|
Legg perthes orth newington
|
$1,164.00 |
$1,164.00 |
$1,164.00 |
$2,517.20
|
|
Legg perthes orthosis trilat
|
$812.00 |
$812.00 |
$812.00 |
$2,657.76
|
|
Legg perthes orth scottish r
|
$692.80 |
$692.80 |
$692.80 |
$2,243.76
|
|
Legg perthes patten bottom t
|
$927.60 |
$927.60 |
$927.60 |
$3,225.94
|
|
Leg perthes orth toronto typ
|
$962.00 |
$962.00 |
$962.00 |
$2,803.10
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$737.20 |
$737.20 |
$805.63 |
$1,092.58
|
|
Leishmania antibody
|
$33.60 |
$33.60 |
$33.60 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$366.00 |
$366.00 |
$366.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$350.31 |
$507.60 |
$507.60 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$279.77 |
$532.40 |
$532.40 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$34.42 |
$48.02 |
$518.91 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$756.76 |
$933.73 |
$14,344.17 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,812.87 |
$4,064.25 |
$8,685.48 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$1,294.46 |
$1,294.46 |
$1,294.46 |
$1,322.50
|
|
Lev 1 hosp type b ed visit
|
$191.12 |
$191.12 |
$191.12 |
$186.98
|
|
Lev 2 hosp type b ed visit
|
$312.73 |
$312.73 |
$312.73 |
$359.65
|
|
Lev 3 hosp type b ed visit
|
$642.84 |
$642.84 |
$642.84 |
$598.15
|
|
Lev 4 hosp type b ed visit
|
$990.32 |
$990.32 |
$990.32 |
$915.40
|
|
Lev 5 hosp type b ed visit
|
$1,733.46 |
$1,733.46 |
$1,733.46 |
$1,542.68
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$1.13 |
$1.23 |
$643.22 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$21.60 |
$21.60 |
$116.33 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$19.40 |
$47.12 |
$191.97 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$14.85 |
$14.85 |
$108.34 |
$420.60
|
|
L hrt cath chd nm/abn nt cnj
|
$7,559.20 |
$7,559.20 |
$7,559.20 |
$6,095.95
|
|
Liberta rc ipg
|
$51,722.12 |
$57,932.80 |
$57,932.80 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$17.88 |
$30.16 |
$118.16 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.66 |
$0.66 |
$36.92 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$37.60 |
$37.60 |
$85.28 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$19.10 |
$29.60 |
$29.60 |
$133.50
|
|
Lift heel adjustable med
|
$23.20 |
$23.20 |
$23.20 |
$64.68
|
|
Lifts elevation metal extens
|
$346.00 |
$346.00 |
$346.00 |
$959.80
|
|
Ligate/transect fallopian tubes 58600
|
$1,474.40 |
$1,474.40 |
$1,474.40 |
$3,522.35
|
|
Ligation/biopsy of temporal artery 37609
|
$2,143.95 |
$2,143.95 |
$2,143.95 |
$3,322.80
|
|
Lig/band angioaccess av fistula
|
$2,386.55 |
$5,440.80 |
$5,440.80 |
$4,676.50
|
|
Liletta, 52 mg
|
$544.00 |
$544.00 |
$1,746.08 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$37.20 |
$37.20 |
$37.20 |
$109.20
|
|
Limited motion knee joint
|
$72.40 |
$72.40 |
$72.40 |
$274.07
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$37.28 |
$77.54 |
$58,590.63 |
$121.00
|
|
Lipase
|
$17.20 |
$17.20 |
$63.15 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$25.60 |
$25.60 |
$60.63 |
$86.42
|
|
Lipoprotein blood quant
|
$45.20 |
$45.20 |
$52.93 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$21.20 |
$21.20 |
$40.54 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$24.00 |
$24.00 |
$81.57 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$29.60 |
$29.60 |
$29.60 |
$47.18
|
|
Listeria monocytogenes
|
$99.49 |
$99.49 |
$99.49 |
$106.15
|
|
Lithium therapeutic drug level
|
$16.40 |
$16.40 |
$40.35 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,123.62 |
$3,222.80 |
$3,222.80 |
$4,113.20
|
|
Liver ds alys 3 bmrk srm alg
|
$867.60 |
$867.60 |
$867.60 |
$365.28
|
|
Liver Function Test
|
$17.60 |
$17.60 |
$38.04 |
$115.44
|
|
Liver imaging
|
$847.74 |
$1,229.20 |
$1,229.20 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$817.65 |
$1,404.40 |
$1,404.40 |
$1,227.60
|
|
Liver/spleen imag static only
|
$817.11 |
$1,200.00 |
$1,200.00 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$878.57 |
$878.57 |
$878.57 |
$1,069.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$1.60 |
$1.60 |
$142.77 |
$48.19
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$427.60 |
$427.60 |
$69,337.33 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$50.02 |
$59.00 |
$896.72 |
$37.37
|
|
Lo sag rig pnl stays pre cst
|
$47.60 |
$47.60 |
$47.60 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,429.20 |
$1,429.20 |
$1,661.17 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,316.00 |
$1,316.00 |
$1,522.74 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$884.00 |
$884.00 |
$1,384.30 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,928.40 |
$1,928.40 |
$3,492.18 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,895.60 |
$1,895.60 |
$2,302.95 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,703.20 |
$1,703.20 |
$2,265.20 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$295.36 |
$359.20 |
$359.20 |
$356.16
|
|
Low frequency non-thermal Ultrasound
|
$142.01 |
$142.01 |
$142.01 |
$364.00
|
|
Lso flex no ri stays pre ots
|
$14.40 |
$14.40 |
$14.40 |
$164.80
|
|
Lso r post pnl sj-t9 pre cst
|
$99.20 |
$99.20 |
$99.20 |
$326.82
|
|
Lso sc r pos/lat pnl pre cst
|
$175.20 |
$175.20 |
$175.20 |
$577.00
|
|
Lso s/c shell/panel custom
|
$640.00 |
$640.00 |
$640.00 |
$2,252.16
|
|
L/s ratio fetal lung
|
$47.60 |
$47.60 |
$47.60 |
$178.36
|
|
Lumbar derotation pad
|
$48.80 |
$48.80 |
$48.80 |
$168.53
|
|
Lumbar diskogram s&i
|
$2,201.85 |
$2,689.20 |
$2,689.20 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$73.20 |
$73.20 |
$73.20 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$192.60 |
$240.40 |
$240.40 |
$295.35
|
|
Lung perfusion imaging
|
$762.79 |
$802.00 |
$802.00 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$453.29 |
$453.29 |
$453.29 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$58.66 |
$58.66 |
$47,383.14 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$636.80 |
$636.80 |
$636.80 |
$333.50
|
|
Lvad shower bag heartmate
|
$1,285.20 |
$1,285.20 |
$1,285.20 |
$905.92
|
|
Lwr ext dynamic prosth pylon
|
$173.20 |
$173.20 |
$173.20 |
$313.60
|
|
Lymphatics/lymph node imaging
|
$1,140.40 |
$1,140.40 |
$1,300.32 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$124.40 |
$124.40 |
$137.24 |
$271.88
|
|
Lymph vessel x-ray arms/legs
|
$843.89 |
$843.89 |
$843.89 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$6,492.00 |
$6,492.00 |
$6,492.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$2,068.00 |
$2,068.00 |
$2,068.00 |
$3,380.00
|
|
Lysis of labial adhesions
|
$1,545.52 |
$5,492.00 |
$5,492.00 |
$3,986.00
|
|
Macroscopic exam arthropod
|
$11.20 |
$11.20 |
$46.20 |
$38.58
|
|
Macroscopic exam parasite
|
$11.60 |
$11.60 |
$49.44 |
$36.55
|
|
Magnesium
|
$22.40 |
$22.40 |
$46.12 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$30.86 |
$37.10 |
$93.90 |
$59.88
|
|
Magnetic image bone marrow
|
$1,441.89 |
$1,871.60 |
$1,871.60 |
$1,302.80
|
|
Mammosite ced
|
$815.78 |
$815.78 |
$815.78 |
$5,031.60
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$60.91 |
$139.60 |
$139.60 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$110.84 |
$174.40 |
$174.40 |
$160.80
|
|
Mannitol 12.5 gm/50 ml inj
|
$204.77 |
$204.77 |
$204.77 |
$30.75
|
|
Manual diff wbc count b-coat
|
$10.40 |
$10.40 |
$10.40 |
$25.74
|
|
Map tachycard site(s)
|
$2,214.75 |
$5,851.20 |
$5,851.20 |
$4,082.82
|
|
Margetuximab-cmkb 25 mg/ml intravenous solution
|
$171.12 |
$171.12 |
$24,512.06 |
$5,930.92
|
|
Marker biop eviva buckle ss
|
$2,292.24 |
$3,326.80 |
$3,326.80 |
$1,451.30
|
|
Mastoids complete
|
$275.60 |
$275.60 |
$282.46 |
$299.50
|