|
Knee MRI (without contrast)
|
$825.84 |
$1,549.08 |
$11,676.27 |
|
|
Knee X-ray
|
$122.25 |
$452.00 |
$1,410.49 |
|
|
Knee X-ray (1 to 2 views, both knees)
|
$173.55 |
$271.13 |
$1,263.49 |
|
|
Knee X-ray (3 views, both knees)
|
$122.25 |
$402.00 |
$1,697.48 |
|
|
Knee X-ray (standing, both knees)
|
$201.63 |
$201.63 |
$456.56 |
|
|
Kras gene addl variants
|
$799.50 |
$799.50 |
$10,357.38 |
|
|
Kras gene variants exon 2
|
$598.65 |
$889.00 |
$10,357.38 |
|
|
Kyleena, 19.5 mg
|
$1,788.08 |
$1,788.08 |
$1,788.08 |
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$81.00 |
$125.97 |
$125.97 |
|
|
Lab draw <3 yrs scalp vein 36405
|
$23.01 |
$23.01 |
$64.00 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$29.89 |
$33.68 |
$447.63 |
|
|
Labioplasty 56800
|
$5,989.00 |
$5,989.00 |
$5,989.00 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$2.57 |
$2.57 |
$416.15 |
|
|
Lactate dehydrogenase (ldh)
|
$28.00 |
$95.16 |
$295.90 |
|
|
Lactated ringers intravenous solution
|
$4.67 |
$36.05 |
$376.63 |
|
|
Lactation class
|
$176.67 |
$176.67 |
$411.00 |
|
|
Lactic acid
|
$23.09 |
$149.37 |
$620.10 |
|
|
Lactoferrin fecal qualitative
|
$37.89 |
$114.27 |
$1,055.83 |
|
|
Lactoferrin fecal quant
|
$91.00 |
$169.26 |
$169.26 |
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$250.82 |
$250.82 |
$90,199.11 |
|
|
Lanthanum carbonate oral 5mg
|
$0.26 |
$0.26 |
$50.43 |
|
|
Laparo cholecystectomy/explr
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Laparo cholecystectomy/graph
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Laparo proc abdm/per/oment 49329
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Laparoscopy aspiration
|
$8,209.00 |
$8,209.00 |
$8,209.00 |
|
|
Laparoscopy biopsy
|
$8,661.00 |
$8,661.00 |
$8,661.00 |
|
|
Laparoscopy excise lesions
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
|
|
Laparoscopy lysis
|
$8,893.00 |
$8,893.00 |
$8,893.00 |
|
|
Laparoscopy remove adnexa
|
$9,383.00 |
$9,383.00 |
$9,383.00 |
|
|
Laparoscopy tubal block 58671
|
$8,661.00 |
$8,661.00 |
$8,661.00 |
|
|
Laparo urethral suspension
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
|
|
Laparo-vag hyst incl t/o
|
$10,547.00 |
$10,547.00 |
$10,547.00 |
|
|
Lap colectomy part w/ileum 44205
|
$47,067.00 |
$47,067.00 |
$47,067.00 |
|
|
Lap enterolysis
|
$10,651.00 |
$10,651.00 |
$10,651.00 |
|
|
Lap inc hernia repair 49654
|
$13,882.00 |
$13,882.00 |
$13,882.00 |
|
|
Lap inc hern repair comp 49655
|
$13,158.00 |
$13,158.00 |
$13,158.00 |
|
|
Lap ing hernia repair init
|
$11,234.00 |
$11,234.00 |
$11,234.00 |
|
|
Lap ing hernia repair recur
|
$12,994.00 |
$12,994.00 |
$12,994.00 |
|
|
Lap insert tunnel ip cath
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
|
|
Laps esophgl sphnctr agmntj 43284
|
$4,066.00 |
$4,066.00 |
$4,066.00 |
|
|
Laps surg prst8ect rpbic rad
|
$12,866.00 |
$12,866.00 |
$12,866.00 |
|
|
Laps surg prst8ect smpl stot
|
$15,440.00 |
$15,440.00 |
$15,440.00 |
|
|
Lap vent/abd hernia repair 49652
|
$13,882.00 |
$13,882.00 |
$13,882.00 |
|
|
Lap vent/abd hern proc comp 49653
|
$13,158.00 |
$13,158.00 |
$13,158.00 |
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$393.39 |
$1,092.00 |
$4,862.00 |
|
|
Largsc w/laser dstrj les
|
$4,240.08 |
$4,240.08 |
$4,931.00 |
|
|
Largsc w/njx augmentation
|
$577.98 |
$577.98 |
$2,575.00 |
|
|
Largsc w/rmvl foreign bdy(s)
|
$2,006.94 |
$2,006.94 |
$2,006.94 |
|
|
Largsc w/ther injection
|
$789.36 |
$789.36 |
$2,575.00 |
|
|
Laryngeal function studies
|
$365.00 |
$708.63 |
$708.63 |
|
|
Laryngoscope w/vc inj
|
$925.47 |
$925.47 |
$5,774.00 |
|
|
Laryngoscopic sensory vid
|
$268.00 |
$268.00 |
$268.00 |
|
|
Laryngoscop w/vc inj + scope
|
$5,774.00 |
$5,774.00 |
$5,774.00 |
|
|
Laryngoscopy and dilation
|
$7,565.00 |
$7,565.00 |
$7,565.00 |
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,162.10 |
$3,735.81 |
$4,463.00 |
|
|
Laryngoscopy telescopic
|
$1,087.00 |
$1,844.31 |
$1,844.31 |
|
|
Laryngoscopy w/biopsy
|
$4,188.60 |
$4,188.60 |
$4,188.60 |
|
|
Laryngoscopy w/bx & op scope
|
$3,358.12 |
$5,774.00 |
$5,774.00 |
|
|
Laryngoscopy w/exc of tumor
|
$7,565.00 |
$7,565.00 |
$7,565.00 |
|
|
Laryngoscopy w/fb removal
|
$4,802.46 |
$4,802.46 |
$4,802.46 |
|
|
Laryngoscopy with biopsy
|
$2,340.78 |
$2,340.78 |
$3,007.00 |
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$1,127.00 |
$1,127.00 |
$1,127.00 |
|
|
Larynscop w/tumr exc + scope
|
$8,590.00 |
$8,590.00 |
$8,590.00 |
|
|
Laser treatment of retina
|
$10,476.00 |
$10,476.00 |
$10,476.00 |
|
|
Laser treatment of retina
|
$10,476.00 |
$10,476.00 |
$10,476.00 |
|
|
Lateral canthopexy
|
$9,290.00 |
$9,290.00 |
$9,290.00 |
|
|
Lat retinacular release open
|
$12,994.00 |
$12,994.00 |
$12,994.00 |
|
|
Lb with mastopexy 15839
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
|
|
Lead acuity x4 spiral l 86cm
|
$0.30 |
$3,068.83 |
$5,617.19 |
|
|
Lead capillary
|
$41.44 |
$114.27 |
$779.84 |
|
|
Lead ingevity 45cm pfret MRI
|
$0.30 |
$2,878.34 |
$3,047.96 |
|
|
Lead tachy durata sj4 58cm
|
$4,441.36 |
$5,723.76 |
$5,723.76 |
|
|
Lefort i-2 piece without graft
|
$13,100.00 |
$13,100.00 |
$13,100.00 |
|
|
Leg Artery Ultrasound (complete, both legs)
|
$296.30 |
$1,288.00 |
$7,007.65 |
|
|
Leg CT Scan (with contrast, both legs)
|
$993.38 |
$1,275.00 |
$5,727.73 |
|
|
Leg CT Scan (without contrast, both legs)
|
$694.72 |
$1,275.00 |
$7,040.23 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$360.53 |
$1,288.00 |
$7,007.65 |
|
|
Leishmania antibody
|
$58.50 |
$58.50 |
$176.00 |
|
|
Lengthening of hand tendon
|
$4,815.00 |
$4,815.00 |
$4,815.00 |
|
|
Lengthen metacarpal/finger
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$200.91 |
$200.91 |
$762.30 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$977.16 |
$977.16 |
$1,563.10 |
|
|
Lens iol ant chamb 10.5
|
$683.72 |
$683.72 |
$683.72 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$45.76 |
$48.84 |
$568.05 |
|
|
Leukocyte phagocytosis
|
$218.40 |
$218.40 |
$218.40 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$900.28 |
$6,360.76 |
$45,477.69 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$4,154.11 |
$4,154.11 |
$19,081.62 |
|
|
Levalbuterol non-comp con
|
$8.07 |
$8.07 |
$50.05 |
|
|
Levalbuterol non-comp unit
|
$12.49 |
$12.49 |
$286.60 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$1.15 |
$1.15 |
$603.35 |
|
|
Levetiracetam therapeutic drug level
|
$21.32 |
$155.61 |
$590.95 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$23.28 |
$71.58 |
$350.70 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$136.57 |
$136.57 |
$136.57 |
|
|
L hrt cath chd nm/abn nt cnj
|
$4,048.20 |
$4,048.20 |
$7,108.00 |
|
|
Liberta rc ipg
|
$25,724.25 |
$65,883.98 |
$65,883.98 |
|
|
Lidocaine injection
|
$21.83 |
$477.92 |
$477.92 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$5.68 |
$5.68 |
$284.75 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.02 |
$0.02 |
$36.75 |
|
|
Lidocaine therapeutic drug level
|
$68.00 |
$112.71 |
$444.00 |
|
|
Lifileucel til/dose 7.5b-72b snij
|
$39.55 |
$39.55 |
$39.55 |
|
