|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,353.66 |
$1,353.66 |
$1,353.66 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$491.04 |
$491.04 |
$491.04 |
$3,055.20
|
|
Lead capillary
|
$108.90 |
$108.90 |
$108.90 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,202.52 |
$1,202.52 |
$1,202.52 |
$1,088.26
|
|
Levalbuterol non-comp con
|
$24.57 |
$24.57 |
$24.57 |
$21.60
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$197.98 |
$197.98 |
$197.98 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$85.14 |
$85.14 |
$85.14 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$48.39 |
$48.39 |
$48.39 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$2,092.65 |
$2,092.65 |
$2,092.65 |
$385.62
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$61.55 |
$61.55 |
$61.55 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$33.00 |
$33.00 |
$33.00 |
$89.70
|
|
Ligate oviduct(s) add-on 58611
|
$2,548.26 |
$2,548.26 |
$2,548.26 |
$192.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$763.33 |
$763.33 |
$763.33 |
$125.66
|
|
Lipase
|
$239.91 |
$239.91 |
$239.91 |
$93.58
|
|
Lipoprotein blood quant
|
$80.52 |
$80.52 |
$80.52 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$72.93 |
$72.93 |
$72.93 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$52.47 |
$52.47 |
$52.47 |
$61.60
|
|
Lithium therapeutic drug level
|
$159.72 |
$159.72 |
$159.72 |
$69.42
|
|
Liver elastography 91200
|
$196.68 |
$196.68 |
$196.68 |
$285.18
|
|
Liver Function Test
|
$135.96 |
$135.96 |
$135.96 |
$115.44
|
|
Liver imaging
|
$1,023.99 |
$1,023.99 |
$1,023.99 |
$1,093.50
|
|
Liver/spleen imag static only
|
$1,595.22 |
$1,595.22 |
$1,595.22 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,695.54 |
$1,695.54 |
$1,695.54 |
$1,067.48
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.49 |
$37.49 |
$37.49 |
$37.20
|
|
Low cost skin substitute app
|
$1,634.16 |
$1,634.16 |
$1,634.16 |
$909.35
|
|
Low cost skin substitute app
|
$2,181.63 |
$2,181.63 |
$2,181.63 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,648.68 |
$1,648.68 |
$1,648.68 |
$933.60
|
|
Low cost skin substitute app
|
$2,204.40 |
$2,204.40 |
$2,204.40 |
$1,016.16
|
|
Low cost skin substitute app
|
$816.42 |
$816.42 |
$816.42 |
$429.50
|
|
Low cost skin substitute app
|
$1,090.98 |
$1,090.98 |
$1,090.98 |
$659.75
|
|
Low cost skin substitute app
|
$642.84 |
$642.84 |
$642.84 |
$349.44
|
|
Low cost skin substitute app
|
$1,100.88 |
$1,100.88 |
$1,100.88 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$863.28 |
$863.28 |
$863.28 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$686.73 |
$686.73 |
$686.73 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$434.94 |
$434.94 |
$434.94 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,233.67 |
$3,233.67 |
$3,233.67 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,980.23 |
$2,980.23 |
$2,980.23 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,641.32 |
$2,641.32 |
$2,641.32 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,556.61 |
$1,556.61 |
$1,556.61 |
$352.32
|
|
Lumbar diskogram s&i
|
$4,365.24 |
$4,365.24 |
$4,365.24 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$236.28 |
$236.28 |
$236.28 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$780.45 |
$780.45 |
$780.45 |
$295.35
|
|
Lung perfusion imaging
|
$2,409.33 |
$2,409.33 |
$2,409.33 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$2,281.62 |
$2,281.62 |
$2,281.62 |
$1,448.00
|
|
Magnesium
|
$99.33 |
$99.33 |
$99.33 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$71.31 |
$71.31 |
$71.31 |
$58.70
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$237.60 |
$237.60 |
$237.60 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$341.22 |
$341.22 |
$341.22 |
$152.54
|
|
Manipulat palm cord post inj
|
$196.02 |
$196.02 |
$196.02 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$112.36 |
$112.36 |
$112.36 |
$27.81
|
|
Map tachycard site(s)
|
$1,347.72 |
$1,347.72 |
$1,347.72 |
$3,875.95
|
|
Mastoids complete
|
$1,100.55 |
$1,100.55 |
$1,100.55 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$108.90 |
$108.90 |
$108.90 |
$66.36
|
|
Mayo aathr protein s free
|
$81.84 |
$81.84 |
$81.84 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$97.68 |
$97.68 |
$97.68 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$86.46 |
$86.46 |
$86.46 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$256.74 |
$256.74 |
$256.74 |
$112.85
|
|
Mayo alkaline phosphatase isoenzyme
|
$63.03 |
$63.03 |
$63.03 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$178.53 |
$178.53 |
$178.53 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$122.76 |
$122.76 |
$122.76 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$76.89 |
$76.89 |
$76.89 |
$82.80
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$52.80 |
$52.80 |
$52.80 |
$82.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$21.12 |
$21.12 |
$21.12 |
$80.08
|
|
Mayo analysis gene calr common variants exon 9
|
$286.44 |
$286.44 |
$286.44 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$478.17 |
$478.17 |
$478.17 |
$359.00
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,993.53 |
$1,993.53 |
$1,993.53 |
$1,860.00
|
|
Mayo androstenedione
|
$65.67 |
$65.67 |
$65.67 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$87.78 |
$87.78 |
$87.78 |
$73.08
|
|
Mayo antithrombin iii antigen
|
$103.29 |
$103.29 |
$103.29 |
$72.35
|
|
Mayo aspergillus fumigatus antibody
|
$61.38 |
$61.38 |
$61.38 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$209.88 |
$209.88 |
$209.88 |
$165.78
|
|
Mayo barbiturates definitive assay confirmation urine
|
$59.40 |
$59.40 |
$59.40 |
$91.50
|
|
Mayo bart bartonella henselae antibody igg
|
$50.16 |
$50.16 |
$50.16 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$341.22 |
$341.22 |
$341.22 |
$325.60
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$505.56 |
$505.56 |
$505.56 |
$347.00
|
|
Mayo blastomyces antibody immunodiffusion
|
$53.79 |
$53.79 |
$53.79 |
$57.85
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$18.48 |
$18.48 |
$18.48 |
$60.15
|
|
Mayo bordetella pertussis antibody igg
|
$78.54 |
$78.54 |
$78.54 |
$69.00
|
|
Mayo brcmg brucella antibody igm
|
$47.85 |
$47.85 |
$47.85 |
$44.14
|
|
Mayo c1 esterase inhibitor
|
$348.81 |
$348.81 |
$348.81 |
$85.00
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$173.25 |
$173.25 |
$173.25 |
$106.70
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$72.27 |
$72.27 |
$72.27 |
$82.68
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$107.58 |
$107.58 |
$107.58 |
$113.50
|
|
Mayo ceruloplasmin
|
$80.52 |
$80.52 |
$80.52 |
$69.60
|
|
Mayo chemiluminescent parathyroid related peptide
|
$101.97 |
$101.97 |
$101.97 |
$113.88
|
|
Mayo chikv chikungunya antibodies igg
|
$91.08 |
$91.08 |
$91.08 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$49.83 |
$49.83 |
$49.83 |
$53.30
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$64.68 |
$64.68 |
$64.68 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$1,257.96 |
$1,257.96 |
$1,257.96 |
$346.32
|
|
Mayo chromium
|
$45.54 |
$45.54 |
$45.54 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$93.06 |
$93.06 |
$93.06 |
$95.15
|
|
Mayo coccidioides antibody
|
$63.69 |
$63.69 |
$63.69 |
$55.20
|
|
Mayo cocou cortisone urine
|
$90.75 |
$90.75 |
$90.75 |
$207.26
|
|
Mayo cortisol free
|
$122.43 |
$122.43 |
$122.43 |
$94.95
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$40.92 |
$40.92 |
$40.92 |
$61.80
|
|
Mayo cyanide
|
$96.03 |
$96.03 |
$96.03 |
$90.00
|
|
Mayo deoxyribonuclease antibody titer
|
$63.03 |
$63.03 |
$63.03 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$189.75 |
$189.75 |
$189.75 |
$113.10
|
|
Mayo dihydrotestosterone
|
$45.54 |
$45.54 |
$45.54 |
$78.00
|
|
Mayo efpo chloride stool
|
$126.72 |
$126.72 |
$126.72 |
$44.20
|