|
Levetiracetam therapeutic drug level
|
$32.50 |
$32.50 |
$32.50 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$17.25 |
$17.25 |
$17.25 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$280.98 |
$280.98 |
$280.98 |
$420.60
|
|
Liberta rc ipg
|
$15,153.00 |
$15,153.00 |
$15,153.00 |
$39,406.68
|
|
Ligate leg veins open
|
$566.00 |
$566.00 |
$566.00 |
$3,724.63
|
|
Ligate leg veins radical 37760
|
$619.00 |
$619.00 |
$619.00 |
$3,439.84
|
|
Ligate oviduct(s) add-on 58611
|
$80.00 |
$80.00 |
$80.00 |
$800.00
|
|
Ligate/strip long leg vein
|
$489.50 |
$489.50 |
$489.50 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$422.50 |
$422.50 |
$422.50 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$390.00 |
$390.00 |
$390.00 |
$3,522.35
|
|
Ligation/biopsy of temporal artery 37609
|
$224.50 |
$224.50 |
$224.50 |
$3,322.80
|
|
Ligation common iliac vein
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$3,349.39
|
|
Ligation/divis of long saph vein 37700
|
$259.00 |
$259.00 |
$259.00 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$787.00 |
$787.00 |
$787.00 |
$3,483.84
|
|
Ligation internal/common carotid artery 37605
|
$794.00 |
$794.00 |
$794.00 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$766.00 |
$766.00 |
$766.00 |
$3,564.80
|
|
Ligation major artery chest
|
$1,219.00 |
$1,219.00 |
$1,219.00 |
$2,114.20
|
|
Ligation/major artery/extremity 37618
|
$413.50 |
$413.50 |
$413.50 |
$1,525.00
|
|
Ligation major artery neck
|
$541.50 |
$541.50 |
$541.50 |
$3,608.40
|
|
Ligation of abdomen artery 37617
|
$1,415.00 |
$1,415.00 |
$1,415.00 |
$2,200.20
|
|
Ligation of femoral vein
|
$494.50 |
$494.50 |
$494.50 |
$3,724.63
|
|
Ligation of inf vena cava
|
$1,863.00 |
$1,863.00 |
$1,863.00 |
$5,983.35
|
|
Ligation vericose vein cluster(s) 1 leg
|
$265.50 |
$265.50 |
$265.50 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$396.00 |
$396.00 |
$396.00 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$625.00 |
$625.00 |
$625.00 |
$3,724.63
|
|
Liletta, 52 mg
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$1,514.24
|
|
Limited visual field xm
|
$16.00 |
$16.00 |
$16.00 |
$79.20
|
|
Lincomycin injection
|
$23.00 |
$23.00 |
$23.00 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$37.35 |
$37.35 |
$37.35 |
$121.00
|
|
Lipase
|
$50.50 |
$50.50 |
$50.50 |
$91.65
|
|
Lipoprotein blood quant
|
$75.00 |
$75.00 |
$75.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$33.50 |
$33.50 |
$33.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$104.50 |
$104.50 |
$104.50 |
$61.60
|
|
Lip surgery procedure
|
$213.50 |
$213.50 |
$213.50 |
$335.50
|
|
Lithium therapeutic drug level
|
$71.00 |
$71.00 |
$71.00 |
$69.42
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,302.00 |
$1,302.00 |
$1,302.00 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$365.28
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Lmtd oph exam general anes
|
$73.50 |
$73.50 |
$73.50 |
$2,590.36
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$508.50 |
$508.50 |
$508.50 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$6.20 |
$6.20 |
$6.20 |
$37.37
|
|
Low back disk surgery
|
$4,702.00 |
$4,702.00 |
$4,702.00 |
$8,412.89
|
|
Low cost skin substitute app
|
$880.50 |
$880.50 |
$880.50 |
$933.60
|
|
Low cost skin substitute app
|
$218.50 |
$218.50 |
$218.50 |
$2,147.57
|
|
Low cost skin substitute app
|
$880.50 |
$880.50 |
$880.50 |
$1,012.00
|
|
Low cost skin substitute app
|
$227.50 |
$227.50 |
$227.50 |
$1,009.49
|
|
Low cost skin substitute app
|
$18.50 |
$18.50 |
$18.50 |
$428.35
|
|
Low cost skin substitute app
|
$46.00 |
$46.00 |
$46.00 |
$727.77
|
|
Low cost skin substitute app
|
$26.50 |
$26.50 |
$26.50 |
$408.04
|
|
Low cost skin substitute app
|
$56.50 |
$56.50 |
$56.50 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,027.50 |
$1,027.50 |
$1,027.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$906.00 |
$906.00 |
$906.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$911.00 |
$911.00 |
$911.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,029.50 |
$2,029.50 |
$2,029.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,376.00 |
$1,376.00 |
$1,376.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$148.00 |
$148.00 |
$148.00 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$8,470.00 |
$8,470.00 |
$8,470.00 |
$7,961.97
|
|
Lumbar diskogram s&i
|
$40.50 |
$40.50 |
$40.50 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$178.50 |
$178.50 |
$178.50 |
$295.35
|
|
Lung perfusion imaging
|
$413.50 |
$413.50 |
$413.50 |
$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
|
$209.00 |
$209.00 |
$209.00 |
$3,274.00
|
|
Magnesium
|
$52.50 |
$52.50 |
$52.50 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$20.70 |
$20.70 |
$20.70 |
$59.88
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$90.00 |
$90.00 |
$90.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$94.50 |
$94.50 |
$94.50 |
$160.80
|
|
Manipulat palm cord post inj
|
$84.50 |
$84.50 |
$84.50 |
$521.60
|
|
Mapping io sentinel lymph node
|
$148.00 |
$148.00 |
$148.00 |
$650.00
|
|
Marker biop eviva buckle ss
|
$268.50 |
$268.50 |
$268.50 |
$1,451.30
|
|
Mastectomy partial
|
$741.00 |
$741.00 |
$741.00 |
$4,531.42
|
|
Mast mod rad
|
$1,262.00 |
$1,262.00 |
$1,262.00 |
$7,127.17
|
|
Mastoids complete
|
$171.00 |
$171.00 |
$171.00 |
$299.50
|
|
Mast radical
|
$1,226.00 |
$1,226.00 |
$1,226.00 |
$1,780.80
|
|
Mast simple complete
|
$1,076.50 |
$1,076.50 |
$1,076.50 |
$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
|
$119.50 |
$119.50 |
$119.50 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$62.50 |
$62.50 |
$62.50 |
$65.00
|
|
Mayo aathr protein s free
|
$199.00 |
$199.00 |
$199.00 |
$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
|
$62.50 |
$62.50 |
$62.50 |
$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
|
$146.50 |
$146.50 |
$146.50 |
$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
|
$112.50 |
$112.50 |
$112.50 |
$66.50
|
|
Mayo avwpr vw factor activity
|
$145.00 |
$145.00 |
$145.00 |
$171.50
|
|
Mayo babpb infectious agent nucleic acid amplified probe babesia microti
|
$201.06 |
$201.06 |
$201.06 |
$96.73
|
|
Mayo barbiturates definitive assay confirmation urine
|
$60.00 |
$60.00 |
$60.00 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$37.00 |
$37.00 |
$37.00 |
$45.50
|
