|
Laparo-vag hyst incl t/o
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$8,917.26
|
|
Laparscpy ablat 1>lvr tum cryo
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$11,221.60
|
|
Lap enterolysis
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,457.82
|
|
Lap fimbrioplasty 58672
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,870.89
|
|
Lap impl electrode antrum
|
$14,685.79 |
$14,685.79 |
$14,685.79 |
$14,685.79
|
|
Lap ing hernia repair init
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$9,605.51
|
|
Lap ing hernia repair recur
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,870.89
|
|
Lap insert tunnel ip cath
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,895.20
|
|
Lap jejunostomy 44186
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,370.92
|
|
Lap paraesophag hern repair
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$10,029.60
|
|
Lap place gastr adj device
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$9,959.00
|
|
Lap replace gastr adj device
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,839.00
|
|
Lap revise/remv eltrd antrum
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$11,533.76
|
|
Lap revision perm ip cath
|
$6,870.89 |
$6,870.89 |
$6,870.89 |
$6,904.15
|
|
Lap rmvl gastr adj all parts
|
$4,480.44 |
$4,480.44 |
$4,480.44 |
$4,502.13
|
|
Lap rmvl gastr adj device
|
$4,480.44 |
$4,480.44 |
$4,480.44 |
$4,502.13
|
|
Laps abltj uterine fibroids
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$12,320.22
|
|
Laps esophgl sphnctr agmntj 43284
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$10,500.26
|
|
Laps pelvic lymphadec
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$7,285.60
|
|
Laps surg prst8ect rpbic rad
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$12,320.22
|
|
Laps surg prst8ect smpl stot
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$12,320.22
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$347.63 |
$347.63 |
$347.63 |
$740.40
|
|
Largsc w/laser dstrj les
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,931.00
|
|
Largsc w/njx augmentation
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$3,288.75
|
|
Largsc w/removal lesion
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,362.99
|
|
Largsc w/rmvl foreign bdy(s)
|
$457.30 |
$457.30 |
$457.30 |
$765.97
|
|
Largsc w/ther injection
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$2,447.43
|
|
Laronidase injection
|
$39.88 |
$39.88 |
$39.88 |
$1,927.01
|
|
Laryngeal function studies
|
$151.80 |
$151.80 |
$151.80 |
$335.40
|
|
Laryngoplasty cricoid split
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,839.00
|
|
Laryngoplasty fx rdctj fixj
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,553.49
|
|
Laryngoplasty laryngeal sten
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Laryngoplasty laryngeal sten
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Laryngoplasty laryngeal sten
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Laryngoplasty laryngeal sten
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Laryngoplasty laryngeal web
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,547.81
|
|
Laryngoplasty medialization
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,186.50
|
|
Laryngoscope w/vc inj
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,108.00
|
|
Laryngoscopic sensory vid
|
$84.45 |
$84.45 |
$84.45 |
$323.20
|
|
Laryngoscop w/arytenoidectom
|
$8,152.32 |
$8,152.32 |
$8,152.32 |
$7,565.43
|
|
Laryngoscop w/vc inj + scope
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,539.60
|
|
Laryngoscopy and dilation
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,745.55
|
|
Laryngoscopy and dilation
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$2,514.60
|
|
Laryngoscopy for treatment
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$5,110.00
|
|
Laryngoscopy telescopic
|
$457.30 |
$457.30 |
$457.30 |
$852.80
|
|
Laryngoscopy w/biopsy
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,627.00
|
|
Laryngoscopy w/exc of tumor
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$5,137.60
|
|
Laryngoscopy w/fb & op scope
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$4,004.00
|
|
Laryngoscopy w/fb removal
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$2,030.84 |
$2,030.84 |
$2,030.84 |
$3,297.83
|
|
Laryngoscopy with biopsy 31510
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$3,934.14
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$457.30 |
$457.30 |
$457.30 |
$845.52
|
|
Larynscop remve cart + scop
|
$8,152.32 |
$8,152.32 |
$8,152.32 |
$7,662.21
|
|
Larynscop w/tumr exc + scope
|
$4,341.97 |
$4,341.97 |
$4,341.97 |
$5,126.62
|
|
Laser surgery eye strands
|
$646.06 |
$646.06 |
$646.06 |
$1,391.50
|
|
Laser surgery of cervix 57513
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$3,762.53
|
|
Laser surgery of prostate
|
$5,986.78 |
$5,986.78 |
$5,986.78 |
$5,631.74
|
|
Laser surgery of prostate
|
$5,986.78 |
$5,986.78 |
$5,986.78 |
$6,015.75
|
|
Laser surg penis lesion(s)
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$3,562.00
|
|
Laser treatment of retina
|
$4,737.56 |
$4,737.56 |
$4,737.56 |
$5,954.00
|
|
Laser treatment of retina
|
$4,737.56 |
$4,737.56 |
$4,737.56 |
$6,370.00
|
|
Lateral canthopexy
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|
|
Lat retinacular release open
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Lavage cannulation maxillary sinus
|
$273.48 |
$273.48 |
$273.48 |
$728.00
|
|
Lavh >250 gms 58553
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$6,311.00
|
|
Lb with mastopexy 15839
|
$3,370.52 |
$3,370.52 |
$3,370.52 |
$3,616.50
|
|
Lead capillary
|
$12.11 |
$12.11 |
$12.11 |
$57.50
|
|
Lefort i-1 piece without graft
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,855.00
|
|
Lefort i-2 piece without graft
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,465.11
|
|
Lefort i-3/> piece without graft
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$5,855.00
|
|
Lefort ii anterior intrusion
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,966.64
|
|
Leg Artery Ultrasound (complete, both legs)
|
$284.66 |
$284.66 |
$284.66 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$209.65 |
$209.65 |
$209.65 |
$1,612.00
|
|
Leg CT Scan (without contrast, both legs)
|
$125.23 |
$125.23 |
$125.23 |
$1,372.50
|
|
Legion pneumo dna dir prob
|
$20.05 |
$20.05 |
$20.05 |
$47.22
|
|
Legion pneumo dna quant
|
$41.76 |
$41.76 |
$41.76 |
$57.63
|
|
Leg vein fusion 34530
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,569.60
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$284.66 |
$284.66 |
$284.66 |
$1,092.58
|
|
Leishmania antibody
|
$12.25 |
$12.25 |
$12.25 |
$58.50
|
|
Lengthening of hand tendon
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,545.97
|
|
Lengthening of palate
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,553.49
|
|
Lengthening of palate+pharyngeal flap 42226
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$6,465.11
|
|
Lengthening of thigh tendon
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,907.11
|
|
Lengthening of thigh tendons
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,807.24
|
|
Lengthening of thigh tendons
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$4,499.12
|
|
Lengthen metacarpal/finger
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$6,653.00
|
|
Lengthen radius or ulna
|
$15,152.74 |
$15,152.74 |
$15,152.74 |
$14,241.77
|
|
Lengthen radius & ulna
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$7,968.80
|
|
Leukacyte transfusion
|
$201.80 |
$201.80 |
$201.80 |
$202.78
|
|
Leukocyte phagocytosis
|
$10.39 |
$10.39 |
$10.39 |
$71.76
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$155.42 |
$155.42 |
$155.42 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,737.10 |
$1,737.10 |
$1,737.10 |
$8,348.12
|
|
Leuprolide depot cipla 7.5mg
|
$220.74 |
$220.74 |
$220.74 |
$623.81
|
|
Leuprolide inj, camcevi, 1mg
|
$51.41 |
$51.41 |
$51.41 |
$55.00
|
|
Lev 1 hosp type b ed visit
|
$99.01 |
$99.01 |
$99.01 |
$186.98
|
|
Lev 2 hosp type b ed visit
|
$130.32 |
$130.32 |
$130.32 |
$359.65
|
