|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$827.75 |
$827.75 |
$2,288.05 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$384.07 |
$384.07 |
$384.07 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$559.42 |
$559.42 |
$559.42 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$601.98 |
$601.98 |
$601.98 |
$535.91
|
|
Lower jaw bone graft
|
$5,095.16 |
$5,095.16 |
$5,095.16 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$387.38 |
$387.38 |
$387.38 |
$338.40
|
|
Lsh uterus 250 g or less
|
$11,149.21 |
$11,149.21 |
$11,149.21 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$11,886.69 |
$11,886.69 |
$11,886.69 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$7,961.97 |
$7,961.97 |
$7,961.97 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$12,000.38 |
$12,000.38 |
$12,000.38 |
$11,533.76
|
|
Lso r post pnl sj-t9 pre cst
|
$140.18 |
$140.18 |
$152.40 |
$326.82
|
|
Lso sagit rigid panel prefab
|
$1,513.13 |
$1,513.13 |
$1,513.13 |
$1,990.83
|
|
Lso sc r pos/lat pnl pre cst
|
$249.55 |
$249.55 |
$785.09 |
$577.00
|
|
Lso s/c shell/panel custom
|
$984.60 |
$984.60 |
$984.60 |
$2,252.16
|
|
Lso s/c shell/panel prefab
|
$792.33 |
$792.33 |
$1,208.55 |
$1,332.80
|
|
L/s ratio fetal lung
|
$81.03 |
$81.03 |
$220.97 |
$173.91
|
|
Lumbar diskogram s&i
|
$525.88 |
$525.88 |
$5,350.69 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$5,428.66 |
$5,428.66 |
$5,428.66 |
$14,331.20
|
|
Lumizyme injection
|
$1,735.97 |
$1,735.97 |
$1,735.97 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$308.88 |
$308.88 |
$669.63 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$5.78 |
$5.78 |
$229.93 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$149.63 |
$149.63 |
$539.93 |
$296.91
|
|
Lung perfusion imaging
|
$312.73 |
$312.73 |
$1,082.75 |
$1,067.57
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$21,365.20 |
$21,365.20 |
$21,365.20 |
$22,771.63
|
|
Lvad shower bag heartmate
|
$1,455.60 |
$1,455.60 |
$1,455.60 |
$893.74
|
|
Lymphatics/lymph node imaging
|
$606.73 |
$606.73 |
$1,653.32 |
$1,487.90
|
|
Lymphocyte culture mixed
|
$625.67 |
$625.67 |
$625.67 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$463.13 |
$463.13 |
$463.13 |
$271.88
|
|
Lymphocytotoxicity assay
|
$399.82 |
$399.82 |
$399.82 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$972.06 |
$972.06 |
$972.06 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$1,288.81 |
$1,288.81 |
$1,288.81 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$2,494.49 |
$2,494.49 |
$2,494.49 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$2,859.41 |
$2,859.41 |
$2,859.41 |
$3,483.84
|
|
Lysis intranasal synechia 30560
|
$65.63 |
$65.63 |
$833.97 |
$820.50
|
|
Lysis of labial adhesions
|
$4,383.99 |
$4,383.99 |
$4,383.99 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$4,590.76 |
$4,590.76 |
$4,590.76 |
$3,503.00
|
|
Macro exam dissect molec study ea
|
$41.98 |
$41.98 |
$41.98 |
$67.08
|
|
Macroscopic exam arthropod
|
$48.44 |
$48.44 |
$48.44 |
$38.58
|
|
Macroscopic exam parasite
|
$56.93 |
$56.93 |
$56.93 |
$37.05
|
|
Magnesium
|
$39.73 |
$39.73 |
$94.90 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$2.77 |
$2.77 |
$58.32 |
$58.70
|
|
Magnetic image bone marrow
|
$1,592.64 |
$1,592.64 |
$1,592.64 |
$1,329.39
|
|
Makena, 10 mg
|
$120.75 |
$120.75 |
$1,445.40 |
$1,405.80
|
|
Malaria antibody
|
$110.87 |
$110.87 |
$110.87 |
$94.80
|
|
Male sling procedure
|
$9,674.50 |
$9,674.50 |
$9,674.50 |
$8,465.18
|
|
Mammosite ced
|
$12.08 |
$12.08 |
$6,369.00 |
$5,031.60
|
|
Manipulate finger w/anesth
|
$1,120.60 |
$1,120.60 |
$1,120.60 |
$1,675.20
|
|
Manipulate wrist w/anesthes
|
$1,998.19 |
$1,998.19 |
$1,998.19 |
$2,341.00
|
|
Manipulation of hip joint
|
$2,994.00 |
$2,994.00 |
$2,994.00 |
$2,211.05
|
|
Manipulation of spine
|
$2,852.63 |
$2,852.63 |
$2,852.63 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$492.74 |
$492.74 |
$492.74 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.74 |
$0.74 |
$17.82 |
$26.29
|
|
Manual diff wbc count b-coat
|
$44.14 |
$44.14 |
$44.14 |
$25.74
|
|
Mapping functional cort/subcort ea add'l hr
|
$705.82 |
$705.82 |
$705.82 |
$584.80
|
|
Mapping io sentinel lymph node
|
$459.03 |
$459.03 |
$459.03 |
$650.00
|
|
Map tachycard site(s)
|
$847.35 |
$847.35 |
$2,126.98 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$1,433.25 |
$1,433.25 |
$6,369.00 |
$1,501.50
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,063.30 |
$1,063.30 |
$1,753.29 |
$1,941.63
|
|
Mask full face lg af531
|
$88.85 |
$88.85 |
$88.85 |
$66.00
|
|
Mastectomy form
|
$224.40 |
$224.40 |
$224.40 |
$235.20
|
|
Mastectomy partial
|
$4,306.52 |
$4,306.52 |
$4,306.52 |
$4,627.00
|
|
Mast mod rad
|
$7,638.37 |
$7,638.37 |
$7,638.37 |
$7,218.34
|
|
Mastoidectomy
|
$6,260.10 |
$6,260.10 |
$6,260.10 |
$6,406.40
|
|
Mastoidectomy complete 69502
|
$6,969.40 |
$6,969.40 |
$6,969.40 |
$6,969.40
|
|
Mastoids complete
|
$34.13 |
$34.13 |
$245.27 |
$299.50
|
|
Mastoid surgery revision
|
$7,337.51 |
$7,337.51 |
$7,337.51 |
$7,000.36
|
|
Mastopexy
|
$5,494.31 |
$5,494.31 |
$5,494.31 |
$6,679.75
|
|
Mast simple complete
|
$5,872.32 |
$5,872.32 |
$5,872.32 |
$6,839.00
|
|
Matrion 1 sq cm
|
$361.00 |
$361.00 |
$361.00 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$4,447.10 |
$4,447.10 |
$6,522.00 |
$4,472.40
|
|
M.avium-intra dna amp prob
|
$288.75 |
$288.75 |
$288.75 |
$141.00
|
|
Maxillofacial fixation
|
$5,164.84 |
$5,164.84 |
$5,164.84 |
$6,553.49
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$66.50 |
$66.50 |
$124.73 |
$65.30
|
|
Mayo aathr protein s free
|
$47.43 |
$47.43 |
$181.16 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$107.28 |
$107.28 |
$149.84 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$645.00 |
$645.00 |
$645.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$144.89 |
$144.89 |
$144.89 |
$101.07
|
|
Mayo alcohol definitive assay volatile screen
|
$60.20 |
$60.20 |
$95.97 |
$126.36
|
|
Mayo alkaline phosphatase isoenzyme
|
$77.77 |
$77.77 |
$77.77 |
$66.79
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$10.68 |
$10.68 |
$94.61 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$44.45 |
$44.45 |
$120.67 |
$88.80
|
|
Mayo amikacin trough therapeutic drug level
|
$29.05 |
$29.05 |
$129.43 |
$81.81
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$156.82 |
$156.82 |
$156.82 |
$72.14
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$3.68 |
$3.68 |
$144.00 |
$78.10
|
|
Mayo analysis gene calr common variants exon 9
|
$467.34 |
$467.34 |
$467.34 |
$475.92
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$135.10 |
$135.10 |
$481.34 |
$374.40
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,171.25 |
$2,171.25 |
$2,171.25 |
$1,860.00
|
|
Mayo androstenedione
|
$187.47 |
$187.47 |
$187.47 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$51.98 |
$51.98 |
$149.51 |
$74.00
|
|
Mayo antithrombin iii antigen
|
$121.20 |
$121.20 |
$121.20 |
$74.00
|
|
Mayo aspergillus fumigatus antibody
|
$28.70 |
$28.70 |
$91.13 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$232.54 |
$232.54 |
$232.54 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$174.00 |
$174.00 |
$174.00 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$86.83 |
$86.83 |
$86.83 |
$94.25
|
|
Mayo bart bartonella henselae antibody igg
|
$26.25 |
$26.25 |
$62.64 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$693.60 |
$693.60 |
$693.60 |
$335.00
|
|
Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative
|
$138.91 |
$138.91 |
$138.91 |
$312.98
|
|
Mayo blastomyces antibody immunodiffusion
|
$26.60 |
$26.60 |
$93.65 |
$56.40
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$3.68 |
$3.68 |
$113.33 |
$62.79
|
|
Mayo bordetella pertussis antibody igg
|
$87.40 |
$87.40 |
$87.40 |
$69.20
|
