|
Lavage cannulation maxillary sinus
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$833.97
|
|
Lavh >250 gms 58553
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,311.00
|
|
Lb with mastopexy 15839
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,386.84
|
|
Lead capillary
|
$13.32 |
$13.32 |
$13.32 |
$62.40
|
|
Lefort i-1 piece without graft
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,547.81
|
|
Lefort i-2 piece without graft
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,553.49
|
|
Lefort i-3/> piece without graft
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,553.49
|
|
Lefort ii anterior intrusion
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,465.11
|
|
Leg vein fusion 34530
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,986.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$454.49 |
$454.49 |
$454.49 |
$1,100.74
|
|
Leishmania antibody
|
$13.48 |
$13.48 |
$13.48 |
$58.50
|
|
Lengthening of hand tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,594.44
|
|
Lengthening of palate
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Lengthening of palate+pharyngeal flap 42226
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,289.89
|
|
Lengthening of thigh tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,339.00
|
|
Lengthening of thigh tendons
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,886.74
|
|
Lengthening of thigh tendons
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Lengthen metacarpal/finger
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Lengthen radius or ulna
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$10,629.07
|
|
Lengthen radius & ulna
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,839.00
|
|
Lens iol ant bicnvx 24.0 multi
|
$78.93 |
$78.93 |
$78.93 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$53.52 |
$53.52 |
$53.52 |
$216.48
|
|
Leukocyte phagocytosis
|
$11.43 |
$11.43 |
$11.43 |
$49.28
|
|
Levetiracetam therapeutic drug level
|
$14.58 |
$14.58 |
$14.58 |
$71.40
|
|
L hrt cath chd nm/abn nt cnj
|
$1,573.76 |
$1,573.76 |
$1,573.76 |
$6,242.85
|
|
Lidocaine therapeutic drug level
|
$16.16 |
$16.16 |
$16.16 |
$83.85
|
|
Ligate leg veins open
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,486.86
|
|
Ligate leg veins radical 37760
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligate/strip long leg vein
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,762.53
|
|
Ligation/biopsy of temporal artery 37609
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,968.00
|
|
Ligation/divis of long saph vein 37700
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligation external carotid artery 37600
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,467.79
|
|
Ligation internal/common carotid artery 37605
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,564.80
|
|
Ligation major artery neck
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligation nasal sinus artery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligation of femoral vein
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligation of inf vena cava
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,872.94
|
|
Ligation of neck artery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Ligation of salivary duct
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,837.72
|
|
Ligation upper jaw artery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,486.86
|
|
Ligation vericose vein cluster(s) 1 leg
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,486.86
|
|
Lig/band angioaccess av fistula
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,240.23
|
|
Lig&div&compl strpg saph vn
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,724.63
|
|
Lipase
|
$7.58 |
$7.58 |
$7.58 |
$83.20
|
|
Lip exc/transverse wedge/w closure 40510
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,780.73
|
|
Lipoprotein blood high res frac & quant
|
$37.25 |
$37.25 |
$37.25 |
$89.52
|
|
Lipoprotein blood quant
|
$37.61 |
$37.61 |
$37.61 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$9.01 |
$9.01 |
$9.01 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$11.55 |
$11.55 |
$11.55 |
$60.00
|
|
Lipoprtn dir meas sd ldl chl
|
$37.61 |
$37.61 |
$37.61 |
$37.61
|
|
Lip surgery procedure
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$325.68
|
|
Listeria monocytogenes
|
$14.51 |
$14.51 |
$14.51 |
$95.40
|
|
Lithium therapeutic drug level
|
$7.27 |
$7.27 |
$7.27 |
$67.60
|
|
Lithotripsy transluminal coronary percutaneous
|
$98.34 |
$98.34 |
$98.34 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$193.81 |
$193.81 |
$193.81 |
$365.28
|
|
Liver elastography 91200
|
$39.00 |
$39.00 |
$39.00 |
$291.74
|
|
Liver Function Test
|
$8.99 |
$8.99 |
$8.99 |
$110.50
|
|
Liver imaging
|
$326.98 |
$326.98 |
$326.98 |
$1,241.25
|
|
Liver/spleen imag static only
|
$290.59 |
$290.59 |
$290.59 |
$1,140.78
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Low back disk surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,907.11
|
|
Low cost skin substitute app
|
$1,067.31 |
$1,067.31 |
$1,067.31 |
$1,030.00
|
|
Low cost skin substitute app
|
$893.91 |
$893.91 |
$893.91 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,033.22 |
$1,033.22 |
$1,033.22 |
$1,132.56
|
|
Low cost skin substitute app
|
$482.35 |
$482.35 |
$482.35 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$665.10 |
$665.10 |
$665.10 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$633.47 |
$633.47 |
$633.47 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$603.31 |
$603.31 |
$603.31 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$796.39 |
$796.39 |
$796.39 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$550.04 |
$550.04 |
$550.04 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$467.77 |
$467.77 |
$467.77 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$87.35 |
$87.35 |
$87.35 |
$344.00
|
|
Lower jaw bone graft
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,839.00
|
|
Low frequency non-thermal Ultrasound
|
$88.34 |
$88.34 |
$88.34 |
$275.88
|
|
Lsh uterus 250 g or less
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,839.00
|
|
Lsh uterus above 250 g
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,839.00
|
|
Lsh w/t/o ut 250 g or less
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,839.00
|
|
L/s ratio fetal lung
|
$24.19 |
$24.19 |
$24.19 |
$168.00
|
|
Lumbar diskogram s&i
|
$578.56 |
$578.56 |
$578.56 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,311.00
|
|
Lung Function Test (Spirometry)
|
$135.70 |
$135.70 |
$135.70 |
$298.50
|
|
Lung perfusion imaging
|
$275.84 |
$275.84 |
$275.84 |
$1,100.39
|
|
Lvad shower bag heartmate
|
$137.67 |
$137.67 |
$137.67 |
$972.60
|
|
Lw ntsty Ultrasound stimj bone healg
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$39.77
|
|
Lymphatics/lymph node imaging
|
$421.87 |
$421.87 |
$421.87 |
$1,543.75
|
|
Lymphocyte culture mixed
|
$40.22 |
$40.22 |
$40.22 |
$50.45
|
|
Lymphocyte transformation mitogen
|
$53.93 |
$53.93 |
$53.93 |
$266.20
|
|
Lymphocytotoxicity assay
|
$208.46 |
$208.46 |
$208.46 |
$370.20
|
|
Lymph vessel x-ray arm/leg
|
$279.12 |
$279.12 |
$279.12 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$660.35 |
$660.35 |
$660.35 |
$2,229.24
|
|
Lysis intranasal synechia 30560
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$714.40
|
|
Lysis of labial adhesions
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,762.53
|
|
Lysis penil circumic lesion
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,173.43
|
|
Macroscopic exam arthropod
|
$4.70 |
$4.70 |
$4.70 |
$38.58
|
|
Macroscopic exam parasite
|
$4.74 |
$4.74 |
$4.74 |
$38.50
|
|
Magnesium
|
$7.37 |
$7.37 |
$7.37 |
$71.50
|
