|
Limited ankle motion ea jnt
|
$32.34 |
$1,186.76 |
$1,186.78 |
|
|
Limited autopsy
|
$518.56 |
$565.60 |
$565.60 |
|
|
Limited motion knee joint
|
$196.44 |
$196.44 |
$196.44 |
|
|
Limited visual field xm
|
$81.12 |
$142.00 |
$142.00 |
|
|
Lincomycin injection
|
$7.45 |
$7.45 |
$7.45 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$3.78 |
$18.80 |
$33.02 |
|
|
Lipase
|
$9.51 |
$28.00 |
$336.80 |
|
|
Lip exc/transverse wedge/w closure 40510
|
$4,558.89 |
$4,558.89 |
$4,558.89 |
|
|
Lipoprotein blood high res frac & quant
|
$25.85 |
$46.73 |
$70.00 |
|
|
Lipoprotein blood quant
|
$24.43 |
$25.85 |
$288.00 |
|
|
Lipoprotein direct measurement hdl
|
$7.05 |
$33.00 |
$123.20 |
|
|
Lipoprotein direct measurement ldl
|
$13.40 |
$60.00 |
$90.40 |
|
|
Lipoprtn dir meas sd ldl chl
|
$16.45 |
$47.18 |
$47.18 |
|
|
Lip surgery procedure
|
$325.68 |
$725.00 |
$1,328.00 |
|
|
Lisocabtagene mara car pos t
|
$775,837.71 |
$775,837.71 |
$775,837.71 |
|
|
Listeria monocytogenes
|
$18.20 |
$18.20 |
$30.24 |
|
|
Lith ion batt cid, ear level
|
$274.03 |
$274.03 |
$274.03 |
|
|
Lith ion batt cid,non-earlvl
|
$109.92 |
$109.92 |
$109.92 |
|
|
Lithium ion battery charger
|
$857.61 |
$857.61 |
$857.61 |
|
|
Lithium therapeutic drug level
|
$9.12 |
$47.00 |
$143.20 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$174.46 |
$3,304.00 |
$3,476.00 |
|
|
Litt icr 1 traj 1 smpl les
|
$1,811.18 |
$1,811.18 |
$1,811.18 |
|
|
Litt icr mlt trj mlt/cplx ls
|
$2,143.60 |
$2,143.60 |
$2,143.60 |
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,703.20 |
$1,714.14 |
$1,714.14 |
|
|
Liver ds alys 3 bmrk srm alg
|
$243.14 |
$243.14 |
$816.00 |
|
|
Liver elastography 91200
|
$176.93 |
$466.00 |
$466.00 |
|
|
Liver Function Test
|
$11.27 |
$26.00 |
$168.00 |
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$2,003.99 |
$2,003.99 |
$2,003.99 |
|
|
Liver imaging
|
$383.04 |
$746.61 |
$746.61 |
|
|
Liver imag w/vasclr flow
|
$322.00 |
$746.61 |
$746.61 |
|
|
Liver/spleen imag static only
|
$397.62 |
$1,422.40 |
$1,605.00 |
|
|
Liver/spleen imag w/vasclr flow
|
$468.16 |
$549.70 |
$642.88 |
|
|
Lmtd oph exam general anes
|
$3,269.14 |
$3,269.14 |
$3,269.14 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$4,499.12 |
$4,499.12 |
$4,499.12 |
|
|
Lockingelbow forearm cntrbal
|
$4,824.27 |
$4,824.27 |
$4,824.27 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.43 |
$1.43 |
$7.99 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$305.29 |
$305.29 |
$305.29 |
|
|
Long tongue stirrup
|
$227.99 |
$227.99 |
$227.99 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.13 |
$1.94 |
$21.72 |
|
|
Lo rig pos pnl l1-l5 pre ots
|
$70.93 |
$70.93 |
$70.93 |
|
|
Lo sag rig pnl stays pre cst
|
$50.40 |
$132.19 |
$132.19 |
|
|
Loudness balance test
|
$296.91 |
$296.91 |
$296.91 |
|
|
Low back disk surgery
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
|
|
Low cost skin substitute app
|
$869.12 |
$1,059.52 |
$1,558.05 |
|
|
Low cost skin substitute app
|
$4,339.44 |
$5,169.92 |
$5,281.36 |
|
|
Low cost skin substitute app
|
$869.12 |
$1,036.56 |
$1,558.05 |
|
|
Low cost skin substitute app
|
$694.19 |
$2,865.52 |
$3,489.92 |
|
|
Low cost skin substitute app
|
$166.85 |
$166.85 |
$869.12 |
|
|
Low cost skin substitute app
|
$454.49 |
$454.49 |
$4,339.44 |
|
|
Low cost skin substitute app
|
$166.85 |
$166.85 |
$869.12 |
|
|
Low cost skin substitute app
|
$454.49 |
$454.49 |
$2,865.52 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$126.00 |
$273.00 |
$820.00 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$241.18 |
$2,131.00 |
$2,934.00 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$479.72 |
$1,786.00 |
$2,858.00 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$143.75 |
$1,151.00 |
$2,401.00 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$360.49 |
$3,520.00 |
$6,354.40 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$287.17 |
$2,949.00 |
$4,504.80 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$233.59 |
$1,902.00 |
$4,504.80 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$53.76 |
$423.00 |
$476.00 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$83.44 |
$548.00 |
$610.00 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$119.28 |
$469.00 |
$830.00 |
|
|
Lower jaw bone graft
|
$8,139.99 |
$8,139.99 |
$8,139.99 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$80.08 |
$378.00 |
$883.20 |
|
|
Low frequency non-thermal Ultrasound
|
$147.84 |
$459.00 |
$780.00 |
|
|
Loxapine for inhalation 1 mg
|
$21.94 |
$21.94 |
$21.94 |
|
|
Lsh uterus 250 g or less
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Lsh uterus above 250 g
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Lsh w/t/o ut 250 g or less
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Lsh w/t/o uterus above 250 g
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
|
|
Lso corset front
|
$164.97 |
$164.97 |
$164.97 |
|
|
Lso flex no ri stays pre ots
|
$76.34 |
$76.34 |
$76.34 |
|
|
Lso full corset
|
$253.58 |
$253.58 |
$253.58 |
|
|
Lso r post pnl sj-t9 pre cst
|
$274.69 |
$274.69 |
$274.69 |
|
|
Lso sag-coronal panel custom
|
$2,236.86 |
$2,236.86 |
$2,236.86 |
|
|
Lso sag-co shell pnl pre ots
|
$1,080.97 |
$1,080.97 |
$1,080.97 |
|
|
Lso sag ctr rigi pos pre ots
|
$147.38 |
$147.38 |
$147.38 |
|
|
Lso sagit rigid panel prefab
|
$1,694.67 |
$1,694.67 |
$1,694.67 |
|
|
Lso sagittal rigid panel cus
|
$960.12 |
$2,299.38 |
$2,299.38 |
|
|
Lso sc r pos/lat pnl pre cst
|
$486.33 |
$486.33 |
$486.33 |
|
|
Lso sc r pos/lat pnl pre ots
|
$260.97 |
$260.97 |
$260.97 |
|
|
Lso s/c shell/panel custom
|
$1,774.64 |
$1,774.64 |
$1,774.64 |
|
|
Lso s/c shell/panel prefab
|
$2,197.14 |
$2,197.14 |
$2,197.14 |
|
|
L/s ratio fetal lung
|
$30.35 |
$49.28 |
$71.44 |
|
|
Lubricant per ounce
|
$3.13 |
$3.13 |
$3.13 |
|
|
Lumbar bolster pad
|
$132.80 |
$132.80 |
$132.80 |
|
|
Lumbar derotation pad
|
$154.24 |
$154.24 |
$154.24 |
|
|
Lumbar diskogram s&i
|
$494.48 |
$2,685.07 |
$7,533.00 |
|
|
Lumbar or lumbar rib pad
|
$150.36 |
$150.36 |
$150.36 |
|
|
Lumbar sling
|
$170.65 |
$170.65 |
$170.65 |
|
|
Lumbar Spinal Fusion (single level)
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
|
|
Lumizyme injection
|
$286.19 |
$286.19 |
$286.19 |
|
|
Lung Function Test Before and After an Inhaler
|
$85.12 |
$489.00 |
$964.00 |
|
|
Lung function test (mbc/mvv)
|
$81.12 |
$113.60 |
$220.00 |
|
|
Lung Function Test (Spirometry)
|
$50.29 |
$292.00 |
$527.00 |
|
|
Lung perfusion imaging
|
$292.88 |
$549.70 |
$1,664.00 |
|
|
Lung transplant double
|
$6,462.44 |
$6,462.44 |
$6,462.44 |
|
|
Lung transplant single
|
$4,639.04 |
$4,639.04 |
$4,639.04 |
|
|
Lung transplant with bypass
|
$5,044.02 |
$5,044.02 |
$5,044.02 |
|
|
Lung transplant with bypass
|
$6,858.37 |
$6,858.37 |
$6,858.37 |
|
|
Lung volume reduction 32491
|
$2,120.14 |
$2,120.14 |
$2,120.14 |
|
