|
Lift heel adjustable med
|
$91.54 |
$91.54 |
$91.54 |
$64.68
|
|
Lifts elevation metal extens
|
$1,358.59 |
$1,358.59 |
$1,358.59 |
$959.80
|
|
Ligate/strip long leg vein
|
$12,775.35 |
$12,775.35 |
$12,775.35 |
$3,724.63
|
|
Ligation internal/common carotid artery 37605
|
$1,241.70 |
$1,241.70 |
$1,241.70 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$2,511.60 |
$2,511.60 |
$2,511.60 |
$1,525.00
|
|
Liletta, 52 mg
|
$9,168.23 |
$9,168.23 |
$9,168.23 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$99.47 |
$99.47 |
$99.47 |
$109.20
|
|
Limited motion knee joint
|
$278.07 |
$278.07 |
$278.07 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$138.74 |
$138.74 |
$138.74 |
$121.00
|
|
Lipase
|
$159.30 |
$159.30 |
$159.30 |
$91.65
|
|
Lipoprotein blood quant
|
$74.40 |
$74.40 |
$74.40 |
$97.53
|
|
Lipoprotein direct measurement ldl
|
$121.80 |
$121.80 |
$121.80 |
$61.60
|
|
Lip surgery procedure
|
$87.00 |
$87.00 |
$87.00 |
$335.50
|
|
Listeria monocytogenes
|
$71.70 |
$71.70 |
$71.70 |
$106.15
|
|
Lithium therapeutic drug level
|
$167.10 |
$167.10 |
$167.10 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,395.00 |
$4,395.00 |
$4,395.00 |
$4,113.20
|
|
Liver Function Test
|
$209.40 |
$209.40 |
$209.40 |
$115.44
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$24,109.39 |
$24,109.39 |
$24,109.39 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$37.37
|
|
Lo rig pos pnl l1-l5 pre ots
|
$414.13 |
$414.13 |
$414.13 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$170.19 |
$170.19 |
$170.19 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,352.80 |
$3,352.80 |
$3,352.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,352.80 |
$3,352.80 |
$3,352.80 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$3,150.60 |
$3,150.60 |
$3,150.60 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$8,307.00 |
$8,307.00 |
$8,307.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$778.50 |
$778.50 |
$778.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$5,799.60 |
$5,799.60 |
$5,799.60 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$512.10 |
$512.10 |
$512.10 |
$356.16
|
|
Lso corset front
|
$252.67 |
$252.67 |
$252.67 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$273.01 |
$273.01 |
$273.01 |
$164.80
|
|
Lso full corset
|
$358.93 |
$358.93 |
$358.93 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$407.36 |
$407.36 |
$407.36 |
$326.82
|
|
Lso sag-coronal panel custom
|
$4,028.36 |
$4,028.36 |
$4,028.36 |
$2,518.78
|
|
Lso sag-co shell pnl pre ots
|
$3,110.01 |
$3,110.01 |
$3,110.01 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$388.83 |
$388.83 |
$388.83 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$2,398.75 |
$2,398.75 |
$2,398.75 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$3,254.72 |
$3,254.72 |
$3,254.72 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$626.19 |
$626.19 |
$626.19 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$688.39 |
$688.39 |
$688.39 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,285.01 |
$2,285.01 |
$2,285.01 |
$2,252.16
|
|
Lumbar bolster pad
|
$187.97 |
$187.97 |
$187.97 |
$169.29
|
|
Lumbar derotation pad
|
$218.32 |
$218.32 |
$218.32 |
$168.53
|
|
Lumbar or lumbar rib pad
|
$212.84 |
$212.84 |
$212.84 |
$191.69
|
|
Lumbar sling
|
$241.57 |
$241.57 |
$241.57 |
$217.56
|
|
Lung Function Test (Spirometry)
|
$377.40 |
$377.40 |
$377.40 |
$295.35
|
|
Lung perfusion imaging
|
$1,277.70 |
$1,277.70 |
$1,277.70 |
$1,059.97
|
|
Lutetium lu 177 dotatat ther
|
$128,110.27 |
$128,110.27 |
$128,110.27 |
$333.50
|
|
Lvad shower bag heartmate
|
$798.75 |
$798.75 |
$798.75 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$1,277.70 |
$1,277.70 |
$1,277.70 |
$1,463.22
|
|
Macroscopic exam arthropod
|
$37.80 |
$37.80 |
$37.80 |
$38.58
|
|
Magnesium
|
$75.00 |
$75.00 |
$75.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$155.47 |
$155.47 |
$155.47 |
$59.88
|
|
Mammosite ced
|
$8,054.06 |
$8,054.06 |
$8,054.06 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$88.80 |
$88.80 |
$88.80 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$140.40 |
$140.40 |
$140.40 |
$160.80
|
|
Man's shoe oxford brace
|
$177.19 |
$177.19 |
$177.19 |
$175.11
|
|
Mapping io sentinel lymph node
|
$20,952.61 |
$20,952.61 |
$20,952.61 |
$650.00
|
|
Map tachycard site(s)
|
$2,681.40 |
$2,681.40 |
$2,681.40 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$15,043.12 |
$15,043.12 |
$15,043.12 |
$1,451.30
|
|
Mastectomy partial
|
$20,952.61 |
$20,952.61 |
$20,952.61 |
$4,531.42
|
|
Mast mod rad
|
$25,923.17 |
$25,923.17 |
$25,923.17 |
$7,127.17
|
|
Mast simple complete
|
$33,149.79 |
$33,149.79 |
$33,149.79 |
$6,174.00
|
|
Matrion 1 sq cm
|
$20,594.44 |
$20,594.44 |
$20,594.44 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$86,504.62 |
$86,504.62 |
$86,504.62 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$38.40 |
$38.40 |
$38.40 |
$65.00
|
|
Mayo aathr protein s free
|
$97.80 |
$97.80 |
$97.80 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$68.40 |
$68.40 |
$68.40 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$159.30 |
$159.30 |
$159.30 |
$172.90
|
|
Mayo alcohol definitive assay volatile screen
|
$108.60 |
$108.60 |
$108.60 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$273.30 |
$273.30 |
$273.30 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$345.00 |
$345.00 |
$345.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$30.60 |
$30.60 |
$30.60 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$222.30 |
$222.30 |
$222.30 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$629.40 |
$629.40 |
$629.40 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$415.50 |
$415.50 |
$415.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,827.00 |
$1,827.00 |
$1,827.00 |
$1,860.00
|
|
Mayo androstenedione
|
$61.20 |
$61.20 |
$61.20 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$302.70 |
$302.70 |
$302.70 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$238.80 |
$238.80 |
$238.80 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$215.10 |
$215.10 |
$215.10 |
$66.50
|
|
Mayo barbiturates definitive assay confirmation urine
|
$43.80 |
$43.80 |
$43.80 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$35.10 |
$35.10 |
$35.10 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$361.20 |
$361.20 |
$361.20 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$57.30 |
$57.30 |
$57.30 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$11.10 |
$11.10 |
$11.10 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$27.60 |
$27.60 |
$27.60 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$25.20 |
$25.20 |
$25.20 |
$86.73
|
|
Mayo ceruloplasmin
|
$89.70 |
$89.70 |
$89.70 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$425.40 |
$425.40 |
$425.40 |
$123.73
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$51.00 |
$51.00 |
$51.00 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$205.50 |
$205.50 |
$205.50 |
$49.29
|
|
Mayo chromium
|
$60.60 |
$60.60 |
$60.60 |
$74.94
|
|
Mayo coccidioides antibody
|
$50.40 |
$50.40 |
$50.40 |
$53.90
|
|
Mayo cocou cortisone urine
|
$210.00 |
$210.00 |
$210.00 |
$213.92
|
|
Mayo covid-19 antibody nucleocapsid total
|
$20.40 |
$20.40 |
$20.40 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$37.50 |
$37.50 |
$37.50 |
$58.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$104.10 |
$104.10 |
$104.10 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$180.60 |
$180.60 |
$180.60 |
$56.80
|
|
Mayo estriol
|
$56.70 |
$56.70 |
$56.70 |
$90.34
|
|
Mayo factor vii
|
$150.00 |
$150.00 |
$150.00 |
$155.00
|
