|
Levetiracetam therapeutic drug level
|
$42.50 |
$42.50 |
$42.50 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$8.10 |
$8.10 |
$8.10 |
$55.60
|
|
L hrt cath chd nm/abn nt cnj
|
$3,106.50 |
$3,106.50 |
$3,106.50 |
$6,095.95
|
|
Liberta rc ipg
|
$25,471.00 |
$25,471.00 |
$25,471.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$10.86 |
$10.86 |
$10.86 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$30.00 |
$30.00 |
$30.00 |
$87.45
|
|
Ligate/strip long leg vein
|
$4,917.00 |
$4,917.00 |
$4,917.00 |
$3,724.63
|
|
Ligation/biopsy of temporal artery 37609
|
$2,849.00 |
$2,849.00 |
$2,849.00 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$6,001.00 |
$6,001.00 |
$6,001.00 |
$4,255.00
|
|
Lig/band angioaccess av fistula
|
$2,865.50 |
$2,865.50 |
$2,865.50 |
$4,676.50
|
|
Liletta, 52 mg
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$104.50 |
$104.50 |
$104.50 |
$109.20
|
|
Limited visual field xm
|
$68.50 |
$68.50 |
$68.50 |
$79.20
|
|
Lincomycin injection
|
$34.50 |
$34.50 |
$34.50 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$28.35 |
$28.35 |
$28.35 |
$121.00
|
|
Lipase
|
$49.00 |
$49.00 |
$49.00 |
$91.65
|
|
Lip exc/transverse wedge/w closure 40510
|
$5,251.00 |
$5,251.00 |
$5,251.00 |
$3,837.72
|
|
Lipoprotein blood quant
|
$67.25 |
$67.25 |
$67.25 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$56.00 |
$56.00 |
$56.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$58.00 |
$58.00 |
$58.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$42.00 |
$42.00 |
$42.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,734.00 |
$5,734.00 |
$5,734.00 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$365.28
|
|
Liver elastography 91200
|
$253.00 |
$253.00 |
$253.00 |
$280.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Liver/spleen imag static only
|
$794.00 |
$794.00 |
$794.00 |
$1,123.50
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,761.00 |
$3,761.00 |
$3,761.00 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$5.25 |
$5.25 |
$5.25 |
$37.37
|
|
Low back disk surgery
|
$15,421.00 |
$15,421.00 |
$15,421.00 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,718.00 |
$1,718.00 |
$1,718.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,085.50 |
$1,085.50 |
$1,085.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$560.00 |
$560.00 |
$560.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,009.50 |
$3,009.50 |
$3,009.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,597.00 |
$2,597.00 |
$2,597.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,789.50 |
$1,789.50 |
$1,789.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$213.50 |
$213.50 |
$213.50 |
$356.16
|
|
Lso flex no ri stays pre ots
|
$251.00 |
$251.00 |
$251.00 |
$164.80
|
|
Lso full corset
|
$330.00 |
$330.00 |
$330.00 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$357.50 |
$357.50 |
$357.50 |
$326.82
|
|
Lso sc r pos/lat pnl pre cst
|
$598.50 |
$598.50 |
$598.50 |
$577.00
|
|
L/s ratio fetal lung
|
$142.00 |
$142.00 |
$142.00 |
$178.36
|
|
Lumbar diskogram s&i
|
$3,610.50 |
$3,610.50 |
$3,610.50 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$114.00 |
$114.00 |
$114.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$391.00 |
$391.00 |
$391.00 |
$295.35
|
|
Lung perfusion imaging
|
$1,121.00 |
$1,121.00 |
$1,121.00 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$24,090.00 |
$24,090.00 |
$24,090.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$23,720.44 |
$23,720.44 |
$23,720.44 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$333.50 |
$333.50 |
$333.50 |
$333.50
|
|
Lymphatics/lymph node imaging
|
$907.50 |
$907.50 |
$907.50 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$271.88
|
|
Lysis intranasal synechia 30560
|
$620.00 |
$620.00 |
$620.00 |
$741.60
|
|
Lysis of labial adhesions
|
$3,721.00 |
$3,721.00 |
$3,721.00 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$4,001.00 |
$4,001.00 |
$4,001.00 |
$3,274.00
|
|
Macroscopic exam arthropod
|
$17.94 |
$17.94 |
$17.94 |
$38.58
|
|
Macroscopic exam parasite
|
$24.00 |
$24.00 |
$24.00 |
$36.55
|
|
Magnesium
|
$118.50 |
$118.50 |
$118.50 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$28.35 |
$28.35 |
$28.35 |
$59.88
|
|
Magnetic image bone marrow
|
$1,232.50 |
$1,232.50 |
$1,232.50 |
$1,302.80
|
|
Makena, 10 mg
|
$72.50 |
$72.50 |
$72.50 |
$1,405.80
|
|
Mammosite ced
|
$313.00 |
$313.00 |
$313.00 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$110.00 |
$110.00 |
$110.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$123.50 |
$123.50 |
$123.50 |
$160.80
|
|
Manipulat palm cord post inj
|
$284.00 |
$284.00 |
$284.00 |
$521.60
|
|
Mapping functional cort/subcort ea add'l hr
|
$888.00 |
$888.00 |
$888.00 |
$636.50
|
|
Mapping io sentinel lymph node
|
$3,814.38 |
$3,814.38 |
$3,814.38 |
$650.00
|
|
Marker biop eviva buckle ss
|
$1,108.88 |
$1,108.88 |
$1,108.88 |
$1,451.30
|
|
Mastectomy partial
|
$4,188.50 |
$4,188.50 |
$4,188.50 |
$4,531.42
|
|
Mast mod rad
|
$17,477.50 |
$17,477.50 |
$17,477.50 |
$7,127.17
|
|
Mastoids complete
|
$283.00 |
$283.00 |
$283.00 |
$299.50
|
|
Mastopexy
|
$2,271.17 |
$2,271.17 |
$2,271.17 |
$6,591.20
|
|
Mast simple complete
|
$13,682.00 |
$13,682.00 |
$13,682.00 |
$6,174.00
|
|
Matrion 1 sq cm
|
$1,133.00 |
$1,133.00 |
$1,133.00 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$75.00 |
$75.00 |
$75.00 |
$65.00
|
|
Mayo aathr protein s free
|
$134.50 |
$134.50 |
$134.50 |
$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
|
$87.75 |
$87.75 |
$87.75 |
$111.69
|
|
Mayo alpha 1 antitrypsin
|
$81.50 |
$81.50 |
$81.50 |
$87.10
|
|
Mayo amikacin trough therapeutic drug level
|
$107.00 |
$107.00 |
$107.00 |
$81.81
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$62.00 |
$62.00 |
$75.90
|
|
Mayo analysis gene calr common variants exon 9
|
$450.00 |
$450.00 |
$450.00 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$752.00 |
$752.00 |
$752.00 |
$369.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$510.50 |
$510.50 |
$510.50 |
$368.25
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$2,869.00 |
$2,869.00 |
$2,869.00 |
$1,860.00
|
|
Mayo androstenedione
|
$154.50 |
$154.50 |
$154.50 |
$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
|
$131.10 |
$131.10 |
$131.10 |
$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
|
$167.50 |
$167.50 |
$167.50 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$119.00 |
$119.00 |
$119.00 |
$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
|
$422.50 |
$422.50 |
$422.50 |
$328.20
|
|
Mayo blastomyces antibody immunodiffusion
|
$38.50 |
$38.50 |
$38.50 |
$55.04
|
|
Mayo bnzu sedative hypnotics definitive urine
|
$154.37 |
$154.37 |
$154.37 |
$61.21
|
|
Mayo bordetella pertussis antibody igg
|
$130.00 |
$130.00 |
$130.00 |
$69.20
|
