|
Ligate/transect fallopian tubes 58600
|
$919.20 |
$919.20 |
$919.20 |
$3,561.20
|
|
Ligation/biopsy of temporal artery 37609
|
$1,521.60 |
$1,521.60 |
$1,521.60 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$1,193.60 |
$1,193.60 |
$1,193.60 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$1,824.00 |
$1,824.00 |
$1,824.00 |
$3,467.79
|
|
Ligation internal/common carotid artery 37605
|
$1,796.00 |
$1,796.00 |
$1,796.00 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$3,564.80 |
$3,564.80 |
$3,564.80 |
$3,564.80
|
|
Ligation major artery chest
|
$2,701.60 |
$2,701.60 |
$2,701.60 |
$2,114.20
|
|
Ligation/major artery/extremity 37618
|
$948.80 |
$948.80 |
$948.80 |
$1,567.80
|
|
Ligation major artery neck
|
$1,288.80 |
$1,288.80 |
$1,288.80 |
$3,608.40
|
|
Ligation nasal sinus artery
|
$1,448.80 |
$1,448.80 |
$1,448.80 |
$4,341.66
|
|
Ligation of abdomen artery 37617
|
$3,266.40 |
$3,266.40 |
$3,266.40 |
$2,200.20
|
|
Ligation of femoral vein
|
$2,232.00 |
$2,232.00 |
$2,232.00 |
$3,724.63
|
|
Ligation of inf vena cava
|
$6,098.21 |
$6,098.21 |
$6,098.21 |
$5,983.35
|
|
Ligation of neck artery
|
$1,693.60 |
$1,693.60 |
$1,693.60 |
$3,724.63
|
|
Ligation of salivary duct
|
$844.80 |
$844.80 |
$844.80 |
$4,558.89
|
|
Ligation of shunt
|
$1,056.80 |
$1,056.80 |
$1,056.80 |
$2,258.50
|
|
Ligation upper jaw artery
|
$2,101.60 |
$2,101.60 |
$2,101.60 |
$3,724.63
|
|
Ligation vericose vein cluster(s) 1 leg
|
$1,728.00 |
$1,728.00 |
$1,728.00 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$915.20 |
$915.20 |
$915.20 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$3,724.63
|
|
Liletta, 52 mg
|
$1,259.90 |
$1,259.90 |
$1,259.90 |
$1,514.24
|
|
Limb exercise test
|
$290.40 |
$290.40 |
$290.40 |
$340.80
|
|
Limb nerve surgery add-on
|
$536.80 |
$536.80 |
$536.80 |
$1,561.28
|
|
Limited visual field xm
|
$79.20 |
$79.20 |
$79.20 |
$79.20
|
|
Lincomycin injection
|
$10.40 |
$10.40 |
$10.40 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$40.94 |
$40.94 |
$40.94 |
$119.81
|
|
Lipase
|
$33.57 |
$33.57 |
$33.57 |
$92.80
|
|
Lip exc/transverse wedge/w closure 40510
|
$1,204.80 |
$1,204.80 |
$1,204.80 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$86.42 |
$86.42 |
$86.42 |
$87.00
|
|
Lipoprotein blood quant
|
$86.42 |
$86.42 |
$86.42 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$33.57 |
$33.57 |
$33.57 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$33.57 |
$33.57 |
$33.57 |
$61.60
|
|
Listeria monocytogenes
|
$33.60 |
$33.60 |
$33.60 |
$96.88
|
|
Lithium therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,186.57 |
$2,186.57 |
$2,186.57 |
$4,363.05
|
|
Liver abs/cyst dr opn 1-2 stge
|
$2,970.40 |
$2,970.40 |
$2,970.40 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$756.00 |
$756.00 |
$756.00 |
$365.28
|
|
Liver elastography 91200
|
$80.80 |
$80.80 |
$80.80 |
$286.70
|
|
Liver Function Test
|
$68.56 |
$68.56 |
$68.56 |
$115.44
|
|
Liver imaging
|
$417.60 |
$417.60 |
$417.60 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$446.40 |
$446.40 |
$446.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$430.40 |
$430.40 |
$430.40 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,067.48 |
$1,067.48 |
$1,067.48 |
$1,069.20
|
|
Lmtd oph exam general anes
|
$155.20 |
$155.20 |
$155.20 |
$2,760.73
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,280.00 |
$3,280.00 |
$3,280.00 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.89 |
$0.89 |
$0.89 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$73.08 |
$73.08 |
$73.08 |
$37.20
|
|
Loudness balance test
|
$93.60 |
$93.60 |
$93.60 |
$344.68
|
|
Low back disk surgery
|
$4,667.20 |
$4,667.20 |
$4,667.20 |
$8,412.89
|
|
Low cost skin substitute app
|
$1,383.84 |
$1,383.84 |
$1,383.84 |
$933.60
|
|
Low cost skin substitute app
|
$1,383.84 |
$1,383.84 |
$1,383.84 |
$1,018.50
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$359.90 |
$359.90 |
$359.90 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,674.52 |
$2,674.52 |
$2,674.52 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,426.09 |
$2,426.09 |
$2,426.09 |
$1,828.00
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,161.16 |
$2,161.16 |
$2,161.16 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,408.23 |
$5,408.23 |
$5,408.23 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,520.28 |
$4,520.28 |
$4,520.28 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,729.83 |
$2,729.83 |
$2,729.83 |
$2,080.20
|
|
Lower Back (Lumbar Spine) X-ray
|
$514.23 |
$514.23 |
$514.23 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$514.23 |
$514.23 |
$514.23 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$514.23 |
$514.23 |
$514.23 |
$540.60
|
|
Lower jaw bone graft
|
$10,059.20 |
$10,059.20 |
$10,059.20 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$221.27 |
$221.27 |
$221.27 |
$339.90
|
|
Low frequency non-thermal Ultrasound
|
$728.00 |
$728.00 |
$728.00 |
$364.77
|
|
Lsh uterus 250 g or less
|
$1,818.40 |
$1,818.40 |
$1,818.40 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$2,100.00 |
$2,100.00 |
$2,100.00 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$2,068.80 |
$2,068.80 |
$2,068.80 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$2,262.40 |
$2,262.40 |
$2,262.40 |
$11,533.76
|
|
Lso flex no ri stays pre ots
|
$164.80 |
$164.80 |
$164.80 |
$164.80
|
|
L/s ratio fetal lung
|
$55.20 |
$55.20 |
$55.20 |
$173.91
|
|
Lumbar diskogram s&i
|
$2,949.15 |
$2,949.15 |
$2,949.15 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$3,842.40 |
$3,842.40 |
$3,842.40 |
$14,331.20
|
|
Lumizyme injection
|
$216.00 |
$216.00 |
$216.00 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$239.70 |
$239.70 |
$239.70 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$120.34 |
$120.34 |
$120.34 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$145.57 |
$145.57 |
$145.57 |
$298.50
|
|
Lung perfusion imaging
|
$1,643.92 |
$1,643.92 |
$1,643.92 |
$1,072.46
|
|
Lw ntsty Ultrasound stimj bone healg
|
$132.00 |
$132.00 |
$132.00 |
$114.40
|
|
Lyme dis dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
$27.67
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$1,748.00 |
$1,748.00 |
$1,748.00 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$1,784.63 |
$1,784.63 |
$1,784.63 |
$1,491.70
|
|
Lymphocyte culture mixed
|
$92.00 |
$92.00 |
$92.00 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$123.20 |
$123.20 |
$123.20 |
$271.88
|
|
Lymphocytotoxicity assay
|
$379.20 |
$379.20 |
$379.20 |
$370.20
|
|
Lymphocytotoxicity assay
|
$120.00 |
$120.00 |
$120.00 |
$96.00
|
|
Lymph vessel x-ray arm/leg
|
$919.20 |
$919.20 |
$919.20 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$4,700.00 |
$4,700.00 |
$4,700.00 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$4,714.40 |
$4,714.40 |
$4,714.40 |
$3,451.60
|
|
Lysis intranasal synechia 30560
|
$714.40 |
$714.40 |
$714.40 |
$820.50
|
|
Lysis of labial adhesions
|
$408.00 |
$408.00 |
$408.00 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$641.60 |
$641.60 |
$641.60 |
$3,503.00
|
|
Macro exam dissect molec study ea
|
$77.60 |
$77.60 |
$77.60 |
$67.08
|
|
Macroscopic exam arthropod
|
$38.58 |
$38.58 |
$38.58 |
$38.58
|
|
Macroscopic exam parasite
|
$38.58 |
$38.58 |
$38.58 |
$36.55
|
|
Magnesium
|
$33.57 |
$33.57 |
$33.57 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$40.12 |
$40.12 |
$40.12 |
$58.70
|
|
Magnetic image bone marrow
|
$880.80 |
$880.80 |
$880.80 |
$1,329.39
|
|
Makena, 10 mg
|
$35.20 |
$35.20 |
$35.20 |
$1,405.80
|
|
Malaria antibody
|
$48.57 |
$48.57 |
$48.57 |
$94.80
|
