|
Large Joint Injection or Fluid Draw (both sides)
|
$600.80 |
$971.20 |
$1,313.42 |
|
|
Largsc w/njx augmentation
|
$891.79 |
$891.79 |
$891.79 |
|
|
Largsc w/rmvl foreign bdy(s)
|
$1,257.60 |
$1,257.60 |
$1,257.60 |
|
|
Laryngeal function studies
|
$228.58 |
$240.35 |
$240.35 |
|
|
Laryngoscope w/vc inj
|
$689.66 |
$689.66 |
$689.66 |
|
|
Laryngoscopic sensory vid
|
$307.87 |
$323.79 |
$323.79 |
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,524.80 |
$3,524.80 |
$3,524.80 |
|
|
Laryngoscopy telescopic
|
$263.76 |
$263.76 |
$376.08 |
|
|
Laryngoscopy w/fb removal
|
$4,824.80 |
$4,824.80 |
$4,824.80 |
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$2,907.20 |
$2,907.20 |
$2,907.20 |
|
|
Lateral thoracic extension
|
$387.13 |
$528.98 |
$528.98 |
|
|
Lateral trochanteric pad
|
$122.98 |
$168.00 |
$168.00 |
|
|
Latex suspension sleeve each
|
$102.42 |
$139.89 |
$139.89 |
|
|
Lavage cannulation maxillary sinus
|
$721.60 |
$721.60 |
$721.60 |
|
|
Lead acuity x4 spiral l 86cm
|
$4,784.00 |
$6,186.15 |
$7,059.36 |
|
|
Lead capillary
|
$38.30 |
$44.69 |
$128.80 |
|
|
Lead ingevity 45cm pfret MRI
|
$4,098.58 |
$4,781.67 |
$5,980.00 |
|
|
Lead tachy durata sj4 58cm
|
$9,381.46 |
$10,945.03 |
$13,314.24 |
|
|
Leg Artery Ultrasound (complete, both legs)
|
$665.86 |
$1,357.60 |
$1,441.60 |
|
|
Leg CT Scan (with contrast, both legs)
|
$935.71 |
$1,977.19 |
$2,700.00 |
|
|
Leg CT Scan (without contrast, both legs)
|
$719.86 |
$1,649.60 |
$2,307.20 |
|
|
Legg perthes orth newington
|
$3,135.10 |
$4,164.33 |
$4,164.33 |
|
|
Legg perthes orthosis trilat
|
$2,334.30 |
$3,100.72 |
$3,100.72 |
|
|
Legg perthes orth scottish r
|
$1,970.75 |
$2,617.72 |
$2,617.72 |
|
|
Legg perthes patten bottom t
|
$2,833.32 |
$3,763.59 |
$3,763.59 |
|
|
Leg perthes orth toronto typ
|
$2,461.93 |
$3,270.29 |
$3,270.29 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$887.81 |
$1,272.66 |
$1,491.95 |
|
|
Lens, intraocular (new tech)
|
$385.34 |
$385.34 |
$385.34 |
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$322.90 |
$351.18 |
$2,400.00 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$156.80 |
$385.34 |
$624.00 |
|
|
Lens iol ant chamb 10.5
|
$240.00 |
$385.34 |
$480.00 |
|
|
Lepirudin
|
$7,035.43 |
$7,035.43 |
$7,035.43 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$72.24 |
$137.04 |
$292.05 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$888.20 |
$1,824.07 |
$4,396.20 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,525.68 |
$7,625.06 |
$16,204.64 |
|
|
Leuprolide acetate injeciton
|
$306.37 |
$306.37 |
$713.56 |
|
|
Levalbuterol non-comp unit
|
$3.61 |
$7.38 |
$289.47 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$25.20 |
$61.26 |
$146.79 |
|
|
Levetiracetam therapeutic drug level
|
$58.13 |
$63.70 |
$160.00 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$48.65 |
$98.38 |
$212.60 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$171.72 |
$199.24 |
$1,032.94 |
|
|
L hrt cath chd nm/abn nt cnj
|
$5,487.60 |
$5,487.60 |
$5,487.60 |
|
|
Liberta rc ipg
|
$25,760.00 |
$45,726.72 |
$55,413.44 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$28.16 |
$51.41 |
$71.22 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$47.25 |
$61.98 |
$154.88 |
|
|
Lidocaine therapeutic drug level
|
$43.78 |
$51.07 |
$55.16 |
|
|
Lift assist for elbow
|
$327.38 |
$447.33 |
$447.33 |
|
|
Lift heel adj small gl60404sm
|
$28.44 |
$136.66 |
$159.43 |
|
|
Lift heel adjustable med
|
$60.31 |
$82.43 |
$82.43 |
|
|
Lifts elevation metal extens
|
$895.55 |
$1,189.61 |
$1,189.61 |
|
|
Ligate leg veins radical 37760
|
$6,402.40 |
$6,402.40 |
$6,402.40 |
|
|
Ligate oviduct(s) add-on 58611
|
$1,533.17 |
$1,856.57 |
$1,856.57 |
|
|
Ligate/transect fallopian tubes 58600
|
$2,299.68 |
$2,785.05 |
$2,785.05 |
|
|
Ligation/biopsy of temporal artery 37609
|
$4,458.40 |
$4,458.40 |
$4,458.40 |
|
|
Ligation/divis of long saph vein 37700
|
$2,136.77 |
$2,136.77 |
$6,522.40 |
|
|
Ligation of inf vena cava
|
$8,925.41 |
$8,925.41 |
$8,925.41 |
|
|
Ligation vericose vein cluster(s) 1 leg
|
$5,698.40 |
$5,698.40 |
$5,698.40 |
|
|
Lig/band angioaccess av fistula
|
$3,413.62 |
$3,413.62 |
$8,733.60 |
|
|
Liletta, 52 mg
|
$673.36 |
$673.36 |
$673.36 |
|
|
Limited ankle motion ea jnt
|
$79.46 |
$108.64 |
$108.64 |
|
|
Limited motion knee joint
|
$183.34 |
$250.43 |
$250.43 |
|
|
Lincomycin injection
|
$69.15 |
$69.15 |
$69.15 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$54.20 |
$100.45 |
$224.36 |
|
|
Lipase
|
$24.53 |
$26.83 |
$208.00 |
|
|
Lip exc/transverse wedge/w closure 40510
|
$4,888.00 |
$4,888.00 |
$4,888.00 |
|
|
Lipoprotein blood quant
|
$85.87 |
$116.87 |
$116.87 |
|
|
Lipoprotein direct measurement hdl
|
$25.93 |
$26.83 |
$85.60 |
|
|
Lipoprotein direct measurement ldl
|
$26.99 |
$29.57 |
$112.00 |
|
|
Lip surgery procedure
|
$695.28 |
$695.28 |
$695.28 |
|
|
Lithium therapeutic drug level
|
$35.14 |
$40.99 |
$84.80 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,151.54 |
$3,151.54 |
$4,444.80 |
|
|
Liver abs/cyst dr opn 1-2 stge
|
$2,975.20 |
$2,975.20 |
$2,975.20 |
|
|
Liver elastography 91200
|
$379.20 |
$379.20 |
$379.20 |
|
|
Liver Function Test
|
$48.00 |
$114.40 |
$175.20 |
|
|
Liver imaging
|
$597.46 |
$794.75 |
$1,880.00 |
|
|
Liver imag w/vasclr flow
|
$611.81 |
$997.42 |
$1,864.80 |
|
|
Liver/spleen imag static only
|
$597.46 |
$935.59 |
$1,682.40 |
|
|
Liver/spleen imag w/vasclr flow
|
$746.88 |
$1,259.55 |
$1,992.80 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.11 |
$1.68 |
$21.00 |
|
|
Long tongue stirrup
|
$212.69 |
$290.64 |
$290.64 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$24.82 |
$60.81 |
$62.50 |
|
|
Lo sag rig pnl stays pre cst
|
$114.31 |
$144.48 |
$168.56 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$431.81 |
$794.70 |
$2,896.36 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$861.41 |
$1,821.51 |
$3,072.80 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$647.76 |
$2,185.60 |
$2,769.60 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$431.81 |
$1,854.40 |
$2,592.00 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$912.00 |
$3,850.40 |
$4,399.20 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$729.74 |
$1,848.11 |
$3,508.00 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$547.30 |
$2,757.60 |
$3,237.60 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$207.79 |
$274.40 |
$501.60 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$138.43 |
$320.80 |
$710.40 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$138.43 |
$171.81 |
$756.00 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$195.20 |
$257.66 |
$532.80 |
|
|
Low frequency non-thermal Ultrasound
|
$77.47 |
$81.48 |
$81.48 |
|
|
Lso corset front
|
$153.94 |
$210.34 |
$210.34 |
|
|
Lso flex no ri stays pre ots
|
$118.42 |
$138.15 |
$138.15 |
|
|
Lso full corset
|
$236.60 |
$323.29 |
$323.29 |
|
|
Lso r post pnl sj-t9 pre cst
|
$256.31 |
$350.17 |
$350.17 |
|
|
Lso sag-coronal panel custom
|
$2,087.06 |
$2,772.34 |
$2,772.34 |
|
|
Lso sagit rigid panel prefab
|
$1,581.22 |
$2,100.34 |
$2,100.34 |
|