|
Lacer molded to patient mode
|
$840.50 |
$840.50 |
$840.50 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$40.50 |
$40.50 |
$40.50 |
$55.50
|
|
Lactic acid
|
$155.00 |
$155.00 |
$155.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$40.00 |
$40.00 |
$40.00 |
$81.00
|
|
Laps pelvic lymphadec
|
$15,904.00 |
$15,904.00 |
$15,904.00 |
$7,285.60
|
|
Largsc w/laser dstrj les
|
$3,367.50 |
$3,367.50 |
$3,367.50 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$1,759.00 |
$1,759.00 |
$1,759.00 |
$3,297.97
|
|
Largsc w/removal lesion
|
$3,083.50 |
$3,083.50 |
$3,083.50 |
$4,362.99
|
|
Largsc w/rmvl foreign bdy(s)
|
$519.00 |
$519.00 |
$519.00 |
$765.97
|
|
Largsc w/ther injection
|
$1,758.50 |
$1,758.50 |
$1,758.50 |
$2,286.46
|
|
Laryngeal function studies
|
$241.00 |
$241.00 |
$241.00 |
$335.40
|
|
Laryngoscope w/vc inj
|
$1,820.00 |
$1,820.00 |
$1,820.00 |
$4,108.00
|
|
Laryngoscopic sensory vid
|
$461.50 |
$461.50 |
$461.50 |
$336.00
|
|
Laryngoscop w/vc inj + scope
|
$2,312.00 |
$2,312.00 |
$2,312.00 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,980.00 |
$1,980.00 |
$1,980.00 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$996.00 |
$996.00 |
$996.00 |
$852.80
|
|
Laryngoscopy with biopsy
|
$2,215.50 |
$2,215.50 |
$2,215.50 |
$3,297.83
|
|
Laser surgery eye strands
|
$622.50 |
$622.50 |
$622.50 |
$1,513.20
|
|
Lateral canthopexy
|
$3,033.00 |
$3,033.00 |
$3,033.00 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$2,889.00 |
$2,889.00 |
$2,889.00 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$4,973.50 |
$4,973.50 |
$4,973.50 |
$5,534.00
|
|
Lead capillary
|
$88.00 |
$88.00 |
$88.00 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$3,574.00 |
$3,574.00 |
$3,574.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$8,300.00 |
$8,300.00 |
$8,300.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$566.50 |
$566.50 |
$566.50 |
$1,092.58
|
|
Lengthen metacarpal/finger
|
$6,273.00 |
$6,273.00 |
$6,273.00 |
$6,273.00
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$3,547.50 |
$3,547.50 |
$3,547.50 |
$1,050.40
|
|
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
|
$156.50 |
$156.50 |
$156.50 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$5,688.50 |
$5,688.50 |
$5,688.50 |
$6,095.95
|
|
Liberta rc ipg
|
$52,590.50 |
$52,590.50 |
$52,590.50 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$116.50 |
$116.50 |
$116.50 |
$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
|
$2,545.00 |
$2,545.00 |
$2,545.00 |
$3,322.80
|
|
Ligation vericose vein cluster(s) 1 leg
|
$6,300.50 |
$6,300.50 |
$6,300.50 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$5,819.00 |
$5,819.00 |
$5,819.00 |
$4,676.50
|
|
Limb exercise test
|
$825.50 |
$825.50 |
$825.50 |
$355.54
|
|
Limited ankle motion ea jnt
|
$114.00 |
$114.00 |
$114.00 |
$109.20
|
|
Limited visual field xm
|
$43.50 |
$43.50 |
$43.50 |
$79.20
|
|
Lipase
|
$56.50 |
$56.50 |
$56.50 |
$91.65
|
|
Lip exc/transverse wedge/w closure 40510
|
$4,027.50 |
$4,027.50 |
$4,027.50 |
$3,837.72
|
|
Lipoprotein blood quant
|
$64.00 |
$64.00 |
$64.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$42.00 |
$42.00 |
$42.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$65.50 |
$65.50 |
$65.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$41.50 |
$41.50 |
$41.50 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$10,479.00 |
$10,479.00 |
$10,479.00 |
$4,113.20
|
|
Liver elastography 91200
|
$242.50 |
$242.50 |
$242.50 |
$280.00
|
|
Liver Function Test
|
$53.00 |
$53.00 |
$53.00 |
$115.44
|
|
Liver/spleen imag static only
|
$1,223.50 |
$1,223.50 |
$1,223.50 |
$1,123.50
|
|
Low cost skin substitute app
|
$1,655.00 |
$1,655.00 |
$1,655.00 |
$933.60
|
|
Low cost skin substitute app
|
$2,032.00 |
$2,032.00 |
$2,032.00 |
$2,147.57
|
|
Low cost skin substitute app
|
$1,655.00 |
$1,655.00 |
$1,655.00 |
$1,012.00
|
|
Low cost skin substitute app
|
$1,655.00 |
$1,655.00 |
$1,655.00 |
$1,009.49
|
|
Low cost skin substitute app
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
$428.35
|
|
Low cost skin substitute app
|
$2,295.50 |
$2,295.50 |
$2,295.50 |
$727.77
|
|
Low cost skin substitute app
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
$408.04
|
|
Low cost skin substitute app
|
$1,158.50 |
$1,158.50 |
$1,158.50 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,034.50 |
$1,034.50 |
$1,034.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$827.50 |
$827.50 |
$827.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$765.00 |
$765.00 |
$765.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,275.50 |
$1,275.50 |
$1,275.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,004.50 |
$1,004.50 |
$1,004.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$892.50 |
$892.50 |
$892.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$200.50 |
$200.50 |
$200.50 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$418.50 |
$418.50 |
$418.50 |
$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
|
$1,244.50 |
$1,244.50 |
$1,244.50 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$195.00 |
$195.00 |
$195.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$203.50 |
$203.50 |
$203.50 |
$295.35
|
|
Lung perfusion imaging
|
$748.50 |
$748.50 |
$748.50 |
$1,059.97
|
|
Lvad shower bag heartmate
|
$1,093.00 |
$1,093.00 |
$1,093.00 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$931.50 |
$931.50 |
$931.50 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$500.50 |
$500.50 |
$500.50 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$574.00 |
$574.00 |
$574.00 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,319.50 |
$1,319.50 |
$1,319.50 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$1,060.00 |
$1,060.00 |
$1,060.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,087.50 |
$2,087.50 |
$2,087.50 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$820.50 |
$820.50 |
$820.50 |
$741.60
|
|
Lysis of labial adhesions
|
$3,354.00 |
$3,354.00 |
$3,354.00 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$2,882.50 |
$2,882.50 |
$2,882.50 |
$3,274.00
|
|
Magnesium
|
$57.00 |
$57.00 |
$57.00 |
$72.50
|
|
Mammosite ced
|
$4,358.00 |
$4,358.00 |
$4,358.00 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$154.00 |
$154.00 |
$154.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$173.50 |
$173.50 |
$173.50 |
$160.80
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,960.00 |
$1,960.00 |
$1,960.00 |
$636.50
|
|
Map tachycard site(s)
|
$2,782.00 |
$2,782.00 |
$2,782.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$2,345.50 |
$2,345.50 |
$2,345.50 |
$1,451.30
|
|
Mastoids complete
|
$84.00 |
$84.00 |
$84.00 |
$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
|
$40.00 |
$40.00 |
$40.00 |
$65.00
|
|
Mayo aathr protein s free
|
$80.00 |
$80.00 |
$80.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$52.00 |
$52.00 |
$52.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$429.00 |
$429.00 |
$429.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$152.50 |
$152.50 |
$152.50 |
$100.00
|
