|
Kras gene variants exon 2
|
$720.00 |
$720.00 |
$720.00 |
$536.20
|
|
Kyleena, 19.5 mg
|
$3,024.00 |
$3,024.00 |
$3,024.00 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$478.20 |
$478.20 |
$478.20 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$83.40 |
$83.40 |
$83.40 |
$70.20
|
|
Lactate dehydrogenase (ldh)
|
$44.40 |
$44.40 |
$44.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$18.00 |
$18.00 |
$18.00 |
$43.74
|
|
Lactic acid
|
$107.40 |
$107.40 |
$107.40 |
$107.10
|
|
Lam facetec & foramot lumbar
|
$1,967.40 |
$1,967.40 |
$1,967.40 |
$8,412.89
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$10,980.00 |
$10,980.00 |
$10,980.00 |
$19,124.00
|
|
Laparo-asst vag hysterectomy
|
$1,644.00 |
$1,644.00 |
$1,644.00 |
$6,839.00
|
|
Laparo cholecystectomy/graph
|
$1,084.80 |
$1,084.80 |
$1,084.80 |
$8,346.00
|
|
Laparoscopy biopsy
|
$652.20 |
$652.20 |
$652.20 |
$6,463.42
|
|
Laparoscopy excise lesions
|
$1,321.80 |
$1,321.80 |
$1,321.80 |
$7,243.60
|
|
Laparoscopy gastrostomy
|
$910.20 |
$910.20 |
$910.20 |
$6,457.82
|
|
Laparoscopy lysis
|
$1,035.60 |
$1,035.60 |
$1,035.60 |
$5,814.32
|
|
Laparoscopy remove adnexa
|
$1,213.80 |
$1,213.80 |
$1,213.80 |
$8,782.80
|
|
Laparoscopy tubal block 58671
|
$678.60 |
$678.60 |
$678.60 |
$5,510.40
|
|
Lap colostomy 44188
|
$2,200.20 |
$2,200.20 |
$2,200.20 |
$3,008.00
|
|
Lap enterolysis
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$6,463.42
|
|
Lap inc hernia repair 49654
|
$1,597.80 |
$1,597.80 |
$1,597.80 |
$6,538.43
|
|
Lap inc hernia repair recurr 49656
|
$1,604.40 |
$1,604.40 |
$1,604.40 |
$2,072.28
|
|
Lap inc hern recur comp 49657
|
$2,316.00 |
$2,316.00 |
$2,316.00 |
$9,770.08
|
|
Lap inc hern repair comp 49655
|
$1,926.00 |
$1,926.00 |
$1,926.00 |
$9,853.46
|
|
Lap ing hernia repair init
|
$771.60 |
$771.60 |
$771.60 |
$9,605.51
|
|
Lap ing hernia repair recur
|
$998.40 |
$998.40 |
$998.40 |
$6,870.89
|
|
Lap insert tunnel ip cath
|
$600.00 |
$600.00 |
$600.00 |
$6,895.20
|
|
Lap mobil splenic fl add-on 44213
|
$312.00 |
$312.00 |
$312.00 |
$622.40
|
|
Lap part colectomy w/stoma 44206
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$4,307.20
|
|
Lap revision perm ip cath
|
$553.20 |
$553.20 |
$553.20 |
$6,904.15
|
|
Lap vent/abd hernia repair 49652
|
$1,393.80 |
$1,393.80 |
$1,393.80 |
$7,349.98
|
|
Lap vent/abd hern proc comp 49653
|
$1,737.60 |
$1,737.60 |
$1,737.60 |
$7,777.76
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$230.40 |
$230.40 |
$230.40 |
$740.40
|
|
Laryngoscope w/vc inj
|
$430.20 |
$430.20 |
$430.20 |
$4,108.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$1,266.00 |
$1,266.00 |
$1,266.00 |
$2,514.60
|
|
Laryngoscopy w/biopsy
|
$370.80 |
$370.80 |
$370.80 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$412.80 |
$412.80 |
$412.80 |
$4,627.00
|
|
Laryngoscopy w/exc of tumor
|
$475.20 |
$475.20 |
$475.20 |
$5,137.60
|
|
Laryngoscopy w/fb removal
|
$384.00 |
$384.00 |
$384.00 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$289.80 |
$289.80 |
$289.80 |
$3,297.83
|
|
Larynscop remve cart + scop
|
$598.80 |
$598.80 |
$598.80 |
$7,662.21
|
|
Larynscop w/tumr exc + scope
|
$520.80 |
$520.80 |
$520.80 |
$5,126.62
|
|
Laser surgery of prostate
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$6,822.11
|
|
Laser surg penis lesion(s)
|
$151.20 |
$151.20 |
$151.20 |
$3,562.00
|
|
Lavage cannulation maxillary sinus
|
$133.80 |
$133.80 |
$133.80 |
$728.00
|
|
Lead capillary
|
$150.60 |
$150.60 |
$150.60 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$691.20 |
$691.20 |
$691.20 |
$2,928.00
|
|
Leg Artery Ultrasound (complete, both legs)
|
$651.00 |
$651.00 |
$651.00 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$724.20 |
$724.20 |
$724.20 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$525.60 |
$525.60 |
$525.60 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$495.00 |
$495.00 |
$495.00 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$336.00 |
$336.00 |
$336.00 |
$589.05
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$39.00 |
$39.00 |
$39.00 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$32,065.80 |
$32,065.80 |
$32,065.80 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$30,538.80 |
$30,538.80 |
$30,538.80 |
$8,348.12
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$22.80 |
$22.80 |
$22.80 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$64.20 |
$64.20 |
$64.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$34.80 |
$34.80 |
$34.80 |
$55.69
|
|
Liberta rc ipg
|
$22,258.80 |
$22,258.80 |
$22,258.80 |
$39,189.70
|
|
Lidocaine injection
|
$12.00 |
$12.00 |
$12.00 |
$44.76
|
|
Lifileucel til/dose 7.5b-72b snij
|
$25,349.40 |
$25,349.40 |
$25,349.40 |
$30,744.64
|
|
Ligate/transect fallopian tubes 58600
|
$679.80 |
$679.80 |
$679.80 |
$3,744.41
|
|
Ligation/biopsy of temporal artery 37609
|
$405.60 |
$405.60 |
$405.60 |
$3,322.80
|
|
Ligation/major artery/extremity 37618
|
$651.00 |
$651.00 |
$651.00 |
$1,567.80
|
|
Lipase
|
$49.80 |
$49.80 |
$49.80 |
$93.58
|
|
Lip exc/transverse wedge/w closure 40510
|
$637.80 |
$637.80 |
$637.80 |
$3,837.72
|
|
Lipoprotein direct measurement hdl
|
$58.20 |
$58.20 |
$58.20 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$105.00 |
$105.00 |
$105.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$76.80 |
$76.80 |
$76.80 |
$69.75
|
|
Liver Function Test
|
$79.20 |
$79.20 |
$79.20 |
$115.44
|
|
Liver imaging
|
$664.20 |
$664.20 |
$664.20 |
$1,109.00
|
|
Liver imaging (3d)
|
$740.40 |
$740.40 |
$740.40 |
$1,198.66
|
|
Liver/spleen imag static only
|
$674.40 |
$674.40 |
$674.40 |
$1,138.55
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$885.60 |
$885.60 |
$885.60 |
$3,878.80
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$54.00 |
$54.00 |
$54.00 |
$37.20
|
|
Low back disk surgery
|
$1,207.80 |
$1,207.80 |
$1,207.80 |
$8,412.89
|
|
Low cost skin substitute app
|
$1,344.00 |
$1,344.00 |
$1,344.00 |
$1,012.00
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$768.60 |
$768.60 |
$768.60 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,130.40 |
$1,130.40 |
$1,130.40 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$961.20 |
$961.20 |
$961.20 |
$1,815.45
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$771.60 |
$771.60 |
$771.60 |
$1,468.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,907.40 |
$1,907.40 |
$1,907.40 |
$3,097.92
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,237.80 |
$1,237.80 |
$1,237.80 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,032.00 |
$1,032.00 |
$1,032.00 |
$2,080.00
|
|
Lower Back (Lumbar Spine) X-ray
|
$171.00 |
$171.00 |
$171.00 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$292.80 |
$292.80 |
$292.80 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$180.60 |
$180.60 |
$180.60 |
$540.60
|
|
Lower Leg (Shin) X-ray (both sides)
|
$162.60 |
$162.60 |
$162.60 |
$338.40
|
|
Lumbar Spinal Fusion (single level)
|
$2,020.20 |
$2,020.20 |
$2,020.20 |
$14,331.20
|
|
Lung Function Test Before and After an Inhaler
|
$155.40 |
$155.40 |
$155.40 |
$549.83
|
|
Lung Function Test (Spirometry)
|
$100.20 |
$100.20 |
$100.20 |
$296.91
|
|
Lung perfusion imaging
|
$801.60 |
$801.60 |
$801.60 |
$1,069.25
|
|
Lymphatics/lymph node imaging
|
$1,177.80 |
$1,177.80 |
$1,177.80 |
$1,491.70
|
|
Lysis of labial adhesions
|
$223.20 |
$223.20 |
$223.20 |
$4,383.99
|
|
Macroscopic exam arthropod
|
$43.20 |
$43.20 |
$43.20 |
$38.58
|
|
Macroscopic exam parasite
|
$24.00 |
$24.00 |
$24.00 |
$37.05
|
|
Magnesium
|
$48.60 |
$48.60 |
$48.60 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$19.80 |
$19.80 |
$19.80 |
$58.70
|
|
Manipulat palm cord post inj
|
$66.00 |
$66.00 |
$66.00 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$4.20 |
$4.20 |
$4.20 |
$26.29
|
|
Mapping io sentinel lymph node
|
$267.60 |
$267.60 |
$267.60 |
$650.00
|
