|
Lig/band angioaccess av fistula
|
$5,540.00 |
$5,540.00 |
$5,540.00 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$40.36 |
$40.36 |
$40.36 |
$109.20
|
|
Lipase
|
$75.00 |
$75.00 |
$75.00 |
$91.65
|
|
Lipoprotein blood quant
|
$158.00 |
$158.00 |
$158.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$31.50 |
$31.50 |
$31.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$61.50 |
$61.50 |
$61.50 |
$61.60
|
|
Lip surgery procedure
|
$356.00 |
$356.00 |
$356.00 |
$335.50
|
|
Lithium therapeutic drug level
|
$45.00 |
$45.00 |
$45.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$138.00 |
$138.00 |
$138.00 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$177.50 |
$177.50 |
$177.50 |
$365.28
|
|
Liver Function Test
|
$81.50 |
$81.50 |
$81.50 |
$115.44
|
|
Liver imaging
|
$1,223.00 |
$1,223.00 |
$1,223.00 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$1,223.00 |
$1,223.00 |
$1,223.00 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,381.00 |
$1,381.00 |
$1,381.00 |
$1,069.20
|
|
Low cost skin substitute app
|
$1,477.00 |
$1,477.00 |
$1,477.00 |
$933.60
|
|
Low cost skin substitute app
|
$1,321.50 |
$1,321.50 |
$1,321.50 |
$1,012.00
|
|
Low cost skin substitute app
|
$742.00 |
$742.00 |
$742.00 |
$428.35
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,955.00 |
$1,955.00 |
$1,955.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,722.50 |
$1,722.50 |
$1,722.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,574.50 |
$1,574.50 |
$1,574.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,593.50 |
$3,593.50 |
$3,593.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,862.00 |
$2,862.00 |
$2,862.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,130.00 |
$2,130.00 |
$2,130.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$238.50 |
$238.50 |
$238.50 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$359.00 |
$359.00 |
$359.00 |
$364.00
|
|
Lso corset front
|
$94.70 |
$94.70 |
$94.70 |
$207.32
|
|
Lso r post pnl sj-t9 pre cst
|
$131.44 |
$131.44 |
$131.44 |
$326.82
|
|
Lso sc r pos/lat pnl pre cst
|
$230.29 |
$230.29 |
$230.29 |
$577.00
|
|
Lso s/c shell/panel custom
|
$829.04 |
$829.04 |
$829.04 |
$2,252.16
|
|
Lso s/c shell/panel prefab
|
$850.77 |
$850.77 |
$850.77 |
$1,332.80
|
|
Lumbar diskogram s&i
|
$1,859.50 |
$1,859.50 |
$1,859.50 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$270.00 |
$270.00 |
$270.00 |
$295.35
|
|
Lung perfusion imaging
|
$705.00 |
$705.00 |
$705.00 |
$1,059.97
|
|
Lutetium lu 177 dotatat ther
|
$240.00 |
$240.00 |
$240.00 |
$333.50
|
|
Lymphatics/lymph node imaging
|
$482.00 |
$482.00 |
$482.00 |
$1,463.22
|
|
Lymph vessel x-ray arm/leg
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,315.50 |
$1,315.50 |
$1,315.50 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$3,380.00
|
|
Lysis penil circumic lesion
|
$3,503.00 |
$3,503.00 |
$3,503.00 |
$3,274.00
|
|
Macro exam dissect molec study ea
|
$46.00 |
$46.00 |
$46.00 |
$67.08
|
|
Macroscopic exam arthropod
|
$83.00 |
$83.00 |
$83.00 |
$38.58
|
|
Macroscopic exam parasite
|
$14.00 |
$14.00 |
$14.00 |
$36.55
|
|
Magnesium
|
$46.00 |
$46.00 |
$46.00 |
$72.50
|
|
Malaria antibody
|
$177.50 |
$177.50 |
$177.50 |
$94.80
|
|
Manipulate finger w/anesth
|
$3,284.50 |
$3,284.50 |
$3,284.50 |
$1,675.20
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$149.00 |
$149.00 |
$149.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$202.50 |
$202.50 |
$202.50 |
$160.80
|
|
Manipulat palm cord post inj
|
$1,186.00 |
$1,186.00 |
$1,186.00 |
$521.60
|
|
Mapping functional cort/subcort ea add'l hr
|
$817.50 |
$817.50 |
$817.50 |
$636.50
|
|
Map tachycard site(s)
|
$4,377.50 |
$4,377.50 |
$4,377.50 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$417.10 |
$417.10 |
$417.10 |
$1,451.30
|
|
Mastoids complete
|
$266.50 |
$266.50 |
$266.50 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$175.50 |
$175.50 |
$175.50 |
$65.00
|
|
Mayo aathr protein s free
|
$32.50 |
$32.50 |
$32.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$61.00 |
$61.00 |
$61.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$209.50 |
$209.50 |
$209.50 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$108.00 |
$108.00 |
$108.00 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$65.00 |
$65.00 |
$65.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$118.50 |
$118.50 |
$118.50 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$524.50 |
$524.50 |
$524.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$367.00 |
$367.00 |
$367.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$627.00 |
$627.00 |
$627.00 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,608.50 |
$2,608.50 |
$2,608.50 |
$1,860.00
|
|
Mayo androstenedione
|
$137.00 |
$137.00 |
$137.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$98.50 |
$98.50 |
$98.50 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$19.00 |
$19.00 |
$19.00 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$95.50 |
$95.50 |
$95.50 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$99.00 |
$99.00 |
$99.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$150.00 |
$150.00 |
$150.00 |
$96.73
|
|
Mayo bart bartonella henselae antibody igg
|
$62.50 |
$62.50 |
$62.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$51.50 |
$51.50 |
$51.50 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$100.00 |
$100.00 |
$100.00 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$83.00 |
$83.00 |
$83.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$58.50 |
$58.50 |
$58.50 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$61.50 |
$61.50 |
$61.50 |
$86.73
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$87.00 |
$87.00 |
$87.00 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$251.50 |
$251.50 |
$251.50 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$324.50 |
$324.50 |
$324.50 |
$281.50
|
|
Mayo ceruloplasmin
|
$66.50 |
$66.50 |
$66.50 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$283.50 |
$283.50 |
$283.50 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$177.50 |
$177.50 |
$177.50 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$30.50 |
$30.50 |
$30.50 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$30.50 |
$30.50 |
$30.50 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$316.00 |
$316.00 |
$316.00 |
$360.33
|
|
Mayo chromium
|
$97.00 |
$97.00 |
$97.00 |
$74.94
|
|
Mayo coccidioides antibody
|
$95.50 |
$95.50 |
$95.50 |
$53.90
|
|
Mayo cocou cortisone urine
|
$423.50 |
$423.50 |
$423.50 |
$213.92
|
|
Mayo cortisol free
|
$20.00 |
$20.00 |
$20.00 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$21.06 |
$21.06 |
$21.06 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$215.50 |
$215.50 |
$215.50 |
$58.10
|
|
Mayo cyanide
|
$135.50 |
$135.50 |
$135.50 |
$87.50
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$390.00 |
$390.00 |
$390.00 |
$578.82
|
|
Mayo deoxyribonuclease antibody titer
|
$132.00 |
$132.00 |
$132.00 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$64.50 |
$64.50 |
$64.50 |
$105.60
|
|
Mayo dihydrotestosterone
|
$105.50 |
$105.50 |
$105.50 |
$74.25
|
|
Mayo efpo chloride stool
|
$37.50 |
$37.50 |
$37.50 |
$43.41
|
|
Mayo estriol
|
$160.00 |
$160.00 |
$160.00 |
$90.34
|
|
Mayo estrone
|
$148.00 |
$148.00 |
$148.00 |
$85.00
|
