|
Laparo-vag hyst incl t/o
|
$1,036.50 |
$1,036.50 |
$1,036.50 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$1,357.50 |
$1,357.50 |
$1,357.50 |
$8,917.26
|
|
Lap close enterostomy with resect 44227
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$3,582.00
|
|
Lap colectomy/coloproctostomy 44207
|
$1,933.50 |
$1,933.50 |
$1,933.50 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$2,102.50 |
$2,102.50 |
$2,102.50 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$2,938.32
|
|
Lap colostomy 44188
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$3,008.00
|
|
Lap enterectomy 44202
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$2,142.00
|
|
Lap enterolysis
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$6,376.26
|
|
Lap ing hernia repair init
|
$488.00 |
$488.00 |
$488.00 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$634.50 |
$634.50 |
$634.50 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$429.50 |
$429.50 |
$429.50 |
$6,895.20
|
|
Lap mobil splenic fl add-on 44213
|
$196.50 |
$196.50 |
$196.50 |
$622.40
|
|
Lap paraesophag hern repair
|
$1,693.00 |
$1,693.00 |
$1,693.00 |
$12,260.88
|
|
Lap part colectomy w/stoma 44206
|
$1,878.50 |
$1,878.50 |
$1,878.50 |
$4,307.20
|
|
Lap rmvl gastr adj all parts
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$1,207.50 |
$1,207.50 |
$1,207.50 |
$2,733.60
|
|
Laps pelvic lymphadec
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$7,285.60
|
|
Lap w/omentopexy add-on 49326
|
$205.00 |
$205.00 |
$205.00 |
$463.20
|
|
Largsc w/rmvl foreign bdy(s)
|
$136.50 |
$136.50 |
$136.50 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$158.00 |
$158.00 |
$158.00 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$199.50 |
$199.50 |
$199.50 |
$2,854.09
|
|
Laser surgery eye strands
|
$333.50 |
$333.50 |
$333.50 |
$1,513.20
|
|
Laser surgery of prostate
|
$602.00 |
$602.00 |
$602.00 |
$6,822.11
|
|
Laser surg penis lesion(s)
|
$100.50 |
$100.50 |
$100.50 |
$3,562.00
|
|
Lat retinacular release open
|
$491.00 |
$491.00 |
$491.00 |
$3,839.54
|
|
Lavh >250 gms 58553
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$8,917.26
|
|
Lb with mastopexy 15839
|
$772.00 |
$772.00 |
$772.00 |
$3,386.84
|
|
Lead capillary
|
$15.00 |
$15.00 |
$15.00 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$229.00 |
$229.00 |
$229.00 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$75.00 |
$75.00 |
$75.00 |
$1,044.75
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$256.50 |
$256.50 |
$256.50 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,607.50 |
$2,607.50 |
$2,607.50 |
$9,107.80
|
|
Levalbuterol non-comp unit
|
$2.00 |
$2.00 |
$2.00 |
$6.00
|
|
Levetiracetam therapeutic drug level
|
$31.00 |
$31.00 |
$31.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$3.50 |
$3.50 |
$3.50 |
$55.60
|
|
Ligate leg veins open
|
$577.50 |
$577.50 |
$577.50 |
$3,724.63
|
|
Ligate leg veins radical 37760
|
$637.00 |
$637.00 |
$637.00 |
$3,439.84
|
|
Ligate oviduct(s) add-on 58611
|
$77.00 |
$77.00 |
$77.00 |
$800.00
|
|
Ligate/strip long leg vein
|
$506.00 |
$506.00 |
$506.00 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$433.50 |
$433.50 |
$433.50 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$381.50 |
$381.50 |
$381.50 |
$3,522.35
|
|
Ligation/biopsy of temporal artery 37609
|
$216.00 |
$216.00 |
$216.00 |
$3,322.80
|
|
Ligation common iliac vein
|
$1,448.50 |
$1,448.50 |
$1,448.50 |
$3,349.39
|
|
Ligation/divis of long saph vein 37700
|
$265.00 |
$265.00 |
$265.00 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$765.50 |
$765.50 |
$765.50 |
$3,483.84
|
|
Ligation internal/common carotid artery 37605
|
$818.50 |
$818.50 |
$818.50 |
$3,724.63
|
|
Ligation internal jugular vein 37565
|
$760.00 |
$760.00 |
$760.00 |
$3,564.80
|
|
Ligation major artery chest
|
$1,256.00 |
$1,256.00 |
$1,256.00 |
$2,114.20
|
|
Ligation/major artery/extremity 37618
|
$427.50 |
$427.50 |
$427.50 |
$1,525.00
|
|
Ligation major artery neck
|
$529.00 |
$529.00 |
$529.00 |
$3,608.40
|
|
Ligation of abdomen artery 37617
|
$1,433.00 |
$1,433.00 |
$1,433.00 |
$2,200.20
|
|
Ligation of femoral vein
|
$508.00 |
$508.00 |
$508.00 |
$3,724.63
|
|
Ligation of inf vena cava
|
$1,889.00 |
$1,889.00 |
$1,889.00 |
$5,983.35
|
|
Ligation vericose vein cluster(s) 1 leg
|
$273.00 |
$273.00 |
$273.00 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$406.50 |
$406.50 |
$406.50 |
$4,676.50
|
|
Lig&div&compl strpg saph vn
|
$643.50 |
$643.50 |
$643.50 |
$3,724.63
|
|
Liletta, 52 mg
|
$1,398.00 |
$1,398.00 |
$1,398.00 |
$1,514.24
|
|
Limited visual field xm
|
$35.50 |
$35.50 |
$35.50 |
$79.20
|
|
Lincomycin injection
|
$23.00 |
$23.00 |
$23.00 |
$64.31
|
|
Lipase
|
$45.00 |
$45.00 |
$45.00 |
$91.65
|
|
Lipoprotein blood quant
|
$64.50 |
$64.50 |
$64.50 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$30.50 |
$30.50 |
$30.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$22.00 |
$22.00 |
$22.00 |
$61.60
|
|
Lip surgery procedure
|
$213.50 |
$213.50 |
$213.50 |
$335.50
|
|
Lithium therapeutic drug level
|
$46.00 |
$46.00 |
$46.00 |
$69.42
|
|
Liver abs/cyst dr opn 1-2 stge
|
$1,336.00 |
$1,336.00 |
$1,336.00 |
$1,714.14
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$365.28
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Lmtd oph exam general anes
|
$66.00 |
$66.00 |
$66.00 |
$2,590.36
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$494.00 |
$494.00 |
$494.00 |
$3,839.54
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$3.00 |
$3.00 |
$3.00 |
$37.37
|
|
Low back disk surgery
|
$4,937.50 |
$4,937.50 |
$4,937.50 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,010.00 |
$1,010.00 |
$1,010.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$718.50 |
$718.50 |
$718.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,132.50 |
$1,132.50 |
$1,132.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,445.50 |
$1,445.50 |
$1,445.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$868.50 |
$868.50 |
$868.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$141.00 |
$141.00 |
$141.00 |
$356.16
|
|
Lsh w/t/o ut 250 g or less
|
$849.50 |
$849.50 |
$849.50 |
$7,961.97
|
|
Lumbar diskogram s&i
|
$127.00 |
$127.00 |
$127.00 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$260.00 |
$260.00 |
$260.00 |
$295.35
|
|
Lutetium lu 177 dotatat ther
|
$278.00 |
$278.00 |
$278.00 |
$333.50
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$271.88
|
|
Lysis penil circumic lesion
|
$208.50 |
$208.50 |
$208.50 |
$3,274.00
|
|
Magnesium
|
$44.50 |
$44.50 |
$44.50 |
$72.50
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$127.50 |
$127.50 |
$127.50 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$127.50 |
$127.50 |
$127.50 |
$160.80
|
|
Manipulat palm cord post inj
|
$81.00 |
$81.00 |
$81.00 |
$521.60
|
|
Mapping io sentinel lymph node
|
$147.00 |
$147.00 |
$147.00 |
$650.00
|
|
Marker biop eviva buckle ss
|
$268.50 |
$268.50 |
$268.50 |
$1,451.30
|
|
Mastectomy partial
|
$733.50 |
$733.50 |
$733.50 |
$4,531.42
|
|
Mast mod rad
|
$1,306.00 |
$1,306.00 |
$1,306.00 |
$7,127.17
|
|
Mastoids complete
|
$209.50 |
$209.50 |
$209.50 |
$299.50
|
|
Mast radical
|
$1,270.50 |
$1,270.50 |
$1,270.50 |
$1,780.80
|
|
Mast simple complete
|
$1,065.00 |
$1,065.00 |
$1,065.00 |
$6,174.00
|
|
Matrion 1 sq cm
|
$595.00 |
$595.00 |
$595.00 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$121.50 |
$121.50 |
$121.50 |
$65.00
|
|
Mayo aathr protein s free
|
$83.50 |
$83.50 |
$83.50 |
$130.00
|
