|
Laparoscopy remove adnexa
|
$24,341.62 |
$24,341.62 |
$24,341.62 |
$8,607.55
|
|
Laparoscopy surg colpopexy
|
$37,431.97 |
$37,431.97 |
$37,431.97 |
$10,897.60
|
|
Laparo sling operation 51992
|
$37,431.97 |
$37,431.97 |
$37,431.97 |
$5,353.60
|
|
Lap enterolysis
|
$15,793.44 |
$15,793.44 |
$15,793.44 |
$6,376.26
|
|
Lap gastric bypass/roux-en-y
|
$50,833.70 |
$50,833.70 |
$50,833.70 |
$4,255.20
|
|
Lap ing hernia repair init
|
$23,877.37 |
$23,877.37 |
$23,877.37 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$22,529.90 |
$22,529.90 |
$22,529.90 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$17,660.72 |
$17,660.72 |
$17,660.72 |
$6,895.20
|
|
Lap paraesophag hern repair
|
$44,098.63 |
$44,098.63 |
$44,098.63 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$47,767.36 |
$47,767.36 |
$47,767.36 |
$10,029.60
|
|
Lap place gastr adj device
|
$43,111.63 |
$43,111.63 |
$43,111.63 |
$10,522.00
|
|
Lap revision perm ip cath
|
$14,108.51 |
$14,108.51 |
$14,108.51 |
$6,904.15
|
|
Lap rmvl gastr adj all parts
|
$17,965.67 |
$17,965.67 |
$17,965.67 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$46,729.10 |
$46,729.10 |
$46,729.10 |
$2,733.60
|
|
Lap w/omentopexy add-on 49326
|
$17,386.84 |
$17,386.84 |
$17,386.84 |
$463.20
|
|
Laryngoscope w/vc inj
|
$10,651.12 |
$10,651.12 |
$10,651.12 |
$4,108.00
|
|
Laryngoscop w/vc inj + scope
|
$11,678.80 |
$11,678.80 |
$11,678.80 |
$4,362.99
|
|
Laryngoscopy and dilation
|
$11,678.80 |
$11,678.80 |
$11,678.80 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$19,353.59 |
$19,353.59 |
$19,353.59 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$13,679.96 |
$13,679.96 |
$13,679.96 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$12,751.80 |
$12,751.80 |
$12,751.80 |
$4,362.99
|
|
Laryngoscopy w/exc of tumor
|
$15,268.14 |
$15,268.14 |
$15,268.14 |
$5,126.62
|
|
Laser surgery of prostate
|
$26,120.78 |
$26,120.78 |
$26,120.78 |
$6,822.11
|
|
Laser surg penis lesion(s)
|
$10,191.84 |
$10,191.84 |
$10,191.84 |
$3,562.00
|
|
Lateral thoracic extension
|
$1,021.82 |
$1,021.82 |
$1,021.82 |
$453.47
|
|
Lateral trochanteric pad
|
$324.52 |
$324.52 |
$324.52 |
$144.00
|
|
Lat retinacular release open
|
$26,456.10 |
$26,456.10 |
$26,456.10 |
$3,839.54
|
|
Lead acuity x4 spiral l 86cm
|
$92,640.00 |
$92,640.00 |
$92,640.00 |
$5,534.00
|
|
Lead capillary
|
$100.20 |
$100.20 |
$100.20 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$102,566.38 |
$102,566.38 |
$102,566.38 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$25,476.00 |
$25,476.00 |
$25,476.00 |
$8,204.74
|
|
Legg perthes orthosis trilat
|
$6,160.88 |
$6,160.88 |
$6,160.88 |
$2,657.76
|
|
Legg perthes orth scottish r
|
$5,201.18 |
$5,201.18 |
$5,201.18 |
$2,243.76
|
|
Legg perthes patten bottom t
|
$7,477.81 |
$7,477.81 |
$7,477.81 |
$3,225.94
|
|
Leg perthes orth toronto typ
|
$6,497.72 |
$6,497.72 |
$6,497.72 |
$2,803.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$846.60 |
$846.60 |
$846.60 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$393.72 |
$393.72 |
$393.72 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$4,632.00 |
$4,632.00 |
$4,632.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$5,535.24 |
$5,535.24 |
$5,535.24 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$1,389.60 |
$1,389.60 |
$1,389.60 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$93.00 |
$93.00 |
$93.00 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$11,219.94 |
$11,219.94 |
$11,219.94 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$22,369.96 |
$22,369.96 |
$22,369.96 |
$9,107.80
|
|
Levalbuterol non-comp con
|
$35.37 |
$35.37 |
$35.37 |
$21.60
|
|
Levetiracetam therapeutic drug level
|
$73.20 |
$73.20 |
$73.20 |
$88.92
|
|
Liberta rc ipg
|
$143,290.92 |
$143,290.92 |
$143,290.92 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$103.97 |
$103.97 |
$103.97 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$43.02 |
$43.02 |
$43.02 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$308.03 |
$308.03 |
$308.03 |
$133.50
|
|
Lift heel adjustable med
|
$159.25 |
$159.25 |
$159.25 |
$64.68
|
|
Lifts elevation metal extens
|
$2,363.57 |
$2,363.57 |
$2,363.57 |
$959.80
|
|
Ligation internal/common carotid artery 37605
|
$4,138.20 |
$4,138.20 |
$4,138.20 |
$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
|
$6,027.00 |
$6,027.00 |
$6,027.00 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$173.05 |
$173.05 |
$173.05 |
$109.20
|
|
Limited autopsy
|
$135.60 |
$135.60 |
$135.60 |
$352.80
|
|
Limited motion knee joint
|
$483.77 |
$483.77 |
$483.77 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$236.61 |
$236.61 |
$236.61 |
$121.00
|
|
Lipase
|
$93.60 |
$93.60 |
$93.60 |
$91.65
|
|
Lipoprotein blood quant
|
$189.00 |
$189.00 |
$189.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$72.00 |
$72.00 |
$72.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$87.60 |
$87.60 |
$87.60 |
$61.60
|
|
Lip surgery procedure
|
$289.20 |
$289.20 |
$289.20 |
$335.50
|
|
Listeria monocytogenes
|
$143.40 |
$143.40 |
$143.40 |
$106.15
|
|
Lithium therapeutic drug level
|
$83.40 |
$83.40 |
$83.40 |
$69.42
|
|
Liver Function Test
|
$74.40 |
$74.40 |
$74.40 |
$115.44
|
|
Liver/spleen imag static only
|
$640.80 |
$640.80 |
$640.80 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$568.20 |
$568.20 |
$568.20 |
$1,069.20
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$66,144.69 |
$66,144.69 |
$66,144.69 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$21.00 |
$21.00 |
$21.00 |
$37.37
|
|
Lo rig pos pnl l1-l5 pre ots
|
$720.46 |
$720.46 |
$720.46 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$296.08 |
$296.08 |
$296.08 |
$167.74
|
|
Low back disk surgery
|
$27,971.24 |
$27,971.24 |
$27,971.24 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$3,379.20 |
$3,379.20 |
$3,379.20 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,187.00 |
$2,187.00 |
$2,187.00 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,750.20 |
$4,750.20 |
$4,750.20 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$3,384.00 |
$3,384.00 |
$3,384.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$848.40 |
$848.40 |
$848.40 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$34,949.00 |
$34,949.00 |
$34,949.00 |
$7,961.97
|
|
Lsh w/t/o uterus above 250 g
|
$34,155.77 |
$34,155.77 |
$34,155.77 |
$11,533.76
|
|
Lso corset front
|
$439.58 |
$439.58 |
$439.58 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$474.97 |
$474.97 |
$474.97 |
$164.80
|
|
Lso full corset
|
$624.44 |
$624.44 |
$624.44 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$708.70 |
$708.70 |
$708.70 |
$326.82
|
|
Lso sag-coronal panel custom
|
$7,008.22 |
$7,008.22 |
$7,008.22 |
$2,518.78
|
|
Lso sag-co shell pnl pre ots
|
$5,410.55 |
$5,410.55 |
$5,410.55 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$676.46 |
$676.46 |
$676.46 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$4,173.16 |
$4,173.16 |
$4,173.16 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$5,662.30 |
$5,662.30 |
$5,662.30 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$1,089.40 |
$1,089.40 |
$1,089.40 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$1,197.61 |
$1,197.61 |
$1,197.61 |
$678.49
|
|
Lso s/c shell/panel custom
|
$3,975.28 |
$3,975.28 |
$3,975.28 |
$2,252.16
|
|
Lumbar bolster pad
|
$327.02 |
$327.02 |
$327.02 |
$169.29
|
|
Lumbar derotation pad
|
$379.82 |
$379.82 |
$379.82 |
$168.53
|
|
Lumbar diskogram s&i
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$370.28 |
$370.28 |
$370.28 |
$191.69
|
|
Lumbar sling
|
$420.26 |
$420.26 |
$420.26 |
$217.56
|
|
Lumbar Spinal Fusion (single level)
|
$85,345.92 |
$85,345.92 |
$85,345.92 |
$14,331.20
|
|
Lung Function Test (Spirometry)
|
$149.40 |
$149.40 |
$149.40 |
$295.35
|
