|
Lap ing hernia repair init
|
$36,759.71 |
$36,759.71 |
$36,759.71 |
$6,904.15
|
|
Lap ing hernia repair recur
|
$30,835.41 |
$30,835.41 |
$30,835.41 |
$6,376.26
|
|
Lap paraesophag hern repair
|
$26,307.73 |
$26,307.73 |
$26,307.73 |
$11,533.76
|
|
Laryngoscope w/vc inj
|
$10,562.83 |
$10,562.83 |
$10,562.83 |
$4,108.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$8,306.27 |
$8,306.27 |
$8,306.27 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$8,128.26 |
$8,128.26 |
$8,128.26 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$11,741.04 |
$11,741.04 |
$11,741.04 |
$4,362.99
|
|
Laryngoscopy w/exc of tumor
|
$7,587.96 |
$7,587.96 |
$7,587.96 |
$5,110.00
|
|
Larynscop w/tumr exc + scope
|
$10,114.74 |
$10,114.74 |
$10,114.74 |
$4,363.27
|
|
Lateral thoracic extension
|
$657.19 |
$657.19 |
$657.19 |
$578.90
|
|
Lateral trochanteric pad
|
$208.72 |
$208.72 |
$208.72 |
$183.85
|
|
Lead acuity x4 spiral l 86cm
|
$59,582.40 |
$59,582.40 |
$59,582.40 |
$5,488.00
|
|
Lead capillary
|
$129.60 |
$129.60 |
$129.60 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$65,966.65 |
$65,966.65 |
$65,966.65 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$16,385.16 |
$16,385.16 |
$16,385.16 |
$8,000.00
|
|
Legg perthes orthosis trilat
|
$3,962.44 |
$3,962.44 |
$3,962.44 |
$3,490.40
|
|
Legg perthes orth scottish r
|
$3,345.19 |
$3,345.19 |
$3,345.19 |
$2,946.68
|
|
Legg perthes patten bottom t
|
$4,809.43 |
$4,809.43 |
$4,809.43 |
$4,236.49
|
|
Leg perthes orth toronto typ
|
$4,179.08 |
$4,179.08 |
$4,179.08 |
$3,681.23
|
|
Lens, intraocular (new tech)
|
$253.22 |
$253.22 |
$253.22 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,979.12 |
$2,979.12 |
$2,979.12 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,560.05 |
$3,560.05 |
$3,560.05 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$893.74 |
$893.74 |
$893.74 |
$367.97
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$90.00 |
$90.00 |
$90.00 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$7,528.80 |
$7,528.80 |
$7,528.80 |
$7,052.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$5,003.52 |
$5,003.52 |
$5,003.52 |
$9,107.80
|
|
Levalbuterol non-comp con
|
$20.58 |
$20.58 |
$20.58 |
$21.60
|
|
Levalbuterol non-comp unit
|
$6.18 |
$6.18 |
$6.18 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$16.80 |
$16.80 |
$16.80 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$39.60 |
$39.60 |
$39.60 |
$88.92
|
|
Liberta rc ipg
|
$92,159.08 |
$92,159.08 |
$92,159.08 |
$36,300.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$37,957.82 |
$37,957.82 |
$37,957.82 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$32.64 |
$32.64 |
$32.64 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$44.40 |
$44.40 |
$44.40 |
$89.70
|
|
Lift heel adj small gl60404sm
|
$198.11 |
$198.11 |
$198.11 |
$148.39
|
|
Lift heel adjustable med
|
$102.42 |
$102.42 |
$102.42 |
$57.90
|
|
Lifts elevation metal extens
|
$1,520.15 |
$1,520.15 |
$1,520.15 |
$959.80
|
|
Liletta, 52 mg
|
$3,801.48 |
$3,801.48 |
$3,801.48 |
$1,453.50
|
|
Limited ankle motion ea jnt
|
$399.20 |
$399.20 |
$399.20 |
$123.05
|
|
Limited motion knee joint
|
$311.14 |
$311.14 |
$311.14 |
$278.92
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$143.22 |
$143.22 |
$143.22 |
$125.66
|
|
Lipase
|
$130.20 |
$130.20 |
$130.20 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$107.40 |
$107.40 |
$107.40 |
$90.35
|
|
Lipoprotein blood quant
|
$341.40 |
$341.40 |
$341.40 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$77.40 |
$77.40 |
$77.40 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$112.80 |
$112.80 |
$112.80 |
$61.60
|
|
Listeria monocytogenes
|
$133.20 |
$133.20 |
$133.20 |
$117.52
|
|
Lithium therapeutic drug level
|
$108.60 |
$108.60 |
$108.60 |
$69.42
|
|
Liver abs/cyst dr opn 1-2 stge
|
$134.40 |
$134.40 |
$134.40 |
$1,714.14
|
|
Liver elastography 91200
|
$288.00 |
$288.00 |
$288.00 |
$285.18
|
|
Liver Function Test
|
$111.60 |
$111.60 |
$111.60 |
$115.44
|
|
Liver imaging
|
$910.80 |
$910.80 |
$910.80 |
$1,093.50
|
|
Liver/spleen imag static only
|
$1,735.80 |
$1,735.80 |
$1,735.80 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$9.00 |
$9.00 |
$9.00 |
$37.20
|
|
Lo rig pos pnl l1-l5 pre ots
|
$463.37 |
$463.37 |
$463.37 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$190.43 |
$190.43 |
$190.43 |
$167.74
|
|
Low back disk surgery
|
$40,444.91 |
$40,444.91 |
$40,444.91 |
$7,913.97
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,919.00 |
$2,919.00 |
$2,919.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,791.20 |
$2,791.20 |
$2,791.20 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,030.40 |
$2,030.40 |
$2,030.40 |
$1,504.05
|
|
Lower Back (Lumbar Spine) X-ray
|
$678.60 |
$678.60 |
$678.60 |
$352.32
|
|
Lsh w/t/o ut 250 g or less
|
$55,582.18 |
$55,582.18 |
$55,582.18 |
$6,839.00
|
|
Lso corset front
|
$282.72 |
$282.72 |
$282.72 |
$172.04
|
|
Lso flex no ri stays pre ots
|
$305.48 |
$305.48 |
$305.48 |
$195.00
|
|
Lso full corset
|
$401.62 |
$401.62 |
$401.62 |
$320.92
|
|
Lso r post pnl sj-t9 pre cst
|
$455.81 |
$455.81 |
$455.81 |
$326.82
|
|
Lso sag-coronal panel custom
|
$4,507.41 |
$4,507.41 |
$4,507.41 |
$2,440.98
|
|
Lso sag-co shell pnl pre ots
|
$3,479.85 |
$3,479.85 |
$3,479.85 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$435.07 |
$435.07 |
$435.07 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$2,684.01 |
$2,684.01 |
$2,684.01 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$3,641.77 |
$3,641.77 |
$3,641.77 |
$3,092.00
|
|
Lso sc r pos/lat pnl pre cst
|
$700.66 |
$700.66 |
$700.66 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$770.25 |
$770.25 |
$770.25 |
$678.49
|
|
Lso s/c shell/panel custom
|
$2,556.74 |
$2,556.74 |
$2,556.74 |
$2,252.16
|
|
L/s ratio fetal lung
|
$153.00 |
$153.00 |
$153.00 |
$176.15
|
|
Lumbar bolster pad
|
$210.32 |
$210.32 |
$210.32 |
$185.27
|
|
Lumbar derotation pad
|
$244.29 |
$244.29 |
$244.29 |
$215.18
|
|
Lumbar diskogram s&i
|
$6,628.20 |
$6,628.20 |
$6,628.20 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$238.15 |
$238.15 |
$238.15 |
$209.78
|
|
Lumbar sling
|
$270.29 |
$270.29 |
$270.29 |
$238.10
|
|
Lumbar Spinal Fusion (single level)
|
$33,427.42 |
$33,427.42 |
$33,427.42 |
$14,331.20
|
|
Lumizyme injection
|
$2,771.52 |
$2,771.52 |
$2,771.52 |
$1,738.40
|
|
Lung perfusion imaging
|
$3,013.20 |
$3,013.20 |
$3,013.20 |
$1,075.25
|
|
Lurbinectedin 4 mg intravenous solution
|
$22,918.50 |
$22,918.50 |
$22,918.50 |
$20,101.00
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$34,278.78 |
$34,278.78 |
$34,278.78 |
$21,867.91
|
|
Lvad shower bag heartmate
|
$893.74 |
$893.74 |
$893.74 |
$887.68
|
|
Lymphatics/lymph node imaging
|
$1,408.20 |
$1,408.20 |
$1,408.20 |
$1,448.00
|
|
Lymphocyte culture mixed
|
$60.00 |
$60.00 |
$60.00 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$228.00 |
$228.00 |
$228.00 |
$266.20
|
|
Macroscopic exam arthropod
|
$25.80 |
$25.80 |
$25.80 |
$38.50
|
|
Macroscopic exam parasite
|
$34.20 |
$34.20 |
$34.20 |
$36.40
|
|
Magnesium
|
$88.80 |
$88.80 |
$88.80 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$66.12 |
$66.12 |
$66.12 |
$58.70
|
|
Malaria antibody
|
$94.80 |
$94.80 |
$94.80 |
$94.80
|
|
Mammosite ced
|
$9,011.84 |
$9,011.84 |
$9,011.84 |
$5,152.06
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$105.60 |
$105.60 |
$105.60 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$105.60 |
$105.60 |
$105.60 |
$152.54
|
|
Man's shoe oxford brace
|
$198.26 |
$198.26 |
$198.26 |
$175.11
|
|
Mapping io sentinel lymph node
|
$24,025.85 |
$24,025.85 |
$24,025.85 |
$650.00
|
|
Marker biop eviva buckle ss
|
$16,832.03 |
$16,832.03 |
$16,832.03 |
$1,152.48
|
