|
Knee X-ray (1 to 2 views, both knees)
|
$273.20 |
$273.20 |
$273.20 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$319.24 |
$319.24 |
$319.24 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$299.78 |
$299.78 |
$299.78 |
$251.20
|
|
Kras gene addl variants
|
$321.48 |
$321.48 |
$1,311.14 |
$387.20
|
|
Kras gene variants exon 2
|
$1,652.10 |
$1,652.10 |
$2,885.75 |
$536.20
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$109.20 |
$109.20 |
$109.20 |
$109.20
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$39.60 |
$39.60 |
$39.60 |
$33.60
|
|
Lab pathology consultation
|
$403.70 |
$403.70 |
$403.70 |
$403.70
|
|
Lacer molded to patient mode
|
$634.21 |
$634.21 |
$634.21 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$260.98 |
$260.98 |
$260.98 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$102.38 |
$102.38 |
$102.38 |
$55.50
|
|
Lactated ringers intravenous solution
|
$27.00 |
$27.00 |
$27.00 |
$43.74
|
|
Lactation class
|
$199.82 |
$199.82 |
$199.82 |
$104.96
|
|
Lactic acid
|
$145.94 |
$145.94 |
$145.94 |
$107.10
|
|
Lactoferrin fecal qualitative
|
$68.95 |
$68.95 |
$135.52 |
$82.16
|
|
Lactoferrin fecal quant
|
$106.10 |
$106.10 |
$106.10 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$15,760.80 |
$15,760.80 |
$15,760.80 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$14.41 |
$14.41 |
$14.41 |
$14.53
|
|
Laparo cholecystectomy/explr
|
$6,637.99 |
$6,637.99 |
$6,637.99 |
$6,637.99
|
|
Laparo proc abdm/per/oment 49329
|
$6,622.75 |
$6,622.75 |
$6,622.75 |
$6,622.75
|
|
Laparoscopye procstom 43659
|
$9,122.07 |
$9,122.07 |
$9,122.07 |
$6,448.00
|
|
Lap jejunostomy 44186
|
$5,698.48 |
$5,698.48 |
$5,698.48 |
$6,376.26
|
|
Large Joint Injection or Fluid Draw (both sides)
|
$715.37 |
$715.37 |
$715.37 |
$740.40
|
|
Largsc w/laser dstrj les
|
$7,420.68 |
$7,420.68 |
$7,420.68 |
$4,931.00
|
|
Largsc w/njx augmentation
|
$3,482.74 |
$3,482.74 |
$3,482.74 |
$3,288.75
|
|
Largsc w/rmvl foreign bdy(s)
|
$800.06 |
$800.06 |
$800.06 |
$765.97
|
|
Largsc w/ther injection
|
$3,682.54 |
$3,682.54 |
$3,682.54 |
$2,447.43
|
|
Laronidase injection
|
$1,927.01 |
$1,927.01 |
$1,927.01 |
$1,927.01
|
|
Laryngoplasty medialization
|
$5,832.68 |
$5,832.68 |
$5,832.68 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$3,442.73 |
$3,442.73 |
$3,442.73 |
$4,108.00
|
|
Laryngoscop w/vc inj + scope
|
$3,918.74 |
$3,918.74 |
$3,918.74 |
$4,539.60
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,480.71 |
$2,480.71 |
$2,480.71 |
$2,514.60
|
|
Laryngoscopy telescopic
|
$685.43 |
$685.43 |
$685.43 |
$852.80
|
|
Laryngoscopy w/biopsy
|
$3,236.70 |
$3,236.70 |
$3,236.70 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$3,236.70 |
$3,236.70 |
$3,236.70 |
$4,627.00
|
|
Laryngoscopy w/fb removal
|
$3,814.47 |
$3,814.47 |
$3,814.47 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$3,336.26 |
$3,336.26 |
$3,336.26 |
$3,297.83
|
|
Laryngoscopy with biopsy 31510
|
$3,560.37 |
$3,560.37 |
$3,560.37 |
$3,934.14
|
|
Lead acuity x4 spiral l 86cm
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$5,460.00
|
|
Lead capillary
|
$81.29 |
$81.29 |
$81.29 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$4,843.58 |
$4,843.58 |
$4,843.58 |
$2,928.00
|
|
Lead tachy durata sj4 58cm
|
$10,186.81 |
$10,186.81 |
$10,186.81 |
$8,202.66
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,177.09 |
$1,177.09 |
$1,177.09 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$2,399.92 |
$2,399.92 |
$2,399.92 |
$1,585.20
|
|
Leg CT Scan (without contrast, both legs)
|
$1,715.36 |
$1,715.36 |
$1,715.36 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,200.85 |
$1,200.85 |
$1,200.85 |
$1,092.58
|
|
Leishmania antibody
|
$82.71 |
$82.71 |
$82.71 |
$58.50
|
|
Lens, intraocular (new tech)
|
$2,528.30 |
$2,528.30 |
$2,528.30 |
$589.05
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,498.89 |
$3,498.89 |
$3,498.89 |
$1,065.00
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$229.50 |
$229.50 |
$229.50 |
$163.62
|
|
Leukocyte phagocytosis
|
$92.88 |
$92.88 |
$92.88 |
$80.64
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$22,106.55 |
$22,106.55 |
$22,106.55 |
$6,360.76
|
|
Levalbuterol non-comp con
|
$118.74 |
$118.74 |
$118.74 |
$20.06
|
|
Levalbuterol non-comp unit
|
$118.74 |
$118.74 |
$118.74 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$119.59 |
$119.59 |
$119.59 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$138.12 |
$138.12 |
$829.24 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.98 |
$49.98 |
$49.98 |
$55.69
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$684.48 |
$684.48 |
$684.48 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$7,452.60 |
$7,452.60 |
$7,452.60 |
$6,104.00
|
|
Liberta rc ipg
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$39,189.70
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$42.44 |
$42.44 |
$42.44 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$28.80 |
$28.80 |
$43.51 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$129.40 |
$129.40 |
$1,520.82 |
$87.45
|
|
Lifileucel til/dose 7.5b-72b snij
|
$3.30 |
$3.30 |
$3.30 |
$30,744.64
|
|
Lift heel adj small gl60404sm
|
$201.42 |
$201.42 |
$201.42 |
$133.50
|
|
Lifts elevation metal extens
|
$927.30 |
$927.30 |
$927.30 |
$927.30
|
|
Ligation internal jugular vein 37565
|
$1,356.15 |
$1,356.15 |
$1,356.15 |
$3,564.80
|
|
Ligation/major artery/extremity 37618
|
$11,489.80 |
$11,489.80 |
$11,489.80 |
$1,567.80
|
|
Ligation major artery neck
|
$3,608.40 |
$3,608.40 |
$3,608.40 |
$3,703.00
|
|
Ligation of abdomen artery 37617
|
$2,200.20 |
$2,200.20 |
$2,200.20 |
$2,200.20
|
|
Ligation of inf vena cava
|
$9,189.18 |
$9,189.18 |
$9,189.18 |
$5,983.35
|
|
Ligation vericose vein cluster(s) 1 leg
|
$3,182.01 |
$3,182.01 |
$3,182.01 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$6,365.14 |
$6,365.14 |
$6,365.14 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$160.99 |
$160.99 |
$160.99 |
$108.64
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$335.91 |
$335.91 |
$335.91 |
$121.00
|
|
Lipase
|
$130.62 |
$130.62 |
$1,207.37 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$112.29 |
$112.29 |
$112.29 |
$87.00
|
|
Lipoprotein blood quant
|
$106.43 |
$106.43 |
$106.43 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$113.88 |
$113.88 |
$1,122.79 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$79.81 |
$79.81 |
$79.81 |
$61.60
|
|
Lip surgery procedure
|
$433.65 |
$433.65 |
$433.65 |
$334.50
|
|
Lisocabtagene mara car pos t
|
$1,578,304.84 |
$1,578,304.84 |
$1,578,304.84 |
$1,336,907.88
|
|
Listeria monocytogenes
|
$59.68 |
$59.68 |
$159.53 |
$100.40
|
|
Lithium therapeutic drug level
|
$95.88 |
$95.88 |
$963.58 |
$69.75
|
|
Lithotripsy transluminal coronary percutaneous
|
$12,380.88 |
$12,380.88 |
$12,380.88 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$660.00 |
$660.00 |
$660.00 |
$365.28
|
|
Liver elastography 91200
|
$312.00 |
$312.00 |
$312.00 |
$285.18
|
|
Liver Function Test
|
$193.52 |
$193.52 |
$2,414.74 |
$115.44
|
|
Liver image (3d) with flow
|
$1,198.66 |
$1,198.66 |
$1,198.66 |
$1,505.81
|
|
Liver imaging
|
$1,279.10 |
$1,279.10 |
$1,279.10 |
$1,109.00
|
|
Liver imaging (3d)
|
$1,198.66 |
$1,198.66 |
$1,198.66 |
$1,198.66
|
|
Liver imag w/vasclr flow
|
$1,255.15 |
$1,255.15 |
$2,271.87 |
$1,227.60
|
|
Liver/spleen imag static only
|
$1,471.52 |
$1,471.52 |
$3,229.72 |
$1,138.55
|
|
Liver/spleen imag w/vasclr flow
|
$504.82 |
$504.82 |
$504.82 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$161.06 |
$161.06 |
$161.06 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$12.92 |
$12.92 |
$12.92 |
$37.20
|
|
Low cost skin substitute app
|
$1,126.12 |
$1,126.12 |
$1,126.12 |
$933.60
|
|
Low cost skin substitute app
|
$1,584.24 |
$1,584.24 |
$1,584.24 |
$2,164.64
|
|
Low cost skin substitute app
|
$1,313.06 |
$1,313.06 |
$1,313.06 |
$1,012.00
|
|
Low cost skin substitute app
|
$693.49 |
$693.49 |
$693.49 |
$466.80
|
