|
Lengthening of palate+pharyngeal flap 42226
|
$2,182.40 |
$2,182.40 |
$2,182.40 |
$6,465.11
|
|
Lengthening of thigh tendon
|
$2,502.40 |
$2,502.40 |
$2,502.40 |
$7,907.11
|
|
Lengthening of thigh tendons
|
$1,608.00 |
$1,608.00 |
$1,608.00 |
$7,807.24
|
|
Lengthening of thigh tendons
|
$2,164.00 |
$2,164.00 |
$2,164.00 |
$4,499.12
|
|
Lengthen metacarpal/finger
|
$2,229.60 |
$2,229.60 |
$2,229.60 |
$6,653.00
|
|
Lengthen radius or ulna
|
$4,900.80 |
$4,900.80 |
$4,900.80 |
$14,241.77
|
|
Lengthen radius & ulna
|
$5,558.40 |
$5,558.40 |
$5,558.40 |
$7,968.80
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$9.60 |
$9.60 |
$9.60 |
$162.76
|
|
Leukacyte transfusion
|
$89.60 |
$89.60 |
$89.60 |
$202.78
|
|
Leukocyte phagocytosis
|
$23.20 |
$23.20 |
$23.20 |
$71.76
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,259.20 |
$1,259.20 |
$1,259.20 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,714.40 |
$1,714.40 |
$1,714.40 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$48.00 |
$48.00 |
$48.00 |
$1,322.50
|
|
Levalbuterol comp unit
|
$2.40 |
$2.40 |
$2.40 |
$2.40
|
|
Levalbuterol non-comp unit
|
$1.60 |
$1.60 |
$1.60 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$1.60 |
$1.60 |
$1.60 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$71.37 |
$71.37 |
$71.37 |
$55.60
|
|
Levonorgestrel implant sys
|
$933.60 |
$933.60 |
$933.60 |
$933.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$24.64 |
$24.64 |
$24.64 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$7,023.30 |
$7,023.30 |
$7,023.30 |
$6,104.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$7.09 |
$7.09 |
$7.09 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$66.43 |
$66.43 |
$66.43 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$177.60 |
$177.60 |
$177.60 |
$133.50
|
|
Ligate esophagus veins
|
$3,728.00 |
$3,728.00 |
$3,728.00 |
$3,728.00
|
|
Ligate leg veins open
|
$2,646.40 |
$2,646.40 |
$2,646.40 |
$3,724.63
|
|
Ligate leg veins radical 37760
|
$3,043.20 |
$3,043.20 |
$3,043.20 |
$3,439.84
|
|
Ligate oviduct(s) add-on 58611
|
$192.80 |
$192.80 |
$192.80 |
$584.00
|
|
Ligate/staple esophagus
|
$3,550.40 |
$3,550.40 |
$3,550.40 |
$3,550.40
|
|
Ligate/strip long leg vein
|
$2,300.80 |
$2,300.80 |
$2,300.80 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$2,052.80 |
$2,052.80 |
$2,052.80 |
$3,724.63
|
|
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
|
$4,990.57 |
$4,990.57 |
$4,990.57 |
$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
|
$6,883.19 |
$6,883.19 |
$6,883.19 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$3,724.63
|
|
Liletta, 52 mg
|
$1,477.23 |
$1,477.23 |
$1,477.23 |
$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
|
$44.56 |
$44.56 |
$44.56 |
$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
|
|
Lip surgery procedure
|
$480.36 |
$480.36 |
$480.36 |
$334.50
|
|
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
|
$869.28 |
$869.28 |
$869.28 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$1,081.28 |
$1,081.28 |
$1,081.28 |
$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
|
$1.05 |
$1.05 |
$1.05 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$73.10 |
$73.10 |
$73.10 |
$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
|
$1,208.58 |
$1,208.58 |
$1,208.58 |
$933.60
|
|
Low cost skin substitute app
|
$1,208.58 |
$1,208.58 |
$1,208.58 |
$1,018.50
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$564.62 |
$564.62 |
$564.62 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$842.90 |
$842.90 |
$842.90 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$827.51 |
$827.51 |
$827.51 |
$1,828.00
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$685.79 |
$685.79 |
$685.79 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,789.64 |
$1,789.64 |
$1,789.64 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,200.46 |
$1,200.46 |
$1,200.46 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,084.23 |
$1,084.23 |
$1,084.23 |
$2,080.20
|
|
Lower Back (Lumbar Spine) X-ray
|
$254.62 |
$254.62 |
$254.62 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$254.62 |
$254.62 |
$254.62 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$254.62 |
$254.62 |
$254.62 |
$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)
|
$190.96 |
$190.96 |
$190.96 |
$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
|