|
Leg CT Scan (with contrast, both legs)
|
$210.66 |
$663.60 |
$5,539.00 |
|
|
Leg CT Scan (without contrast, both legs)
|
$125.84 |
$489.02 |
$4,017.00 |
|
|
Legion pneumo dna dir prob
|
$13.20 |
$20.05 |
$58.12 |
|
|
Legion pneumo dna quant
|
$27.72 |
$41.76 |
$41.76 |
|
|
Leg vein fusion 34530
|
$572.22 |
$3,724.63 |
$3,724.63 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$286.04 |
$377.68 |
$7,950.00 |
|
|
Leishmania antibody
|
$7.92 |
$12.25 |
$54.55 |
|
|
Lengthening of hand tendon
|
$403.26 |
$3,839.54 |
$3,839.54 |
|
|
Lengthening of palate
|
$517.44 |
$7,000.36 |
$7,000.36 |
|
|
Lengthening of palate+pharyngeal flap 42226
|
$555.28 |
$7,000.36 |
$7,000.36 |
|
|
Lengthening of thigh bone
|
$735.46 |
$7,413.38 |
$7,413.38 |
|
|
Lengthening of thigh tendon
|
$315.26 |
$8,453.60 |
$8,453.60 |
|
|
Lengthening of thigh tendons
|
$410.52 |
$8,453.60 |
$8,453.60 |
|
|
Lengthening of thigh tendons
|
$549.78 |
$3,839.54 |
$3,839.54 |
|
|
Lengthening or shortening - tibia and fibula 27715
|
$665.72 |
$13,116.76 |
$13,116.76 |
|
|
Lengthen metacarpal/finger
|
$567.82 |
$8,453.60 |
$8,453.60 |
|
|
Lengthen radius or ulna
|
$620.18 |
$15,226.08 |
$15,226.08 |
|
|
Lengthen radius & ulna
|
$701.36 |
$8,453.60 |
$8,453.60 |
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$270.00 |
$270.00 |
$270.00 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$639.92 |
$639.92 |
$639.92 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$22.20 |
$79.35 |
$79.35 |
|
|
Leukacyte transfusion
|
$202.78 |
$202.78 |
$202.78 |
|
|
Leukocyte phagocytosis
|
$7.04 |
$10.39 |
$10.39 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$176.51 |
$176.51 |
$3,944.00 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$1,617.65 |
$1,617.65 |
$36,780.03 |
|
|
Leuprolide acetate injeciton
|
$31.71 |
$34.18 |
$1,824.80 |
|
|
Leuprolide depot cipla 7.5mg
|
$257.70 |
$257.70 |
$257.70 |
|
|
Leuprolide inj, camcevi, 1mg
|
$55.00 |
$55.00 |
$55.00 |
|
|
Lev 1 hosp type b ed visit
|
$99.49 |
$99.49 |
$99.49 |
|
|
Lev 2 hosp type b ed visit
|
$130.95 |
$130.95 |
$130.95 |
|
|
Lev 3 hosp type b ed visit
|
$220.80 |
$220.80 |
$220.80 |
|
|
Lev 4 hosp type b ed visit
|
$337.91 |
$337.91 |
$337.91 |
|
|
Lev 5 hosp type b ed visit
|
$477.95 |
$477.95 |
$477.95 |
|
|
Levalbuterol non-comp con
|
$17.54 |
$17.54 |
$17.54 |
|
|
Levalbuterol non-comp unit
|
$3.05 |
$3.05 |
$3.05 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.78 |
$0.78 |
$282.00 |
|
|
Levetiracetam therapeutic drug level
|
$8.00 |
$13.25 |
$216.49 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$0.23 |
$0.23 |
$18.00 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$23.40 |
$1,727.60 |
$1,727.60 |
|
|
L hrt cath chd nm/abn nt cnj
|
$157.30 |
$3,806.17 |
$7,502.71 |
|
|
Lidocaine injection
|
$0.62 |
$0.62 |
$9.08 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.40 |
$13.32 |
$13.32 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.10 |
$0.10 |
$0.60 |
|
|
Lidocaine therapeutic drug level
|
$9.68 |
$14.69 |
$65.45 |
|
|
Lifileucel til/dose 7.5b-72b snij
|
$0.35 |
$0.35 |
$2.40 |
|
|
Ligate esophagus veins
|
$941.16 |
$941.16 |
$941.16 |
|
|
Ligate leg veins open
|
$324.06 |
$3,724.63 |
$3,724.63 |
|
|
Ligate leg veins radical 37760
|
$351.34 |
$3,724.63 |
$3,724.63 |
|
|
Ligate oviduct(s) add-on 58611
|
$46.42 |
$46.42 |
$46.42 |
|
|
Ligate/staple esophagus
|
$893.20 |
$893.20 |
$893.20 |
|
|
Ligate/strip long leg vein
|
$279.40 |
$3,724.63 |
$3,724.63 |
|
|
Ligate/strip short leg vein
|
$240.46 |
$3,724.63 |
$3,724.63 |
|
|
Ligate/transect fallopian tubes 58600
|
$229.24 |
$3,762.53 |
$3,762.53 |
|
|
Ligation/biopsy of temporal artery 37609
|
$124.74 |
$1,917.33 |
$3,899.08 |
|
|
Ligation common iliac vein
|
$810.92 |
$810.92 |
$810.92 |
|
|
Ligation/divis of long saph vein 37700
|
$149.38 |
$3,724.63 |
$6,481.05 |
|
|
Ligation external carotid artery 37600
|
$462.00 |
$3,724.63 |
$3,724.63 |
|
|
Ligation internal/common carotid artery 37605
|
$449.02 |
$3,724.63 |
$3,724.63 |
|
|
Ligation internal jugular vein 37565
|
$445.94 |
$3,724.63 |
$3,724.63 |
|
|
Ligation major artery chest
|
$700.26 |
$700.26 |
$700.26 |
|
|
Ligation/major artery/extremity 37618
|
$2,767.44 |
$2,767.44 |
$2,767.44 |
|
|
Ligation major artery neck
|
$317.68 |
$3,724.63 |
$3,724.63 |
|
|
Ligation nasal sinus artery
|
$368.06 |
$3,724.63 |
$3,724.63 |
|
|
Ligation of abdomen artery 37617
|
$810.26 |
$5,685.01 |
$5,685.01 |
|
|
Ligation of femoral vein
|
$280.72 |
$3,724.63 |
$3,724.63 |
|
|
Ligation of inf vena cava
|
$1,063.04 |
$6,396.89 |
$6,396.89 |
|
|
Ligation of neck artery
|
$457.16 |
$3,724.63 |
$3,724.63 |
|
|
Ligation of salivary duct
|
$135.30 |
$3,837.72 |
$3,837.72 |
|
|
Ligation of shunt
|
$267.08 |
$267.08 |
$267.08 |
|
|
Ligation upper jaw artery
|
$531.74 |
$3,724.63 |
$3,724.63 |
|
|
Ligation vericose vein cluster(s) 1 leg
|
$153.56 |
$3,724.63 |
$3,724.63 |
|
|
Lig/band angioaccess av fistula
|
$227.70 |
$3,724.63 |
$7,096.26 |
|
|
Lig&div&compl strpg saph vn
|
$354.64 |
$3,724.63 |
$3,724.63 |
|
|
Liletta, 52 mg
|
$1,968.28 |
$2,422.50 |
$3,105.76 |
|
|
Limb exercise test
|
$35.42 |
$185.15 |
$185.15 |
|
|
Limb nerve surgery add-on
|
$132.00 |
$132.00 |
$132.00 |
|
|
Limited ankle motion ea jnt
|
$88.37 |
$88.37 |
$108.76 |
|
|
Limited visual field xm
|
$9.68 |
$70.29 |
$336.00 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$0.10 |
$0.10 |
$80.80 |
|
|
Lipase
|
$6.89 |
$16.80 |
$107.00 |
|
|
Lip exc/transverse wedge/w closure 40510
|
$216.70 |
$3,837.72 |
$7,267.74 |
|
|
Lipoprotein blood high res frac & quant
|
$15.00 |
$33.86 |
$361.80 |
|
|
Lipoprotein blood quant
|
$22.44 |
$34.19 |
$202.80 |
|
|
Lipoprotein direct measurement hdl
|
$5.28 |
$8.19 |
$181.00 |
|
|
Lipoprotein direct measurement ldl
|
$10.50 |
$23.40 |
$154.00 |
|
|
Lipoprtn dir meas sd ldl chl
|
$22.44 |
$34.19 |
$34.19 |
|
|
Lip surgery procedure
|
$97.80 |
$274.80 |
$274.80 |
|
|
Lisocabtagene mara car pos t
|
$516,726.08 |
$516,726.08 |
$1,952,713.00 |
|
|
Listeria monocytogenes
|
$8.80 |
$13.19 |
$232.00 |
|
|
Lithium therapeutic drug level
|
$6.61 |
$16.20 |
$206.00 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$8,313.00 |
$8,313.00 |
$10,231.38 |
|
|
Litt icr 1 traj 1 smpl les
|
$759.00 |
$759.00 |
$759.00 |
|
|
Litt icr mlt trj mlt/cplx ls
|
$900.90 |
$900.90 |
$900.90 |
|
|
Liver abs/cyst dr opn 1-2 stge
|
$750.20 |
$750.20 |
$750.20 |
|
|
Liver ds alys 3 bmrk srm alg
|
$176.19 |
$176.19 |
$972.60 |
|
|
Liver elastography 91200
|
$6.38 |
$185.15 |
$482.35 |
|
|
Liver Function Test
|
$8.17 |
$29.58 |
$162.00 |
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$876.26 |
$876.26 |
$876.26 |
|
|
Liver imaging
|
$12.54 |
$636.97 |
$3,061.00 |
|
|
Liver imag w/vasclr flow
|
$14.74 |
$636.97 |
$3,672.00 |
|
