|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$60.00 |
$60.00 |
$60.00 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$11.50 |
$11.50 |
$11.50 |
$87.45
|
|
Ligation/biopsy of temporal artery 37609
|
$1,017.50 |
$1,017.50 |
$1,017.50 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$7,300.00 |
$7,300.00 |
$7,300.00 |
$4,255.00
|
|
Ligation/major artery/extremity 37618
|
$3,912.50 |
$3,912.50 |
$3,912.50 |
$1,525.00
|
|
Lig/band angioaccess av fistula
|
$5,037.00 |
$5,037.00 |
$5,037.00 |
$4,676.50
|
|
Liletta, 52 mg
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$1,514.24
|
|
Lincomycin injection
|
$34.50 |
$34.50 |
$34.50 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$56.03 |
$56.03 |
$56.03 |
$121.00
|
|
Lipase
|
$47.00 |
$47.00 |
$47.00 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$134.00 |
$134.00 |
$134.00 |
$86.42
|
|
Lipoprotein blood quant
|
$50.00 |
$50.00 |
$50.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$39.00 |
$39.00 |
$39.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$25.00 |
$25.00 |
$25.00 |
$61.60
|
|
Lip surgery procedure
|
$358.00 |
$358.00 |
$358.00 |
$335.50
|
|
Lithium therapeutic drug level
|
$60.50 |
$60.50 |
$60.50 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$6,402.00 |
$6,402.00 |
$6,402.00 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$365.28
|
|
Liver elastography 91200
|
$148.00 |
$148.00 |
$148.00 |
$280.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Liver imaging
|
$605.50 |
$605.50 |
$605.50 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$624.00 |
$624.00 |
$624.00 |
$1,227.60
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$5,913.00 |
$5,913.00 |
$5,913.00 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$21.00 |
$21.00 |
$21.00 |
$37.37
|
|
Low back disk surgery
|
$12,912.00 |
$12,912.00 |
$12,912.00 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,221.00 |
$1,221.00 |
$1,221.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,050.00 |
$1,050.00 |
$1,050.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$822.50 |
$822.50 |
$822.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,859.50 |
$1,859.50 |
$1,859.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,353.50 |
$1,353.50 |
$1,353.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,208.50 |
$1,208.50 |
$1,208.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$192.50 |
$192.50 |
$192.50 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$18,866.00 |
$18,866.00 |
$18,866.00 |
$7,961.97
|
|
Lumbar diskogram s&i
|
$2,244.50 |
$2,244.50 |
$2,244.50 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$14,232.00 |
$14,232.00 |
$14,232.00 |
$14,331.20
|
|
Lung Function Test (Spirometry)
|
$240.00 |
$240.00 |
$240.00 |
$295.35
|
|
Lung perfusion imaging
|
$621.50 |
$621.50 |
$621.50 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$36,506.25 |
$36,506.25 |
$36,506.25 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$24,678.74 |
$24,678.74 |
$24,678.74 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$333.50 |
$333.50 |
$333.50 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$292.00 |
$292.00 |
$292.00 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$718.00 |
$718.00 |
$718.00 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$271.88
|
|
Lysis intranasal synechia 30560
|
$1,405.25 |
$1,405.25 |
$1,405.25 |
$741.60
|
|
Lysis penil circumic lesion
|
$2,403.00 |
$2,403.00 |
$2,403.00 |
$3,274.00
|
|
Magnesium
|
$46.00 |
$46.00 |
$46.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$28.35 |
$28.35 |
$28.35 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$100.50 |
$100.50 |
$100.50 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$184.00 |
$184.00 |
$184.00 |
$160.80
|
|
Mapping functional cort/subcort ea add'l hr
|
$453.50 |
$453.50 |
$453.50 |
$636.50
|
|
Mapping io sentinel lymph node
|
$4,115.00 |
$4,115.00 |
$4,115.00 |
$650.00
|
|
Marker biop eviva buckle ss
|
$501.50 |
$501.50 |
$501.50 |
$1,451.30
|
|
Mastectomy partial
|
$4,550.33 |
$4,550.33 |
$4,550.33 |
$4,531.42
|
|
Mast mod rad
|
$11,680.00 |
$11,680.00 |
$11,680.00 |
$7,127.17
|
|
Mastoids complete
|
$177.00 |
$177.00 |
$177.00 |
$299.50
|
|
Mastopexy
|
$8,673.00 |
$8,673.00 |
$8,673.00 |
$6,591.20
|
|
Mast simple complete
|
$16,687.34 |
$16,687.34 |
$16,687.34 |
$6,174.00
|
|
Matrion 1 sq cm
|
$566.50 |
$566.50 |
$566.50 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$1,776.57 |
$1,776.57 |
$1,776.57 |
$6,321.66
|
|
M.avium-intra dna amp prob
|
$126.50 |
$126.50 |
$126.50 |
$141.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$78.00 |
$78.00 |
$78.00 |
$65.00
|
|
Mayo aathr protein s free
|
$71.00 |
$71.00 |
$71.00 |
$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
|
$112.00 |
$112.00 |
$112.00 |
$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
|
$70.20 |
$70.20 |
$70.20 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$126.57 |
$126.57 |
$126.57 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$135.00 |
$135.00 |
$135.00 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$62.00 |
$62.00 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$406.50 |
$406.50 |
$406.50 |
$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
|
$1,962.50 |
$1,962.50 |
$1,962.50 |
$1,860.00
|
|
Mayo androstenedione
|
$147.50 |
$147.50 |
$147.50 |
$110.00
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$14.50 |
$14.50 |
$14.50 |
$73.60
|
|
Mayo antithrombin iii antigen
|
$18.50 |
$18.50 |
$18.50 |
$73.50
|
|
Mayo aspergillus fumigatus antibody
|
$112.50 |
$112.50 |
$112.50 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$139.50 |
$139.50 |
$139.50 |
$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
|
$61.00 |
$61.00 |
$61.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$37.00 |
$37.00 |
$37.00 |
$45.50
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$256.00 |
$256.00 |
$256.00 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$37.50 |
$37.50 |
$37.50 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$77.00 |
$77.00 |
$77.00 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$286.00 |
$286.00 |
$286.00 |
$69.20
|
|
Mayo brcmg brucella antibody igm
|
$21.50 |
$21.50 |
$21.50 |
$44.10
|
|
Mayo c1 esterase inhibitor
|
$128.50 |
$128.50 |
$128.50 |
$86.73
|
|
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
|
$91.00 |
$91.00 |
$91.00 |
$80.16
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$170.78 |
$170.78 |
$170.78 |
$110.00
|
|
Mayo cdcom hla class ii typing low resolution one locus each
|
$492.00 |
$492.00 |
$492.00 |
$281.50
|
|
Mayo ceruloplasmin
|
$89.00 |
$89.00 |
$89.00 |
$68.40
|
|
Mayo chemiluminescent parathyroid related peptide
|
$264.00 |
$264.00 |
$264.00 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$178.00 |
$178.00 |
$178.00 |
$109.20
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$61.00 |
$61.00 |
$61.00 |
$52.66
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$65.00 |
$65.00 |
$65.00 |
$49.29
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$626.00 |
$626.00 |
$626.00 |
$360.33
|
