|
Large Joint Injection or Fluid Draw (both sides)
|
$627.20 |
$627.20 |
$1,138.40 |
|
|
Largsc w/njx augmentation
|
$3,644.00 |
$3,644.00 |
$3,644.00 |
|
|
Largsc w/rmvl foreign bdy(s)
|
$998.40 |
$998.40 |
$1,732.00 |
|
|
Laronidase injection
|
$1,913.39 |
$1,913.39 |
$1,913.39 |
|
|
Laryngeal function studies
|
$308.00 |
$308.00 |
$308.00 |
|
|
Laryngoscopy and dilation
|
$394.40 |
$394.40 |
$394.40 |
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,803.20 |
$3,803.20 |
$3,894.40 |
|
|
Laryngoscopy w/biopsy
|
$5,720.80 |
$5,720.80 |
$5,720.80 |
|
|
Laryngoscopy w/fb & op scope
|
$4,176.00 |
$4,176.00 |
$4,176.00 |
|
|
Laryngoscopy w/fb removal
|
$4,061.60 |
$4,061.60 |
$4,634.40 |
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$3,156.00 |
$3,156.00 |
$3,572.00 |
|
|
Lead acuity x4 spiral l 86cm
|
$8,592.32 |
$8,592.32 |
$10,154.56 |
|
|
Lead capillary
|
$62.40 |
$62.40 |
$62.40 |
|
|
Lead ingevity 45cm pfret MRI
|
$1,805.76 |
$1,805.76 |
$6,760.00 |
|
|
Lead tachy durata sj4 58cm
|
$12,735.36 |
$12,735.36 |
$13,893.12 |
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,176.80 |
$1,176.80 |
$1,300.80 |
|
|
Leg CT Scan (with contrast, both legs)
|
$1,612.00 |
$1,984.80 |
$2,397.60 |
|
|
Leg CT Scan (without contrast, both legs)
|
$1,235.20 |
$1,235.20 |
$1,832.00 |
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$928.00 |
$928.00 |
$1,382.40 |
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$1,751.20 |
$1,751.20 |
$2,560.00 |
|
|
Lens iol ant bicnvx 24.0 multi
|
$570.00 |
$594.40 |
$2,273.60 |
|
|
Lens iol ant chamb 10.5
|
$540.00 |
$540.00 |
$540.00 |
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$162.76 |
$162.76 |
$252.13 |
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$508.41 |
$1,113.96 |
$3,576.66 |
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$7,864.12 |
$7,864.12 |
$18,463.95 |
|
|
Leuprolide acetate injeciton
|
$874.88 |
$874.88 |
$874.88 |
|
|
Levalbuterol non-comp unit
|
$3.32 |
$8.21 |
$19.44 |
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$108.80 |
$112.08 |
$152.01 |
|
|
Levetiracetam therapeutic drug level
|
$68.80 |
$68.80 |
$68.80 |
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$36.55 |
$71.64 |
$112.96 |
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$228.44 |
$228.44 |
$343.90 |
|
|
L hrt cath chd nm/abn nt cnj
|
$9,144.80 |
$9,144.80 |
$9,144.80 |
|
|
Liberta rc ipg
|
$53,004.16 |
$53,004.16 |
$57,822.72 |
|
|
Lidocaine injection
|
$16.80 |
$16.80 |
$16.80 |
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$19.69 |
$27.34 |
$31.33 |
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$17.40 |
$71.60 |
$73.12 |
|
|
Lift heel adj small gl60404sm
|
$26.87 |
$26.87 |
$38.56 |
|
|
Ligate leg veins open
|
$4,760.80 |
$4,760.80 |
$4,760.80 |
|
|
Ligate/strip short leg vein
|
$5,322.40 |
$5,322.40 |
$5,322.40 |
|
|
Ligation/biopsy of temporal artery 37609
|
$2,968.00 |
$2,968.00 |
$3,744.80 |
|
|
Ligation/divis of long saph vein 37700
|
$4,874.40 |
$4,874.40 |
$4,874.40 |
|
|
Ligation major artery neck
|
$1,888.00 |
$1,888.00 |
$1,888.00 |
|
|
Ligation of inf vena cava
|
$7,332.80 |
$7,332.80 |
$7,332.80 |
|
|
Lig/band angioaccess av fistula
|
$6,055.20 |
$6,055.20 |
$6,055.20 |
|
|
Limited ankle motion ea jnt
|
$201.68 |
$201.68 |
$201.68 |
|
|
Limited motion knee joint
|
$65.60 |
$65.60 |
$65.60 |
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$128.16 |
$130.51 |
$193.20 |
|
|
Lipase
|
$53.60 |
$53.60 |
$53.60 |
|
|
Lipoprotein direct measurement hdl
|
$38.40 |
$38.40 |
$38.40 |
|
|
Lipoprotein direct measurement ldl
|
$65.60 |
$65.60 |
$65.60 |
|
|
Lisocabtagene mara car pos t
|
$1,571,600.00 |
$1,571,600.00 |
$1,571,600.00 |
|
|
Lithium therapeutic drug level
|
$39.20 |
$39.20 |
$39.20 |
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,743.20 |
$3,743.20 |
$3,778.40 |
|
|
Liver Function Test
|
$112.80 |
$112.80 |
$112.80 |
|
|
Liver imaging
|
$888.80 |
$888.80 |
$2,368.00 |
|
|
Liver/spleen imag static only
|
$964.00 |
$964.00 |
$1,496.00 |
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$5,312.00 |
$5,312.00 |
$5,312.00 |
|
|
Locm 100-199mg/ml iodine,1ml
|
$20.00 |
$28.00 |
$181.20 |
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$16.80 |
$26.45 |
$27.81 |
|
|
Lo sag rig pnl stays pre cst
|
$680.40 |
$680.40 |
$680.40 |
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$500.00 |
$500.00 |
$814.40 |
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,059.20 |
$2,059.20 |
$2,922.40 |
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,589.60 |
$1,589.60 |
$2,820.80 |
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,284.00 |
$1,468.80 |
$2,568.80 |
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,861.60 |
$3,924.00 |
$4,228.00 |
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,162.40 |
$3,162.40 |
$3,555.20 |
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,202.40 |
$2,202.40 |
$3,445.60 |
|
|
Lower Back (Lumbar Spine) X-ray
|
$193.60 |
$277.60 |
$505.60 |
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$237.60 |
$368.80 |
$544.00 |
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$306.40 |
$632.00 |
$657.60 |
|
|
Lower Leg (Shin) X-ray (both sides)
|
$160.80 |
$193.60 |
$414.40 |
|
|
Low frequency non-thermal Ultrasound
|
$485.60 |
$485.60 |
$485.60 |
|
|
Lso flex no ri stays pre ots
|
$26.86 |
$26.86 |
$26.86 |
|
|
Lso r post pnl sj-t9 pre cst
|
$158.40 |
$158.40 |
$158.40 |
|
|
Lso s/c shell/panel custom
|
$4,433.41 |
$4,433.41 |
$4,433.41 |
|
|
Lumbar diskogram s&i
|
$2,849.60 |
$2,849.60 |
$3,196.80 |
|
|
Lung Function Test Before and After an Inhaler
|
$324.80 |
$324.80 |
$498.40 |
|
|
Lung function test (mbc/mvv)
|
$120.80 |
$137.60 |
$185.60 |
|
|
Lung Function Test (Spirometry)
|
$252.80 |
$270.40 |
$302.40 |
|
|
Lung perfusion imaging
|
$1,259.20 |
$1,259.20 |
$1,708.80 |
|
|
Lurbinectedin 4 mg intravenous solution
|
$7,113.00 |
$7,113.00 |
$7,113.00 |
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$11,323.53 |
$11,323.53 |
$11,323.53 |
|
|
Lutetium lu 177 vipivotide
|
$256.00 |
$256.00 |
$256.00 |
|
|
Lymphatics/lymph node imaging
|
$1,753.60 |
$1,753.60 |
$1,955.20 |
|
|
Lymphocytotoxicity assay
|
$240.00 |
$240.00 |
$240.00 |
|
|
Lymph vessel x-ray arm/leg
|
$1,369.60 |
$1,369.60 |
$1,369.60 |
|
|
Lymph vessel x-ray arms/legs
|
$3,048.00 |
$3,048.00 |
$3,048.00 |
|
|
Lymph vessel x-ray trunk
|
$3,109.60 |
$3,109.60 |
$3,109.60 |
|
|
Lymph vessel x-ray trunk
|
$4,261.60 |
$4,261.60 |
$4,261.60 |
|
|
Lysis penil circumic lesion
|
$3,859.20 |
$3,859.20 |
$3,859.20 |
|
|
Macroscopic exam arthropod
|
$28.80 |
$28.80 |
$28.80 |
|
|
Macroscopic exam parasite
|
$28.80 |
$28.80 |
$28.80 |
|
|
Magnesium
|
$40.00 |
$40.00 |
$40.00 |
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$38.98 |
$72.16 |
$113.36 |
|
|
Magnetic image bone marrow
|
$2,096.80 |
$2,096.80 |
$2,431.20 |
|
|
Makena, 10 mg
|
$214.60 |
$452.03 |
$758.23 |
|
|
Mammosite ced
|
$4,501.20 |
$4,501.20 |
$5,544.00 |
|
|
Manipulate finger w/anesth
|
$1,916.00 |
$1,916.00 |
$1,916.00 |
|
|
Mannitol 12.5 gm/50 ml inj
|
$16.80 |
$16.80 |
$28.48 |
|
|
Map tachycard site(s)
|
$5,660.00 |
$5,660.00 |
$5,905.60 |
|
