|
Laparoscopy remove adnexa
|
$26,317.61 |
$26,317.61 |
$26,317.61 |
$8,607.55
|
|
Laparo-vag hyst incl t/o
|
$20,428.44 |
$20,428.44 |
$20,428.44 |
$12,100.40
|
|
Lap ing hernia repair init
|
$28,579.53 |
$28,579.53 |
$28,579.53 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$27,332.73 |
$27,332.73 |
$27,332.73 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$10,293.67 |
$10,293.67 |
$10,293.67 |
$6,895.20
|
|
Lap w/omentopexy add-on 49326
|
$10,048.17 |
$10,048.17 |
$10,048.17 |
$463.20
|
|
Laryngeal function studies
|
$675.51 |
$675.51 |
$675.51 |
$335.40
|
|
Laryngoscopic sensory vid
|
$267.47 |
$267.47 |
$267.47 |
$336.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,888.40 |
$2,888.40 |
$2,888.40 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$1,322.03 |
$1,322.03 |
$1,322.03 |
$852.80
|
|
Laryngoscopy w/bx & op scope
|
$11,644.50 |
$11,644.50 |
$11,644.50 |
$4,362.99
|
|
Larynscop w/tumr exc + scope
|
$9,621.06 |
$9,621.06 |
$9,621.06 |
$5,104.80
|
|
Laser surgery of prostate
|
$12,717.12 |
$12,717.12 |
$12,717.12 |
$6,822.11
|
|
Lateral thoracic extension
|
$237.36 |
$237.36 |
$237.36 |
$453.47
|
|
Lateral trochanteric pad
|
$132.04 |
$132.04 |
$132.04 |
$144.00
|
|
Lead acuity x4 spiral l 86cm
|
$14,570.86 |
$14,570.86 |
$63,408.00 |
$5,534.00
|
|
Lead capillary
|
$93.00 |
$93.00 |
$151.55 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$6,158.25 |
$6,158.25 |
$70,202.17 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$17,437.20 |
$17,437.20 |
$52,741.01 |
$8,204.74
|
|
Legg perthes orthosis trilat
|
$2,368.59 |
$2,368.59 |
$2,368.59 |
$2,657.76
|
|
Legg perthes orth scottish r
|
$1,999.63 |
$1,999.63 |
$1,999.63 |
$2,243.76
|
|
Legg perthes patten bottom t
|
$2,874.89 |
$2,874.89 |
$2,874.89 |
$3,225.94
|
|
Leg perthes orth toronto typ
|
$2,498.09 |
$2,498.09 |
$2,498.09 |
$2,803.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,095.80 |
$2,095.80 |
$2,964.50 |
$1,092.58
|
|
Leishmania antibody
|
$144.53 |
$144.53 |
$144.53 |
$58.50
|
|
Lens, intraocular (new tech)
|
$269.48 |
$269.48 |
$269.48 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,149.75 |
$1,149.75 |
$1,780.80 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,788.63 |
$3,788.63 |
$128,865.78 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$747.79 |
$747.79 |
$951.12 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$258.72 |
$258.72 |
$1,489.53 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$4,343.40 |
$4,343.40 |
$4,688.54 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$5,716.74 |
$5,716.74 |
$18,194.72 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$1,077.66 |
$1,077.66 |
$1,077.66 |
$1,322.50
|
|
Leuprolide inj, camcevi, 1mg
|
$867.93 |
$867.93 |
$867.93 |
$55.00
|
|
Levalbuterol non-comp unit
|
$8.04 |
$8.04 |
$226.39 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$140.22 |
$140.22 |
$679.37 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$52.20 |
$52.20 |
$464.96 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$53.88 |
$53.88 |
$277.15 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$1,304.15 |
$1,304.15 |
$1,304.15 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$12,033.26 |
$12,033.26 |
$12,033.26 |
$6,095.95
|
|
Liberta rc ipg
|
$98,076.32 |
$98,076.32 |
$272,150.66 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$16.09 |
$16.09 |
$71.34 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$29.52 |
$29.52 |
$72.66 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$44.40 |
$44.40 |
$185.29 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$36.29 |
$36.29 |
$129.90 |
$133.50
|
|
Lift heel adjustable med
|
$100.66 |
$100.66 |
$100.66 |
$64.68
|
|
Lifts elevation metal extens
|
$908.69 |
$908.69 |
$908.69 |
$959.80
|
|
Ligation/biopsy of temporal artery 37609
|
$13,003.20 |
$13,003.20 |
$13,003.20 |
$3,322.80
|
|
Ligation internal/common carotid artery 37605
|
$5,478.60 |
$5,478.60 |
$5,478.60 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$1,525.00
|
|
Lig/band angioaccess av fistula
|
$10,175.46 |
$10,175.46 |
$10,175.46 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$185.40 |
$185.40 |
$185.40 |
$109.20
|
|
Limited motion knee joint
|
$167.66 |
$167.66 |
$167.66 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$162.36 |
$162.36 |
$647.72 |
$121.00
|
|
Lipase
|
$87.38 |
$87.38 |
$148.80 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$85.20 |
$85.20 |
$312.35 |
$86.42
|
|
Lipoprotein blood quant
|
$166.80 |
$166.80 |
$396.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$24.00 |
$24.00 |
$101.42 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$52.20 |
$52.20 |
$141.53 |
$61.60
|
|
Lip surgery procedure
|
$376.20 |
$376.20 |
$376.20 |
$335.50
|
|
Listeria monocytogenes
|
$133.20 |
$133.20 |
$151.55 |
$106.15
|
|
Lithium therapeutic drug level
|
$81.63 |
$81.63 |
$136.80 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$8,790.00 |
$8,790.00 |
$33,467.28 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$444.00 |
$444.00 |
$880.74 |
$365.28
|
|
Liver elastography 91200
|
$942.66 |
$942.66 |
$942.66 |
$280.00
|
|
Liver Function Test
|
$84.38 |
$84.38 |
$142.20 |
$115.44
|
|
Liver imag w/vasclr flow
|
$5,067.86 |
$5,067.86 |
$5,067.86 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,224.00 |
$1,224.00 |
$4,366.13 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$1,273.20 |
$1,273.20 |
$1,273.20 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$443.64 |
$443.64 |
$443.64 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$2,193.88 |
$2,193.88 |
$2,193.88 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$170.96 |
$37.37
|
|
Lo rig pos pnl l1-l5 pre ots
|
$198.32 |
$198.32 |
$198.32 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$128.35 |
$128.35 |
$721.79 |
$167.74
|
|
Low back disk surgery
|
$22,088.07 |
$22,088.07 |
$22,088.07 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,167.20 |
$2,167.20 |
$4,751.55 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,927.20 |
$1,927.20 |
$3,823.33 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,687.20 |
$1,687.20 |
$3,438.88 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,301.80 |
$3,301.80 |
$4,317.77 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,841.60 |
$2,841.60 |
$3,543.47 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,273.40 |
$2,273.40 |
$3,235.67 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$688.20 |
$688.20 |
$938.10 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$478.48 |
$478.48 |
$478.48 |
$364.00
|
|
Lso corset front
|
$233.04 |
$233.04 |
$233.04 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$243.11 |
$243.11 |
$243.11 |
$164.80
|
|
Lso full corset
|
$185.89 |
$185.89 |
$185.89 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$196.80 |
$196.80 |
$196.80 |
$326.82
|
|
Lso sag-coronal panel custom
|
$2,694.35 |
$2,694.35 |
$4,244.68 |
$2,518.78
|
|
Lso sag-co shell pnl pre ots
|
$2,080.12 |
$2,080.12 |
$2,080.12 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$192.62 |
$192.62 |
$192.62 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$1,604.39 |
$1,604.39 |
$1,604.39 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$2,176.90 |
$2,176.90 |
$2,176.90 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$246.11 |
$246.11 |
$246.11 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$460.43 |
$460.43 |
$460.43 |
$678.49
|
|
Lso s/c shell/panel custom
|
$1,528.32 |
$1,528.32 |
$8,439.10 |
$2,252.16
|
|
Lso s/c shell/panel prefab
|
$48.13 |
$48.13 |
$48.13 |
$1,332.80
|
|
L/s ratio fetal lung
|
$153.00 |
$153.00 |
$276.17 |
$178.36
|
|
Lumbar bolster pad
|
$132.36 |
$132.36 |
$132.36 |
$169.29
|
|
Lumbar derotation pad
|
$139.20 |
$139.20 |
$139.20 |
$168.53
|
|
Lumbar diskogram s&i
|
$3,247.20 |
$3,247.20 |
$8,165.15 |
$2,358.23
|
