|
Lap rmvl gastr adj all parts
|
$643.80 |
$643.80 |
$643.80 |
$4,502.13
|
|
Lap rmvl gastr adj device
|
$636.40 |
$636.40 |
$636.40 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$722.20 |
$722.20 |
$722.20 |
$2,733.60
|
|
Laps surg prst8ect rpbic rad
|
$811.80 |
$811.80 |
$811.80 |
$12,320.22
|
|
Laps surg prst8ect smpl stot
|
$714.00 |
$714.00 |
$714.00 |
$12,320.22
|
|
Lap tot proctocolectomy 44210
|
$1,187.40 |
$1,187.40 |
$1,187.40 |
$3,798.00
|
|
Lap w/omentopexy add-on 49326
|
$122.00 |
$122.00 |
$122.00 |
$463.20
|
|
Largsc w/njx augmentation
|
$288.80 |
$288.80 |
$288.80 |
$3,297.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$91.60 |
$91.60 |
$91.60 |
$765.97
|
|
Laryngoscope w/vc inj
|
$1,103.80 |
$1,103.80 |
$1,103.80 |
$4,108.00
|
|
Laryngoscopic sensory i&r
|
$16.00 |
$16.00 |
$16.00 |
$74.40
|
|
Laryngoscopic sensory vid
|
$77.60 |
$77.60 |
$77.60 |
$336.00
|
|
Laryngoscop w/vc inj + scope
|
$169.20 |
$169.20 |
$169.20 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$109.60 |
$109.60 |
$109.60 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$139.40 |
$139.40 |
$139.40 |
$852.80
|
|
Laryngoscopy w/biopsy
|
$129.40 |
$129.40 |
$129.40 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$143.20 |
$143.20 |
$143.20 |
$4,362.99
|
|
Laryngoscopy w/exc of tumor
|
$164.00 |
$164.00 |
$164.00 |
$5,126.62
|
|
Laryngoscopy w/fb & op scope
|
$143.40 |
$143.40 |
$143.40 |
$4,004.00
|
|
Laryngoscopy w/fb removal
|
$135.20 |
$135.20 |
$135.20 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$82.60 |
$82.60 |
$82.60 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$76.40 |
$76.40 |
$76.40 |
$800.25
|
|
Larynscop w/tumr exc + scope
|
$178.60 |
$178.60 |
$178.60 |
$5,104.80
|
|
Laser surgery of prostate
|
$476.80 |
$476.80 |
$476.80 |
$6,822.11
|
|
Lat retinacular release open
|
$325.80 |
$325.80 |
$325.80 |
$3,839.54
|
|
Lavage cannulation maxillary sinus
|
$133.20 |
$133.20 |
$133.20 |
$728.00
|
|
Lavh >250 gms 58553
|
$756.40 |
$756.40 |
$756.40 |
$8,917.26
|
|
Lb with mastopexy 15839
|
$513.60 |
$513.60 |
$513.60 |
$3,386.84
|
|
Lead capillary
|
$21.20 |
$21.20 |
$21.20 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$666.60 |
$666.60 |
$666.60 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$4,657.60 |
$4,657.60 |
$4,657.60 |
$8,204.74
|
|
Lefort i-1 piece without graft
|
$932.40 |
$932.40 |
$932.40 |
$6,320.00
|
|
Left compres band >=3" <5"/yd
|
$1.20 |
$1.20 |
$1.20 |
$5.20
|
|
Left compres band <3"/yd
|
$0.80 |
$0.80 |
$0.80 |
$3.64
|
|
Left compres band >=5"/yd
|
$1.60 |
$1.60 |
$1.60 |
$6.73
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$427.80 |
$427.80 |
$427.80 |
$1,092.58
|
|
Leishmania antibody
|
$2.18 |
$2.18 |
$2.18 |
$58.50
|
|
Lengthening or shortening - tibia and fibula 27715
|
$741.80 |
$741.80 |
$741.80 |
$1,649.28
|
|
Lengthen metacarpal/finger
|
$655.60 |
$655.60 |
$655.60 |
$6,273.00
|
|
Lens, intraocular (new tech)
|
$370.40 |
$370.40 |
$370.40 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$517.40 |
$517.40 |
$517.40 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,492.60 |
$1,492.60 |
$1,492.60 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$133.60 |
$133.60 |
$133.60 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$45.24 |
$45.24 |
$45.24 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$6,645.04 |
$6,645.04 |
$6,645.04 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,890.43 |
$3,890.43 |
$3,890.43 |
$9,107.80
|
|
Levalbuterol non-comp unit
|
$0.80 |
$0.80 |
$0.80 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$35.80 |
$35.80 |
$35.80 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$30.40 |
$30.40 |
$30.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$18.58 |
$18.58 |
$18.58 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$146.90 |
$146.90 |
$146.90 |
$420.60
|
|
Liberta rc ipg
|
$27,250.00 |
$27,250.00 |
$27,250.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$37.88 |
$37.88 |
$37.88 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$4.80 |
$4.80 |
$4.80 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$19.80 |
$19.80 |
$19.80 |
$87.45
|
|
Ligate leg veins radical 37760
|
$370.60 |
$370.60 |
$370.60 |
$3,439.84
|
|
Ligate oviduct(s) add-on 58611
|
$50.20 |
$50.20 |
$50.20 |
$800.00
|
|
Ligate/strip long leg vein
|
$297.40 |
$297.40 |
$297.40 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$255.00 |
$255.00 |
$255.00 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$254.60 |
$254.60 |
$254.60 |
$3,522.35
|
|
Ligation/biopsy of temporal artery 37609
|
$518.60 |
$518.60 |
$518.60 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$162.40 |
$162.40 |
$162.40 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$510.40 |
$510.40 |
$510.40 |
$3,483.84
|
|
Ligation internal/common carotid artery 37605
|
$470.60 |
$470.60 |
$470.60 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$262.20 |
$262.20 |
$262.20 |
$1,525.00
|
|
Ligation major artery neck
|
$352.60 |
$352.60 |
$352.60 |
$3,608.40
|
|
Ligation of abdomen artery 37617
|
$866.20 |
$866.20 |
$866.20 |
$2,200.20
|
|
Ligation of femoral vein
|
$296.60 |
$296.60 |
$296.60 |
$3,724.63
|
|
Ligation vericose vein cluster(s) 1 leg
|
$233.60 |
$233.60 |
$233.60 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$245.80 |
$245.80 |
$245.80 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$374.20 |
$374.20 |
$374.20 |
$3,724.63
|
|
Liletta, 52 mg
|
$362.20 |
$362.20 |
$362.20 |
$1,514.24
|
|
Limb exercise test
|
$61.80 |
$61.80 |
$61.80 |
$355.54
|
|
Limited visual field xm
|
$28.00 |
$28.00 |
$28.00 |
$79.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$52.83 |
$52.83 |
$52.83 |
$121.00
|
|
Lipase
|
$40.00 |
$40.00 |
$40.00 |
$91.65
|
|
Lip exc/transverse wedge/w closure 40510
|
$246.40 |
$246.40 |
$246.40 |
$3,837.72
|
|
Lipoprotein blood quant
|
$11.00 |
$11.00 |
$11.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$30.40 |
$30.40 |
$30.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$24.20 |
$24.20 |
$24.20 |
$61.60
|
|
Lithium therapeutic drug level
|
$26.60 |
$26.60 |
$26.60 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$70.00 |
$70.00 |
$70.00 |
$4,113.20
|
|
Liver abs/cyst dr opn 1-2 stge
|
$814.00 |
$814.00 |
$814.00 |
$1,714.14
|
|
Liver Function Test
|
$47.40 |
$47.40 |
$47.40 |
$115.44
|
|
Liver imaging
|
$1,056.40 |
$1,056.40 |
$1,056.40 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$1,056.40 |
$1,056.40 |
$1,056.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$640.00 |
$640.00 |
$640.00 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$21.40 |
$21.40 |
$21.40 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,878.80 |
$3,878.80 |
$3,878.80 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$3.20 |
$3.20 |
$3.20 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$10.00 |
$10.00 |
$10.00 |
$37.37
|
|
Low back disk surgery
|
$626.60 |
$626.60 |
$626.60 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,210.80 |
$1,210.80 |
$1,210.80 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,042.40 |
$1,042.40 |
$1,042.40 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,800.00 |
$1,800.00 |
$1,800.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,152.60 |
$1,152.60 |
$1,152.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$995.20 |
$995.20 |
$995.20 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$206.40 |
$206.40 |
$206.40 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$565.20 |
$565.20 |
$565.20 |
$7,961.97
|
