|
Lithium therapeutic drug level
|
$21.09 |
$62.50 |
$172.70 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,368.46 |
$2,260.44 |
$9,848.52 |
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,448.04 |
$1,448.04 |
$1,448.04 |
|
|
Liver ds alys 3 bmrk srm alg
|
$719.20 |
$719.20 |
$719.20 |
|
|
Liver elastography 91200
|
$280.00 |
$280.00 |
$322.30 |
|
|
Liver Function Test
|
$33.39 |
$140.00 |
$298.80 |
|
|
Liver imaging
|
$843.70 |
$1,255.00 |
$1,961.52 |
|
|
Liver imag w/vasclr flow
|
$1,380.00 |
$1,380.00 |
$2,256.65 |
|
|
Liver/spleen imag static only
|
$951.06 |
$1,380.00 |
$1,936.00 |
|
|
Liver/spleen imag w/vasclr flow
|
$1,243.44 |
$1,380.00 |
$1,936.00 |
|
|
Lmtd oph exam general anes
|
$3,275.00 |
$3,275.00 |
$3,275.00 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$742.14 |
$742.14 |
$742.14 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.69 |
$8.35 |
$44.10 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$525.11 |
$525.11 |
$525.11 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.71 |
$35.12 |
$188.76 |
|
|
Loudness balance test
|
$64.13 |
$64.13 |
$166.40 |
|
|
Low back disk surgery
|
$14,924.00 |
$14,924.00 |
$14,924.00 |
|
|
Low cost skin substitute app
|
$776.16 |
$776.16 |
$1,442.10 |
|
|
Low cost skin substitute app
|
$1,032.90 |
$1,032.90 |
$2,985.95 |
|
|
Low cost skin substitute app
|
$780.78 |
$780.78 |
$1,372.80 |
|
|
Low cost skin substitute app
|
$865.26 |
$865.26 |
$3,015.10 |
|
|
Low cost skin substitute app
|
$309.10 |
$309.10 |
$341.22 |
|
|
Low cost skin substitute app
|
$616.44 |
$616.44 |
$994.40 |
|
|
Low cost skin substitute app
|
$306.24 |
$306.24 |
$322.85 |
|
|
Low cost skin substitute app
|
$103.20 |
$801.24 |
$801.24 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$72.96 |
$445.00 |
$1,355.78 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$570.57 |
$2,305.00 |
$4,905.25 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$428.64 |
$1,570.00 |
$4,905.25 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$369.36 |
$1,470.00 |
$3,187.15 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,100.67 |
$3,045.91 |
$6,685.06 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,387.01 |
$2,210.00 |
$3,281.30 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,341.96 |
$2,110.00 |
$5,058.83 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$99.18 |
$304.15 |
$601.04 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$156.18 |
$417.50 |
$925.86 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$109.44 |
$550.00 |
$859.38 |
|
|
Lower jaw bone graft
|
$5,525.60 |
$5,525.60 |
$5,525.60 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$78.09 |
$330.00 |
$601.04 |
|
|
Lso r post pnl sj-t9 pre cst
|
$728.00 |
$728.00 |
$734.30 |
|
|
Lso s/c shell/panel prefab
|
$4,269.85 |
$4,269.85 |
$4,269.85 |
|
|
L/s ratio fetal lung
|
$71.02 |
$71.02 |
$157.50 |
|
|
Lumbar diskogram s&i
|
$1,023.96 |
$1,940.00 |
$5,545.69 |
|
|
Lumbar Spinal Fusion (single level)
|
$7,552.00 |
$7,552.00 |
$7,552.00 |
|
|
Lumizyme injection
|
$309.06 |
$309.06 |
$385.50 |
|
|
Lung Function Test Before and After an Inhaler
|
$215.60 |
$467.50 |
$915.31 |
|
|
Lung function test (mbc/mvv)
|
$73.70 |
$115.00 |
$383.71 |
|
|
Lung Function Test (Spirometry)
|
$81.95 |
$265.00 |
$609.50 |
|
|
Lung perfusion imaging
|
$648.09 |
$1,095.00 |
$1,959.71 |
|
|
Lung volume reduction 32491
|
$13,188.80 |
$13,188.80 |
$13,188.80 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$292.69 |
$314.78 |
$534.56 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$59.88 |
$88.96 |
$106.38 |
|
|
Lutetium lu 177 dotatat ther
|
$335.00 |
$335.00 |
$365.20 |
|
|
Lutetium lu 177 vipivotide
|
$282.72 |
$367.50 |
$672.04 |
|
|
Lvad shower bag heartmate
|
$623.30 |
$623.30 |
$623.30 |
|
|
Lw ntsty Ultrasound stimj bone healg
|
$401.60 |
$401.60 |
$401.60 |
|
|
Lymphatics/lymph node imaging
|
$594.55 |
$1,385.00 |
$2,559.07 |
|
|
Lymphocyte transformation mitogen
|
$86.92 |
$267.30 |
$373.45 |
|
|
Lymph vessel x-ray arm/leg
|
$815.00 |
$815.00 |
$894.64 |
|
|
Lymph vessel x-ray arms/legs
|
$991.63 |
$1,225.00 |
$2,072.40 |
|
|
Lymph vessel x-ray trunk
|
$815.00 |
$815.00 |
$2,313.45 |
|
|
Lymph vessel x-ray trunk
|
$1,225.00 |
$1,225.00 |
$3,635.28 |
|
|
Lysis intranasal synechia 30560
|
$300.51 |
$300.51 |
$555.20 |
|
|
Lysis penil circumic lesion
|
$2,552.00 |
$2,552.00 |
$2,552.00 |
|
|
Macro exam dissect molec study ea
|
$10.00 |
$10.00 |
$116.80 |
|
|
Macroscopic exam arthropod
|
$10.45 |
$20.00 |
$123.20 |
|
|
Macroscopic exam parasite
|
$11.40 |
$34.40 |
$168.85 |
|
|
Magnesium
|
$27.93 |
$75.00 |
$181.79 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$8.55 |
$25.84 |
$438.15 |
|
|
Magnetic image bone marrow
|
$2,075.00 |
$2,075.00 |
$2,075.00 |
|
|
Makena, 10 mg
|
$23.85 |
$29.07 |
$54.40 |
|
|
Malaria antibody
|
$32.86 |
$82.50 |
$114.40 |
|
|
Male sling procedure
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
|
|
Mammosite ced
|
$132.66 |
$132.66 |
$132.66 |
|
|
Manipulate wrist w/anesthes
|
$3,764.80 |
$3,764.80 |
$3,764.80 |
|
|
Manipulation of hip joint
|
$1,307.20 |
$1,307.20 |
$1,307.20 |
|
|
Manipulat palm cord post inj
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$3.50 |
$10.82 |
$45.28 |
|
|
Manual diff wbc count b-coat
|
$13.78 |
$37.50 |
$61.60 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$390.24 |
$390.24 |
$390.24 |
|
|
Mapping io sentinel lymph node
|
$215.00 |
$215.00 |
$778.57 |
|
|
Map tachycard site(s)
|
$1,519.65 |
$3,842.50 |
$8,065.01 |
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$123.10 |
$123.10 |
$34,164.07 |
|
|
Marker biop eviva buckle ss
|
$193.15 |
$498.58 |
$825.52 |
|
|
Mastectomy form
|
$165.00 |
$165.00 |
$249.83 |
|
|
Mastectomy partial
|
$983.25 |
$1,279.08 |
$4,422.66 |
|
|
Mast mod rad
|
$1,802.34 |
$2,282.28 |
$9,436.00 |
|
|
Mastoidectomy
|
$4,543.20 |
$4,543.20 |
$4,543.20 |
|
|
Mastoidectomy complete 69502
|
$6,036.80 |
$6,036.80 |
$6,036.80 |
|
|
Mastoids complete
|
$152.64 |
$315.48 |
$429.83 |
|
|
Mastoid surgery revision
|
$7,787.20 |
$7,787.20 |
$7,787.20 |
|
|
Mastopexy
|
$1,569.21 |
$1,569.21 |
$6,591.20 |
|
|
Mast radical
|
$2,224.14 |
$2,224.14 |
$2,224.14 |
|
|
Mast rad urban type
|
$2,362.65 |
$2,362.65 |
$2,362.65 |
|
|
Mast simple complete
|
$1,557.24 |
$1,851.36 |
$5,582.40 |
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$90.29 |
$90.29 |
$5,065.63 |
|
|
M.avium-intra dna amp prob
|
$80.85 |
$80.85 |
$137.50 |
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$10.60 |
$100.00 |
$178.37 |
|
|
Mayo aathr protein s free
|
$43.89 |
$138.60 |
$470.31 |
|
|
Mayo activated protein c resistance assay
|
$60.99 |
$139.15 |
$203.00 |
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$63.80 |
$357.50 |
$360.25 |
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$37.63 |
$147.50 |
$194.15 |
|
