|
Lap tot proctocolectomy 44210
|
$4,400.00 |
$4,400.00 |
$4,400.00 |
$3,798.00
|
|
Lap w/omentopexy add-on 49326
|
$463.20 |
$463.20 |
$463.20 |
$415.00
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$1,267.57 |
$1,267.57 |
$3,104.00 |
$740.40
|
|
Largsc w/laser dstrj les
|
$2,531.20 |
$2,531.20 |
$2,531.20 |
$4,931.00
|
|
Largsc w/njx augmentation
|
$4,878.40 |
$4,878.40 |
$4,878.40 |
$3,288.75
|
|
Largsc w/removal lesion
|
$740.00 |
$740.00 |
$740.00 |
$4,362.99
|
|
Largsc w/rmvl foreign bdy(s)
|
$817.60 |
$817.60 |
$817.60 |
$765.97
|
|
Largsc w/ther injection
|
$1,347.20 |
$1,347.20 |
$1,347.20 |
$2,447.43
|
|
Laryngeal function studies
|
$175.20 |
$175.20 |
$175.20 |
$335.40
|
|
Laryngoplasty cricoid split
|
$2,924.80 |
$2,924.80 |
$2,924.80 |
$6,839.00
|
|
Laryngoplasty fx rdctj fixj
|
$3,468.80 |
$3,468.80 |
$3,468.80 |
$6,553.49
|
|
Laryngoplasty laryngeal sten
|
$3,770.40 |
$3,770.40 |
$3,770.40 |
$6,547.81
|
|
Laryngoplasty laryngeal sten
|
$3,636.80 |
$3,636.80 |
$3,636.80 |
$6,547.81
|
|
Laryngoplasty laryngeal sten
|
$4,136.00 |
$4,136.00 |
$4,136.00 |
$6,547.81
|
|
Laryngoplasty laryngeal sten
|
$4,136.80 |
$4,136.80 |
$4,136.80 |
$6,547.81
|
|
Laryngoplasty laryngeal web
|
$3,129.60 |
$3,129.60 |
$3,129.60 |
$6,547.81
|
|
Laryngoplasty medialization
|
$5,313.60 |
$5,313.60 |
$5,313.60 |
$6,186.50
|
|
Laryngoscope w/vc inj
|
$833.60 |
$833.60 |
$833.60 |
$4,108.00
|
|
Laryngoscopic sensory i&r
|
$74.40 |
$74.40 |
$74.40 |
$74.40
|
|
Laryngoscopic sensory vid
|
$323.20 |
$323.20 |
$323.20 |
$323.20
|
|
Laryngoscop w/arytenoidectom
|
$776.00 |
$776.00 |
$776.00 |
$7,565.43
|
|
Laryngoscop w/vc inj + scope
|
$616.80 |
$616.80 |
$616.80 |
$4,539.60
|
|
Laryngoscopy and dilation
|
$355.20 |
$355.20 |
$355.20 |
$4,745.55
|
|
Laryngoscopy and dilation
|
$398.40 |
$398.40 |
$398.40 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$616.00 |
$616.00 |
$25,592.48 |
$2,514.60
|
|
Laryngoscopy for treatment
|
$482.40 |
$482.40 |
$482.40 |
$5,110.00
|
|
Laryngoscopy telescopic
|
$470.40 |
$470.40 |
$975.00 |
$852.80
|
|
Laryngoscopy w/biopsy
|
$467.20 |
$467.20 |
$34,120.15 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$520.80 |
$520.80 |
$27,168.85 |
$4,627.00
|
|
Laryngoscopy w/exc of tumor
|
$598.40 |
$598.40 |
$770.00 |
$5,137.60
|
|
Laryngoscopy w/fb & op scope
|
$524.00 |
$524.00 |
$524.00 |
$4,004.00
|
|
Laryngoscopy w/fb removal
|
$3,684.60 |
$3,684.60 |
$3,684.60 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$655.20 |
$655.20 |
$655.20 |
$3,297.83
|
|
Laryngoscopy with biopsy 31510
|
$521.60 |
$521.60 |
$521.60 |
$3,934.14
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$508.00 |
$508.00 |
$508.00 |
$845.52
|
|
Larynscop remve cart + scop
|
$847.20 |
$847.20 |
$847.20 |
$7,662.21
|
|
Larynscop w/tumr exc + scope
|
$652.80 |
$652.80 |
$840.00 |
$5,126.62
|
|
Laser surgery eye strands
|
$1,936.00 |
$1,936.00 |
$1,936.00 |
$1,391.50
|
|
Laser surgery of cervix 57513
|
$436.80 |
$436.80 |
$436.80 |
$3,762.53
|
|
Laser surgery of prostate
|
$3,992.00 |
$3,992.00 |
$3,992.00 |
$5,631.74
|
|
Laser surgery of prostate
|
$4,120.00 |
$4,120.00 |
$4,120.00 |
$6,015.75
|
|
Laser surg penis lesion(s)
|
$341.60 |
$341.60 |
$341.60 |
$3,562.00
|
|
Laser treatment of retina
|
$4,787.20 |
$4,787.20 |
$4,787.20 |
$5,954.00
|
|
Laser treatment of retina
|
$5,176.00 |
$5,176.00 |
$5,176.00 |
$6,370.00
|
|
Lateral canthopexy
|
$1,920.00 |
$1,920.00 |
$1,920.00 |
$3,837.72
|
|
Lat retinacular release open
|
$2,209.60 |
$2,209.60 |
$2,209.60 |
$3,839.54
|
|
Lavage cannulation maxillary sinus
|
$888.00 |
$888.00 |
$888.00 |
$728.00
|
|
Lavh >250 gms 58553
|
$2,820.80 |
$2,820.80 |
$2,820.80 |
$6,311.00
|
|
Lb with mastopexy 15839
|
$2,174.40 |
$2,174.40 |
$2,174.40 |
$3,616.50
|
|
Lead acuity x4 spiral l 86cm
|
$2,873.32 |
$2,873.32 |
$3,803.40 |
$5,460.00
|
|
Lead capillary
|
$32.15 |
$32.15 |
$111.15 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$648.37 |
$648.37 |
$4,159.75 |
$2,887.50
|
|
Lead tachy durata sj4 58cm
|
$8,202.66 |
$8,202.66 |
$8,204.74 |
$8,202.66
|
|
Lefort ii anterior intrusion
|
$4,098.40 |
$4,098.40 |
$4,098.40 |
$6,966.64
|
|
Left compres band >=3" <5"/yd
|
$5.60 |
$5.60 |
$5.60 |
$5.20
|
|
Left compres band <3"/yd
|
$4.00 |
$4.00 |
$4.00 |
$3.64
|
|
Left compres band >=5"/yd
|
$10.40 |
$10.40 |
$10.40 |
$6.73
|
|
Leg Artery Ultrasound (complete, both legs)
|
$917.80 |
$917.80 |
$1,140.84 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,299.47 |
$1,299.47 |
$2,871.70 |
$1,612.00
|
|
Leg CT Scan (without contrast, both legs)
|
$777.55 |
$777.55 |
$5,046.00 |
$1,372.50
|
|
Legion pneumo dna dir prob
|
$50.40 |
$50.40 |
$50.40 |
$47.22
|
|
Legion pneumo dna quant
|
$104.80 |
$104.80 |
$104.80 |
$57.63
|
|
Leg vein fusion 34530
|
$4,569.60 |
$4,569.60 |
$4,569.60 |
$4,569.60
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$873.97 |
$873.97 |
$917.80 |
$1,092.58
|
|
Leishmania antibody
|
$48.57 |
$48.57 |
$48.57 |
$58.50
|
|
Lengthening of hand tendon
|
$1,560.80 |
$1,560.80 |
$1,560.80 |
$3,545.97
|
|
Lengthening of palate
|
$2,042.40 |
$2,042.40 |
$2,042.40 |
$6,553.49
|
|
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
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$419.25 |
$419.25 |
$419.25 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$442.28 |
$442.28 |
$692.25 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$354.25 |
$354.25 |
$354.25 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$231.88 |
$231.88 |
$396.40 |
$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
|
$3,278.04 |
$3,278.04 |
$37,312.35 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,887.32 |
$2,887.32 |
$15,655.60 |
$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
|
$11.83 |
$11.83 |
$13.80 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$66.43 |
$66.43 |
$138.45 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$61.50 |
$61.50 |
$80.88 |
$55.60
|
|
Levonorgestrel implant sys
|
$933.60 |
$933.60 |
$933.60 |
$933.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,688.20 |
$1,688.20 |
$1,688.20 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$5,938.32 |
$5,938.32 |
$5,938.32 |
$6,104.00
|
|
Liberta rc ipg
|
$25,346.40 |
$25,346.40 |
$29,884.39 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$7.24 |
$7.24 |
$7.24 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.04 |
$0.04 |
$37.50 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$66.43 |
$66.43 |
$98.15 |
$88.40
|
|
Lift heel adj small gl60404sm
|
$38.34 |
$38.34 |
$177.60 |
$133.50
|
|
Lift heel adjustable med
|
$3.04 |
$3.04 |
$3.04 |
$58.56
|
|
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
|