|
Kyleena, 19.5 mg
|
$2,036.40 |
$2,036.40 |
$2,036.40 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$4.50 |
$4.50 |
$4.50 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.90 |
$171.00 |
$227.40 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$41.40 |
$71.40 |
$231.60 |
$55.50
|
|
Lactated ringers intravenous solution
|
$70.00 |
$108.00 |
$108.00 |
$43.74
|
|
Lactation class
|
$52.80 |
$52.80 |
$52.80 |
$104.96
|
|
Lactic acid
|
$88.20 |
$129.60 |
$505.80 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$119.40 |
$166.20 |
$797.40 |
$82.40
|
|
Lactoferrin fecal quant
|
$156.00 |
$194.40 |
$253.20 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$195.20 |
$215.40 |
$15,666.60 |
$19,124.00
|
|
Laparoscopy remove adnexa
|
$5,145.00 |
$5,145.00 |
$10,299.60 |
$8,777.57
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$303.00 |
$361.80 |
$855.00 |
$740.40
|
|
Largsc w/laser dstrj les
|
$8,892.00 |
$8,892.00 |
$8,892.00 |
$4,931.00
|
|
Largsc w/njx augmentation
|
$5,248.20 |
$5,248.20 |
$5,248.20 |
$3,288.75
|
|
Largsc w/rmvl foreign bdy(s)
|
$2,993.40 |
$3,769.20 |
$4,633.20 |
$765.97
|
|
Laronidase injection
|
$181.80 |
$181.80 |
$181.80 |
$1,927.01
|
|
Laryngoscop w/vc inj + scope
|
$6,130.20 |
$6,130.20 |
$6,130.20 |
$4,539.60
|
|
Laryngoscopy and dilation
|
$3,045.00 |
$3,769.20 |
$5,593.20 |
$4,745.55
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,131.80 |
$2,632.20 |
$4,064.40 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$2,810.40 |
$2,810.40 |
$2,810.40 |
$852.80
|
|
Laryngoscopy with biopsy
|
$5,543.40 |
$5,543.40 |
$5,543.40 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$2,712.00 |
$3,716.40 |
$4,057.80 |
$845.52
|
|
Lead acuity x4 spiral l 86cm
|
$7,381.80 |
$13,576.80 |
$27,605.40 |
$5,460.00
|
|
Lead capillary
|
$67.20 |
$112.80 |
$571.80 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$4,132.20 |
$4,238.40 |
$10,843.20 |
$2,887.50
|
|
Lead tachy durata sj4 58cm
|
$7,220.40 |
$13,024.20 |
$32,130.60 |
$8,202.66
|
|
Left compres band >=3" <5"/yd
|
$3.60 |
$3.60 |
$5.40 |
$5.20
|
|
Left compres band <3"/yd
|
$1.20 |
$1.20 |
$3.00 |
$3.64
|
|
Left compres band >=5"/yd
|
$3.60 |
$3.60 |
$5.40 |
$6.73
|
|
Leg Artery Ultrasound (complete, both legs)
|
$450.00 |
$1,340.40 |
$1,940.40 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,654.40 |
$3,054.00 |
$4,599.60 |
$1,612.00
|
|
Leg CT Scan (without contrast, both legs)
|
$1,740.00 |
$1,950.00 |
$2,937.00 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$985.80 |
$1,214.40 |
$2,286.00 |
$1,092.58
|
|
Leishmania antibody
|
$130.20 |
$130.20 |
$159.00 |
$58.50
|
|
Lens, intraocular (new tech)
|
$372.60 |
$642.60 |
$1,024.20 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$600.00 |
$609.00 |
$789.00 |
$955.30
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,429.20 |
$1,898.40 |
$4,153.20 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$192.60 |
$2,022.60 |
$2,531.40 |
$377.71
|
|
Lepirudin
|
$2,405.40 |
$2,405.40 |
$2,405.40 |
$1,259.22
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$45.20 |
$117.60 |
$797.40 |
$162.76
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,967.00 |
$4,878.00 |
$9,008.40 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,249.40 |
$3,559.80 |
$10,678.20 |
$8,348.12
|
|
Leuprolide acetate injeciton
|
$1,587.60 |
$1,587.60 |
$1,587.60 |
$1,322.50
|
|
Levalbuterol non-comp con
|
$27.00 |
$27.00 |
$36.60 |
$20.06
|
|
Levalbuterol non-comp unit
|
$38.40 |
$38.40 |
$66.00 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$12.15 |
$300.00 |
$1,195.80 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$72.00 |
$129.60 |
$298.80 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$325.80 |
$325.80 |
$984.60 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$19.80 |
$21.00 |
$24.00 |
$420.60
|
|
Liberta rc ipg
|
$36,300.00 |
$52,306.80 |
$75,797.40 |
$39,189.70
|
|
Lidocaine injection
|
$558.00 |
$558.00 |
$723.60 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$0.45 |
$0.45 |
$0.45 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.20 |
$0.45 |
$0.45 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$119.40 |
$203.40 |
$772.20 |
$88.40
|
|
Ligation/major artery/extremity 37618
|
$8,389.20 |
$8,389.20 |
$8,389.20 |
$1,581.82
|
|
Ligation major artery neck
|
$2,953.80 |
$3,192.60 |
$3,231.00 |
$3,608.40
|
|
Lig/band angioaccess av fistula
|
$13,630.20 |
$13,630.20 |
$13,630.20 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,321.20 |
$1,321.20 |
$1,321.20 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$240.80 |
$883.80 |
$1,105.80 |
$119.81
|
|
Lipase
|
$46.80 |
$210.00 |
$281.40 |
$92.88
|
|
Lipoprotein blood high res frac & quant
|
$188.40 |
$188.40 |
$539.40 |
$87.00
|
|
Lipoprotein blood quant
|
$214.80 |
$320.40 |
$409.20 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$52.80 |
$70.20 |
$249.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$45.60 |
$58.80 |
$129.00 |
$61.60
|
|
Lip surgery procedure
|
$71.40 |
$71.40 |
$2,225.40 |
$334.50
|
|
Lisocabtagene mara car pos t
|
$4,299,000.00 |
$4,299,000.00 |
$4,299,000.00 |
$1,336,907.88
|
|
Lithium therapeutic drug level
|
$39.60 |
$168.00 |
$349.80 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$11,088.60 |
$11,088.60 |
$17,564.40 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$972.60 |
$972.60 |
$1,030.20 |
$365.28
|
|
Liver elastography 91200
|
$99.60 |
$99.60 |
$558.00 |
$285.18
|
|
Liver Function Test
|
$190.20 |
$215.40 |
$718.20 |
$115.44
|
|
Liver imaging
|
$901.80 |
$901.80 |
$901.80 |
$1,109.00
|
|
Liver imag w/vasclr flow
|
$1,326.60 |
$1,326.60 |
$1,326.60 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,060.80 |
$1,135.20 |
$3,414.00 |
$1,135.20
|
|
Liver/spleen imag w/vasclr flow
|
$1,051.20 |
$1,051.20 |
$1,051.20 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$4,630.80 |
$4,630.80 |
$4,630.80 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$3.00 |
$9.75 |
$189.00 |
$49.70
|
|
Lomustine 10 mg
|
$226.20 |
$226.20 |
$226.20 |
$795.94
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$411.60 |
$411.60 |
$435.60 |
$62,704.30
|
|
Loop ostmy bridg ster
|
$74.40 |
$80.40 |
$88.20 |
$45.43
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$96.00 |
$982.80 |
$4,407.60 |
$37.20
|
|
Low cost skin substitute app
|
$2,941.80 |
$2,941.80 |
$2,941.80 |
$2,164.64
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$536.40 |
$570.60 |
$645.60 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,785.80 |
$3,394.80 |
$5,112.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,654.40 |
$3,054.00 |
$4,599.60 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,740.00 |
$1,950.00 |
$2,937.00 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$5,810.40 |
$6,512.40 |
$9,808.20 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$4,621.20 |
$5,313.60 |
$8,004.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,682.80 |
$4,125.00 |
$6,214.20 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$405.00 |
$456.60 |
$686.40 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$666.60 |
$765.60 |
$1,154.40 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$666.60 |
$765.60 |
$1,154.40 |
$535.91
|
|
Lower Leg (Shin) X-ray (both sides)
|
$405.00 |
$456.60 |
$686.40 |
$338.40
|
|
L/s ratio fetal lung
|
$1,012.80 |
$1,012.80 |
$1,012.80 |
$173.91
|
|
Lubricant per ounce
|
$21.60 |
$21.60 |
$21.60 |
$3.13
|
|
Lumbar diskogram s&i
|
$10,866.00 |
$10,866.00 |
$10,866.00 |
$2,358.23
|
|
Lumizyme injection
|
$966.60 |
$966.60 |
$4,834.80 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$154.80 |
$664.20 |
$1,790.40 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$69.60 |
$86.40 |
$109.80 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$125.40 |
$171.60 |
$1,249.20 |
$296.91
|
