|
Lacer molded to patient mode
|
$1,429.10 |
$1,429.10 |
$1,429.10 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$64.20 |
$64.20 |
$64.20 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$71.40 |
$71.40 |
$71.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$78.00 |
$78.00 |
$78.00 |
$44.91
|
|
Lactic acid
|
$71.40 |
$71.40 |
$71.40 |
$107.00
|
|
Lactoferrin fecal quant
|
$152.40 |
$152.40 |
$152.40 |
$108.93
|
|
Lam facetec & foramot lumbar
|
$29,376.43 |
$29,376.43 |
$29,376.43 |
$8,412.89
|
|
Lanthanum carbonate oral 5mg
|
$69.16 |
$69.16 |
$69.16 |
$14.53
|
|
Laparo cholecystectomy/graph
|
$27,786.91 |
$27,786.91 |
$27,786.91 |
$8,346.00
|
|
Laparo proc abdm/per/oment 49329
|
$42,682.78 |
$42,682.78 |
$42,682.78 |
$6,622.75
|
|
Laparoscopye procstom 43659
|
$57,212.69 |
$57,212.69 |
$57,212.69 |
$6,448.00
|
|
Lap gastric bypass/roux-en-y
|
$48,705.68 |
$48,705.68 |
$48,705.68 |
$4,255.20
|
|
Lap ileo/jejuno-stomy 44187
|
$16,613.93 |
$16,613.93 |
$16,613.93 |
$2,716.80
|
|
Lap ing hernia repair init
|
$32,492.90 |
$32,492.90 |
$32,492.90 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$15,033.86 |
$15,033.86 |
$15,033.86 |
$6,463.42
|
|
Lap paraesophag hern repair
|
$47,897.85 |
$47,897.85 |
$47,897.85 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$57,772.27 |
$57,772.27 |
$57,772.27 |
$10,029.60
|
|
Lap sleeve gastrectomy
|
$49,469.83 |
$49,469.83 |
$49,469.83 |
$2,733.60
|
|
Laryngoscopy w/biopsy
|
$17,153.33 |
$17,153.33 |
$17,153.33 |
$4,362.99
|
|
Lateral thoracic extension
|
$952.33 |
$952.33 |
$952.33 |
$453.47
|
|
Lateral trochanteric pad
|
$302.45 |
$302.45 |
$302.45 |
$144.00
|
|
Lb with mastopexy 15839
|
$31,953.41 |
$31,953.41 |
$31,953.41 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$86,340.00 |
$86,340.00 |
$86,340.00 |
$5,534.00
|
|
Lead capillary
|
$100.20 |
$100.20 |
$100.20 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$95,591.33 |
$95,591.33 |
$95,591.33 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$23,743.50 |
$23,743.50 |
$23,743.50 |
$8,204.74
|
|
Legg perthes orthosis trilat
|
$5,741.91 |
$5,741.91 |
$5,741.91 |
$2,657.76
|
|
Legg perthes orth scottish r
|
$4,847.47 |
$4,847.47 |
$4,847.47 |
$2,243.76
|
|
Legg perthes patten bottom t
|
$6,969.28 |
$6,969.28 |
$6,969.28 |
$3,225.94
|
|
Leg perthes orth toronto typ
|
$6,055.84 |
$6,055.84 |
$6,055.84 |
$2,803.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$846.60 |
$846.60 |
$846.60 |
$1,092.58
|
|
Lens, intraocular (new tech)
|
$366.95 |
$366.95 |
$366.95 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$4,317.00 |
$4,317.00 |
$4,317.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$5,158.82 |
$5,158.82 |
$5,158.82 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$1,295.10 |
$1,295.10 |
$1,295.10 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$323.21 |
$323.21 |
$323.21 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$10,650.82 |
$10,650.82 |
$10,650.82 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$21,235.25 |
$21,235.25 |
$21,235.25 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$4,576.18 |
$4,576.18 |
$4,576.18 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$31.69 |
$31.69 |
$31.69 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$73.20 |
$73.20 |
$73.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$64.52 |
$64.52 |
$64.52 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$3,053.68 |
$3,053.68 |
$3,053.68 |
$420.60
|
|
Liberta rc ipg
|
$133,546.40 |
$133,546.40 |
$133,546.40 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$93.09 |
$93.09 |
$93.09 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$38.52 |
$38.52 |
$38.52 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$75.60 |
$75.60 |
$75.60 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$287.08 |
$287.08 |
$287.08 |
$133.50
|
|
Lift heel adjustable med
|
$148.42 |
$148.42 |
$148.42 |
$64.68
|
|
Lifts elevation metal extens
|
$2,202.83 |
$2,202.83 |
$2,202.83 |
$959.80
|
|
Ligation/biopsy of temporal artery 37609
|
$23,514.11 |
$23,514.11 |
$23,514.11 |
$3,322.80
|
|
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
|
$31,238.39 |
$31,238.39 |
$31,238.39 |
$4,676.50
|
|
Limited ankle motion ea jnt
|
$161.29 |
$161.29 |
$161.29 |
$109.20
|
|
Limited autopsy
|
$135.60 |
$135.60 |
$135.60 |
$352.80
|
|
Limited motion knee joint
|
$450.87 |
$450.87 |
$450.87 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$121.34 |
$121.34 |
$121.34 |
$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
|
|
Lithotripsy transluminal coronary percutaneous
|
$8,790.00 |
$8,790.00 |
$8,790.00 |
$4,113.20
|
|
Liver elastography 91200
|
$111.00 |
$111.00 |
$111.00 |
$280.00
|
|
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
|
$53,996.25 |
$53,996.25 |
$53,996.25 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$329.21 |
$329.21 |
$329.21 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$24.00 |
$24.00 |
$24.00 |
$37.37
|
|
Lo rig pos pnl l1-l5 pre ots
|
$671.47 |
$671.47 |
$671.47 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$275.94 |
$275.94 |
$275.94 |
$167.74
|
|
Low back disk surgery
|
$23,490.16 |
$23,490.16 |
$23,490.16 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$3,309.60 |
$3,309.60 |
$3,309.60 |
$1,909.80
|
|
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 (with contrast)
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$2,441.25
|
|
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
|
|
Lso corset front
|
$409.69 |
$409.69 |
$409.69 |
$207.32
|
|
Lso flex no ri stays pre ots
|
$442.67 |
$442.67 |
$442.67 |
$164.80
|
|
Lso full corset
|
$581.98 |
$581.98 |
$581.98 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$660.50 |
$660.50 |
$660.50 |
$326.82
|
|
Lso sag-coronal panel custom
|
$6,531.62 |
$6,531.62 |
$6,531.62 |
$2,518.78
|
|
Lso sag-co shell pnl pre ots
|
$5,042.60 |
$5,042.60 |
$5,042.60 |
$3,065.30
|
|
Lso sag ctr rigi pos pre ots
|
$630.46 |
$630.46 |
$630.46 |
$388.83
|
|
Lso sagit rigid panel prefab
|
$3,889.36 |
$3,889.36 |
$3,889.36 |
$1,990.83
|
|
Lso sagittal rigid panel cus
|
$5,277.23 |
$5,277.23 |
$5,277.23 |
$2,849.78
|
|
Lso sc r pos/lat pnl pre cst
|
$1,015.31 |
$1,015.31 |
$1,015.31 |
$577.00
|
|
Lso sc r pos/lat pnl pre ots
|
$1,116.16 |
$1,116.16 |
$1,116.16 |
$678.49
|
|
Lso s/c shell/panel custom
|
$3,704.93 |
$3,704.93 |
$3,704.93 |
$2,252.16
|
|
Lumbar bolster pad
|
$304.78 |
$304.78 |
$304.78 |
$169.29
|
|
Lumbar derotation pad
|
$353.99 |
$353.99 |
$353.99 |
$168.53
|
|
Lumbar diskogram s&i
|
$2,508.00 |
$2,508.00 |
$2,508.00 |
$2,358.23
|
|
Lumbar or lumbar rib pad
|
$345.10 |
$345.10 |
$345.10 |
$191.69
|
|
Lumbar sling
|
$391.68 |
$391.68 |
$391.68 |
$217.56
|
