|
Lab draw < 3 yrs fem/jugular 36400
|
$101.00 |
$101.00 |
$101.00 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$522.00 |
$522.00 |
$522.00 |
$72.80
|
|
Lactate dehydrogenase (ldh)
|
$55.50 |
$55.50 |
$55.50 |
$55.50
|
|
Lactation class
|
$25.00 |
$25.00 |
$25.00 |
$93.71
|
|
Lactic acid
|
$183.00 |
$183.00 |
$183.00 |
$107.00
|
|
Lactoferrin fecal quant
|
$240.50 |
$240.50 |
$240.50 |
$108.93
|
|
Laparo drng lymphocele 49323
|
$3,710.00 |
$3,710.00 |
$3,710.00 |
$5,741.00
|
|
Laparo proc abdm/per/oment 49329
|
$4,373.50 |
$4,373.50 |
$4,373.50 |
$6,622.75
|
|
Largsc w/rmvl foreign bdy(s)
|
$621.50 |
$621.50 |
$621.50 |
$765.97
|
|
Laryngeal function studies
|
$259.00 |
$259.00 |
$259.00 |
$335.40
|
|
Laryngoscopic sensory vid
|
$383.50 |
$383.50 |
$383.50 |
$336.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$722.50 |
$722.50 |
$722.50 |
$852.80
|
|
Laryngoscopy with biopsy
|
$1,892.00 |
$1,892.00 |
$1,892.00 |
$3,297.83
|
|
Laser surgery eye strands
|
$1,391.50 |
$1,391.50 |
$1,391.50 |
$1,513.20
|
|
Lead acuity x4 spiral l 86cm
|
$4,239.88 |
$4,239.88 |
$4,239.88 |
$5,534.00
|
|
Lead capillary
|
$612.00 |
$612.00 |
$612.00 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$2,113.47 |
$2,113.47 |
$2,113.47 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$15,709.23 |
$15,709.23 |
$15,709.23 |
$8,204.74
|
|
Left compres band >=3" <5"/yd
|
$10.87 |
$10.87 |
$10.87 |
$5.20
|
|
Left compres band <3"/yd
|
$5.70 |
$5.70 |
$5.70 |
$3.64
|
|
Left compres band >=5"/yd
|
$6.73 |
$6.73 |
$6.73 |
$6.73
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,082.00 |
$1,082.00 |
$1,082.00 |
$1,092.58
|
|
Leishmania antibody
|
$52.00 |
$52.00 |
$52.00 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$272.50 |
$272.50 |
$272.50 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$100.00 |
$100.00 |
$100.00 |
$1,044.75
|
|
Levetiracetam therapeutic drug level
|
$138.00 |
$138.00 |
$138.00 |
$88.92
|
|
Liberta rc ipg
|
$18,927.62 |
$18,927.62 |
$18,927.62 |
$39,406.68
|
|
Lidocaine therapeutic drug level
|
$31.50 |
$31.50 |
$31.50 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$12.94 |
$12.94 |
$12.94 |
$133.50
|
|
Ligate leg veins radical 37760
|
$6,615.50 |
$6,615.50 |
$6,615.50 |
$3,439.84
|
|
Ligation/biopsy of temporal artery 37609
|
$4,689.00 |
$4,689.00 |
$4,689.00 |
$3,322.80
|
|
Ligation internal jugular vein 37565
|
$1,714.50 |
$1,714.50 |
$1,714.50 |
$3,564.80
|
|
Ligation/major artery/extremity 37618
|
$1,870.00 |
$1,870.00 |
$1,870.00 |
$1,525.00
|
|
Ligation major artery neck
|
$4,150.00 |
$4,150.00 |
$4,150.00 |
$3,608.40
|
|
Ligation of shunt
|
$2,258.50 |
$2,258.50 |
$2,258.50 |
$1,786.20
|
|
Ligation vericose vein cluster(s) 1 leg
|
$5,981.50 |
$5,981.50 |
$5,981.50 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$4,676.50 |
$4,676.50 |
$4,676.50 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$40.36 |
$40.36 |
$40.36 |
$109.20
|
|
Lipase
|
$129.00 |
$129.00 |
$129.00 |
$91.65
|
|
Lipoprotein blood quant
|
$109.50 |
$109.50 |
$109.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$56.50 |
$56.50 |
$56.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$47.00 |
$47.00 |
$47.00 |
$61.60
|
|
Lip surgery procedure
|
$334.50 |
$334.50 |
$334.50 |
$335.50
|
|
Lithium therapeutic drug level
|
$117.00 |
$117.00 |
$117.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$115.50 |
$115.50 |
$115.50 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$177.50 |
$177.50 |
$177.50 |
$365.28
|
|
Liver Function Test
|
$155.00 |
$155.00 |
$155.00 |
$115.44
|
|
Liver imaging
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$1,143.00 |
$1,143.00 |
$1,143.00 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,123.00 |
$1,123.00 |
$1,123.00 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,208.00 |
$1,208.00 |
$1,208.00 |
$1,069.20
|
|
Low cost skin substitute app
|
$1,130.50 |
$1,130.50 |
$1,130.50 |
$933.60
|
|
Low cost skin substitute app
|
$1,012.00 |
$1,012.00 |
$1,012.00 |
$1,012.00
|
|
Low cost skin substitute app
|
$568.00 |
$568.00 |
$568.00 |
$428.35
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,140.00 |
$2,140.00 |
$2,140.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,862.00 |
$1,862.00 |
$1,862.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,608.50 |
$1,608.50 |
$1,608.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,315.50 |
$3,315.50 |
$3,315.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,644.00 |
$2,644.00 |
$2,644.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,000.00 |
$2,000.00 |
$2,000.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$366.50 |
$366.50 |
$366.50 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$508.50 |
$508.50 |
$508.50 |
$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
|
$2,089.50 |
$2,089.50 |
$2,089.50 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$326.00 |
$326.00 |
$326.00 |
$295.35
|
|
Lung perfusion imaging
|
$494.00 |
$494.00 |
$494.00 |
$1,059.97
|
|
Lutetium lu 177 dotatat ther
|
$238.50 |
$238.50 |
$238.50 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$19,657.58 |
$19,657.58 |
$19,657.58 |
$345.87
|
|
Lvad shower bag heartmate
|
$411.42 |
$411.42 |
$411.42 |
$905.92
|
|
Lymphatics/lymph node imaging
|
$1,392.50 |
$1,392.50 |
$1,392.50 |
$1,463.22
|
|
Lymph vessel x-ray arm/leg
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$1,096.00 |
$1,096.00 |
$1,096.00 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$1,782.50 |
$1,782.50 |
$1,782.50 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$1,782.50 |
$1,782.50 |
$1,782.50 |
$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
|
$65.50 |
$65.50 |
$65.50 |
$67.08
|
|
Macroscopic exam arthropod
|
$60.50 |
$60.50 |
$60.50 |
$38.58
|
|
Macroscopic exam parasite
|
$14.00 |
$14.00 |
$14.00 |
$36.55
|
|
Magnesium
|
$83.50 |
$83.50 |
$83.50 |
$72.50
|
|
Malaria antibody
|
$148.50 |
$148.50 |
$148.50 |
$94.80
|
|
Manipulate finger w/anesth
|
$2,514.00 |
$2,514.00 |
$2,514.00 |
$1,675.20
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$99.00 |
$99.00 |
$99.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$149.00 |
$149.00 |
$149.00 |
$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
|
$671.50 |
$671.50 |
$671.50 |
$636.50
|
|
Map tachycard site(s)
|
$3,695.00 |
$3,695.00 |
$3,695.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$417.10 |
$417.10 |
$417.10 |
$1,451.30
|
|
Mastoids complete
|
$299.50 |
$299.50 |
$299.50 |
$299.50
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$92.00 |
$92.00 |
$92.00 |
$65.00
|
|
Mayo aathr protein s free
|
$37.50 |
$37.50 |
$37.50 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$96.50 |
$96.50 |
$96.50 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$209.50 |
$209.50 |
$209.50 |
$172.90
|
|
Mayo alkaline phosphatase isoenzyme
|
$177.50 |
$177.50 |
$177.50 |
$66.30
|
|
Mayo alpha 1 antitrypsin
|
$86.00 |
$86.00 |
$86.00 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$104.00 |
$104.00 |
$104.00 |
$81.81
|