|
Laryngoscope w/vc inj
|
$180.16 |
$180.16 |
$180.16 |
|
|
Laryngoscop w/vc inj + scope
|
$210.24 |
$210.24 |
$210.24 |
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,137.00 |
$1,137.00 |
$1,137.00 |
|
|
Laryngoscopy w/biopsy
|
$150.40 |
$150.40 |
$2,487.00 |
|
|
Laryngoscopy w/bx & op scope
|
$166.72 |
$166.72 |
$166.72 |
|
|
Laryngoscopy w/fb removal
|
$4,758.00 |
$4,758.00 |
$4,758.00 |
|
|
Laser surgery of prostate
|
$551.04 |
$551.04 |
$551.04 |
|
|
Lb with mastopexy 15839
|
$599.36 |
$599.36 |
$599.36 |
|
|
Lead acuity x4 spiral l 86cm
|
$637.50 |
$637.50 |
$4,390.40 |
|
|
Lead capillary
|
$50.25 |
$50.25 |
$57.60 |
|
|
Lead ingevity 45cm pfret MRI
|
$712.50 |
$712.50 |
$1,646.40 |
|
|
Lead tachy durata sj4 58cm
|
$450.00 |
$450.00 |
$8,640.00 |
|
|
Left compres band >=3" <5"/yd
|
$13.50 |
$13.50 |
$13.50 |
|
|
Left compres band <3"/yd
|
$2.25 |
$2.25 |
$2.25 |
|
|
Left compres band >=5"/yd
|
$5.25 |
$5.25 |
$5.25 |
|
|
Legion pneumo dna dir prob
|
$122.25 |
$122.25 |
$122.25 |
|
|
Legion pneumo dna quant
|
$255.00 |
$255.00 |
$255.00 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$342.72 |
$342.72 |
$764.25 |
|
|
Leishmania antibody
|
$74.25 |
$74.25 |
$74.25 |
|
|
Lens, intraocular (new tech)
|
$380.16 |
$380.16 |
$380.16 |
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$216.00 |
$216.00 |
$216.00 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$712.50 |
$712.50 |
$2,388.16 |
|
|
Lens iol ant chamb 10.5
|
$219.84 |
$219.84 |
$472.50 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$109.04 |
$109.04 |
$280.46 |
|
|
Leukacyte transfusion
|
$304.50 |
$304.50 |
$304.50 |
|
|
Leukocyte phagocytosis
|
$51.00 |
$51.00 |
$51.00 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$5,192.31 |
$5,192.31 |
$27,850.21 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$28,078.80 |
$28,078.80 |
$28,078.80 |
|
|
Leuprolide acetate injeciton
|
$1,771.20 |
$1,771.20 |
$1,771.20 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$42.62 |
$42.62 |
$204.23 |
|
|
Levetiracetam therapeutic drug level
|
$54.40 |
$54.40 |
$127.50 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$15.42 |
$15.42 |
$137.34 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$129.41 |
$129.41 |
$129.41 |
|
|
L hrt cath chd nm/abn nt cnj
|
$5,550.00 |
$5,550.00 |
$5,550.00 |
|
|
Liberta rc ipg
|
$667.50 |
$667.50 |
$40,404.80 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$16.76 |
$16.76 |
$61.64 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$13.76 |
$13.76 |
$54.30 |
|
|
Lidocaine therapeutic drug level
|
$13.44 |
$13.44 |
$92.25 |
|
|
Lifileucel til/dose 7.5b-72b snij
|
$41,175.86 |
$41,175.86 |
$41,175.86 |
|
|
Ligate oviduct(s) add-on 58611
|
$58.24 |
$58.24 |
$58.24 |
|
|
Ligation vericose vein cluster(s) 1 leg
|
$8,039.25 |
$8,039.25 |
$8,039.25 |
|
|
Lig/band angioaccess av fistula
|
$285.76 |
$285.76 |
$2,116.50 |
|
|
Liletta, 52 mg
|
$715.52 |
$715.52 |
$2,184.00 |
|
|
Limb exercise test
|
$417.00 |
$417.00 |
$417.00 |
|
|
Limited autopsy
|
$366.75 |
$366.75 |
$366.75 |
|
|
Limited autopsy
|
$325.50 |
$325.50 |
$325.50 |
|
|
Limited visual field xm
|
$60.75 |
$60.75 |
$60.75 |
|
|
Lincomycin injection
|
$106.73 |
$106.73 |
$106.73 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$27.00 |
$27.00 |
$159.90 |
|
|
Lipase
|
$43.52 |
$43.52 |
$71.25 |
|
|
Lipoprotein blood high res frac & quant
|
$22.72 |
$22.72 |
$167.25 |
|
|
Lipoprotein blood quant
|
$28.48 |
$28.48 |
$197.25 |
|
|
Lipoprotein direct measurement hdl
|
$40.96 |
$40.96 |
$71.25 |
|
|
Lipoprotein direct measurement ldl
|
$13.76 |
$13.76 |
$75.75 |
|
|
Lipoprtn dir meas sd ldl chl
|
$105.75 |
$105.75 |
$105.75 |
|
|
Lisocabtagene mara car pos t
|
$1,104,681.24 |
$1,104,681.24 |
$1,104,681.24 |
|
|
Listeria monocytogenes
|
$81.00 |
$81.00 |
$81.00 |
|
|
Lithium therapeutic drug level
|
$41.25 |
$41.25 |
$59.20 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$322.50 |
$322.50 |
$2,628.16 |
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,119.04 |
$1,119.04 |
$3,889.50 |
|
|
Liver Function Test
|
$72.75 |
$72.75 |
$104.00 |
|
|
Liver imaging
|
$814.40 |
$814.40 |
$1,386.00 |
|
|
Liver imag w/vasclr flow
|
$729.28 |
$729.28 |
$1,600.50 |
|
|
Liver/spleen imag static only
|
$997.50 |
$997.50 |
$997.50 |
|
|
Liver/spleen imag w/vasclr flow
|
$481.92 |
$481.92 |
$997.50 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.47 |
$1.47 |
$148.97 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$61,208.69 |
$61,208.69 |
$61,208.69 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$13.54 |
$13.54 |
$43.10 |
|
|
Loudness balance test
|
$450.00 |
$450.00 |
$450.00 |
|
|
Low back disk surgery
|
$729.60 |
$729.60 |
$729.60 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$831.04 |
$831.04 |
$2,182.50 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$758.08 |
$758.08 |
$1,890.00 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$718.08 |
$718.08 |
$1,597.50 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,125.12 |
$1,125.12 |
$2,610.00 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$846.08 |
$846.08 |
$1,965.00 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$775.36 |
$775.36 |
$1,747.50 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$145.60 |
$145.60 |
$325.50 |
|
|
Lsh uterus above 250 g
|
$510.40 |
$510.40 |
$510.40 |
|
|
Lsh w/t/o ut 250 g or less
|
$662.08 |
$662.08 |
$662.08 |
|
|
Lsh w/t/o uterus above 250 g
|
$720.00 |
$720.00 |
$720.00 |
|
|
L/s ratio fetal lung
|
$134.25 |
$134.25 |
$134.25 |
|
|
Lumbar diskogram s&i
|
$1,168.32 |
$1,168.32 |
$5,006.25 |
|
|
Lumizyme injection
|
$2,328.21 |
$2,328.21 |
$2,328.21 |
|
|
Lung function test (mbc/mvv)
|
$89.25 |
$89.25 |
$127.36 |
|
|
Lung Function Test (Spirometry)
|
$161.28 |
$161.28 |
$290.25 |
|
|
Lung perfusion imaging
|
$450.56 |
$450.56 |
$997.50 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$19,338.75 |
$19,338.75 |
$19,338.75 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$26,656.80 |
$26,656.80 |
$26,656.80 |
|
|
Lutetium lu 177 dotatat ther
|
$144,849.60 |
$144,849.60 |
$144,849.60 |
|
|
Lutetium lu 177 vipivotide
|
$110,556.91 |
$110,556.91 |
$110,556.91 |
|
|
Lyme dis dna dir probe
|
$122.25 |
$122.25 |
$122.25 |
|
|
Lymphatics/lymph node imaging
|
$463.36 |
$463.36 |
$1,335.00 |
|
|
Lymphocyte culture mixed
|
$222.75 |
$222.75 |
$222.75 |
|
|
Lymphocyte transformation mitogen
|
$306.75 |
$306.75 |
$306.75 |
|
|
Lymphocytotoxicity assay
|
$934.50 |
$934.50 |
$934.50 |
|
|
Lymphocytotoxicity assay
|
$289.50 |
$289.50 |
$289.50 |
|
|
Lymph vessel x-ray arm/leg
|
$1,571.25 |
$1,571.25 |
$1,571.25 |
|
|
Lymph vessel x-ray arms/legs
|
$4,141.50 |
$4,141.50 |
$4,141.50 |
|
|
Lymph vessel x-ray trunk
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
|
|
Lymph vessel x-ray trunk
|
$8,295.00 |
$8,295.00 |
$8,295.00 |
|