|
Ligation external carotid artery 37600
|
$546.00 |
$546.00 |
$546.00 |
$3,467.79
|
|
Ligation internal/common carotid artery 37605
|
$530.66 |
$530.66 |
$530.66 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$527.02 |
$527.02 |
$527.02 |
$3,564.80
|
|
Ligation major artery chest
|
$827.58 |
$827.58 |
$827.58 |
$2,114.20
|
|
Ligation/major artery/extremity 37618
|
$3,325.56 |
$3,325.56 |
$3,325.56 |
$1,567.80
|
|
Ligation major artery neck
|
$375.44 |
$375.44 |
$375.44 |
$3,608.40
|
|
Ligation nasal sinus artery
|
$434.98 |
$434.98 |
$434.98 |
$4,341.66
|
|
Ligation of abdomen artery 37617
|
$957.58 |
$957.58 |
$957.58 |
$2,200.20
|
|
Ligation of femoral vein
|
$331.76 |
$331.76 |
$331.76 |
$3,724.63
|
|
Ligation of inf vena cava
|
$1,256.32 |
$1,256.32 |
$1,256.32 |
$5,983.35
|
|
Ligation of neck artery
|
$540.28 |
$540.28 |
$540.28 |
$3,724.63
|
|
Ligation of salivary duct
|
$159.90 |
$159.90 |
$159.90 |
$4,558.89
|
|
Ligation of shunt
|
$315.64 |
$315.64 |
$315.64 |
$2,258.50
|
|
Ligation upper jaw artery
|
$628.42 |
$628.42 |
$628.42 |
$3,724.63
|
|
Ligation vericose vein cluster(s) 1 leg
|
$181.48 |
$181.48 |
$181.48 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$269.10 |
$269.10 |
$269.10 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$419.12 |
$419.12 |
$419.12 |
$3,724.63
|
|
Limb exercise test
|
$41.86 |
$41.86 |
$41.86 |
$340.80
|
|
Limb nerve surgery add-on
|
$156.00 |
$156.00 |
$156.00 |
$1,561.28
|
|
Limited visual field xm
|
$11.44 |
$11.44 |
$11.44 |
$79.20
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$30.03 |
$30.03 |
$30.03 |
$119.81
|
|
Lipase
|
$43.66 |
$43.66 |
$43.66 |
$92.80
|
|
Lip exc/transverse wedge/w closure 40510
|
$256.10 |
$256.10 |
$256.10 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$214.60 |
$214.60 |
$214.60 |
$87.00
|
|
Lipoprotein blood quant
|
$216.82 |
$216.82 |
$216.82 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$51.80 |
$51.80 |
$51.80 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$66.60 |
$66.60 |
$66.60 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$26.52 |
$26.52 |
$26.52 |
$47.18
|
|
Listeria monocytogenes
|
$83.62 |
$83.62 |
$83.62 |
$96.88
|
|
Lithium therapeutic drug level
|
$41.44 |
$41.44 |
$41.44 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$12,025.00 |
$12,025.00 |
$12,025.00 |
$4,295.40
|
|
Litt icr 1 traj 1 smpl les
|
$897.00 |
$897.00 |
$897.00 |
$4,370.00
|
|
Litt icr mlt trj mlt/cplx ls
|
$1,064.70 |
$1,064.70 |
$1,064.70 |
$5,462.00
|
|
Liver abs/cyst dr opn 1-2 stge
|
$886.60 |
$886.60 |
$886.60 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$495.80 |
$495.80 |
$495.80 |
$365.28
|
|
Liver elastography 91200
|
$549.82 |
$549.82 |
$549.82 |
$285.18
|
|
Liver Function Test
|
$51.80 |
$51.80 |
$51.80 |
$115.44
|
|
Liver hem/re-expl wnd/remove pack 47362
|
$1,035.58 |
$1,035.58 |
$1,035.58 |
$2,028.65
|
|
Liver imaging
|
$14.82 |
$14.82 |
$14.82 |
$1,093.50
|
|
Liver imag w/vasclr flow
|
$17.42 |
$17.42 |
$17.42 |
$1,227.60
|
|
Liver/spleen imag static only
|
$988.64 |
$988.64 |
$988.64 |
$1,140.78
|
|
Liver/spleen imag w/vasclr flow
|
$19.76 |
$19.76 |
$19.76 |
$1,069.20
|
|
Lmtd oph exam general anes
|
$52.78 |
$52.78 |
$52.78 |
$2,760.73
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$343.72 |
$343.72 |
$343.72 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$14.48 |
$14.48 |
$14.48 |
$37.20
|
|
Low back disk surgery
|
$674.44 |
$674.44 |
$674.44 |
$8,412.89
|
|
Low-Dose Lung Cancer Screening CT Scan
|
$1,084.10 |
$1,084.10 |
$1,084.10 |
$331.50
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,268.84 |
$2,268.84 |
$2,268.84 |
$1,871.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,640.06 |
$3,640.06 |
$3,640.06 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,084.10 |
$1,084.10 |
$1,084.10 |
$1,450.15
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,765.86 |
$3,765.86 |
$3,765.86 |
$3,063.00
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$3,013.28 |
$3,013.28 |
$3,013.28 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,039.44 |
$2,039.44 |
$2,039.44 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$411.44 |
$411.44 |
$411.44 |
$355.32
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$513.56 |
$513.56 |
$513.56 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$513.56 |
$513.56 |
$513.56 |
$540.60
|
|
Lower jaw bone graft
|
$582.14 |
$582.14 |
$582.14 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$340.40 |
$340.40 |
$340.40 |
$332.00
|
|
Low frequency non-thermal Ultrasound
|
$13.00 |
$13.00 |
$13.00 |
$364.77
|
|
Lsh uterus 250 g or less
|
$534.04 |
$534.04 |
$534.04 |
$11,378.21
|
|
Lsh uterus above 250 g
|
$614.90 |
$614.90 |
$614.90 |
$11,886.69
|
|
Lsh w/t/o ut 250 g or less
|
$605.80 |
$605.80 |
$605.80 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$661.70 |
$661.70 |
$661.70 |
$11,533.76
|
|
L/s ratio fetal lung
|
$139.12 |
$139.12 |
$139.12 |
$173.91
|
|
Lumbar diskogram s&i
|
$7,550.22 |
$7,550.22 |
$7,550.22 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$1,159.34 |
$1,159.34 |
$1,159.34 |
$14,331.20
|
|
Lung Function Test Before and After an Inhaler
|
$7.28 |
$7.28 |
$7.28 |
$543.75
|
|
Lung function test (mbc/mvv)
|
$2.34 |
$2.34 |
$2.34 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$5.98 |
$5.98 |
$5.98 |
$296.91
|
|
Lung perfusion imaging
|
$988.64 |
$988.64 |
$988.64 |
$1,072.46
|
|
Lung transplant double
|
$3,296.02 |
$3,296.02 |
$3,296.02 |
$6,462.44
|
|
Lung transplant single
|
$2,354.82 |
$2,354.82 |
$2,354.82 |
$4,639.04
|
|
Lung transplant with bypass
|
$2,537.08 |
$2,537.08 |
$2,537.08 |
$5,044.02
|
|
Lung transplant with bypass
|
$3,484.78 |
$3,484.78 |
$3,484.78 |
$6,858.37
|
|
Lung volume reduction 32491
|
$1,063.14 |
$1,063.14 |
$1,063.14 |
$2,141.40
|
|
Lw ntsty Ultrasound stimj bone healg
|
$22.62 |
$22.62 |
$22.62 |
$114.40
|
|
Lyme dis dna dir probe
|
$15.60 |
$15.60 |
$15.60 |
$27.67
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$518.70 |
$518.70 |
$518.70 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$1,324.60 |
$1,324.60 |
$1,324.60 |
$1,479.60
|
|
Lymphocyte culture mixed
|
$28.60 |
$28.60 |
$28.60 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$310.06 |
$310.06 |
$310.06 |
$266.20
|
|
Lymphocytotoxicity assay
|
$147.68 |
$147.68 |
$147.68 |
$370.20
|
|
Lymphocytotoxicity assay
|
$301.18 |
$301.18 |
$301.18 |
$96.00
|
|
Lymph vessel x-ray arm/leg
|
$31.20 |
$31.20 |
$31.20 |
$973.80
|
|
Lymph vessel x-ray arms/legs
|
$40.30 |
$40.30 |
$40.30 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$12,169.30 |
$12,169.30 |
$12,169.30 |
$2,634.45
|
|
Lymph vessel x-ray trunk
|
$12,169.30 |
$12,169.30 |
$12,169.30 |
$3,451.60
|
|
Lysis intranasal synechia 30560
|
$108.16 |
$108.16 |
$108.16 |
$820.50
|
|
Lysis of labial adhesions
|
$112.58 |
$112.58 |
$112.58 |
$4,383.99
|
|
Lysis penil circumic lesion
|
$146.90 |
$146.90 |
$146.90 |
$3,503.00
|
|
Macro exam dissect molec study ea
|
$19.24 |
$19.24 |
$19.24 |
$67.08
|
|
Macroscopic exam arthropod
|
$26.64 |
$26.64 |
$26.64 |
$38.58
|
|
Macroscopic exam parasite
|
$27.38 |
$27.38 |
$27.38 |
$36.86
|
|
Magnesium
|
$42.18 |
$42.18 |
$42.18 |
$72.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$21.20 |
$21.20 |
$21.20 |
$58.70
|
|
Magnetic image bone marrow
|
$2,039.44 |
$2,039.44 |
$2,039.44 |
$1,329.39
|
|
Makena, 10 mg
|
$259.35 |
$259.35 |
$259.35 |
$1,405.80
|
|
Malaria antibody
|
$10.40 |
$10.40 |
$10.40 |
$94.80
|
|
Male sling procedure
|
$549.90 |
$549.90 |
$549.90 |
$8,465.18
|
|
Mammosite ced
|
$2,028.00 |
$2,028.00 |
$2,028.00 |
$5,031.60
|
