|
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
|
|
Ligation vericose vein cluster(s) 1 leg
|
$696.60 |
$696.60 |
$696.60 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$743.40 |
$743.40 |
$743.40 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,660.12 |
$1,660.12 |
$1,660.12 |
$1,514.24
|
|
Lincomycin injection
|
$74.81 |
$74.81 |
$74.81 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$158.42 |
$158.42 |
$158.42 |
$121.00
|
|
Lipase
|
$79.20 |
$79.20 |
$79.20 |
$93.58
|
|
Lip exc/transverse wedge/w closure 40510
|
$936.60 |
$936.60 |
$936.60 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$90.60 |
$90.60 |
$90.60 |
$87.00
|
|
Lipoprotein blood quant
|
$148.20 |
$148.20 |
$148.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$37.80 |
$37.80 |
$37.80 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$65.40 |
$65.40 |
$65.40 |
$61.60
|
|
Lithium therapeutic drug level
|
$57.00 |
$57.00 |
$57.00 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$667.80 |
$667.80 |
$667.80 |
$4,371.12
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,882.80 |
$1,882.80 |
$1,882.80 |
$1,714.14
|
|
Liver elastography 91200
|
$47.40 |
$47.40 |
$47.40 |
$285.18
|
|
Liver Function Test
|
$77.40 |
$77.40 |
$77.40 |
$115.44
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$2,715.60 |
$2,715.60 |
$2,715.60 |
$2,586.00
|
|
Liver imag w/vasclr flow
|
$919.80 |
$919.80 |
$919.80 |
$1,227.60
|
|
Liver/spleen imag static only
|
$589.80 |
$589.80 |
$589.80 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$928.20 |
$928.20 |
$928.20 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$1,248.00 |
$1,248.00 |
$1,248.00 |
$3,878.80
|
|
Locm 100-199mg/ml iodine,1ml
|
$121.97 |
$121.97 |
$121.97 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$50,204.85 |
$50,204.85 |
$50,204.85 |
$62,704.30
|
|
Loop ostmy bridg ster
|
$3.60 |
$3.60 |
$3.60 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$40.60 |
$40.60 |
$40.60 |
$37.20
|
|
Low back disk surgery
|
$2,107.80 |
$2,107.80 |
$2,107.80 |
$8,412.89
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$420.60 |
$420.60 |
$420.60 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,909.80 |
$1,909.80 |
$1,909.80 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,486.20 |
$1,486.20 |
$1,486.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,414.80 |
$1,414.80 |
$1,414.80 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,361.60 |
$2,361.60 |
$2,361.60 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,275.60 |
$1,275.60 |
$1,275.60 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,750.80 |
$1,750.80 |
$1,750.80 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$257.40 |
$257.40 |
$257.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$355.20 |
$355.20 |
$355.20 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$438.60 |
$438.60 |
$438.60 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$249.00 |
$249.00 |
$249.00 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$242.40 |
$242.40 |
$242.40 |
$364.77
|
|
Lsh uterus 250 g or less
|
$1,679.40 |
$1,679.40 |
$1,679.40 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$1,907.40 |
$1,907.40 |
$1,907.40 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$1,875.60 |
$1,875.60 |
$1,875.60 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$2,064.60 |
$2,064.60 |
$2,064.60 |
$11,533.76
|
|
Lumbar diskogram s&i
|
$2,169.60 |
$2,169.60 |
$2,169.60 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$2,995.20 |
$2,995.20 |
$2,995.20 |
$14,331.20
|
|
Lumizyme injection
|
$1,789.05 |
$1,789.05 |
$1,789.05 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$444.00 |
$444.00 |
$444.00 |
$549.83
|
