|
Lens iol ant bicnvx 24.0 multi
|
$358.35 |
$615.23 |
$13,503.64 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$346.75 |
$346.75 |
$1,539.06 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$23.21 |
$195.41 |
$328.82 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$530.97 |
$534.84 |
$23,081.62 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,273.51 |
$3,273.51 |
$33,012.17 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$2,154.25 |
$2,154.25 |
$2,154.25 |
$1,322.50
|
|
Levalbuterol non-comp unit
|
$22.18 |
$22.18 |
$22.18 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.74 |
$0.90 |
$236.95 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$33.33 |
$92.50 |
$148.40 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$93.80 |
$93.80 |
$1,221.40 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,159.90 |
$1,159.90 |
$1,159.90 |
$420.60
|
|
Liberta rc ipg
|
$19,104.00 |
$19,104.00 |
$146,084.88 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$42.42 |
$42.42 |
$344.05 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$134.75 |
$134.75 |
$134.75 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$31.02 |
$95.00 |
$107.80 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$173.07 |
$173.07 |
$173.07 |
$30,744.64
|
|
Ligate/strip long leg vein
|
$20,663.41 |
$20,663.41 |
$20,663.41 |
$3,724.63
|
|
Ligation/biopsy of temporal artery 37609
|
$10,659.66 |
$10,659.66 |
$10,659.66 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$26,966.46 |
$26,966.46 |
$26,966.46 |
$4,255.00
|
|
Ligation/major artery/extremity 37618
|
$1,525.00 |
$1,525.00 |
$1,525.00 |
$1,567.80
|
|
Ligation major artery neck
|
$61,427.88 |
$61,427.88 |
$61,427.88 |
$3,608.40
|
|
Lig/band angioaccess av fistula
|
$2,835.00 |
$2,835.00 |
$24,380.00 |
$4,676.50
|
|
Liletta, 52 mg
|
$5,498.50 |
$5,498.50 |
$5,498.50 |
$1,514.24
|
|
Limited autopsy
|
$2,928.80 |
$2,928.80 |
$2,928.80 |
$352.80
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$26.50 |
$232.92 |
$379.68 |
$119.81
|
|
Lipase
|
$32.67 |
$67.50 |
$107.80 |
$93.00
|
|
Lipoprotein blood high res frac & quant
|
$89.60 |
$89.60 |
$89.60 |
$87.00
|
|
Lipoprotein blood quant
|
$64.68 |
$165.20 |
$167.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$23.76 |
$57.50 |
$79.10 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$20.46 |
$60.00 |
$140.00 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$100.10 |
$100.10 |
$100.10 |
$47.18
|
|
Lip surgery procedure
|
$39,512.63 |
$39,512.63 |
$39,512.63 |
$334.50
|
|
Lisocabtagene mara car pos t
|
$2,983,581.00 |
$2,983,581.00 |
$2,983,581.00 |
$1,336,907.88
|
|
Lithium therapeutic drug level
|
$25.74 |
$45.00 |
$77.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$1,480.00 |
$1,480.00 |
$6,616.40 |
$4,371.12
|
|
Litt icr 1 traj 1 smpl les
|
$191,267.89 |
$191,267.89 |
$191,267.89 |
$4,370.00
|
|
Litt icr mlt trj mlt/cplx ls
|
$168,818.44 |
$168,818.44 |
$168,818.44 |
$5,462.00
|
|
Liver ds alys 3 bmrk srm alg
|
$396.20 |
$396.20 |
$396.20 |
$365.28
|
|
Liver elastography 91200
|
$242.20 |
$242.20 |
$242.20 |
$285.18
|
|
Liver Function Test
|
$67.98 |
$80.00 |
$271.60 |
$115.44
|
|
Liver imaging
|
$769.89 |
$769.89 |
$1,008.00 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$549.45 |
$549.45 |
$549.45 |
$1,227.60
|
|
Liver/spleen imag static only
|
$468.60 |
$1,090.00 |
$1,266.30 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$402.60 |
$1,145.00 |
$1,261.40 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$101.51 |
$101.51 |
$101.51 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$83,724.20 |
$83,724.20 |
$83,724.20 |
$62,704.30
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$16.80 |
$55.73 |
$114.95 |
$37.20
|
|
Low back disk surgery
|
$49,857.21 |
$49,857.21 |
$49,857.21 |
$8,412.89
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,207.50 |
$933.60
|
|
Low cost skin substitute app
|
$2,600.00 |
$2,600.00 |
$2,600.00 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$2,969.40 |
$1,018.50
|
|
Low cost skin substitute app
|
$1,030.00 |
$1,030.00 |
$1,030.00 |
$1,016.16
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$1,210.30 |
$466.80
|
|
Low cost skin substitute app
|
$650.00 |
$650.00 |
$650.00 |
$757.90
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$3,444.00 |
$408.45
|
|
Low cost skin substitute app
|
$515.00 |
$515.00 |
$515.00 |
$515.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$37.29 |
$565.00 |
$781.20 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$773.85 |
$1,385.00 |
$3,717.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$759.99 |
$955.00 |
$3,506.30 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$500.28 |
$855.00 |
$3,083.50 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,430.88 |
$2,125.00 |
$4,706.80 |
$3,098.39
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,299.54 |
$1,450.00 |
$4,172.70 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,181.40 |
$1,650.00 |
$3,837.40 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$142.23 |
$335.00 |
$651.70 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$408.54 |
$505.00 |
$909.30 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$463.98 |
$550.00 |
$1,169.00 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$53.13 |
$290.00 |
$536.90 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$137.50 |
$137.50 |
$419.30 |
$364.77
|
|
Lsh w/t/o ut 250 g or less
|
$71,163.01 |
$71,163.01 |
$71,163.01 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$95,189.07 |
$95,189.07 |
$95,189.07 |
$11,533.76
|
|
Lso flex no ri stays pre ots
|
$255.50 |
$255.50 |
$255.50 |
$164.80
|
|
L/s ratio fetal lung
|
$672.70 |
$672.70 |
$672.70 |
$176.15
|
|
Lumbar diskogram s&i
|
$2,455.53 |
$2,509.50 |
$3,420.00 |
$2,358.23
|
|
Lung Function Test Before and After an Inhaler
|
$440.55 |
$525.00 |
$620.20 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$79.53 |
$225.00 |
$508.20 |
$180.73
|
|
Lung Function Test (Spirometry)
|
$284.79 |
$307.50 |
$405.30 |
$296.91
|
|
Lung perfusion imaging
|
$495.66 |
$855.00 |
$1,932.00 |
$1,067.57
|
|
Lurbinectedin 4 mg intravenous solution
|
$449.01 |
$449.01 |
$494.30 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$93.82 |
$93.82 |
$42,932.75 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$923.30 |
$923.30 |
$923.30 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$526.40 |
$526.40 |
$526.40 |
$357.85
|
|
Lymphatics/lymph node imaging
|
$1,330.00 |
$1,330.00 |
$2,568.30 |
$1,487.90
|
|
Lymphocyte transformation mitogen
|
$737.10 |
$737.10 |
$737.10 |
$271.88
|
|
Lymph vessel x-ray arm/leg
|
$367.62 |
$367.62 |
$1,558.20 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$549.12 |
$549.12 |
$1,635.90 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$549.12 |
$549.12 |
$898.10 |
$2,615.80
|
|
Lymph vessel x-ray trunk
|
$1,681.35 |
$1,681.35 |
$2,283.40 |
$3,452.15
|
|
Lysis intranasal synechia 30560
|
$20,711.85 |
$20,711.85 |
$20,711.85 |
$833.97
|
|
Lysis of labial adhesions
|
$16,021.80 |
$16,021.80 |
$16,021.80 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$10,455.35 |
$10,455.35 |
$10,455.35 |
$3,503.00
|
|
Macro exam dissect molec study ea
|
$47.19 |
$50.00 |
$43,504.85 |
$67.08
|
|
Macroscopic exam arthropod
|
$77.50 |
$77.50 |
$133.70 |
$38.58
|
|
Macroscopic exam parasite
|
$13.86 |
$67.50 |
$152.60 |
$37.05
|
|
Magnesium
|
$50.00 |
$50.00 |
$81.20 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$16.95 |
$17.11 |
$210.00 |
$58.70
|
|
Magnetic image bone marrow
|
$884.07 |
$884.07 |
$884.07 |
$1,324.13
|
|
Male sling procedure
|
$78,636.66 |
$78,636.66 |
$78,636.66 |
$8,465.18
|
|
Mannitol 12.5 gm/50 ml inj
|
$9.14 |
$9.14 |
$9.14 |
$26.29
|
|
Manual diff wbc count b-coat
|
$20.00 |
$20.00 |
$20.00 |
$25.74
|
|
Mapping functional cort/subcort ea add'l hr
|
$250.14 |
$250.14 |
$1,719.90 |
$584.80
|
