|
Lens iol ant bicnvx 24.0 multi
|
$7,498.00 |
$7,498.00 |
$7,498.00 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$3,547.50 |
$3,547.50 |
$3,547.50 |
$377.71
|
|
Levetiracetam therapeutic drug level
|
$145.00 |
$145.00 |
$145.00 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$4,607.50 |
$4,607.50 |
$4,607.50 |
$6,095.95
|
|
Liberta rc ipg
|
$52,590.50 |
$52,590.50 |
$52,590.50 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$60.50 |
$60.50 |
$60.50 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$199.00 |
$199.00 |
$199.00 |
$133.50
|
|
Lift heel adjustable med
|
$81.00 |
$81.00 |
$81.00 |
$64.68
|
|
Ligation/biopsy of temporal artery 37609
|
$1,840.50 |
$1,840.50 |
$1,840.50 |
$3,322.80
|
|
Ligation vericose vein cluster(s) 1 leg
|
$4,556.50 |
$4,556.50 |
$4,556.50 |
$3,724.63
|
|
Limb exercise test
|
$597.00 |
$597.00 |
$597.00 |
$355.54
|
|
Limited ankle motion ea jnt
|
$114.00 |
$114.00 |
$114.00 |
$109.20
|
|
Limited visual field xm
|
$31.00 |
$31.00 |
$31.00 |
$79.20
|
|
Lipase
|
$41.00 |
$41.00 |
$41.00 |
$91.65
|
|
Lip exc/transverse wedge/w closure 40510
|
$2,913.00 |
$2,913.00 |
$2,913.00 |
$3,837.72
|
|
Lipoprotein blood quant
|
$46.50 |
$46.50 |
$46.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$30.50 |
$30.50 |
$30.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$47.00 |
$47.00 |
$47.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$34.00 |
$34.00 |
$34.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$8,488.00 |
$8,488.00 |
$8,488.00 |
$4,113.20
|
|
Liver elastography 91200
|
$146.00 |
$146.00 |
$146.00 |
$280.00
|
|
Liver Function Test
|
$43.00 |
$43.00 |
$43.00 |
$115.44
|
|
Liver/spleen imag static only
|
$931.50 |
$931.50 |
$931.50 |
$1,123.50
|
|
Low cost skin substitute app
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$933.60
|
|
Low cost skin substitute app
|
$1,469.50 |
$1,469.50 |
$1,469.50 |
$2,147.57
|
|
Low cost skin substitute app
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,197.00 |
$1,197.00 |
$1,197.00 |
$1,009.49
|
|
Low cost skin substitute app
|
$838.00 |
$838.00 |
$838.00 |
$428.35
|
|
Low cost skin substitute app
|
$1,660.00 |
$1,660.00 |
$1,660.00 |
$727.77
|
|
Low cost skin substitute app
|
$838.00 |
$838.00 |
$838.00 |
$408.04
|
|
Low cost skin substitute app
|
$838.00 |
$838.00 |
$838.00 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,014.00 |
$1,014.00 |
$1,014.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$937.00 |
$937.00 |
$937.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,187.00 |
$1,187.00 |
$1,187.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$935.00 |
$935.00 |
$935.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$830.50 |
$830.50 |
$830.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$242.50 |
$242.50 |
$242.50 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$339.00 |
$339.00 |
$339.00 |
$364.00
|
|
Lso corset front
|
$251.00 |
$251.00 |
$251.00 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$274.00 |
$274.00 |
$274.00 |
$164.80
|
|
Lso sag-coronal panel custom
|
$2,245.50 |
$2,245.50 |
$2,245.50 |
$2,518.78
|
|
Lso s/c shell/panel custom
|
$2,316.50 |
$2,316.50 |
$2,316.50 |
$2,252.16
|
|
Lso s/c shell/panel prefab
|
$2,632.50 |
$2,632.50 |
$2,632.50 |
$1,332.80
|
|
Lumbar diskogram s&i
|
$1,506.00 |
$1,506.00 |
$1,506.00 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$158.00 |
$158.00 |
$158.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$164.50 |
$164.50 |
$164.50 |
$295.35
|
|
Lung perfusion imaging
|
$569.50 |
$569.50 |
$569.50 |
$1,059.97
|
|
Lvad shower bag heartmate
|
$1,093.00 |
$1,093.00 |
$1,093.00 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$709.00 |
$709.00 |
$709.00 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$543.00 |
$543.00 |
$543.00 |
$271.88
|
|
Lymph vessel x-ray arms/legs
|
$795.50 |
$795.50 |
$795.50 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$639.50 |
$639.50 |
$639.50 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$1,259.00 |
$1,259.00 |
$1,259.00 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$593.00 |
$593.00 |
$593.00 |
$741.60
|
|
Lysis of labial adhesions
|
$2,425.50 |
$2,425.50 |
$2,425.50 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$2,084.50 |
$2,084.50 |
$2,084.50 |
$3,274.00
|
|
Magnesium
|
$41.50 |
$41.50 |
$41.50 |
$72.50
|
|
Mammosite ced
|
$4,358.00 |
$4,358.00 |
$4,358.00 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$111.50 |
$111.50 |
$111.50 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$125.50 |
$125.50 |
$125.50 |
$160.80
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$636.50
|
|
Map tachycard site(s)
|
$2,253.50 |
$2,253.50 |
$2,253.50 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,345.50 |
$2,345.50 |
$2,345.50 |
$1,451.30
|
|
Mastoids complete
|
$102.00 |
$102.00 |
$102.00 |
$299.50
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$66.50 |
$66.50 |
$66.50 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$29.00 |
$29.00 |
$29.00 |
$65.00
|
|
Mayo aathr protein s free
|
$58.00 |
$58.00 |
$58.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$38.00 |
$38.00 |
$38.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$398.50 |
$398.50 |
$398.50 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$141.50 |
$141.50 |
$141.50 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$228.50 |
$228.50 |
$228.50 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$97.00 |
$97.00 |
$97.00 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$249.00 |
$249.00 |
$249.00 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$119.00 |
$119.00 |
$119.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$73.50 |
$73.50 |
$73.50 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$88.00 |
$88.00 |
$88.00 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$304.50 |
$304.50 |
$304.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$421.00 |
$421.00 |
$421.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$592.00 |
$592.00 |
$592.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$975.50 |
$975.50 |
$975.50 |
$1,860.00
|
|
Mayo androstenedione
|
$47.00 |
$47.00 |
$47.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$49.00 |
$49.00 |
$49.00 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$34.00 |
$34.00 |
$34.00 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$98.00 |
$98.00 |
$98.00 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$306.50 |
$306.50 |
$306.50 |
$171.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$180.50 |
$180.50 |
$180.50 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$28.50 |
$28.50 |
$28.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$160.00 |
$160.00 |
$160.00 |
$328.20
|
|
Mayo bordetella pertussis antibody igg
|
$97.50 |
$97.50 |
$97.50 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$88.50 |
$88.50 |
$88.50 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$26.50 |
$26.50 |
$26.50 |
$86.73
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$163.50 |
$163.50 |
$163.50 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$137.50 |
$137.50 |
$137.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$112.00 |
$112.00 |
$112.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$233.50 |
$233.50 |
$233.50 |
$281.50
|
|
Mayo ceruloplasmin
|
$60.00 |
$60.00 |
$60.00 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$117.00 |
$117.00 |
$117.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$163.00 |
$163.00 |
$163.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$49.50 |
$49.50 |
$49.50 |
$52.66
|
