|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$162.50 |
$659.20 |
$1,154.40 |
|
|
Lower jaw bone graft
|
$514.97 |
$514.97 |
$582.14 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$100.20 |
$340.40 |
$782.40 |
|
|
Low frequency non-thermal Ultrasound
|
$13.00 |
$234.50 |
$761.40 |
|
|
Lsh uterus 250 g or less
|
$472.42 |
$472.42 |
$534.04 |
|
|
Lsh uterus above 250 g
|
$543.95 |
$543.95 |
$614.90 |
|
|
Lsh w/t/o ut 250 g or less
|
$535.90 |
$535.90 |
$605.80 |
|
|
Lsh w/t/o uterus above 250 g
|
$585.35 |
$585.35 |
$661.70 |
|
|
Lso flex no ri stays pre ots
|
$201.60 |
$294.60 |
$294.60 |
|
|
L/s ratio fetal lung
|
$15.18 |
$79.80 |
$1,012.80 |
|
|
Lubricant per ounce
|
$21.60 |
$21.60 |
$21.60 |
|
|
Lumbar diskogram s&i
|
$25.53 |
$4,030.20 |
$10,866.00 |
|
|
Lumbar Spinal Fusion (single level)
|
$1,025.57 |
$1,159.34 |
$2,020.20 |
|
|
Lumizyme injection
|
$966.60 |
$966.60 |
$4,834.80 |
|
|
Lung Function Test Before and After an Inhaler
|
$7.28 |
$636.80 |
$1,790.40 |
|
|
Lung function test (mbc/mvv)
|
$2.07 |
$102.60 |
$163.80 |
|
|
Lung Function Test (Spirometry)
|
$5.98 |
$301.20 |
$1,249.20 |
|
|
Lung perfusion imaging
|
$456.60 |
$1,152.60 |
$2,067.00 |
|
|
Lung transplant double
|
$2,915.71 |
$2,915.71 |
$3,296.02 |
|
|
Lung transplant single
|
$2,083.11 |
$2,083.11 |
$2,354.82 |
|
|
Lung transplant with bypass
|
$2,244.34 |
$2,244.34 |
$2,537.08 |
|
|
Lung transplant with bypass
|
$3,082.69 |
$3,082.69 |
$3,484.78 |
|
|
Lung volume reduction 32491
|
$940.47 |
$940.47 |
$1,063.14 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$380.40 |
$400.20 |
$27,018.75 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$83.40 |
$310.80 |
$29,502.00 |
|
|
Lutetium lu 177 dotatat ther
|
$333.50 |
$616.20 |
$1,290.00 |
|
|
Lutetium lu 177 vipivotide
|
$456.00 |
$27,310.20 |
$27,310.20 |
|
|
Lvad shower bag heartmate
|
$1,597.80 |
$1,597.80 |
$1,597.80 |
|
|
Lw ntsty Ultrasound stimj bone healg
|
$20.01 |
$20.01 |
$22.62 |
|
|
Lyme dis dna dir probe
|
$13.80 |
$13.80 |
$15.60 |
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$458.85 |
$458.85 |
$518.70 |
|
|
Lymphatics/lymph node imaging
|
$491.50 |
$1,417.60 |
$6,783.00 |
|
|
Lymphocyte culture mixed
|
$25.30 |
$543.60 |
$7,433.40 |
|
|
Lymphocyte transformation mitogen
|
$34.04 |
$453.00 |
$816.60 |
|
|
Lymphocytotoxicity assay
|
$130.64 |
$1,055.40 |
$1,263.00 |
|
|
Lymphocytotoxicity assay
|
$301.18 |
$301.18 |
$313.39 |
|
|
Lymph vessel x-ray arm/leg
|
$27.60 |
$31.20 |
$1,539.60 |
|
|
Lymph vessel x-ray arms/legs
|
$35.65 |
$40.30 |
$1,967.40 |
|
|
Lymph vessel x-ray trunk
|
$24.84 |
$1,597.20 |
$12,169.30 |
|
|
Lymph vessel x-ray trunk
|
$33.58 |
$2,343.60 |
$12,169.30 |
|
|
Lysis intranasal synechia 30560
|
$95.68 |
$95.68 |
$108.16 |
|
|
Lysis of labial adhesions
|
$99.59 |
$223.20 |
$3,720.50 |
|
|
Lysis penil circumic lesion
|
$129.95 |
$146.90 |
$2,402.50 |
|
|
Macro exam dissect molec study ea
|
$17.02 |
$368.00 |
$368.00 |
|
|
Macroscopic exam arthropod
|
$12.50 |
$27.72 |
$124.80 |
|
|
Macroscopic exam parasite
|
$15.60 |
$28.49 |
$88.20 |
|
|
Magnesium
|
$29.00 |
$40.20 |
$231.60 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$1.80 |
$38.60 |
$273.00 |
|
|
Magnetic image bone marrow
|
$48.99 |
$1,656.00 |
$3,581.40 |
|
|
Makena, 10 mg
|
$76.00 |
$259.35 |
$9,006.60 |
|
|
Malaria antibody
|
$9.20 |
$9.20 |
$10.40 |
|
|
Male sling procedure
|
$486.45 |
$486.45 |
$549.90 |
|
|
Mammosite ced
|
$120.00 |
$1,794.00 |
$13,311.20 |
|
|
Management of liver hemorrhage 47361
|
$1,937.98 |
$1,937.98 |
$2,190.76 |
|
|
Manipulate finger w/anesth
|
$236.21 |
$267.02 |
$3,328.20 |
|
|
Manipulate wrist w/anesthes
|
$276.00 |
$312.00 |
$4,104.60 |
|
|
Manipulation of hip joint
|
$120.75 |
$120.75 |
$136.50 |
|
|
Manipulation of spine
|
$97.29 |
$97.29 |
$109.98 |
|
|
Manipulat palm cord post inj
|
$50.60 |
$66.00 |
$799.20 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$4.20 |
$85.20 |
$277.20 |
|
|
Manual diff wbc count b-coat
|
$3.68 |
$19.20 |
$82.80 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$109.94 |
$744.00 |
$1,305.00 |
|
|
Mapping io sentinel lymph node
|
$88.32 |
$99.84 |
$2,429.88 |
|
|
Map tachycard site(s)
|
$171.12 |
$3,363.00 |
$3,500.40 |
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$91.20 |
$95.40 |
$6,553.80 |
|
|
Marker biop eviva buckle ss
|
$149.40 |
$1,213.20 |
$4,343.05 |
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$465.52 |
$465.52 |
$526.24 |
|
|
Marsupialization liver lesion 47300
|
$733.01 |
$733.01 |
$828.62 |
|
|
Mask full face lg af531
|
$66.00 |
$66.00 |
$66.00 |
|
|
Mastectomy partial
|
$427.57 |
$483.34 |
$3,172.33 |
|
|
Mast mod rad
|
$763.14 |
$1,968.00 |
$12,889.34 |
|
|
Mastoidectomy
|
$454.25 |
$513.50 |
$1,014.00 |
|
|
Mastoidectomy complete 69502
|
$602.83 |
$602.83 |
$681.46 |
|
|
Mastoids complete
|
$162.50 |
$348.60 |
$686.40 |
|
|
Mastoid surgery revision
|
$817.19 |
$817.19 |
$923.78 |
|
|
Mastopexy
|
$512.90 |
$512.90 |
$579.80 |
|
|
Mast radical
|
$741.29 |
$741.29 |
$837.98 |
|
|
Mast rad urban type
|
$790.05 |
$790.05 |
$893.10 |
|
|
Mast simple complete
|
$621.69 |
$702.78 |
$10,732.00 |
|
|
Matrion 1 sq cm
|
$143.50 |
$143.50 |
$143.50 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$143.50 |
$4,740.60 |
$12,294.32 |
|
|
M.avium-intra dna amp prob
|
$24.38 |
$384.60 |
$598.20 |
|
|
M.avium-intra dna dir prob
|
$21.32 |
$21.32 |
$180.18 |
|
|
M.avium-intra dna quant
|
$29.44 |
$29.44 |
$33.28 |
|
|
Maxillofacial fixation
|
$233.91 |
$233.91 |
$264.42 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$50.50 |
$91.76 |
$388.40 |
|
|
Mayo aathr protein s free
|
$77.40 |
$115.20 |
$2,213.40 |
|
|
Mayo activated protein c resistance assay
|
$56.00 |
$105.00 |
$981.00 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$72.00 |
$141.00 |
$455.00 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$112.00 |
$724.46 |
$753.83 |
|
|
Mayo alcohol definitive assay volatile screen
|
$40.80 |
$40.80 |
$753.83 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$28.00 |
$116.40 |
$719.40 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$61.20 |
$61.20 |
$753.83 |
|
|
Mayo alpha 1 antitrypsin
|
$56.00 |
$88.55 |
$1,882.80 |
|
|
Mayo amikacin trough therapeutic drug level
|
$50.50 |
$113.40 |
$316.80 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$65.40 |
$753.83 |
|
|
Mayo analysis gene calr common variants exon 9
|
$342.62 |
$1,160.40 |
$1,247.40 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$258.26 |
$650.00 |
$1,779.60 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$385.54 |
$1,192.80 |
$2,547.60 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,608.00 |
$6,701.40 |
$15,826.20 |
|
