|
Limited ankle motion ea jnt
|
$85.22 |
$85.22 |
$85.22 |
$108.64
|
|
Limited motion knee joint
|
$196.44 |
$196.44 |
$196.44 |
$274.07
|
|
Limited visual field xm
|
$81.12 |
$81.12 |
$81.12 |
$79.20
|
|
Lincomycin injection
|
$7.45 |
$7.45 |
$7.45 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$3.78 |
$3.78 |
$3.78 |
$119.81
|
|
Lipase
|
$9.51 |
$9.51 |
$9.51 |
$92.80
|
|
Lip exc/transverse wedge/w closure 40510
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$46.73 |
$46.73 |
$46.73 |
$87.00
|
|
Lipoprotein blood quant
|
$47.18 |
$47.18 |
$47.18 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$11.30 |
$11.30 |
$11.30 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$14.49 |
$14.49 |
$14.49 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$47.18 |
$47.18 |
$47.18 |
$47.18
|
|
Lip surgery procedure
|
$325.68 |
$325.68 |
$325.68 |
$334.50
|
|
Lisocabtagene mara car pos t
|
$775,837.71 |
$775,837.71 |
$775,837.71 |
$1,407,577.38
|
|
Listeria monocytogenes
|
$18.20 |
$18.20 |
$18.20 |
$96.88
|
|
Lith ion batt cid, ear level
|
$274.03 |
$274.03 |
$274.03 |
$179.20
|
|
Lith ion batt cid,non-earlvl
|
$109.92 |
$109.92 |
$109.92 |
$72.80
|
|
Lithium ion battery charger
|
$857.61 |
$857.61 |
$857.61 |
$557.20
|
|
Lithium therapeutic drug level
|
$9.12 |
$9.12 |
$9.12 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$174.46 |
$174.46 |
$174.46 |
$4,295.40
|
|
Litt icr 1 traj 1 smpl les
|
$1,811.18 |
$1,811.18 |
$1,811.18 |
$4,370.00
|
|
Litt icr mlt trj mlt/cplx ls
|
$2,143.60 |
$2,143.60 |
$2,143.60 |
$5,462.00
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,714.14 |
$1,714.14 |
$1,714.14 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$243.14 |
$243.14 |
$243.14 |
$365.28
|
|
Liver elastography 91200
|
$176.93 |
$176.93 |
$176.93 |
$285.18
|
|
Liver Function Test
|
$11.27 |
$11.27 |
$11.27 |
$115.44
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$2,003.99 |
$2,003.99 |
$2,003.99 |
$2,028.65
|
|
Liver imaging
|
$746.61 |
$746.61 |
$746.61 |
$1,093.50
|
|
Liver imag w/vasclr flow
|
$746.61 |
$746.61 |
$746.61 |
$1,227.60
|
|
Liver/spleen imag static only
|
$549.70 |
$549.70 |
$549.70 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$549.70 |
$549.70 |
$549.70 |
$1,069.20
|
|
Lmtd oph exam general anes
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
$2,760.73
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
$3,839.54
|
|
Lockingelbow forearm cntrbal
|
$4,824.27 |
$4,824.27 |
$4,824.27 |
$3,133.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.43 |
$1.43 |
$1.43 |
$49.70
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$305.29 |
$305.29 |
$305.29 |
$62,704.30
|
|
Long tongue stirrup
|
$227.99 |
$227.99 |
$227.99 |
$249.12
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.94 |
$1.94 |
$1.94 |
$37.20
|
|
Lo rig pos pnl l1-l5 pre ots
|
$70.93 |
$70.93 |
$70.93 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$132.19 |
$132.19 |
$132.19 |
$167.74
|
|
Loudness balance test
|
$296.91 |
$296.91 |
$296.91 |
$344.68
|
|
Low back disk surgery
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$143.75 |
$143.75 |
$143.75 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$241.18 |
$241.18 |
$241.18 |
$1,871.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$479.72 |
$479.72 |
$479.72 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$143.75 |
$143.75 |
$143.75 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$479.72 |
$479.72 |
$479.72 |
$3,063.00
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$479.72 |
$479.72 |
$479.72 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$328.08 |
$328.08 |
$328.08 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$143.75 |
$143.75 |
$143.75 |
$355.32
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$143.75 |
$143.75 |
$143.75 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$143.75 |
$143.75 |
$143.75 |
$540.60
|
|
Lower jaw bone graft
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$119.66 |
$119.66 |
$119.66 |
$332.00
|
|
Low frequency non-thermal Ultrasound
|
$275.88 |
$275.88 |
$275.88 |
$364.77
|
|
Loxapine for inhalation 1 mg
|
$21.94 |
$21.94 |
$21.94 |
$21.94
|
|
Lsh uterus 250 g or less
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$11,533.76
|
|
Lso corset front
|
$164.97 |
$164.97 |
$164.97 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$76.34 |
$76.34 |
$76.34 |
$164.80
|
|
Lso full corset
|
$253.58 |
$253.58 |
$253.58 |
$317.46
|
|
Lso r post pnl sj-t9 pre cst
|
$274.69 |
$274.69 |
$274.69 |
$326.82
|
|
Lso sag-coronal panel custom
|
$2,236.86 |
$2,236.86 |
$2,236.86 |
$2,518.78
|
|
Lso sag-co shell pnl pre ots
|
$1,080.97 |
$1,080.97 |
$1,080.97 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$147.38 |
$147.38 |
$147.38 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$1,694.67 |
$1,694.67 |
$1,694.67 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$2,299.38 |
$2,299.38 |
$2,299.38 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$486.33 |
$486.33 |
$486.33 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$260.97 |
$260.97 |
$260.97 |
$678.49
|
|
Lso s/c shell/panel custom
|
$1,774.64 |
$1,774.64 |
$1,774.64 |
$2,252.16
|
|
Lso s/c shell/panel prefab
|
$2,197.14 |
$2,197.14 |
$2,197.14 |
$1,332.80
|
|
L/s ratio fetal lung
|
$30.35 |
$30.35 |
$30.35 |
$173.91
|
|
Lubricant per ounce
|
$3.13 |
$3.13 |
$3.13 |
$3.13
|
|
Lumbar bolster pad
|
$132.80 |
$132.80 |
$132.80 |
$169.29
|
|
Lumbar derotation pad
|
$154.24 |
$154.24 |
$154.24 |
$168.53
|
|
Lumbar diskogram s&i
|
$2,685.07 |
$2,685.07 |
$2,685.07 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$150.36 |
$150.36 |
$150.36 |
$191.69
|
|
Lumbar sling
|
$170.65 |
$170.65 |
$170.65 |
$217.56
|
|
Lumbar Spinal Fusion (single level)
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$14,331.20
|
|
Lumizyme injection
|
$286.19 |
$286.19 |
$286.19 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$513.11 |
$513.11 |
$513.11 |
$543.75
|
|
Lung function test (mbc/mvv)
|
$81.12 |
$81.12 |
$81.12 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$296.91 |
$296.91 |
$296.91 |
$296.91
|
|
Lung perfusion imaging
|
$549.70 |
$549.70 |
$549.70 |
$1,072.46
|
|
Lung transplant double
|
$6,462.44 |
$6,462.44 |
$6,462.44 |
$6,462.44
|
|
Lung transplant single
|
$4,639.04 |
$4,639.04 |
$4,639.04 |
$4,639.04
|
|
Lung transplant with bypass
|
$5,044.02 |
$5,044.02 |
$5,044.02 |
$5,044.02
|
|
Lung transplant with bypass
|
$6,858.37 |
$6,858.37 |
$6,858.37 |
$6,858.37
|
|
Lung volume reduction 32491
|
$2,120.14 |
$2,120.14 |
$2,120.14 |
$2,141.40
|
|
Lurbinectedin 4 mg intravenous solution
|
$290.88 |
$290.88 |
$290.88 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$59.03 |
$59.03 |
$59.03 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$442.66 |
$442.66 |
$442.66 |
$335.00
|
|
Lutetium lu 177 vipivotide
|
$357.85 |
$357.85 |
$357.85 |
$357.85
|
|
Lvad shower bag heartmate
|
$867.80 |
$867.80 |
$867.80 |
$893.74
|
|
Lw ntsty Ultrasound stimj bone healg
|
$39.77 |
$39.77 |
$39.77 |
$114.40
|
|
Lwr ext dynamic prosth pylon
|
$479.87 |
$479.87 |
$479.87 |
$313.60
|
|
Lyme dis dna dir probe
|
$27.67 |
$27.67 |
$27.67 |
$27.67
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$11,238.72 |
$11,238.72 |
$11,238.72 |
$1,748.00
|
