|
Liver/spleen imag static only
|
$475.51 |
$475.51 |
$2,381.00 |
|
|
Liver/spleen imag w/vasclr flow
|
$16.72 |
$475.51 |
$1,807.00 |
|
|
Lmtd oph exam general anes
|
$44.66 |
$2,760.73 |
$2,760.73 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$290.84 |
$3,839.54 |
$3,839.54 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$0.18 |
$0.20 |
$0.60 |
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$206.38 |
$206.38 |
$94,581.41 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$1.34 |
$1.47 |
$11.00 |
|
|
Lo sag rig pnl stays pre cst
|
$145.94 |
$145.94 |
$179.62 |
|
|
Loudness balance test
|
$368.50 |
$368.50 |
$368.50 |
|
|
Low back disk surgery
|
$570.68 |
$8,453.60 |
$8,453.60 |
|
|
Low cost skin substitute app
|
$724.37 |
$724.37 |
$2,060.00 |
|
|
Low cost skin substitute app
|
$2,164.64 |
$2,164.64 |
$2,894.00 |
|
|
Low cost skin substitute app
|
$724.37 |
$724.37 |
$2,060.00 |
|
|
Low cost skin substitute app
|
$724.37 |
$724.37 |
$2,060.00 |
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
|
|
Low cost skin substitute app
|
$1,389.00 |
$1,389.00 |
$1,389.00 |
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
|
|
Low cost skin substitute app
|
$1,042.00 |
$1,042.00 |
$1,042.00 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$125.84 |
$215.09 |
$2,757.00 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$210.66 |
$794.40 |
$7,923.00 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$422.61 |
$669.60 |
$4,532.00 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$125.84 |
$489.02 |
$3,358.00 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$422.61 |
$975.00 |
$10,044.00 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$422.61 |
$736.20 |
$7,986.00 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$286.04 |
$682.20 |
$6,747.00 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$125.84 |
$158.40 |
$1,098.00 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$125.84 |
$240.00 |
$2,323.00 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$125.84 |
$242.40 |
$2,323.00 |
|
|
Lower jaw bone graft
|
$492.58 |
$7,000.36 |
$7,000.36 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$104.19 |
$122.40 |
$2,271.00 |
|
|
Low frequency non-thermal Ultrasound
|
$11.00 |
$235.13 |
$235.13 |
|
|
Lsh uterus 250 g or less
|
$451.88 |
$12,320.22 |
$12,320.22 |
|
|
Lsh uterus above 250 g
|
$520.30 |
$12,320.22 |
$12,320.22 |
|
|
Lsh w/t/o ut 250 g or less
|
$512.60 |
$12,320.22 |
$12,320.22 |
|
|
Lsh w/t/o uterus above 250 g
|
$559.90 |
$12,320.22 |
$12,320.22 |
|
|
Lso sc r pos/lat pnl pre cst
|
$536.98 |
$536.98 |
$660.90 |
|
|
Lso s/c shell/panel custom
|
$1,959.48 |
$1,959.48 |
$2,411.66 |
|
|
Lso s/c shell/panel prefab
|
$2,011.64 |
$2,011.64 |
$2,475.86 |
|
|
L/s ratio fetal lung
|
$14.52 |
$21.99 |
$198.00 |
|
|
Lumbar diskogram s&i
|
$24.42 |
$2,310.83 |
$5,194.72 |
|
|
Lumbar Spinal Fusion (single level)
|
$980.98 |
$21,762.05 |
$21,762.05 |
|
|
Lumizyme injection
|
$201.97 |
$201.97 |
$3,375.51 |
|
|
Lung Function Test Before and After an Inhaler
|
$6.16 |
$381.24 |
$3,673.00 |
|
|
Lung function test (mbc/mvv)
|
$1.98 |
$70.29 |
$1,055.00 |
|
|
Lung Function Test (Spirometry)
|
$5.06 |
$220.60 |
$2,450.00 |
|
|
Lung perfusion imaging
|
$21.34 |
$475.51 |
$2,941.00 |
|
|
Lung transplant double
|
$2,788.94 |
$2,788.94 |
$2,788.94 |
|
|
Lung transplant single
|
$1,992.54 |
$1,992.54 |
$1,992.54 |
|
|
Lung transplant with bypass
|
$2,146.76 |
$2,146.76 |
$2,146.76 |
|
|
Lung transplant with bypass
|
$2,948.66 |
$2,948.66 |
$2,948.66 |
|
|
Lung volume reduction 32491
|
$899.58 |
$899.58 |
$899.58 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$203.60 |
$203.60 |
$28,105.00 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$40.62 |
$40.62 |
$13,836.97 |
|
|
Lutetium lu 177 dotatat ther
|
$296.25 |
$296.25 |
$296.25 |
|
|
Lutetium lu 177 vipivotide
|
$241.24 |
$241.24 |
$543.60 |
|
|
Lvad shower bag heartmate
|
$877.50 |
$877.50 |
$877.50 |
|
|
Lw ntsty Ultrasound stimj bone healg
|
$19.14 |
$28.98 |
$29.55 |
|
|
Lyme dis dna dir probe
|
$13.20 |
$20.05 |
$20.05 |
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$438.90 |
$8,350.42 |
$8,350.42 |
|
|
Lymphatics/lymph node imaging
|
$34.10 |
$636.97 |
$14,677.00 |
|
|
Lymphocyte culture mixed
|
$24.20 |
$36.56 |
$296.00 |
|
|
Lymphocyte transformation mitogen
|
$32.56 |
$49.03 |
$345.00 |
|
|
Lymphocytotoxicity assay
|
$124.96 |
$189.51 |
$1,226.00 |
|
|
Lymphocytotoxicity assay
|
$31.24 |
$47.59 |
$47.59 |
|
|
Lymph vessel x-ray arm/leg
|
$731.62 |
$731.62 |
$1,989.00 |
|
|
Lymph vessel x-ray arms/legs
|
$34.10 |
$1,838.28 |
$2,652.99 |
|
|
Lymph vessel x-ray trunk
|
$23.76 |
$3,724.63 |
$6,643.85 |
|
|
Lymph vessel x-ray trunk
|
$3,724.63 |
$3,724.63 |
$10,126.74 |
|
|
Lysis intranasal synechia 30560
|
$91.52 |
$602.63 |
$602.63 |
|
|
Lysis of labial adhesions
|
$95.26 |
$3,762.53 |
$3,762.53 |
|
|
Lysis penil circumic lesion
|
$124.30 |
$2,424.12 |
$2,424.12 |
|
|
Macro exam dissect molec study ea
|
$16.28 |
$25.00 |
$123.74 |
|
|
Macroscopic exam arthropod
|
$4.27 |
$4.27 |
$181.00 |
|
|
Macroscopic exam parasite
|
$4.31 |
$8.76 |
$191.00 |
|
|
Magnesium
|
$6.70 |
$16.80 |
$226.00 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$0.28 |
$3.42 |
$144.60 |
|
|
Magnetic image bone marrow
|
$46.86 |
$286.04 |
$2,487.00 |
|
|
Makena, 10 mg
|
$14.46 |
$14.46 |
$373.07 |
|
|
Malaria antibody
|
$8.80 |
$13.19 |
$58.73 |
|
|
Male sling procedure
|
$465.30 |
$15,374.71 |
$15,374.71 |
|
|
Mammosite ced
|
$1,716.00 |
$4,974.45 |
$4,974.45 |
|
|
Management of liver hemorrhage 47361
|
$1,853.72 |
$1,853.72 |
$1,853.72 |
|
|
Manipulate finger w/anesth
|
$225.94 |
$1,893.86 |
$3,924.78 |
|
|
Manipulate wrist w/anesthes
|
$264.00 |
$1,893.86 |
$1,893.86 |
|
|
Manipulation of hip joint
|
$115.50 |
$1,893.86 |
$1,893.86 |
|
|
Manipulation of spine
|
$93.06 |
$1,893.86 |
$1,893.86 |
|
|
Manipulat palm cord post inj
|
$48.40 |
$283.86 |
$752.00 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$0.40 |
$0.40 |
$61.20 |
|
|
Manual diff wbc count b-coat
|
$3.52 |
$5.07 |
$98.00 |
|
|
Mapping functional cort/subcort ea add'l hr
|
$105.16 |
$105.16 |
$599.00 |
|
|
Mapping io sentinel lymph node
|
$84.48 |
$84.48 |
$84.48 |
|
|
Map tachycard site(s)
|
$163.68 |
$4,600.64 |
$5,480.44 |
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$48.21 |
$48.21 |
$826.69 |
|
|
Marker biop eviva buckle ss
|
$238.31 |
$479.38 |
$3,674.88 |
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$445.28 |
$1,137.96 |
$1,137.96 |
|
|
Marsupialization liver lesion 47300
|
$701.14 |
$701.14 |
$701.14 |
|
|
Mastectomy partial
|
$408.98 |
$4,531.42 |
$7,928.36 |
|
|
Mast mod rad
|
$729.96 |
$7,717.23 |
$7,717.23 |
|
|
Mastoidectomy
|
$434.50 |
$7,000.36 |
$7,000.36 |
|
|
Mastoidectomy complete 69502
|
$576.62 |
$7,000.36 |
$7,000.36 |
|
