|
Listeria monocytogenes
|
$136.80 |
$136.80 |
$136.80 |
|
|
Lithium therapeutic drug level
|
$34.00 |
$126.00 |
$350.00 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$8,488.00 |
$10,479.00 |
$12,679.50 |
|
|
Liver ds alys 3 bmrk srm alg
|
$140.00 |
$140.00 |
$528.60 |
|
|
Liver elastography 91200
|
$146.00 |
$242.50 |
$368.50 |
|
|
Liver Function Test
|
$43.00 |
$155.50 |
$369.50 |
|
|
Liver/spleen imag static only
|
$647.50 |
$1,223.50 |
$5,085.00 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$134,909.16 |
$134,909.16 |
$134,909.16 |
|
|
Loop ostmy bridg ster
|
$21.00 |
$21.00 |
$21.00 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$45.00 |
$45.00 |
$45.00 |
|
|
Lo rig pos pnl l1-l5 pre ots
|
$975.23 |
$975.23 |
$975.23 |
|
|
Lo sag rig pnl stays pre cst
|
$134.50 |
$400.78 |
$9,022.50 |
|
|
Low back disk surgery
|
$29,820.65 |
$29,820.65 |
$29,820.65 |
|
|
Low cost skin substitute app
|
$1,032.50 |
$1,655.00 |
$2,504.50 |
|
|
Low cost skin substitute app
|
$1,469.50 |
$1,796.50 |
$2,032.00 |
|
|
Low cost skin substitute app
|
$1,032.50 |
$1,462.50 |
$1,953.00 |
|
|
Low cost skin substitute app
|
$1,197.00 |
$1,462.50 |
$1,655.00 |
|
|
Low cost skin substitute app
|
$330.00 |
$838.00 |
$1,953.00 |
|
|
Low cost skin substitute app
|
$1,660.00 |
$2,029.00 |
$2,295.50 |
|
|
Low cost skin substitute app
|
$543.00 |
$838.00 |
$1,158.50 |
|
|
Low cost skin substitute app
|
$838.00 |
$1,024.00 |
$1,158.50 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$36.00 |
$52.50 |
$598.80 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$420.00 |
$1,431.00 |
$11,121.00 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$827.50 |
$1,294.80 |
$8,242.00 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$765.00 |
$1,715.40 |
$6,771.00 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,187.00 |
$2,517.60 |
$7,770.00 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$935.00 |
$2,112.50 |
$13,451.00 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$830.50 |
$1,342.80 |
$7,358.00 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$200.50 |
$459.00 |
$1,345.00 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$226.50 |
$617.50 |
$1,587.00 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$175.00 |
$512.00 |
$1,765.00 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$156.50 |
$267.00 |
$582.50 |
|
|
Low frequency non-thermal Ultrasound
|
$305.00 |
$418.50 |
$538.00 |
|
|
Lsh w/t/o ut 250 g or less
|
$43,254.79 |
$43,254.79 |
$43,254.79 |
|
|
Lsh w/t/o uterus above 250 g
|
$32,384.42 |
$32,384.42 |
$32,384.42 |
|
|
Lso corset front
|
$166.50 |
$260.50 |
$595.03 |
|
|
Lso flex no ri stays pre ots
|
$137.00 |
$274.00 |
$642.92 |
|
|
Lso full corset
|
$845.26 |
$845.26 |
$845.26 |
|
|
Lso r post pnl sj-t9 pre cst
|
$959.31 |
$959.31 |
$959.31 |
|
|
Lso sag-coronal panel custom
|
$2,245.50 |
$2,245.50 |
$9,486.51 |
|
|
Lso sag-co shell pnl pre ots
|
$7,323.86 |
$7,323.86 |
$7,323.86 |
|
|
Lso sag ctr rigi pos pre ots
|
$915.67 |
$915.67 |
$915.67 |
|
|
Lso sagit rigid panel prefab
|
$5,648.89 |
$5,648.89 |
$5,648.89 |
|
|
Lso sagittal rigid panel cus
|
$7,664.63 |
$7,664.63 |
$7,664.63 |
|
|
Lso sc r pos/lat pnl pre cst
|
$1,474.64 |
$1,474.64 |
$1,474.64 |
|
|
Lso sc r pos/lat pnl pre ots
|
$1,621.11 |
$1,621.11 |
$1,621.11 |
|
|
Lso s/c shell/panel custom
|
$1,270.00 |
$2,431.00 |
$5,381.04 |
|
|
Lso s/c shell/panel prefab
|
$2,632.50 |
$2,632.50 |
$2,632.50 |
|
|
L/s ratio fetal lung
|
$832.00 |
$832.00 |
$832.00 |
|
|
Lumbar bolster pad
|
$442.66 |
$442.66 |
$442.66 |
|
|
Lumbar derotation pad
|
$514.14 |
$514.14 |
$514.14 |
|
|
Lumbar diskogram s&i
|
$1,244.50 |
$1,244.50 |
$2,869.00 |
|
|
Lumbar or lumbar rib pad
|
$501.22 |
$501.22 |
$501.22 |
|
|
Lumbar sling
|
$568.88 |
$568.88 |
$568.88 |
|
|
Lumbar Spinal Fusion (single level)
|
$86,365.31 |
$86,365.31 |
$86,365.31 |
|
|
Lung Function Test Before and After an Inhaler
|
$317.50 |
$392.00 |
$2,925.00 |
|
|
Lung function test (mbc/mvv)
|
$141.50 |
$174.00 |
$224.00 |
|
|
Lung Function Test (Spirometry)
|
$164.50 |
$259.80 |
$1,244.00 |
|
|
Lung perfusion imaging
|
$494.00 |
$847.20 |
$4,766.00 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$41,085.00 |
$41,085.00 |
$47,025.00 |
|
|
Lutetium lu 177 dotatat ther
|
$146,411.74 |
$146,411.74 |
$146,411.74 |
|
|
Lutetium lu 177 vipivotide
|
$121,564.51 |
$121,564.51 |
$121,564.51 |
|
|
Lvad shower bag heartmate
|
$571.00 |
$1,093.00 |
$1,881.00 |
|
|
Lymphatics/lymph node imaging
|
$618.00 |
$1,251.60 |
$3,889.00 |
|
|
Lymphocyte transformation mitogen
|
$239.40 |
$423.00 |
$543.00 |
|
|
Lymph vessel x-ray arm/leg
|
$574.00 |
$574.00 |
$574.00 |
|
|
Lymph vessel x-ray arms/legs
|
$795.50 |
$1,319.50 |
$1,319.50 |
|
|
Lymph vessel x-ray trunk
|
$639.50 |
$1,060.00 |
$1,060.00 |
|
|
Lymph vessel x-ray trunk
|
$1,259.00 |
$2,087.50 |
$2,087.50 |
|
|
Lysis intranasal synechia 30560
|
$593.00 |
$820.50 |
$820.50 |
|
|
Lysis of labial adhesions
|
$2,425.50 |
$3,354.00 |
$3,354.00 |
|
|
Lysis penil circumic lesion
|
$2,084.50 |
$2,882.50 |
$2,882.50 |
|
|
Macroscopic exam arthropod
|
$135.60 |
$135.60 |
$135.60 |
|
|
Macroscopic exam parasite
|
$13.20 |
$37.05 |
$117.00 |
|
|
Magnesium
|
$41.50 |
$82.20 |
$392.00 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$77.29 |
$86.49 |
$156.52 |
|
|
Male sling procedure
|
$59,428.63 |
$59,428.63 |
$59,428.63 |
|
|
Mammosite ced
|
$2,968.50 |
$4,580.50 |
$18,966.75 |
|
|
Man's shoe oxford brace
|
$417.27 |
$417.27 |
$417.27 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$1,443.00 |
$1,960.00 |
$1,960.00 |
|
|
Mapping io sentinel lymph node
|
$23,889.19 |
$23,889.19 |
$25,120.37 |
|
|
Map tachycard site(s)
|
$333.50 |
$2,762.00 |
$4,937.40 |
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$10,385.00 |
$10,385.00 |
$10,385.00 |
|
|
Marker biop eviva buckle ss
|
$405.60 |
$2,463.00 |
$35,425.50 |
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$10,743.00 |
$10,743.00 |
$10,743.00 |
|
|
Marsupialization liver lesion 47300
|
$20,726.09 |
$20,726.09 |
$20,726.09 |
|
|
Mastectomy partial
|
$21,320.19 |
$21,320.19 |
$44,790.63 |
|
|
Mast mod rad
|
$68,936.99 |
$68,936.99 |
$68,936.99 |
|
|
Mastoids complete
|
$84.00 |
$107.50 |
$1,592.00 |
|
|
Mastopexy
|
$41,619.26 |
$41,619.26 |
$59,568.03 |
|
|
Mast simple complete
|
$68,936.99 |
$68,936.99 |
$80,811.30 |
|
|
Matrion 1 sq cm
|
$48,498.45 |
$48,498.45 |
$48,498.45 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$20.00 |
$66.50 |
$203,712.30 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$29.00 |
$57.00 |
$905.00 |
|
|
Mayo aathr protein s free
|
$58.00 |
$203.00 |
$334.50 |
|
|
Mayo activated protein c resistance assay
|
$38.00 |
$52.00 |
$475.00 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$115.80 |
$429.00 |
$762.00 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$98.40 |
$141.50 |
$186.50 |
|
|
Mayo alcohol definitive assay volatile screen
|
$71.40 |
$246.00 |
$429.00 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$86.00 |
$134.00 |
$350.00 |
|