|
Lanthanum carbonate oral 5mg
|
$49.01 |
$49.01 |
$49.01 |
$14.53
|
|
Laparo cholecystectomy/graph
|
$20,113.03 |
$20,113.03 |
$20,113.03 |
$8,346.00
|
|
Laparo-myomectomy complex
|
$52,507.75 |
$52,507.75 |
$52,507.75 |
$11,523.76
|
|
Laparo partial nephrectomy
|
$30,964.05 |
$30,964.05 |
$30,964.05 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$14,280.67 |
$14,280.67 |
$14,280.67 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$72,334.34 |
$72,334.34 |
$72,334.34 |
$6,360.80
|
|
Laparoscopic myomectomy
|
$40,391.51 |
$40,391.51 |
$40,391.51 |
$6,461.32
|
|
Laparoscopy aspiration
|
$17,812.28 |
$17,812.28 |
$17,812.28 |
$6,839.00
|
|
Laparoscopy biopsy
|
$30,141.28 |
$30,141.28 |
$30,141.28 |
$6,376.26
|
|
Laparoscopy excise lesions
|
$29,630.77 |
$29,630.77 |
$29,630.77 |
$6,904.15
|
|
Laparoscopy lymph node biop
|
$33,343.98 |
$33,343.98 |
$33,343.98 |
$6,904.15
|
|
Laparoscopy remove adnexa
|
$24,959.86 |
$24,959.86 |
$24,959.86 |
$8,607.55
|
|
Lap enterolysis
|
$20,921.22 |
$20,921.22 |
$20,921.22 |
$6,376.26
|
|
Lap ing hernia repair init
|
$19,168.47 |
$19,168.47 |
$19,168.47 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$26,404.25 |
$26,404.25 |
$26,404.25 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$14,327.33 |
$14,327.33 |
$14,327.33 |
$6,895.20
|
|
Lap paraesophag hern repair
|
$21,303.24 |
$21,303.24 |
$21,303.24 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$24,254.72 |
$24,254.72 |
$24,254.72 |
$10,029.60
|
|
Laps surg prst8ect rpbic rad
|
$33,343.98 |
$33,343.98 |
$33,343.98 |
$12,320.22
|
|
Laser surgery of prostate
|
$23,420.84 |
$23,420.84 |
$23,420.84 |
$6,822.11
|
|
Lateral thoracic extension
|
$1,146.90 |
$1,146.90 |
$1,146.90 |
$453.47
|
|
Lateral trochanteric pad
|
$364.24 |
$364.24 |
$364.24 |
$144.00
|
|
Lead acuity x4 spiral l 86cm
|
$103,980.00 |
$103,980.00 |
$103,980.00 |
$5,534.00
|
|
Lead capillary
|
$115.80 |
$115.80 |
$115.80 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$115,121.46 |
$115,121.46 |
$115,121.46 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$28,594.50 |
$28,594.50 |
$28,594.50 |
$8,204.74
|
|
Legg perthes orthosis trilat
|
$6,915.04 |
$6,915.04 |
$6,915.04 |
$2,657.76
|
|
Legg perthes orth scottish r
|
$5,837.86 |
$5,837.86 |
$5,837.86 |
$2,243.76
|
|
Legg perthes patten bottom t
|
$8,393.16 |
$8,393.16 |
$8,393.16 |
$3,225.94
|
|
Leg perthes orth toronto typ
|
$7,293.11 |
$7,293.11 |
$7,293.11 |
$2,803.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,194.80 |
$2,194.80 |
$2,194.80 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$441.92 |
$441.92 |
$441.92 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$5,199.00 |
$5,199.00 |
$5,199.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$6,212.81 |
$6,212.81 |
$6,212.81 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$1,559.70 |
$1,559.70 |
$1,559.70 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$496.46 |
$496.46 |
$496.46 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$7,964.18 |
$7,964.18 |
$7,964.18 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$31,447.61 |
$31,447.61 |
$31,447.61 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$118.20 |
$118.20 |
$118.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$48.00 |
$48.00 |
$48.00 |
$55.60
|
|
Liberta rc ipg
|
$160,831.07 |
$160,831.07 |
$160,831.07 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$56.66 |
$56.66 |
$56.66 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$73.24 |
$73.24 |
$73.24 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$162.00 |
$162.00 |
$162.00 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$345.73 |
$345.73 |
$345.73 |
$133.50
|
|
Lift heel adjustable med
|
$178.74 |
$178.74 |
$178.74 |
$64.68
|
|
Lifts elevation metal extens
|
$2,652.89 |
$2,652.89 |
$2,652.89 |
$959.80
|
|
Ligation internal/common carotid artery 37605
|
$2,483.40 |
$2,483.40 |
$2,483.40 |
$3,724.63
|
|
Ligation/major artery/extremity 37618
|
$5,023.20 |
$5,023.20 |
$5,023.20 |
$1,525.00
|
|
Lig/band angioaccess av fistula
|
$27,704.99 |
$27,704.99 |
$27,704.99 |
$4,676.50
|
|
Liletta, 52 mg
|
$8,804.85 |
$8,804.85 |
$8,804.85 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$194.23 |
$194.23 |
$194.23 |
$109.20
|
|
Limited motion knee joint
|
$542.98 |
$542.98 |
$542.98 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$311.85 |
$311.85 |
$311.85 |
$121.00
|
|
Lipase
|
$228.00 |
$228.00 |
$228.00 |
$91.65
|
|
Lipoprotein blood quant
|
$168.60 |
$168.60 |
$168.60 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$54.00 |
$54.00 |
$54.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$101.40 |
$101.40 |
$101.40 |
$61.60
|
|
Lip surgery procedure
|
$174.00 |
$174.00 |
$174.00 |
$335.50
|
|
Listeria monocytogenes
|
$143.40 |
$143.40 |
$143.40 |
$106.15
|
|
Lithium therapeutic drug level
|
$37.20 |
$37.20 |
$37.20 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$528.60 |
$528.60 |
$528.60 |
$365.28
|
|
Liver Function Test
|
$208.20 |
$208.20 |
$208.20 |
$115.44
|
|
Liver imaging
|
$1,007.40 |
$1,007.40 |
$1,007.40 |
$1,143.00
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$84,965.19 |
$84,965.19 |
$84,965.19 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$48.00 |
$48.00 |
$48.00 |
$37.37
|
|
Lo rig pos pnl l1-l5 pre ots
|
$808.65 |
$808.65 |
$808.65 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$332.32 |
$332.32 |
$332.32 |
$167.74
|
|
Low back disk surgery
|
$42,816.05 |
$42,816.05 |
$42,816.05 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,975.40 |
$2,975.40 |
$2,975.40 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,447.80 |
$1,447.80 |
$1,447.80 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,340.20 |
$3,340.20 |
$3,340.20 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,557.00 |
$1,557.00 |
$1,557.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,954.80 |
$1,954.80 |
$1,954.80 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$1,279.80 |
$1,279.80 |
$1,279.80 |
$356.16
|
|
Lsh w/t/o uterus above 250 g
|
$45,232.64 |
$45,232.64 |
$45,232.64 |
$11,533.76
|
|
Lso corset front
|
$493.39 |
$493.39 |
$493.39 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$533.11 |
$533.11 |
$533.11 |
$164.80
|
|
Lso full corset
|
$700.88 |
$700.88 |
$700.88 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$795.45 |
$795.45 |
$795.45 |
$326.82
|
|
Lso sag-coronal panel custom
|
$7,866.09 |
$7,866.09 |
$7,866.09 |
$2,518.78
|
|
Lso sag-co shell pnl pre ots
|
$6,072.85 |
$6,072.85 |
$6,072.85 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$759.26 |
$759.26 |
$759.26 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$4,683.99 |
$4,683.99 |
$4,683.99 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$6,355.42 |
$6,355.42 |
$6,355.42 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$1,222.75 |
$1,222.75 |
$1,222.75 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$1,344.20 |
$1,344.20 |
$1,344.20 |
$678.49
|
|
Lso s/c shell/panel custom
|
$4,461.89 |
$4,461.89 |
$4,461.89 |
$2,252.16
|
|
Lumbar bolster pad
|
$367.05 |
$367.05 |
$367.05 |
$169.29
|
|
Lumbar derotation pad
|
$426.32 |
$426.32 |
$426.32 |
$168.53
|
|
Lumbar or lumbar rib pad
|
$415.61 |
$415.61 |
$415.61 |
$191.69
|
|
Lumbar sling
|
$471.71 |
$471.71 |
$471.71 |
$217.56
|
|
Lumbar Spinal Fusion (single level)
|
$70,573.75 |
$70,573.75 |
$70,573.75 |
$14,331.20
|
|
Lung Function Test (Spirometry)
|
$698.40 |
$698.40 |
$698.40 |
$295.35
|
|
Lung perfusion imaging
|
$1,385.40 |
$1,385.40 |
$1,385.40 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$48,015.00 |
$48,015.00 |
$48,015.00 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$71,815.13 |
$71,815.13 |
$71,815.13 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$128,110.27 |
$128,110.27 |
$128,110.27 |
$333.50
|
|
Lvad shower bag heartmate
|
$1,559.70 |
$1,559.70 |
$1,559.70 |
$905.92
|
