|
Ligation/divis of long saph vein 37700
|
$265.00 |
$265.00 |
$265.00 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$765.50 |
$765.50 |
$765.50 |
$3,483.84
|
|
Ligation internal/common carotid artery 37605
|
$818.50 |
$818.50 |
$818.50 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$760.00 |
$760.00 |
$760.00 |
$3,564.80
|
|
Ligation major artery chest
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$2,114.20
|
|
Ligation/major artery/extremity 37618
|
$427.50 |
$427.50 |
$427.50 |
$1,525.00
|
|
Ligation major artery neck
|
$529.00 |
$529.00 |
$529.00 |
$3,608.40
|
|
Ligation of abdomen artery 37617
|
$1,433.00 |
$1,433.00 |
$1,433.00 |
$2,200.20
|
|
Ligation of femoral vein
|
$508.00 |
$508.00 |
$508.00 |
$3,724.63
|
|
Ligation of inf vena cava
|
$1,889.00 |
$1,889.00 |
$1,889.00 |
$5,983.35
|
|
Ligation vericose vein cluster(s) 1 leg
|
$273.00 |
$273.00 |
$273.00 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$406.50 |
$406.50 |
$406.50 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$643.50 |
$643.50 |
$643.50 |
$3,724.63
|
|
Liletta, 52 mg
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$1,514.24
|
|
Limited visual field xm
|
$17.50 |
$17.50 |
$17.50 |
$79.20
|
|
Lincomycin injection
|
$23.00 |
$23.00 |
$23.00 |
$64.31
|
|
Lipase
|
$27.00 |
$27.00 |
$27.00 |
$91.65
|
|
Lipoprotein blood quant
|
$50.00 |
$50.00 |
$50.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$25.50 |
$25.50 |
$25.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$59.50 |
$59.50 |
$59.50 |
$61.60
|
|
Lip surgery procedure
|
$213.50 |
$213.50 |
$213.50 |
$335.50
|
|
Lithium therapeutic drug level
|
$29.00 |
$29.00 |
$29.00 |
$69.42
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$365.28
|
|
Liver elastography 91200
|
$123.00 |
$123.00 |
$123.00 |
$280.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Lmtd oph exam general anes
|
$66.00 |
$66.00 |
$66.00 |
$2,590.36
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$494.00 |
$494.00 |
$494.00 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$37.37
|
|
Low back disk surgery
|
$4,834.00 |
$4,834.00 |
$4,834.00 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$860.50 |
$860.50 |
$860.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$771.50 |
$771.50 |
$771.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$630.00 |
$630.00 |
$630.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,755.00 |
$1,755.00 |
$1,755.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$159.00 |
$159.00 |
$159.00 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$849.50 |
$849.50 |
$849.50 |
$7,961.97
|
|
Lumbar diskogram s&i
|
$45.00 |
$45.00 |
$45.00 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$387.00 |
$387.00 |
$387.00 |
$295.35
|
|
Lung perfusion imaging
|
$609.50 |
$609.50 |
$609.50 |
$1,059.97
|
|
Lutetium lu 177 dotatat ther
|
$278.00 |
$278.00 |
$278.00 |
$333.50
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$271.88
|
|
Lysis penil circumic lesion
|
$208.50 |
$208.50 |
$208.50 |
$3,274.00
|
|
Magnesium
|
$31.50 |
$31.50 |
$31.50 |
$72.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$88.00 |
$88.00 |
$88.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$88.50 |
$88.50 |
$88.50 |
$160.80
|
|
Manipulat palm cord post inj
|
$81.00 |
$81.00 |
$81.00 |
$521.60
|
|
Mapping io sentinel lymph node
|
$147.00 |
$147.00 |
$147.00 |
$650.00
|
|
Marker biop eviva buckle ss
|
$153.00 |
$153.00 |
$153.00 |
$1,451.30
|
|
Mastectomy partial
|
$733.50 |
$733.50 |
$733.50 |
$4,531.42
|
|
Mast mod rad
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$7,127.17
|
|
Mastoids complete
|
$210.00 |
$210.00 |
$210.00 |
$299.50
|
|
Mast radical
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$1,780.80
|
|
Mast simple complete
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$6,174.00
|
|
Matrion 1 sq cm
|
$595.00 |
$595.00 |
$595.00 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$19.00 |
$19.00 |
$19.00 |
$65.00
|
|
Mayo aathr protein s free
|
$187.00 |
$187.00 |
$187.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$56.00 |
$56.00 |
$56.00 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$455.00 |
$455.00 |
$455.00 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$20.00 |
$20.00 |
$20.00 |
$100.00
|
|
Mayo alcohol definitive assay volatile screen
|
$91.00 |
$91.00 |
$91.00 |
$122.45
|
|
Mayo alkaline phosphatase isoenzyme
|
$1.50 |
$1.50 |
$1.50 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$47.50 |
$47.50 |
$47.50 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$154.50 |
$154.50 |
$154.50 |
$87.10
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$62.00 |
$62.00 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$387.00 |
$387.00 |
$387.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$650.00 |
$650.00 |
$650.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$510.50 |
$510.50 |
$510.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,515.00 |
$1,515.00 |
$1,515.00 |
$1,860.00
|
|
Mayo androstenedione
|
$152.00 |
$152.00 |
$152.00 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$9.00 |
$9.00 |
$9.00 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$18.50 |
$18.50 |
$18.50 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$18.00 |
$18.00 |
$18.00 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$120.00 |
$120.00 |
$120.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$133.00 |
$133.00 |
$133.00 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$60.00 |
$60.00 |
$60.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$8.50 |
$8.50 |
$8.50 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$50.00 |
$50.00 |
$50.00 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$11.00 |
$11.00 |
$11.00 |
$55.04
|
|
Mayo bordetella pertussis antibody igg
|
$34.00 |
$34.00 |
$34.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$21.50 |
$21.50 |
$21.50 |
$44.10
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$115.00 |
$115.00 |
$115.00 |
$107.10
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$18.50 |
$18.50 |
$18.50 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$115.00 |
$115.00 |
$115.00 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$29.00 |
$29.00 |
$29.00 |
$281.50
|
|
Mayo ceruloplasmin
|
$31.50 |
$31.50 |
$31.50 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$87.50 |
$87.50 |
$87.50 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$88.00 |
$88.00 |
$88.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$9.50 |
$9.50 |
$9.50 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$9.50 |
$9.50 |
$9.50 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$40.00 |
$40.00 |
$40.00 |
$360.33
|
|
Mayo chromium
|
$54.00 |
$54.00 |
$54.00 |
$74.94
|
|
Mayo cocaine definitive assay confirmation urine
|
$100.00 |
$100.00 |
$100.00 |
$100.00
|
|
Mayo coccidioides antibody
|
$60.00 |
$60.00 |
$60.00 |
$53.90
|
|
Mayo cocou cortisone urine
|
$550.50 |
$550.50 |
$550.50 |
$213.92
|
|
Mayo cortisol free
|
$50.00 |
$50.00 |
$50.00 |
$94.95
|
|
Mayo covid-19 antibody nucleocapsid total
|
$79.00 |
$79.00 |
$79.00 |
$71.50
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$8.00 |
$8.00 |
$8.00 |
$58.10
|
