|
Liver abs/cyst dr opn 1-2 stge
|
$784.30 |
$784.30 |
$784.30 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$515.90 |
$515.90 |
$515.90 |
$365.28
|
|
Liver elastography 91200
|
$572.11 |
$572.11 |
$572.11 |
$285.18
|
|
Liver Function Test
|
$53.90 |
$53.90 |
$53.90 |
$115.44
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$916.09 |
$916.09 |
$916.09 |
$2,028.65
|
|
Liver imaging
|
$13.11 |
$13.11 |
$13.11 |
$1,093.50
|
|
Liver imag w/vasclr flow
|
$15.41 |
$15.41 |
$15.41 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$17.48 |
$17.48 |
$17.48 |
$1,069.20
|
|
Lmtd oph exam general anes
|
$46.69 |
$46.69 |
$46.69 |
$2,760.73
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$304.06 |
$304.06 |
$304.06 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$36.02 |
$36.02 |
$36.02 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$20.83 |
$20.83 |
$20.83 |
$37.20
|
|
Low back disk surgery
|
$596.62 |
$596.62 |
$596.62 |
$8,412.89
|
|
Low cost skin substitute app
|
$1,791.79 |
$1,791.79 |
$1,791.79 |
$933.60
|
|
Low cost skin substitute app
|
$5,352.27 |
$5,352.27 |
$5,352.27 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,791.79 |
$1,791.79 |
$1,791.79 |
$1,018.50
|
|
Low cost skin substitute app
|
$418.11 |
$418.11 |
$418.11 |
$466.80
|
|
Low cost skin substitute app
|
$3,006.85 |
$3,006.85 |
$3,006.85 |
$757.90
|
|
Low cost skin substitute app
|
$418.11 |
$418.11 |
$418.11 |
$408.45
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,360.82 |
$2,360.82 |
$2,360.82 |
$1,871.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,787.63 |
$3,787.63 |
$3,787.63 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,128.05 |
$1,128.05 |
$1,128.05 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,918.53 |
$3,918.53 |
$3,918.53 |
$3,063.00
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,135.44 |
$3,135.44 |
$3,135.44 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,122.12 |
$2,122.12 |
$2,122.12 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$428.12 |
$428.12 |
$428.12 |
$355.32
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$534.38 |
$534.38 |
$534.38 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$534.38 |
$534.38 |
$534.38 |
$540.60
|
|
Lower jaw bone graft
|
$514.97 |
$514.97 |
$514.97 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$354.20 |
$354.20 |
$354.20 |
$332.00
|
|
Low frequency non-thermal Ultrasound
|
$581.35 |
$581.35 |
$581.35 |
$364.77
|
|
Lsh uterus 250 g or less
|
$472.42 |
$472.42 |
$472.42 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$543.95 |
$543.95 |
$543.95 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$535.90 |
$535.90 |
$535.90 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$585.35 |
$585.35 |
$585.35 |
$11,533.76
|
|
L/s ratio fetal lung
|
$15.18 |
$15.18 |
$15.18 |
$173.91
|
|
Lumbar diskogram s&i
|
$25.53 |
$25.53 |
$25.53 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$1,025.57 |
$1,025.57 |
$1,025.57 |
$14,331.20
|
|
Lung Function Test Before and After an Inhaler
|
$739.97 |
$739.97 |
$739.97 |
$543.75
|
|
Lung function test (mbc/mvv)
|
$2.07 |
$2.07 |
$2.07 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$371.91 |
$371.91 |
$371.91 |
$296.91
|
|
Lung perfusion imaging
|
$1,028.72 |
$1,028.72 |
$1,028.72 |
$1,072.46
|
|
Lung transplant double
|
$2,915.71 |
$2,915.71 |
$2,915.71 |
$6,462.44
|
|
Lung transplant single
|
$2,083.11 |
$2,083.11 |
$2,083.11 |
$4,639.04
|
|
Lung transplant with bypass
|
$2,244.34 |
$2,244.34 |
$2,244.34 |
$5,044.02
|
|
Lung transplant with bypass
|
$3,082.69 |
$3,082.69 |
$3,082.69 |
$6,858.37
|
|
Lung volume reduction 32491
|
$940.47 |
$940.47 |
$940.47 |
$2,141.40
|
|
Lw ntsty Ultrasound stimj bone healg
|
$20.01 |
$20.01 |
$20.01 |
$114.40
|
|
Lyme dis dna dir probe
|
$13.80 |
$13.80 |
$13.80 |
$27.67
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$458.85 |
$458.85 |
$458.85 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$1,378.30 |
$1,378.30 |
$1,378.30 |
$1,479.60
|
|
Lymphocyte culture mixed
|
$25.30 |
$25.30 |
$25.30 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$34.04 |
$34.04 |
$34.04 |
$266.20
|
|
Lymphocytotoxicity assay
|
$130.64 |
$130.64 |
$130.64 |
$370.20
|
|
Lymphocytotoxicity assay
|
$313.39 |
$313.39 |
$313.39 |
$96.00
|
|
Lymph vessel x-ray arm/leg
|
$27.60 |
$27.60 |
$27.60 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$35.65 |
$35.65 |
$35.65 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$24.84 |
$24.84 |
$24.84 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$33.58 |
$33.58 |
$33.58 |
$3,451.60
|
|
Lysis intranasal synechia 30560
|
$95.68 |
$95.68 |
$95.68 |
$820.50
|
|
Lysis of labial adhesions
|
$99.59 |
$99.59 |
$99.59 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$129.95 |
$129.95 |
$129.95 |
$3,503.00
|
|
Macro exam dissect molec study ea
|
$17.02 |
$17.02 |
$17.02 |
$67.08
|
|
Macroscopic exam arthropod
|
$27.72 |
$27.72 |
$27.72 |
$38.58
|
|
Macroscopic exam parasite
|
$28.49 |
$28.49 |
$28.49 |
$36.86
|
|
Magnesium
|
$43.89 |
$43.89 |
$43.89 |
$72.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$18.76 |
$18.76 |
$18.76 |
$58.70
|
|
Magnetic image bone marrow
|
$48.99 |
$48.99 |
$48.99 |
$1,329.39
|
|
Malaria antibody
|
$9.20 |
$9.20 |
$9.20 |
$94.80
|
|
Male sling procedure
|
$486.45 |
$486.45 |
$486.45 |
$8,465.18
|
|
Mammosite ced
|
$1,794.00 |
$1,794.00 |
$1,794.00 |
$5,031.60
|
|
Management of liver hemorrhage 47361
|
$1,937.98 |
$1,937.98 |
$1,937.98 |
$7,440.00
|
|
Manipulate finger w/anesth
|
$236.21 |
$236.21 |
$236.21 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$276.00 |
$276.00 |
$276.00 |
$2,341.00
|
|
Manipulation of hip joint
|
$120.75 |
$120.75 |
$120.75 |
$2,211.05
|
|
Manipulation of spine
|
$97.29 |
$97.29 |
$97.29 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$50.60 |
$50.60 |
$50.60 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$4.91 |
$4.91 |
$4.91 |
$26.29
|
|
Manual diff wbc count b-coat
|
$3.68 |
$3.68 |
$3.68 |
$25.74
|
|
Mapping functional cort/subcort ea add'l hr
|
$109.94 |
$109.94 |
$109.94 |
$584.80
|
|
Mapping io sentinel lymph node
|
$88.32 |
$88.32 |
$88.32 |
$650.00
|
|
Map tachycard site(s)
|
$171.12 |
$171.12 |
$171.12 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$3,841.92 |
$3,841.92 |
$3,841.92 |
$1,433.25
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$465.52 |
$465.52 |
$465.52 |
$1,941.63
|
|
Marsupialization liver lesion 47300
|
$733.01 |
$733.01 |
$733.01 |
$2,771.20
|
|
Mastectomy partial
|
$427.57 |
$427.57 |
$427.57 |
$4,627.00
|
|
Mast mod rad
|
$763.14 |
$763.14 |
$763.14 |
$7,218.34
|
|
Mastoidectomy
|
$454.25 |
$454.25 |
$454.25 |
$6,406.40
|
|
Mastoidectomy complete 69502
|
$602.83 |
$602.83 |
$602.83 |
$6,969.40
|
|
Mastoids complete
|
$428.12 |
$428.12 |
$428.12 |
$299.50
|
|
Mastoid surgery revision
|
$817.19 |
$817.19 |
$817.19 |
$7,000.36
|
|
Mastopexy
|
$512.90 |
$512.90 |
$512.90 |
$6,679.75
|
|
Mast radical
|
$741.29 |
$741.29 |
$741.29 |
$1,720.80
|
|
Mast rad urban type
|
$790.05 |
$790.05 |
$790.05 |
$2,731.08
|
|
Mast simple complete
|
$621.69 |
$621.69 |
$621.69 |
$6,839.00
|
|
M.avium-intra dna amp prob
|
$24.38 |
$24.38 |
$24.38 |
$137.50
|
|
M.avium-intra dna dir prob
|
$180.18 |
$180.18 |
$180.18 |
$58.40
|
|
M.avium-intra dna quant
|
$29.44 |
$29.44 |
$29.44 |
$59.12
|
