|
Ligation nasal sinus artery
|
$1,448.80 |
$1,448.80 |
$1,448.80 |
|
|
Ligation of abdomen artery 37617
|
$2,798.40 |
$3,266.40 |
$3,266.40 |
|
|
Ligation of femoral vein
|
$2,232.00 |
$2,232.00 |
$6,866.34 |
|
|
Ligation of inf vena cava
|
$3,426.36 |
$4,226.40 |
$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 |
$1,056.80 |
$1,056.80 |
|
|
Ligation upper jaw artery
|
$2,101.60 |
$2,101.60 |
$2,101.60 |
|
|
Ligation vericose vein cluster(s) 1 leg
|
$663.60 |
$1,728.00 |
$2,038.68 |
|
|
Lig/band angioaccess av fistula
|
$708.00 |
$915.20 |
$6,883.19 |
|
|
Lig&div&compl strpg saph vn
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
|
|
Liletta, 52 mg
|
$1,001.81 |
$1,223.20 |
$3,819.33 |
|
|
Limb exercise test
|
$290.40 |
$290.40 |
$641.63 |
|
|
Limb nerve surgery add-on
|
$536.80 |
$536.80 |
$536.80 |
|
|
Limited visual field xm
|
$79.20 |
$79.20 |
$79.20 |
|
|
Lincomycin injection
|
$10.40 |
$10.40 |
$380.91 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$36.00 |
$47.34 |
$220.43 |
|
|
Lipase
|
$33.57 |
$79.20 |
$2,269.00 |
|
|
Lip exc/transverse wedge/w closure 40510
|
$892.20 |
$1,204.80 |
$1,204.80 |
|
|
Lipoprotein blood high res frac & quant
|
$81.00 |
$86.42 |
$95.55 |
|
|
Lipoprotein blood quant
|
$86.42 |
$86.42 |
$265.44 |
|
|
Lipoprotein direct measurement hdl
|
$33.57 |
$62.40 |
$106.00 |
|
|
Lipoprotein direct measurement ldl
|
$33.57 |
$62.40 |
$726.00 |
|
|
Lip surgery procedure
|
$60.96 |
$62.23 |
$480.36 |
|
|
Listeria monocytogenes
|
$33.60 |
$33.60 |
$33.60 |
|
|
Lithium therapeutic drug level
|
$40.30 |
$66.43 |
$228.00 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$334.40 |
$2,186.57 |
$58,952.82 |
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,207.08 |
$2,970.40 |
$2,970.40 |
|
|
Liver ds alys 3 bmrk srm alg
|
$756.00 |
$756.00 |
$756.00 |
|
|
Liver elastography 91200
|
$45.00 |
$80.80 |
$510.00 |
|
|
Liver Function Test
|
$59.40 |
$71.50 |
$31,970.05 |
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$2,586.00 |
$2,715.60 |
$2,715.60 |
|
|
Liver imaging
|
$252.00 |
$417.60 |
$1,424.90 |
|
|
Liver imag w/vasclr flow
|
$446.40 |
$446.40 |
$865.24 |
|
|
Liver/spleen imag static only
|
$430.40 |
$729.77 |
$1,237.38 |
|
|
Liver/spleen imag w/vasclr flow
|
$283.20 |
$795.67 |
$1,197.98 |
|
|
Lmtd oph exam general anes
|
$155.20 |
$155.20 |
$155.20 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$1,188.60 |
$3,280.00 |
$104,104.65 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.21 |
$1.05 |
$121.97 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$45,267.20 |
$87,089.35 |
$87,089.35 |
|
|
Loop ostmy bridg ster
|
$3.60 |
$45.43 |
$69.90 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$22.20 |
$60.90 |
$914.87 |
|
|
Lo sag rig pnl stays pre cst
|
$79.43 |
$79.43 |
$152.80 |
|
|
Loudness balance test
|
$23.40 |
$93.60 |
$93.60 |
|
|
Low back disk surgery
|
$2,007.60 |
$4,667.20 |
$66,693.75 |
|
|
Low cost skin substitute app
|
$363.72 |
$1,383.84 |
$3,321.50 |
|
|
Low cost skin substitute app
|
$1,219.26 |
$1,219.26 |
$1,219.26 |
|
|
Low cost skin substitute app
|
$363.72 |
$1,383.84 |
$11,101.76 |
|
|
Low cost skin substitute app
|
$363.72 |
$363.72 |
$363.72 |
|
|
Low cost skin substitute app
|
$349.44 |
$555.10 |
$2,600.00 |
|
|
Low cost skin substitute app
|
$1,178.94 |
$1,178.94 |
$1,178.94 |
|
|
Low cost skin substitute app
|
$349.44 |
$555.10 |
$2,304.25 |
|
|
Low cost skin substitute app
|
$349.44 |
$349.44 |
$349.44 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$99.96 |
$369.37 |
$3,482.00 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$842.90 |
$1,909.80 |
$3,981.90 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$827.51 |
$1,824.55 |
$8,063.70 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$685.79 |
$1,517.10 |
$4,083.00 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,643.20 |
$3,803.15 |
$7,543.00 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,167.60 |
$2,447.90 |
$4,822.67 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,033.50 |
$2,598.70 |
$5,237.00 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$111.20 |
$311.22 |
$29,106.71 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$254.62 |
$369.20 |
$1,033.00 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$135.20 |
$438.60 |
$861.00 |
|
|
Lower jaw bone graft
|
$10,059.20 |
$10,059.20 |
$10,059.20 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$88.70 |
$295.75 |
$44,659.62 |
|
|
Low frequency non-thermal Ultrasound
|
$230.40 |
$728.00 |
$9,514.00 |
|
|
Lsh uterus 250 g or less
|
$1,599.60 |
$1,818.40 |
$68,531.84 |
|
|
Lsh uterus above 250 g
|
$1,816.80 |
$2,100.00 |
$2,100.00 |
|
|
Lsh w/t/o ut 250 g or less
|
$1,786.20 |
$2,068.80 |
$62,828.90 |
|
|
Lsh w/t/o uterus above 250 g
|
$1,966.20 |
$2,262.40 |
$2,262.40 |
|
|
Lso flex no ri stays pre ots
|
$164.80 |
$164.80 |
$303.55 |
|
|
L/s ratio fetal lung
|
$55.20 |
$55.20 |
$341.88 |
|
|
Lumbar diskogram s&i
|
$318.40 |
$2,212.64 |
$6,646.90 |
|
|
Lumbar Spinal Fusion (single level)
|
$2,852.40 |
$3,842.40 |
$85,494.17 |
|
|
Lumizyme injection
|
$216.00 |
$216.00 |
$1,789.05 |
|
|
Lung Function Test Before and After an Inhaler
|
$21.00 |
$453.05 |
$2,105.00 |
|
|
Lung function test (mbc/mvv)
|
$48.00 |
$110.99 |
$1,444.00 |
|
|
Lung Function Test (Spirometry)
|
$116.40 |
$221.65 |
$1,479.00 |
|
|
Lung perfusion imaging
|
$520.80 |
$919.75 |
$1,924.00 |
|
|
Lung volume reduction 32491
|
$2,141.40 |
$2,248.20 |
$2,248.20 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$311.01 |
$25,230.00 |
$56,049.90 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$63.75 |
$37,758.50 |
$37,758.50 |
|
|
Lutetium lu 177 dotatat ther
|
$1,144.21 |
$99,750.00 |
$116,375.00 |
|
|
Lutetium lu 177 vipivotide
|
$281.04 |
$281.04 |
$153,504.40 |
|
|
Lvad shower bag heartmate
|
$887.68 |
$887.68 |
$1,365.66 |
|
|
Lw ntsty Ultrasound stimj bone healg
|
$132.00 |
$132.00 |
$132.00 |
|
|
Lyme dis dna dir probe
|
$50.40 |
$50.40 |
$50.40 |
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$1,272.00 |
$1,748.00 |
$1,748.00 |
|
|
Lymphatics/lymph node imaging
|
$780.00 |
$1,452.60 |
$43,173.40 |
|
|
Lymphocyte culture mixed
|
$92.00 |
$92.00 |
$92.00 |
|
|
Lymphocyte transformation mitogen
|
$123.20 |
$123.20 |
$516.00 |
|
|
Lymphocytotoxicity assay
|
$379.20 |
$379.20 |
$379.20 |
|
|
Lymphocytotoxicity assay
|
$120.00 |
$120.00 |
$120.00 |
|
|
Lymph vessel x-ray arm/leg
|
$919.20 |
$919.20 |
$1,122.22 |
|
|
Lymph vessel x-ray arms/legs
|
$2,340.00 |
$2,340.00 |
$2,340.00 |
|
|
Lymph vessel x-ray trunk
|
$1,184.40 |
$4,700.00 |
$4,700.00 |
|
|
Lymph vessel x-ray trunk
|
$1,437.60 |
$4,714.40 |
$6,254.11 |
|
|
Lysis intranasal synechia 30560
|
$501.60 |
$714.40 |
$714.40 |
|
|
Lysis of labial adhesions
|
$268.20 |
$408.00 |
$408.00 |
|
|
Lysis penil circumic lesion
|
$486.60 |
$641.60 |
$723.00 |
|
