|
Lev 3 hosp type b ed visit
|
$219.74 |
$219.74 |
$219.74 |
$598.15
|
|
Lev 4 hosp type b ed visit
|
$336.28 |
$336.28 |
$336.28 |
$915.40
|
|
Lev 5 hosp type b ed visit
|
$475.65 |
$475.65 |
$475.65 |
$1,542.68
|
|
Levetiracetam therapeutic drug level
|
$13.25 |
$13.25 |
$13.25 |
$88.92
|
|
L hrt cath chd nm/abn nt cnj
|
$3,787.84 |
$3,787.84 |
$3,787.84 |
$6,104.00
|
|
Lidocaine therapeutic drug level
|
$14.69 |
$14.69 |
$14.69 |
$88.40
|
|
Ligate leg veins open
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Ligate leg veins radical 37760
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,439.84
|
|
Ligate/strip long leg vein
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$3,561.20
|
|
Ligation/biopsy of temporal artery 37609
|
$1,908.09 |
$1,908.09 |
$1,908.09 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,467.79
|
|
Ligation internal/common carotid artery 37605
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,564.80
|
|
Ligation major artery neck
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,608.40
|
|
Ligation nasal sinus artery
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,341.66
|
|
Ligation of femoral vein
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Ligation of inf vena cava
|
$6,366.08 |
$6,366.08 |
$6,366.08 |
$5,983.35
|
|
Ligation of neck artery
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Ligation of salivary duct
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$4,558.89
|
|
Ligation upper jaw artery
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Ligation vericose vein cluster(s) 1 leg
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,724.63
|
|
Limb exercise test
|
$184.26 |
$184.26 |
$184.26 |
$340.80
|
|
Limited visual field xm
|
$69.95 |
$69.95 |
$69.95 |
$79.20
|
|
Lipase
|
$6.89 |
$6.89 |
$6.89 |
$92.88
|
|
Lip exc/transverse wedge/w closure 40510
|
$3,819.23 |
$3,819.23 |
$3,819.23 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$33.86 |
$33.86 |
$33.86 |
$87.00
|
|
Lipoprotein blood quant
|
$34.19 |
$34.19 |
$34.19 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$8.19 |
$8.19 |
$8.19 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$10.50 |
$10.50 |
$10.50 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$34.19 |
$34.19 |
$34.19 |
$47.18
|
|
Lip surgery procedure
|
$273.48 |
$273.48 |
$273.48 |
$334.50
|
|
Lisocabtagene mara car pos t
|
$541,635.66 |
$541,635.66 |
$541,635.66 |
$1,336,907.88
|
|
Listeria monocytogenes
|
$13.19 |
$13.19 |
$13.19 |
$96.88
|
|
Lithium therapeutic drug level
|
$6.61 |
$6.61 |
$6.61 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$176.19 |
$176.19 |
$176.19 |
$365.28
|
|
Liver elastography 91200
|
$184.26 |
$184.26 |
$184.26 |
$285.18
|
|
Liver Function Test
|
$8.17 |
$8.17 |
$8.17 |
$115.44
|
|
Liver imaging
|
$633.90 |
$633.90 |
$633.90 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$633.90 |
$633.90 |
$633.90 |
$1,227.60
|
|
Liver/spleen imag static only
|
$473.22 |
$473.22 |
$473.22 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$473.22 |
$473.22 |
$473.22 |
$1,069.20
|
|
Lmtd oph exam general anes
|
$2,747.43 |
$2,747.43 |
$2,747.43 |
$2,760.73
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,821.05 |
$3,821.05 |
$3,821.05 |
$3,839.54
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$216.74 |
$216.74 |
$216.74 |
$62,704.30
|
|
Loudness balance test
|
$366.72 |
$366.72 |
$366.72 |
$344.68
|
|
Low back disk surgery
|
$8,412.89 |
$8,412.89 |
$8,412.89 |
$8,412.89
|
|
Low cost skin substitute app
|
$720.88 |
$720.88 |
$720.88 |
$933.60
|
|
Low cost skin substitute app
|
$2,154.21 |
$2,154.21 |
$2,154.21 |
$2,164.64
|
|
Low cost skin substitute app
|
$720.88 |
$720.88 |
$720.88 |
$1,018.50
|
|
Low cost skin substitute app
|
$720.88 |
$720.88 |
$720.88 |
$1,016.16
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$125.23 |
$125.23 |
$125.23 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$209.65 |
$209.65 |
$209.65 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$420.58 |
$420.58 |
$420.58 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$125.23 |
$125.23 |
$125.23 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$420.58 |
$420.58 |
$420.58 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$420.58 |
$420.58 |
$420.58 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$284.66 |
$284.66 |
$284.66 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$125.23 |
$125.23 |
$125.23 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$125.23 |
$125.23 |
$125.23 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$125.23 |
$125.23 |
$125.23 |
$535.91
|
|
Lower jaw bone graft
|
$6,966.64 |
$6,966.64 |
$6,966.64 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$103.69 |
$103.69 |
$103.69 |
$338.40
|
|
Low frequency non-thermal Ultrasound
|
$234.00 |
$234.00 |
$234.00 |
$364.77
|
|
Lsh uterus 250 g or less
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$12,260.88 |
$12,260.88 |
$12,260.88 |
$11,533.76
|
|
L/s ratio fetal lung
|
$21.99 |
$21.99 |
$21.99 |
$173.91
|
|
Lumbar diskogram s&i
|
$2,299.70 |
$2,299.70 |
$2,299.70 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$21,657.23 |
$21,657.23 |
$21,657.23 |
$14,331.20
|
|
Lumizyme injection
|
$206.62 |
$206.62 |
$206.62 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$366.72 |
$366.72 |
$366.72 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$69.95 |
$69.95 |
$69.95 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$184.26 |
$184.26 |
$184.26 |
$296.91
|
|
Lung perfusion imaging
|
$473.22 |
$473.22 |
$473.22 |
$1,067.57
|
|
Lurbinectedin 4 mg intravenous solution
|
$206.13 |
$206.13 |
$206.13 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$41.96 |
$41.96 |
$41.96 |
$22,771.63
|
|
Lutetium lu 177 dotatat ther
|
$312.69 |
$312.69 |
$312.69 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$253.18 |
$253.18 |
$253.18 |
$357.85
|
|
Lw ntsty Ultrasound stimj bone healg
|
$28.84 |
$28.84 |
$28.84 |
$114.40
|
|
Lyme dis dna dir probe
|
$20.05 |
$20.05 |
$20.05 |
$27.67
|
|
Lymphatics/lymph node imaging
|
$633.90 |
$633.90 |
$633.90 |
$1,487.90
|
|
Lymphocyte culture mixed
|
$36.56 |
$36.56 |
$36.56 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$49.03 |
$49.03 |
$49.03 |
$271.88
|
|
Lymphocytotoxicity assay
|
$189.51 |
$189.51 |
$189.51 |
$370.20
|
|
Lymphocytotoxicity assay
|
$47.59 |
$47.59 |
$47.59 |
$96.00
|
|
Lymph vessel x-ray arm/leg
|
$728.10 |
$728.10 |
$728.10 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$1,829.42 |
$1,829.42 |
$1,829.42 |
$2,164.52
|
|
Lymph vessel x-ray trunk
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$3,706.68 |
$3,706.68 |
$3,706.68 |
$3,483.84
|
|
Lysis intranasal synechia 30560
|
$599.72 |
$599.72 |
$599.72 |
$820.50
|
|
Lysis of labial adhesions
|
$3,744.41 |
$3,744.41 |
$3,744.41 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$2,412.45 |
$2,412.45 |
$2,412.45 |
$3,503.00
|
|
Macroscopic exam arthropod
|
$4.27 |
$4.27 |
$4.27 |
$38.58
|
|
Macroscopic exam parasite
|
$4.31 |
$4.31 |
$4.31 |
$37.05
|