|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,884.64 |
$3,986.00 |
$6,839.00 |
|
|
Laryngoscopy for treatment
|
$3,786.00 |
$4,341.97 |
$6,839.00 |
|
|
Laryngoscopy telescopic
|
$424.38 |
$3,986.00 |
$6,839.00 |
|
|
Laryngoscopy w/biopsy
|
$3,786.00 |
$4,341.97 |
$6,839.00 |
|
|
Laryngoscopy w/bx & op scope
|
$3,786.00 |
$4,341.97 |
$6,839.00 |
|
|
Laryngoscopy w/exc of tumor
|
$3,786.00 |
$4,341.97 |
$6,839.00 |
|
|
Laryngoscopy w/fb & op scope
|
$3,786.00 |
$4,341.97 |
$6,839.00 |
|
|
Laryngoscopy w/fb removal
|
$1,884.64 |
$3,986.00 |
$6,839.00 |
|
|
Laryngoscopy with biopsy
|
$1,884.64 |
$3,986.00 |
$6,839.00 |
|
|
Laryngoscopy with biopsy 31510
|
$3,786.00 |
$4,341.97 |
$6,839.00 |
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$424.38 |
$3,986.00 |
$6,839.00 |
|
|
Larynscop remve cart + scop
|
$3,786.00 |
$6,311.00 |
$8,152.32 |
|
|
Larynscop w/tumr exc + scope
|
$3,786.00 |
$4,341.97 |
$6,839.00 |
|
|
Laser surgery eye strands
|
$599.55 |
$3,986.00 |
$6,839.00 |
|
|
Laser surgery of cervix 57513
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Laser surgery of prostate
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Laser surgery of prostate
|
$3,786.00 |
$5,626.86 |
$6,839.00 |
|
|
Laser surg penis lesion(s)
|
$1,999.13 |
$3,986.00 |
$6,839.00 |
|
|
Laser treatment of retina
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Laser treatment of retina
|
$3,786.00 |
$4,627.00 |
$6,839.00 |
|
|
Lateral canthopexy
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Lat retinacular release open
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Lavage cannulation maxillary sinus
|
$253.79 |
$3,986.00 |
$6,839.00 |
|
|
Lavh >250 gms 58553
|
$3,786.00 |
$6,311.00 |
$12,260.88 |
|
|
Lb with mastopexy 15839
|
$3,127.88 |
$3,986.00 |
$6,839.00 |
|
|
Lead capillary
|
$12.11 |
$13.32 |
$48.40 |
|
|
Lefort i-1 piece without graft
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Lefort i-2 piece without graft
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Lefort i-3/> piece without graft
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Lefort ii anterior intrusion
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Leg Artery Ultrasound (complete, both legs)
|
$234.90 |
$298.46 |
$589.02 |
|
|
Leg CT Scan (with contrast, both legs)
|
$194.55 |
$197.04 |
$209.65 |
|
|
Leg CT Scan (without contrast, both legs)
|
$116.22 |
$117.70 |
$125.23 |
|
|
Legion pneumo dna dir prob
|
$20.05 |
$22.06 |
$22.06 |
|
|
Legion pneumo dna quant
|
$41.76 |
$45.94 |
$45.94 |
|
|
Leg vein fusion 34530
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$264.17 |
$378.77 |
$638.19 |
|
|
Leishmania antibody
|
$12.25 |
$13.48 |
$13.48 |
|
|
Lengthening of hand tendon
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Lengthening of palate
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Lengthening of palate+pharyngeal flap 42226
|
$3,786.00 |
$6,311.00 |
$6,966.64 |
|
|
Lengthening of thigh tendon
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Lengthening of thigh tendons
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Lengthening of thigh tendons
|
$3,545.97 |
$3,986.00 |
$6,839.00 |
|
|
Lengthen metacarpal/finger
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Lengthen radius or ulna
|
$3,786.00 |
$6,311.00 |
$15,152.74 |
|
|
Lengthen radius & ulna
|
$3,786.00 |
$6,311.00 |
$8,412.89 |
|
|
Lens, intraocular (new tech)
|
$78.99 |
$92.68 |
$130.61 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$62.13 |
$72.89 |
$102.73 |
|
|
Lens iol ant chamb 10.5
|
$42.12 |
$49.42 |
$69.65 |
|
|
Leukacyte transfusion
|
$47.86 |
$187.28 |
$201.80 |
|
|
Leukocyte phagocytosis
|
$10.39 |
$11.43 |
$11.43 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$155.42 |
$155.42 |
$176.51 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,617.65 |
$1,737.10 |
$1,737.10 |
|
|
Leuprolide depot cipla 7.5mg
|
$220.74 |
$220.74 |
$257.70 |
|
|
Leuprolide inj, camcevi, 1mg
|
$51.41 |
$51.41 |
$55.00 |
|
|
Lev 1 hosp type b ed visit
|
$91.88 |
$93.05 |
$99.01 |
|
|
Lev 2 hosp type b ed visit
|
$120.94 |
$122.49 |
$130.32 |
|
|
Lev 3 hosp type b ed visit
|
$203.92 |
$206.53 |
$219.74 |
|
|
Lev 4 hosp type b ed visit
|
$312.07 |
$316.06 |
$336.28 |
|
|
Lev 5 hosp type b ed visit
|
$441.40 |
$447.05 |
$475.65 |
|
|
Levetiracetam therapeutic drug level
|
$13.25 |
$14.58 |
$77.20 |
|
|
L hrt cath chd nm/abn nt cnj
|
$1,455.80 |
$3,515.15 |
$3,787.84 |
|
|
Lidocaine therapeutic drug level
|
$14.69 |
$16.16 |
$16.16 |
|
|
Ligate leg veins open
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligate leg veins radical 37760
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligate/strip long leg vein
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligate/strip short leg vein
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligate/transect fallopian tubes 58600
|
$3,474.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation/biopsy of temporal artery 37609
|
$1,770.73 |
$3,986.00 |
$6,839.00 |
|
|
Ligation/divis of long saph vein 37700
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation external carotid artery 37600
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation internal/common carotid artery 37605
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation internal jugular vein 37565
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation major artery neck
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation nasal sinus artery
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation of femoral vein
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation of inf vena cava
|
$3,786.00 |
$5,907.78 |
$6,839.00 |
|
|
Ligation of neck artery
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation of salivary duct
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Ligation of shunt
|
$5,741.00 |
$5,741.00 |
$5,741.00 |
|
|
Ligation upper jaw artery
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Ligation vericose vein cluster(s) 1 leg
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Lig/band angioaccess av fistula
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Lig&div&compl strpg saph vn
|
$3,439.84 |
$3,986.00 |
$6,839.00 |
|
|
Limb exercise test
|
$170.99 |
$173.18 |
$184.26 |
|
|
Limited visual field xm
|
$64.92 |
$65.75 |
$69.95 |
|
|
Lipase
|
$6.89 |
$7.58 |
$52.80 |
|
|
Lip exc/transverse wedge/w closure 40510
|
$3,544.29 |
$3,986.00 |
$6,839.00 |
|
|
Lipoprotein blood high res frac & quant
|
$33.86 |
$37.25 |
$37.25 |
|
|
Lipoprotein blood quant
|
$34.19 |
$37.61 |
$37.61 |
|
|
Lipoprotein direct measurement hdl
|
$8.19 |
$9.01 |
$9.01 |
|
|
Lipoprotein direct measurement ldl
|
$10.50 |
$11.55 |
$11.55 |
|
|
Lipoprtn dir meas sd ldl chl
|
$34.19 |
$37.61 |
$37.61 |
|
|
Lip surgery procedure
|
$253.79 |
$3,986.00 |
$6,839.00 |
|
|
Lisocabtagene mara car pos t
|
$516,726.08 |
$541,635.66 |
$541,635.66 |
|
|
Listeria monocytogenes
|
$13.19 |
$14.51 |
$14.51 |
|
|
Lithium therapeutic drug level
|
$6.61 |
$7.27 |
$54.50 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$77.40 |
$124.44 |
$131.28 |
|
|
Liver ds alys 3 bmrk srm alg
|
$176.19 |
$193.81 |
$193.81 |
|