|
Liver/spleen imag w/vasclr flow
|
$871.00 |
$871.00 |
$871.00 |
|
|
Lmtd oph exam general anes
|
$66.00 |
$66.00 |
$105.60 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$486.50 |
$3,761.00 |
$27,870.50 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$39.50 |
$39.50 |
$163.20 |
|
|
Lomustine 10 mg
|
$5,134.99 |
$5,134.99 |
$5,134.99 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$49,563.03 |
$49,563.03 |
$49,563.03 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$3.00 |
$5.25 |
$60.19 |
|
|
Loudness balance test
|
$369.50 |
$369.50 |
$369.50 |
|
|
Low back disk surgery
|
$4,702.00 |
$5,642.50 |
$21,897.50 |
|
|
Low cost skin substitute app
|
$880.50 |
$1,160.50 |
$1,591.00 |
|
|
Low cost skin substitute app
|
$218.50 |
$218.50 |
$218.50 |
|
|
Low cost skin substitute app
|
$880.50 |
$880.50 |
$1,034.50 |
|
|
Low cost skin substitute app
|
$227.50 |
$227.50 |
$227.50 |
|
|
Low cost skin substitute app
|
$18.50 |
$18.50 |
$18.50 |
|
|
Low cost skin substitute app
|
$46.00 |
$46.00 |
$46.00 |
|
|
Low cost skin substitute app
|
$26.50 |
$26.50 |
$26.50 |
|
|
Low cost skin substitute app
|
$56.50 |
$56.50 |
$56.50 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$572.50 |
$1,221.00 |
$2,918.40 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$246.50 |
$1,085.50 |
$2,551.00 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$296.00 |
$892.00 |
$1,789.80 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,445.50 |
$1,971.50 |
$4,051.80 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,228.00 |
$1,800.00 |
$3,384.60 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$868.50 |
$1,417.00 |
$3,295.20 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$141.00 |
$213.50 |
$643.00 |
|
|
Lower jaw bone graft
|
$7,411.88 |
$7,411.88 |
$7,411.88 |
|
|
Lsh uterus 250 g or less
|
$16,777.00 |
$16,777.00 |
$16,777.00 |
|
|
Lsh w/t/o ut 250 g or less
|
$849.50 |
$1,359.20 |
$19,820.76 |
|
|
Lso flex no ri stays pre ots
|
$245.50 |
$251.00 |
$277.00 |
|
|
Lso full corset
|
$322.50 |
$330.00 |
$364.50 |
|
|
Lso r post pnl sj-t9 pre cst
|
$350.00 |
$357.50 |
$395.50 |
|
|
Lso sc r pos/lat pnl pre cst
|
$585.00 |
$598.50 |
$660.50 |
|
|
L/s ratio fetal lung
|
$83.50 |
$142.00 |
$247.50 |
|
|
Lumbar diskogram s&i
|
$40.50 |
$713.00 |
$3,610.50 |
|
|
Lumbar Spinal Fusion (single level)
|
$14,232.00 |
$14,262.50 |
$19,327.25 |
|
|
Lung function test (mbc/mvv)
|
$100.00 |
$146.50 |
$232.00 |
|
|
Lung Function Test (Spirometry)
|
$178.50 |
$289.00 |
$391.00 |
|
|
Lung perfusion imaging
|
$413.50 |
$816.50 |
$1,478.00 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$21,078.75 |
$24,750.00 |
$36,506.25 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$22,139.08 |
$24,678.74 |
$49,022.25 |
|
|
Lutetium lu 177 dotatat ther
|
$278.00 |
$333.50 |
$72,618.00 |
|
|
Lutetium lu 177 vipivotide
|
$271.50 |
$288.00 |
$301.50 |
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$28,126.50 |
$28,126.50 |
$28,126.50 |
|
|
Lymphatics/lymph node imaging
|
$718.00 |
$907.50 |
$1,516.50 |
|
|
Lymphocyte culture mixed
|
$426.50 |
$426.50 |
$426.50 |
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$842.00 |
|
|
Lymphocytotoxicity assay
|
$442.50 |
$442.50 |
$442.50 |
|
|
Lymph vessel x-ray arm/leg
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
|
|
Lymph vessel x-ray arms/legs
|
$2,894.00 |
$2,894.00 |
$2,894.00 |
|
|
Lymph vessel x-ray trunk
|
$3,428.00 |
$3,428.00 |
$3,428.00 |
|
|
Lymph vessel x-ray trunk
|
$6,131.50 |
$6,131.50 |
$6,131.50 |
|
|
Lysis intranasal synechia 30560
|
$620.00 |
$620.00 |
$1,990.56 |
|
|
Lysis of labial adhesions
|
$3,711.50 |
$3,721.00 |
$18,092.00 |
|
|
Lysis penil circumic lesion
|
$208.50 |
$2,403.00 |
$5,285.50 |
|
|
Macroscopic exam arthropod
|
$13.00 |
$24.00 |
$113.00 |
|
|
Macroscopic exam parasite
|
$12.50 |
$23.20 |
$64.50 |
|
|
Magnesium
|
$25.00 |
$46.00 |
$205.20 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$4.80 |
$16.80 |
$69.00 |
|
|
Magnetic image bone marrow
|
$983.50 |
$1,232.50 |
$1,672.50 |
|
|
Makena, 10 mg
|
$69.00 |
$72.50 |
$73.50 |
|
|
Malaria antibody
|
$75.00 |
$75.00 |
$75.00 |
|
|
Mammosite ced
|
$313.00 |
$313.00 |
$313.00 |
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$88.00 |
$115.50 |
$655.20 |
|
|
Manipulation chest wall initial demonstration/evaluation
|
$81.50 |
$127.50 |
$565.00 |
|
|
Manipulat palm cord post inj
|
$81.00 |
$84.50 |
$315.50 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$24.98 |
$24.98 |
$49.95 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$316.00 |
$519.00 |
$888.00 |
|
|
Mapping io sentinel lymph node
|
$147.00 |
$1,552.00 |
$6,399.25 |
|
|
Map tachycard site(s)
|
$4,670.00 |
$4,670.00 |
$5,717.00 |
|
|
Marker biop eviva buckle ss
|
$153.00 |
$479.50 |
$1,108.88 |
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,201.50 |
$1,201.50 |
$1,201.50 |
|
|
Mastectomy partial
|
$733.50 |
$4,188.50 |
$30,680.00 |
|
|
Mast mod rad
|
$1,262.00 |
$4,033.34 |
$52,067.50 |
|
|
Mastoidectomy
|
$17,846.76 |
$17,846.76 |
$17,846.76 |
|
|
Mastoidectomy complete 69502
|
$1,801.20 |
$1,801.20 |
$1,801.20 |
|
|
Mastoids complete
|
$171.00 |
$217.50 |
$339.50 |
|
|
Mastopexy
|
$2,271.17 |
$8,673.00 |
$35,097.50 |
|
|
Mast radical
|
$1,226.00 |
$1,270.50 |
$2,032.80 |
|
|
Mast simple complete
|
$1,065.00 |
$5,700.00 |
$47,305.00 |
|
|
Matrion 1 sq cm
|
$119.50 |
$566.50 |
$1,133.00 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$82.79 |
$143.50 |
$5,662.45 |
|
|
M.avium-intra dna amp prob
|
$126.50 |
$132.00 |
$183.00 |
|
|
M.avium-intra dna dir prob
|
$144.50 |
$144.50 |
$144.50 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$13.00 |
$51.50 |
$137.00 |
|
|
Mayo aathr protein s free
|
$47.50 |
$134.50 |
$291.20 |
|
|
Mayo activated protein c resistance assay
|
$54.00 |
$56.00 |
$275.20 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$239.00 |
$455.00 |
$1,053.00 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$20.00 |
$112.00 |
$376.50 |
|
|
Mayo alcohol definitive assay volatile screen
|
$56.00 |
$91.00 |
$376.50 |
|
|
Mayo alkaline phosphatase isoenzyme
|
$1.50 |
$1.50 |
$186.60 |
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$47.50 |
$70.00 |
$207.50 |
|
|
Mayo alpha 1 antitrypsin
|
$12.00 |
$81.50 |
$373.80 |
|
|
Mayo amikacin trough therapeutic drug level
|
$8.00 |
$107.00 |
$193.00 |
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$62.00 |
$62.00 |
$123.00 |
|
|
Mayo analysis gene calr common variants exon 9
|
$387.00 |
$432.50 |
$1,269.00 |
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$277.20 |
$650.00 |
$1,912.50 |
|
|
Mayo analysis gene smn1 dosage/deletion
|
$300.00 |
$510.50 |
$510.50 |
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,515.00 |
$1,591.00 |
$4,323.00 |
|
|
Mayo androstenedione
|
$57.00 |
$152.50 |
$391.20 |
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$9.00 |
$14.50 |
$302.40 |
|
|
Mayo antithrombin iii antigen
|
$18.50 |
$18.50 |
$137.40 |
|
