|
Lengthening of palate+pharyngeal flap 42226
|
$1,785.00 |
$1,785.00 |
$2,182.40 |
|
|
Lengthening of thigh bone
|
$2,587.20 |
$2,587.20 |
$2,587.20 |
|
|
Lengthening of thigh tendon
|
$2,502.40 |
$2,502.40 |
$4,874.40 |
|
|
Lengthening of thigh tendons
|
$1,608.00 |
$1,608.00 |
$5,353.80 |
|
|
Lengthening of thigh tendons
|
$2,164.00 |
$2,164.00 |
$7,153.20 |
|
|
Lengthening or shortening - tibia and fibula 27715
|
$1,484.40 |
$1,484.40 |
$1,484.40 |
|
|
Lengthen metacarpal/finger
|
$2,229.60 |
$2,229.60 |
$2,229.60 |
|
|
Lengthen radius or ulna
|
$4,900.80 |
$4,900.80 |
$4,900.80 |
|
|
Lengthen radius & ulna
|
$5,558.40 |
$5,558.40 |
$5,558.40 |
|
|
Lens, intraocular (new tech)
|
$324.00 |
$1,601.80 |
$3,038.32 |
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$234.69 |
$500.00 |
$8,132.88 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$213.75 |
$615.23 |
$13,503.64 |
|
|
Lens iol ant chamb 10.5
|
$170.68 |
$313.86 |
$2,259.16 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$11.98 |
$155.20 |
$1,133.30 |
|
|
Leukacyte transfusion
|
$89.60 |
$89.60 |
$89.60 |
|
|
Leukocyte phagocytosis
|
$23.20 |
$23.20 |
$23.20 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$517.67 |
$3,708.86 |
$78,678.42 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,887.32 |
$6,224.65 |
$104,501.51 |
|
|
Leuprolide acetate injeciton
|
$48.00 |
$332.23 |
$3,000.55 |
|
|
Leuprolide depot cipla 7.5mg
|
$1,390.72 |
$1,390.72 |
$1,390.72 |
|
|
Levalbuterol comp unit
|
$2.40 |
$2.40 |
$2.40 |
|
|
Levalbuterol non-comp unit
|
$1.60 |
$18.58 |
$22.18 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.27 |
$2.93 |
$1,070.65 |
|
|
Levetiracetam therapeutic drug level
|
$29.70 |
$148.40 |
$6,868.08 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$11.76 |
$65.52 |
$1,221.40 |
|
|
Levonorgestrel implant sys
|
$933.60 |
$1,254.70 |
$1,254.70 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$20.16 |
$160.00 |
$4,188.27 |
|
|
L hrt cath chd nm/abn nt cnj
|
$4,350.00 |
$7,090.80 |
$8,943.60 |
|
|
Liberta rc ipg
|
$16,328.57 |
$37,575.00 |
$160,816.12 |
|
|
Lidocaine injection
|
$2.52 |
$2.52 |
$2.52 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.65 |
$35.40 |
$418.95 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.02 |
$41.82 |
$515.02 |
|
|
Lidocaine therapeutic drug level
|
$0.01 |
$107.80 |
$296.10 |
|
|
Lifileucel til/dose 7.5b-72b snij
|
$15.92 |
$47.77 |
$249,270.88 |
|
|
Lift heel adj small gl60404sm
|
$85.20 |
$85.20 |
$177.60 |
|
|
Ligate esophagus veins
|
$3,728.00 |
$3,728.00 |
$3,728.00 |
|
|
Ligate leg veins open
|
$2,646.40 |
$3,920.00 |
$25,430.47 |
|
|
Ligate leg veins radical 37760
|
$1,236.60 |
$1,236.60 |
$3,043.20 |
|
|
Ligate oviduct(s) add-on 58611
|
$192.80 |
$213.00 |
$213.00 |
|
|
Ligate/staple esophagus
|
$3,550.40 |
$3,550.40 |
$3,550.40 |
|
|
Ligate/strip long leg vein
|
$955.20 |
$6,798.24 |
$24,613.25 |
|
|
Ligate/strip short leg vein
|
$861.60 |
$2,052.80 |
$19,021.06 |
|
|
Ligate/transect fallopian tubes 58600
|
$709.80 |
$709.80 |
$16,949.46 |
|
|
Ligation/biopsy of temporal artery 37609
|
$599.40 |
$8,860.60 |
$22,512.36 |
|
|
Ligation common iliac vein
|
$975.00 |
$975.00 |
$1,216.80 |
|
|
Ligation/divis of long saph vein 37700
|
$498.60 |
$20,580.87 |
$34,132.55 |
|
|
Ligation external carotid artery 37600
|
$1,579.80 |
$1,579.80 |
$1,824.00 |
|
|
Ligation internal/common carotid artery 37605
|
$1,735.20 |
$1,735.20 |
$1,796.00 |
|
|
Ligation internal jugular vein 37565
|
$1,418.40 |
$1,418.40 |
$3,564.80 |
|
|
Ligation major artery chest
|
$2,701.60 |
$2,701.60 |
$2,701.60 |
|
|
Ligation/major artery/extremity 37618
|
$685.20 |
$1,525.00 |
$3,295.80 |
|
|
Ligation major artery neck
|
$1,288.80 |
$1,288.80 |
$61,427.88 |
|
|
Ligation nasal sinus artery
|
$1,448.80 |
$1,448.80 |
$1,448.80 |
|
|
Ligation of abdomen artery 37617
|
$2,938.20 |
$2,938.20 |
$3,266.40 |
|
|
Ligation of femoral vein
|
$2,232.00 |
$2,232.00 |
$2,232.00 |
|
|
Ligation of inf vena cava
|
$6,098.21 |
$6,098.21 |
$6,098.21 |
|
|
Ligation of neck artery
|
$1,693.60 |
$1,693.60 |
$1,693.60 |
|
|
Ligation of salivary duct
|
$844.80 |
$844.80 |
$844.80 |
|
|
Ligation of shunt
|
$1,056.80 |
$2,491.20 |
$4,224.00 |
|
|
Ligation upper jaw artery
|
$2,101.60 |
$2,101.60 |
$2,101.60 |
|
|
Ligation vericose vein cluster(s) 1 leg
|
$696.60 |
$5,636.40 |
$32,364.67 |
|
|
Lig/band angioaccess av fistula
|
$743.40 |
$4,351.80 |
$34,962.36 |
|
|
Lig&div&compl strpg saph vn
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
|
|
Liletta, 52 mg
|
$2.80 |
$1,259.90 |
$5,498.50 |
|
|
Limb exercise test
|
$290.40 |
$290.40 |
$671.04 |
|
|
Limb nerve surgery add-on
|
$536.80 |
$536.80 |
$14,995.49 |
|
|
Limited ankle motion ea jnt
|
$585.60 |
$585.60 |
$780.80 |
|
|
Limited autopsy
|
$1,759.10 |
$1,759.10 |
$2,928.80 |
|
|
Limited visual field xm
|
$79.20 |
$79.20 |
$79.20 |
|
|
Lincomycin injection
|
$10.40 |
$34.57 |
$74.81 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$5.60 |
$66.42 |
$379.68 |
|
|
Lipase
|
$32.67 |
$113.40 |
$316.80 |
|
|
Lip exc/transverse wedge/w closure 40510
|
$936.60 |
$936.60 |
$17,936.89 |
|
|
Lipoprotein blood high res frac & quant
|
$42.48 |
$89.60 |
$163.90 |
|
|
Lipoprotein blood quant
|
$43.75 |
$165.20 |
$332.00 |
|
|
Lipoprotein direct measurement hdl
|
$18.75 |
$79.10 |
$278.40 |
|
|
Lipoprotein direct measurement ldl
|
$5.40 |
$65.80 |
$140.00 |
|
|
Lipoprtn dir meas sd ldl chl
|
$43.20 |
$44.80 |
$100.10 |
|
|
Lip surgery procedure
|
$371.80 |
$371.80 |
$39,512.63 |
|
|
Lisocabtagene mara car pos t
|
$297,363.77 |
$297,363.77 |
$2,983,581.00 |
|
|
Listeria monocytogenes
|
$33.60 |
$33.60 |
$33.60 |
|
|
Lithium therapeutic drug level
|
$4.20 |
$87.12 |
$1,188.72 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$667.80 |
$3,750.00 |
$11,818.08 |
|
|
Litt icr 1 traj 1 smpl les
|
$3,761.40 |
$191,267.89 |
$191,267.89 |
|
|
Litt icr mlt trj mlt/cplx ls
|
$3,761.40 |
$3,761.40 |
$168,818.44 |
|
|
Liver abs/cyst dr opn 1-2 stge
|
$945.60 |
$1,255.80 |
$2,970.40 |
|
|
Liver ds alys 3 bmrk srm alg
|
$396.20 |
$612.00 |
$816.00 |
|
|
Liver elastography 91200
|
$47.40 |
$242.20 |
$427.50 |
|
|
Liver Function Test
|
$59.40 |
$167.76 |
$358.40 |
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$2,715.60 |
$2,715.60 |
$2,715.60 |
|
|
Liver imaging
|
$417.60 |
$1,260.00 |
$1,963.50 |
|
|
Liver imag w/vasclr flow
|
$446.40 |
$1,310.00 |
$1,963.50 |
|
|
Liver/spleen imag static only
|
$430.40 |
$1,152.00 |
$2,241.00 |
|
|
Liver/spleen imag w/vasclr flow
|
$402.60 |
$1,067.48 |
$1,336.30 |
|
|
Lmtd oph exam general anes
|
$155.20 |
$155.20 |
$155.20 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$1,108.80 |
$1,248.00 |
$3,280.00 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.89 |
$10.02 |
$121.97 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$307.54 |
$50,204.85 |
$179,307.80 |
|
|
Loop ostmy bridg ster
|
$3.60 |
$3.60 |
$3.60 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$2.62 |
$55.92 |
$254.80 |
|
