|
Laparo total proctocolectomy
|
$2,792.40 |
$2,792.40 |
$2,792.40 |
$5,071.20
|
|
Laparo urethral suspension
|
$1,485.00 |
$1,485.00 |
$1,485.00 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$1,910.40 |
$1,910.40 |
$1,910.40 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$4,488.60 |
$4,488.60 |
$4,488.60 |
$8,917.26
|
|
Laparscpy ablat 1>lvr tum cryo
|
$2,394.00 |
$2,394.00 |
$2,394.00 |
$11,221.60
|
|
Lap close enterostomy with resect 44227
|
$3,582.00 |
$3,582.00 |
$3,582.00 |
$3,582.00
|
|
Lap colectomy/coloproctostomy 44207
|
$2,662.20 |
$2,662.20 |
$2,662.20 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$3,781.80 |
$3,781.80 |
$3,781.80 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$2,540.40 |
$2,540.40 |
$2,540.40 |
$2,938.32
|
|
Lap colectomy w/proctectomy 44211
|
$3,222.00 |
$3,222.00 |
$3,222.00 |
$3,222.00
|
|
Lap colostomy 44188
|
$2,318.40 |
$2,318.40 |
$2,318.40 |
$3,008.00
|
|
Lap enterectomy 44202
|
$2,142.00 |
$2,142.00 |
$2,142.00 |
$2,142.00
|
|
Lap enterolysis
|
$1,736.40 |
$1,736.40 |
$1,736.40 |
$6,463.42
|
|
Lap esophageal lengthening addl 43283
|
$306.60 |
$306.60 |
$306.60 |
$388.00
|
|
Lap fimbrioplasty 58672
|
$1,434.60 |
$1,434.60 |
$1,434.60 |
$6,904.15
|
|
Lap gastric bypass/roux-en-y
|
$3,167.40 |
$3,167.40 |
$3,167.40 |
$4,255.20
|
|
Lap ileo/jejuno-stomy 44187
|
$2,098.20 |
$2,098.20 |
$2,098.20 |
$2,716.80
|
|
Lap inc hernia repair 49654
|
$1,533.00 |
$1,533.00 |
$1,533.00 |
$6,538.43
|
|
Lap inc hernia repair recurr 49656
|
$1,657.80 |
$1,657.80 |
$1,657.80 |
$2,072.28
|
|
Lap inc hern recur comp 49657
|
$2,383.20 |
$2,383.20 |
$2,383.20 |
$9,770.08
|
|
Lap inc hern repair comp 49655
|
$1,872.60 |
$1,872.60 |
$1,872.60 |
$9,853.46
|
|
Lap ing hernia repair init
|
$802.80 |
$802.80 |
$802.80 |
$9,605.51
|
|
Lap ing hernia repair recur
|
$1,045.20 |
$1,045.20 |
$1,045.20 |
$6,870.89
|
|
Lap insert tunnel ip cath
|
$744.00 |
$744.00 |
$744.00 |
$6,895.20
|
|
Lap jejunostomy 44186
|
$1,230.60 |
$1,230.60 |
$1,230.60 |
$6,376.26
|
|
Lap mobil splenic fl add-on 44213
|
$360.60 |
$360.60 |
$360.60 |
$622.40
|
|
Lap myotomy heller
|
$2,444.40 |
$2,444.40 |
$2,444.40 |
$3,158.40
|
|
Lap paraesophag hern repair
|
$2,922.00 |
$2,922.00 |
$2,922.00 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$4,945.80 |
$4,945.80 |
$4,945.80 |
$10,029.60
|
|
Lap part colectomy w/stoma 44206
|
$3,747.60 |
$3,747.60 |
$3,747.60 |
$4,307.20
|
|
Lap proctopexy w/sig resect 45402
|
$2,220.60 |
$2,220.60 |
$2,220.60 |
$3,351.48
|
|
Lap removal of rectum w/colostomy 45395
|
$3,786.60 |
$3,786.60 |
$3,786.60 |
$4,880.80
|
|
Lap resect s/intestine addl 44203
|
$487.20 |
$487.20 |
$487.20 |
$516.78
|
|
Lap revision perm ip cath
|
$793.20 |
$793.20 |
$793.20 |
$6,904.15
|
|
Lap rmvl gastr adj all parts
|
$1,814.40 |
$1,814.40 |
$1,814.40 |
$4,502.13
|
|
Laps esophgl sphnctr agmntj 43284
|
$969.00 |
$969.00 |
$969.00 |
$10,500.26
|
|
Lap sleeve gastrectomy
|
$2,071.80 |
$2,071.80 |
$2,071.80 |
$2,733.60
|
|
Lap tot proctocolectomy 44210
|
$3,798.00 |
$3,798.00 |
$3,798.00 |
$3,798.00
|
|
Lapt stg/restg ovarian tubal/prim mal 2nd 58960
|
$1,803.00 |
$1,803.00 |
$1,803.00 |
$1,803.00
|
|
Lap vent/abd hernia repair 49652
|
$1,348.80 |
$1,348.80 |
$1,348.80 |
$7,349.98
|
|
Lap vent/abd hern proc comp 49653
|
$1,683.60 |
$1,683.60 |
$1,683.60 |
$7,777.76
|
|
Lap w/omentopexy add-on 49326
|
$408.00 |
$408.00 |
$408.00 |
$463.20
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$354.00 |
$354.00 |
$354.00 |
$740.40
|
|
Laryngoscope w/vc inj
|
$667.20 |
$667.20 |
$667.20 |
$4,108.00
|
|
Laryngoscop w/vc inj + scope
|
$514.80 |
$514.80 |
$514.80 |
$4,539.60
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$492.60 |
$492.60 |
$492.60 |
$2,514.60
|
|
Laryngoscopy w/biopsy
|
$528.00 |
$528.00 |
$528.00 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$541.80 |
$541.80 |
$541.80 |
$4,627.00
|
|
Laryngoscopy w/exc of tumor
|
$694.80 |
$694.80 |
$694.80 |
$5,137.60
|
|
Laryngoscopy w/fb & op scope
|
$631.80 |
$631.80 |
$631.80 |
$4,004.00
|
|
Laryngoscopy with biopsy 31510
|
$413.40 |
$413.40 |
$413.40 |
$3,934.14
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$406.20 |
$406.20 |
$406.20 |
$981.40
|
|
Larynscop w/tumr exc + scope
|
$615.00 |
$615.00 |
$615.00 |
$5,126.62
|
|
Laser surgery of cervix 57513
|
$338.40 |
$338.40 |
$338.40 |
$3,762.53
|
|
Laser surg penis lesion(s)
|
$271.20 |
$271.20 |
$271.20 |
$3,562.00
|
|
Lateral canthopexy
|
$723.00 |
$723.00 |
$723.00 |
$3,837.72
|
|
Lavage cannulation maxillary sinus
|
$349.20 |
$349.20 |
$349.20 |
$728.00
|
|
Lavh >250 gms 58553
|
$2,213.40 |
$2,213.40 |
$2,213.40 |
$8,917.26
|
|
Lb with mastopexy 15839
|
$1,667.40 |
$1,667.40 |
$1,667.40 |
$3,722.04
|
|
Lead acuity x4 spiral l 86cm
|
$4,582.80 |
$4,582.80 |
$4,582.80 |
$5,460.00
|
|
Lead capillary
|
$81.00 |
$81.00 |
$81.00 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$3,550.80 |
$3,550.80 |
$3,550.80 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$8,437.80 |
$8,437.80 |
$8,437.80 |
$8,202.66
|
|
Left compres band >=3" <5"/yd
|
$7.20 |
$7.20 |
$7.20 |
$5.20
|
|
Left compres band <3"/yd
|
$6.60 |
$6.60 |
$6.60 |
$3.64
|
|
Left compres band >=5"/yd
|
$120.60 |
$120.60 |
$120.60 |
$6.73
|
|
Leg Artery Ultrasound (complete, both legs)
|
$535.20 |
$535.20 |
$535.20 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,693.20 |
$1,693.20 |
$1,693.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,674.00 |
$1,674.00 |
$1,674.00 |
$1,372.50
|
|
Leg vein fusion 34530
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
$4,569.60
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$619.20 |
$619.20 |
$619.20 |
$1,092.58
|
|
Lengthening of palate+pharyngeal flap 42226
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$6,523.41
|
|
Lengthening or shortening - tibia and fibula 27715
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
$1,649.28
|
|
Lens, intraocular (new tech)
|
$326.40 |
$326.40 |
$326.40 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$537.00 |
$537.00 |
$537.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,239.20 |
$2,239.20 |
$2,239.20 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$191.40 |
$191.40 |
$191.40 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$182.27 |
$182.27 |
$182.27 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$22,850.90 |
$22,850.90 |
$22,850.90 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$9,611.85 |
$9,611.85 |
$9,611.85 |
$8,348.12
|
|
Levalbuterol non-comp unit
|
$18.58 |
$18.58 |
$18.58 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$133.26 |
$133.26 |
$133.26 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$50.40 |
$50.40 |
$50.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$115.45 |
$115.45 |
$115.45 |
$55.69
|
|
Levonorgestrel implant sys
|
$1,254.70 |
$1,254.70 |
$1,254.70 |
$933.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$438.79 |
$438.79 |
$438.79 |
$420.60
|
|
Liberta rc ipg
|
$37,575.00 |
$37,575.00 |
$37,575.00 |
$39,189.70
|
|
Lidocaine therapeutic drug level
|
$55.20 |
$55.20 |
$55.20 |
$87.45
|
|
Ligate leg veins radical 37760
|
$1,236.60 |
$1,236.60 |
$1,236.60 |
$3,439.84
|
|
Ligate oviduct(s) add-on 58611
|
$213.00 |
$213.00 |
$213.00 |
$584.00
|
|
Ligate/strip long leg vein
|
$955.20 |
$955.20 |
$955.20 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$861.60 |
$861.60 |
$861.60 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$709.80 |
$709.80 |
$709.80 |
$3,744.41
|
|
Ligation/biopsy of temporal artery 37609
|
$599.40 |
$599.40 |
$599.40 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$498.60 |
$498.60 |
$498.60 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$1,579.80 |
$1,579.80 |
$1,579.80 |
$3,483.84
|
|
Ligation internal/common carotid artery 37605
|
$1,735.20 |
$1,735.20 |
$1,735.20 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$1,418.40 |
$1,418.40 |
$1,418.40 |
$3,564.80
|
|
Ligation/major artery/extremity 37618
|
$754.20 |
$754.20 |
$754.20 |
$1,567.80
|
|
Ligation of abdomen artery 37617
|
$2,938.20 |
$2,938.20 |
$2,938.20 |
$2,200.20
|
