.10 |
$1,595.10 |
$1,595.10 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$2,631.85
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,950.65 |
$1,950.65 |
$1,950.65 |
$2,181.58
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,147.60 |
$2,147.60 |
$2,147.60 |
$1,791.60
|
|
Lower Back (Lumbar Spine) X-ray
|
$317.20 |
$317.20 |
$317.20 |
$328.23
|
|
Lsh uterus 250 g or less
|
$32,509.91 |
$32,509.91 |
$32,509.91 |
$9,184.73
|
|
Lsh w/t/o ut 250 g or less
|
$26,998.75 |
$26,998.75 |
$26,998.75 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$28,804.46 |
$28,804.46 |
$28,804.46 |
$11,523.76
|
|
L/s ratio fetal lung
|
$193.70 |
$193.70 |
$193.70 |
$173.55
|
|
Lumbar diskogram s&i
|
$2,575.30 |
$2,575.30 |
$2,575.30 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$477.10 |
$477.10 |
$477.10 |
$290.89
|
|
Lung perfusion imaging
|
$906.75 |
$906.75 |
$906.75 |
$919.75
|
|
Lurbinectedin 4 mg intravenous solution
|
$30,757.48 |
$30,757.48 |
$30,757.48 |
$298.13
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$46,012.99 |
$46,012.99 |
$46,012.99 |
$68.76
|
|
Lutetium lu 177 dotatat ther
|
$631.80 |
$631.80 |
$631.80 |
$436.15
|
|
Lutetium lu 177 vipivotide
|
$482.95 |
$482.95 |
$482.95 |
$332.80
|
|
Lymphatics/lymph node imaging
|
$18,029.90 |
$18,029.90 |
$18,029.90 |
$1,330.00
|
|
Lymph vessel x-ray trunk
|
$2,118.35 |
$2,118.35 |
$2,118.35 |
$2,494.49
|
|
Lymph vessel x-ray trunk
|
$3,452.15 |
$3,452.15 |
$3,452.15 |
$2,643.68
|
|
Lysis of labial adhesions
|
$9,376.91 |
$9,376.91 |
$9,376.91 |
$3,522.35
|
|
Lysis penil circumic lesion
|
$7,542.16 |
$7,542.16 |
$7,542.16 |
$2,874.36
|
|
Macro exam dissect molec study ea
|
$94.25 |
$94.25 |
$94.25 |
$76.70
|
|
Macroscopic exam arthropod
|
$80.60 |
$80.60 |
$80.60 |
$38.50
|
|
Macroscopic exam parasite
|
$39.65 |
$39.65 |
$39.65 |
$35.98
|
|
Magnesium
|
$232.70 |
$232.70 |
$232.70 |
$64.80
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$39.81 |
$39.81 |
$39.81 |
$39.81
|
|
Male sling procedure
|
$17,818.76 |
$17,818.76 |
$17,818.76 |
$9,674.50
|
|
Mammosite ced
|
$4,468.75 |
$4,468.75 |
$4,468.75 |
$2,988.00
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$243.10 |
$243.10 |
$243.10 |
$129.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$98.15 |
$98.15 |
$98.15 |
$147.72
|
|
Mapping io sentinel lymph node
|
$19,950.10 |
$19,950.10 |
$19,950.10 |
$505.67
|
|
Marker biop eviva buckle ss
|
$650.00 |
$650.00 |
$650.00 |
$1,126.34
|
|
Mastoids complete
|
$310.70 |
$310.70 |
$310.70 |
$271.95
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$83.85 |
$83.85 |
$83.85 |
$76.70
|
|
Mayo aathr protein s free
|
$258.70 |
$258.70 |
$258.70 |
$139.23
|
|
Mayo activated protein c resistance assay
|
$211.25 |
$211.25 |
$211.25 |
$100.26
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$254.80 |
$254.80 |
$254.80 |
$172.80
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$169.65 |
$169.65 |
$169.65 |
$96.80
|
|
Mayo alcohol definitive assay volatile screen
|
$128.70 |
$128.70 |
$128.70 |
$118.40
|
|
Mayo alkaline phosphatase isoenzyme
|
$87.75 |
$87.75 |
$87.75 |
$83.85
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$134.55 |
$134.55 |
$134.55 |
$96.10
|
|
Mayo alpha 1 antitrypsin
|
$156.00 |
$156.00 |
$156.00 |
$91.80
|
|
Mayo amikacin trough therapeutic drug level
|
$128.05 |
$128.05 |
$128.05 |
$112.89
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$93.60 |
$93.60 |
$93.60 |
$94.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$100.75 |
$100.75 |
$100.75 |
$73.60
|
|
Mayo analysis gene calr common variants exon 9
|
$762.45 |
$762.45 |
$762.45 |
$517.60
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$195.00 |
$195.00 |
$195.00 |
$343.20
|
|
Mayo analysis gene smn1 dosage/deletion
|
$551.85 |
$551.85 |
$551.85 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$3,172.65 |
$3,172.65 |
$3,172.65 |
$1,922.13
|
|
Mayo androstenedione
|
$123.50 |
$123.50 |
$123.50 |
$131.30
|
