|
Leuprolide 3.75 mg intramuscular syringe kit
|
$10,759.00 |
$10,759.00 |
$30,414.64 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$1,737.45 |
$1,737.45 |
$1,737.45 |
$1,322.50
|
|
Lev 5 hosp type b ed visit
|
$3,145.00 |
$3,145.00 |
$3,145.00 |
$1,542.68
|
|
Levalbuterol non-comp unit
|
$4.55 |
$4.55 |
$4.55 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$31.92 |
$31.92 |
$31.92 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$92.30 |
$92.30 |
$92.30 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$22.75 |
$22.75 |
$22.75 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,235.31 |
$1,235.31 |
$1,235.31 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$15,026.70 |
$15,026.70 |
$15,026.70 |
$6,104.00
|
|
Lidocaine injection
|
$2.60 |
$2.60 |
$2.60 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$7.02 |
$7.02 |
$7.02 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.08 |
$0.08 |
$0.08 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$41.00 |
$41.00 |
$85.15 |
$88.40
|
|
Lifileucel til/dose 7.5b-72b snij
|
$16,991.93 |
$16,991.93 |
$16,991.93 |
$30,744.64
|
|
Ligate leg veins open
|
$2,373.80 |
$2,373.80 |
$2,373.80 |
$3,724.63
|
|
Ligate leg veins radical 37760
|
$2,802.80 |
$2,802.80 |
$2,802.80 |
$3,439.84
|
|
Ligate oviduct(s) add-on 58611
|
$1,580.15 |
$1,580.15 |
$1,580.15 |
$584.00
|
|
Ligate/staple esophagus
|
$6,429.80 |
$6,429.80 |
$6,429.80 |
$3,550.40
|
|
Ligate/strip long leg vein
|
$2,333.50 |
$2,333.50 |
$2,333.50 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$1,853.80 |
$1,853.80 |
$1,853.80 |
$3,724.63
|
|
Ligation/biopsy of temporal artery 37609
|
$7,569.25 |
$7,569.25 |
$7,569.25 |
$3,322.80
|
|
Ligation common iliac vein
|
$5,792.80 |
$5,792.80 |
$5,792.80 |
$3,211.04
|
|
Ligation/divis of long saph vein 37700
|
$993.20 |
$993.20 |
$993.20 |
$4,255.00
|
|
Ligation internal/common carotid artery 37605
|
$3,712.80 |
$3,712.80 |
$3,712.80 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$3,133.00 |
$3,133.00 |
$3,133.00 |
$3,564.80
|
|
Ligation/major artery/extremity 37618
|
$1,567.80 |
$1,567.80 |
$1,567.80 |
$1,581.82
|
|
Ligation major artery neck
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$3,608.40
|
|
Ligation of abdomen artery 37617
|
$6,185.40 |
$6,185.40 |
$6,185.40 |
$2,200.20
|
|
Ligation of inf vena cava
|
$7,800.00 |
$7,800.00 |
$7,800.00 |
$5,983.35
|
|
Ligation of neck artery
|
$2,519.40 |
$2,519.40 |
$2,519.40 |
$3,724.63
|
|
Ligation vericose vein cluster(s) 1 leg
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$14,704.95 |
$14,704.95 |
$14,704.95 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$2,834.00 |
$2,834.00 |
$2,834.00 |
$3,724.63
|
|
Liletta, 52 mg
|
$1,453.50 |
$1,453.50 |
$1,453.50 |
$1,514.24
|
|
Limb exercise test
|
$286.00 |
$286.00 |
$286.00 |
$340.80
|
|
Limited visual field xm
|
$221.65 |
$221.65 |
$221.65 |
$79.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.25 |
$0.25 |
$0.25 |
$119.81
|
|
Lipase
|
$139.75 |
$139.75 |
$139.75 |
$92.88
|
|
Lip exc/transverse wedge/w closure 40510
|
$1,253.20 |
$1,253.20 |
$1,253.20 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$21.00 |
$21.00 |
$149.50 |
$87.00
|
|
Lipoprotein blood quant
|
$32.61 |
$32.61 |
$46.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$48.10 |
$48.10 |
$473.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$70.85 |
$70.85 |
$70.85 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$48.10 |
$48.10 |
$48.10 |
$47.18
|
|
Lip surgery procedure
|
$423.15 |
$423.15 |
$423.15 |
$334.50
|
|
Lisocabtagene mara car pos t
|
$1,740,703.90 |
$1,740,703.90 |
$1,740,703.90 |
$1,336,907.88
|
|
Listeria monocytogenes
|
$345.80 |
$345.80 |
$345.80 |
$96.88
|
|
Lithium therapeutic drug level
|
$34.45 |
$34.45 |
$34.45 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,113.20 |
$4,113.20 |
$4,113.20 |
$4,371.12
|
|
Liver abs/cyst dr opn 1-2 stge
|
$5,044.00 |
$5,044.00 |
$5,044.00 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$742.30 |
$742.30 |
$742.30 |
$365.28
|
|
Liver elastography 91200
|
$644.80 |
$644.80 |
$644.80 |
$285.18
|
|
Liver Function Test
|
$256.75 |
$256.75 |
$256.75 |
$115.44
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$6,120.40 |
$6,120.40 |
$6,120.40 |
$2,028.65
|
|
Liver imaging
|
$126.10 |
$126.10 |
$2,098.00 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$132.60 |
$132.60 |
$2,294.00 |
$1,227.60
|
|
Liver/spleen imag static only
|
$2,252.90 |
$2,252.90 |
$7,561.00 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$148.20 |
$148.20 |
$3,506.00 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$11.27 |
$11.27 |
$11.27 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$67,929.65 |
$67,929.65 |
$67,929.65 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.44 |
$37.44 |
$57.00 |
$37.20
|
|
Loudness balance test
|
$67.60 |
$67.60 |
$67.60 |
$344.68
|
|
Low back disk surgery
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$8,412.89
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$905.45 |
$905.45 |
$1,585.00 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$997.75 |
$997.75 |
$16,140.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,002.00 |
$2,002.00 |
$2,002.00 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$596.70 |
$596.70 |
$596.70 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,002.00 |
$2,002.00 |
$11,302.00 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,002.00 |
$2,002.00 |
$8,739.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,355.25 |
$1,355.25 |
$7,845.00 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$659.75 |
$659.75 |
$659.75 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$670.80 |
$670.80 |
$670.80 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$682.50 |
$682.50 |
$682.50 |
$535.91
|
|
Lower Leg (Shin) X-ray (both sides)
|
$535.60 |
$535.60 |
$535.60 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$742.95 |
$742.95 |
$742.95 |
$364.77
|
|
Lsh uterus 250 g or less
|
$3,195.40 |
$3,195.40 |
$3,195.40 |
$11,378.21
|
|
Lsh w/t/o ut 250 g or less
|
$4,049.50 |
$4,049.50 |
$4,049.50 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$4,056.00 |
$4,056.00 |
$4,056.00 |
$11,533.76
|
|
Lso full corset
|
$96.85 |
$96.85 |
$96.85 |
$317.46
|
|
Lso r post pnl sj-t9 pre cst
|
$184.60 |
$184.60 |
$184.60 |
$326.82
|
|
Lso s/c shell/panel prefab
|
$39.00 |
$39.00 |
$39.00 |
$1,332.80
|
|
L/s ratio fetal lung
|
$168.00 |
$168.00 |
$168.00 |
$173.91
|
|
Lumbar diskogram s&i
|
$11,163.75 |
$11,163.75 |
$11,163.75 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$6,729.45 |
$6,729.45 |
$6,729.45 |
$14,331.20
|
|
Lumizyme injection
|
$2,370.97 |
$2,370.97 |
$2,370.97 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$1,226.55 |
$1,226.55 |
$3,578.00 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$221.65 |
$221.65 |
$1,453.00 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$585.00 |
$585.00 |
$1,547.00 |
$296.91
|
|
Lung perfusion imaging
|
$2,252.90 |
$2,252.90 |
$5,806.00 |
$1,067.57
|
|
Lung volume reduction 32491
|
$6,562.40 |
$6,562.40 |
$6,562.40 |
$2,141.40
|
|
Lurbinectedin 4 mg intravenous solution
|
$25,740.00 |
$25,740.00 |
$25,740.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$38,498.82 |
$38,498.82 |
$38,498.82 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$436.15 |
$436.15 |
$436.15 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$332.80 |
$332.80 |
$332.80 |
$357.85
|
|
Lvad shower bag heartmate
|
$438.75 |
$438.75 |
$438.75 |
$893.74
|
|
Lw ntsty Ultrasound stimj bone healg
|
$161.20 |
$161.20 |
$161.20 |
$114.40
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$2,875.60 |
$2,875.60 |
$2,875.60 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$2,393.00 |
$2,393.00 |
$3,329.95 |
$1,487.90
|
|
Lymphocyte transformation mitogen
|
$284.05 |
$284.05 |
$284.05 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$3,466.45 |
$3,466.45 |
$3,466.45 |
$973.80
|
