|
Knee arthroscopy/surgery
|
$4,072.33 |
$4,072.33 |
$4,072.33 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,705.50 |
$1,705.50 |
$1,705.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$10,867.00 |
$10,867.00 |
$10,867.00 |
$8,979.74
|
|
Knee MRI (with and without contrast)
|
$1,267.50 |
$1,267.50 |
$1,267.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$850.50 |
$850.50 |
$850.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$634.00 |
$634.00 |
$634.00 |
$2,110.76
|
|
Knee X-ray
|
$325.00 |
$325.00 |
$325.00 |
$425.55
|
|
Kras gene addl variants
|
$167.00 |
$167.00 |
$167.00 |
$386.75
|
|
Kras gene variants exon 2
|
$311.50 |
$311.50 |
$311.50 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$8.87 |
$8.87 |
$8.87 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$36.50 |
$36.50 |
$36.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$240.00 |
$240.00 |
$240.00 |
$44.91
|
|
Lactic acid
|
$43.00 |
$43.00 |
$43.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$102.50 |
$102.50 |
$102.50 |
$81.00
|
|
Lactoferrin fecal quant
|
$65.50 |
$65.50 |
$65.50 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$7,499.75 |
$7,499.75 |
$7,499.75 |
$582.40
|
|
Lam facetec & foramot crv
|
$1,092.50 |
$1,092.50 |
$1,092.50 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$7,874.50 |
$7,874.50 |
$7,874.50 |
$8,412.89
|
|
Laminotomy single lumbar
|
$7,307.00 |
$7,307.00 |
$7,307.00 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,124.00 |
$19,124.00 |
$19,124.00 |
$19,124.00
|
|
Laparo cholecystectomy/explr
|
$3,212.50 |
$3,212.50 |
$3,212.50 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$3,515.00 |
$3,515.00 |
$3,515.00 |
$8,346.00
|
|
Laparo proc abdm/per/oment 49329
|
$3,324.83 |
$3,324.83 |
$3,324.83 |
$6,622.75
|
|
Laparoscopy aspiration
|
$4,031.34 |
$4,031.34 |
$4,031.34 |
$6,839.00
|
|
Laparoscopy biopsy
|
$1,910.67 |
$1,910.67 |
$1,910.67 |
$6,376.26
|
|
Laparoscopy excise lesions
|
$5,063.50 |
$5,063.50 |
$5,063.50 |
$6,904.15
|
|
Laparoscopy gastrostomy
|
$2,803.00 |
$2,803.00 |
$2,803.00 |
$6,457.82
|
|
Laparoscopy lysis
|
$5,219.67 |
$5,219.67 |
$5,219.67 |
$5,419.00
|
|
Laparoscopy remove adnexa
|
$6,675.00 |
$6,675.00 |
$6,675.00 |
$8,607.55
|
|
Laparoscopy ureterolithotomy
|
$444.25 |
$444.25 |
$444.25 |
$6,463.42
|
|
Laparo-vag hyst incl t/o
|
$5,767.50 |
$5,767.50 |
$5,767.50 |
$12,100.40
|
|
Lap enterolysis
|
$2,567.00 |
$2,567.00 |
$2,567.00 |
$6,376.26
|
|
Lap ing hernia repair init
|
$10,349.50 |
$10,349.50 |
$10,349.50 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$5,055.50 |
$5,055.50 |
$5,055.50 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$2,159.00 |
$2,159.00 |
$2,159.00 |
$6,895.20
|
|
Lap place gastr adj device
|
$10,522.00 |
$10,522.00 |
$10,522.00 |
$10,522.00
|
|
Lap revision perm ip cath
|
$2,409.00 |
$2,409.00 |
$2,409.00 |
$6,904.15
|
|
Lap w/omentopexy add-on 49326
|
$1,079.50 |
$1,079.50 |
$1,079.50 |
$463.20
|
|
Largsc w/laser dstrj les
|
$4,285.00 |
$4,285.00 |
$4,285.00 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$3,297.97
|
|
Largsc w/ther injection
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$2,286.46
|
|
Laryngoplasty medialization
|
$6,804.00 |
$6,804.00 |
$6,804.00 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$4,285.00 |
$4,285.00 |
$4,285.00 |
$4,108.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,119.50 |
$2,119.50 |
$2,119.50 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$1,895.50 |
$1,895.50 |
$1,895.50 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$1,228.00 |
$1,228.00 |
$1,228.00 |
$4,362.99
|
|
Laryngoscopy with biopsy
|
$2,173.00 |
$2,173.00 |
$2,173.00 |
$3,297.83
|
|
Larynscop w/tumr exc + scope
|
$1,606.00 |
$1,606.00 |
$1,606.00 |
$5,104.80
|
|
Laser surgery of prostate
|
$3,937.00 |
$3,937.00 |
$3,937.00 |
$6,822.11
|
|
Lateral canthopexy
|
$3,810.50 |
$3,810.50 |
$3,810.50 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$3,220.00 |
$3,220.00 |
$3,220.00 |
$3,386.84
|
|
Lead capillary
|
$29.50 |
$29.50 |
$29.50 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$567.50 |
$567.50 |
$567.50 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$79.50 |
$79.50 |
$79.50 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$298.00 |
$298.00 |
$298.00 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$375.45 |
$375.45 |
$375.45 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,196.97 |
$2,196.97 |
$2,196.97 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,911.00 |
$3,911.00 |
$3,911.00 |
$9,107.80
|
|
Levalbuterol non-comp unit
|
$2.50 |
$2.50 |
$2.50 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$29.25 |
$29.25 |
$29.25 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$31.00 |
$31.00 |
$31.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$25.88 |
$25.88 |
$25.88 |
$55.60
|
|
L hrt cath chd nm/abn nt cnj
|
$3,236.00 |
$3,236.00 |
$3,236.00 |
$6,095.95
|
|
Liberta rc ipg
|
$16,105.00 |
$16,105.00 |
$16,105.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$9.47 |
$9.47 |
$9.47 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$60.00 |
$60.00 |
$60.00 |
$40.54
|
|
Ligation/biopsy of temporal artery 37609
|
$943.50 |
$943.50 |
$943.50 |
$3,322.80
|
|
Ligation vericose vein cluster(s) 1 leg
|
$1,070.50 |
$1,070.50 |
$1,070.50 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$2,299.00 |
$2,299.00 |
$2,299.00 |
$4,676.50
|
|
Liletta, 52 mg
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$1,514.24
|
|
Lincomycin injection
|
$34.50 |
$34.50 |
$34.50 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$18.90 |
$18.90 |
$18.90 |
$121.00
|
|
Lipase
|
$27.00 |
$27.00 |
$27.00 |
$91.65
|
|
Lipoprotein blood quant
|
$50.00 |
$50.00 |
$50.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$17.50 |
$17.50 |
$17.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$67.00 |
$67.00 |
$67.00 |
$61.60
|
|
Lip surgery procedure
|
$335.50 |
$335.50 |
$335.50 |
$335.50
|
|
Lithium therapeutic drug level
|
$23.00 |
$23.00 |
$23.00 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$4,986.00 |
$4,986.00 |
$4,986.00 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$365.28
|
|
Liver elastography 91200
|
$148.00 |
$148.00 |
$148.00 |
$280.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Liver/spleen imag static only
|
$464.00 |
$464.00 |
$464.00 |
$1,123.50
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$3,760.50 |
$3,760.50 |
$3,760.50 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$5.25 |
$5.25 |
$5.25 |
$37.37
|
|
Low back disk surgery
|
$11,699.50 |
$11,699.50 |
$11,699.50 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$785.00 |
$785.00 |
$785.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$939.00 |
$939.00 |
$939.00 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$525.50 |
$525.50 |
$525.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$765.00 |
$765.00 |
$765.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$707.50 |
$707.50 |
$707.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$290.00 |
$290.00 |
$290.00 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$234.50 |
$234.50 |
$234.50 |
$364.00
|
|
Lumbar Spinal Fusion (single level)
|
$1,687.46 |
$1,687.46 |
$1,687.46 |
$14,331.20
|
|
Lung function test (mbc/mvv)
|
$133.00 |
$133.00 |
$133.00 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$97.00 |
$97.00 |
$97.00 |
$295.35
|
|
Lung perfusion imaging
|
$464.00 |
$464.00 |
$464.00 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$27,018.75 |
$27,018.75 |
$27,018.75 |
$19,182.33
|
