|
Lifileucel til/dose 7.5b-72b snij
|
$103,500.00 |
$103,500.00 |
$103,500.00 |
$30,744.64
|
|
Ligate leg veins open
|
$9,891.25 |
$9,891.25 |
$9,891.25 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$4,945.63 |
$4,945.63 |
$4,945.63 |
$3,724.63
|
|
Ligation/biopsy of temporal artery 37609
|
$5,324.00 |
$5,324.00 |
$5,324.00 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$6,155.67 |
$6,155.67 |
$6,155.67 |
$4,255.00
|
|
Ligation external carotid artery 37600
|
$16,819.37 |
$16,819.37 |
$16,819.37 |
$3,483.84
|
|
Ligation/major artery/extremity 37618
|
$17,800.50 |
$17,800.50 |
$17,800.50 |
$1,525.00
|
|
Ligation of inf vena cava
|
$6,019.00 |
$6,019.00 |
$6,019.00 |
$5,983.35
|
|
Ligation vericose vein cluster(s) 1 leg
|
$3,428.00 |
$3,428.00 |
$3,428.00 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$6,226.00 |
$6,226.00 |
$6,226.00 |
$4,676.50
|
|
Liletta, 52 mg
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$1,514.24
|
|
Limited ankle motion ea jnt
|
$110.50 |
$110.50 |
$110.50 |
$109.20
|
|
Limited visual field xm
|
$200.00 |
$200.00 |
$200.00 |
$79.20
|
|
Lincomycin injection
|
$34.50 |
$34.50 |
$34.50 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$40.50 |
$40.50 |
$40.50 |
$121.00
|
|
Lipase
|
$55.50 |
$55.50 |
$55.50 |
$91.65
|
|
Lip exc/transverse wedge/w closure 40510
|
$12,005.50 |
$12,005.50 |
$12,005.50 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$152.00 |
$152.00 |
$152.00 |
$86.42
|
|
Lipoprotein blood quant
|
$50.00 |
$50.00 |
$50.00 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$49.50 |
$49.50 |
$49.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$58.50 |
$58.50 |
$58.50 |
$61.60
|
|
Lipoprtn dir meas sd ldl chl
|
$25.00 |
$25.00 |
$25.00 |
$47.18
|
|
Lip surgery procedure
|
$356.50 |
$356.50 |
$356.50 |
$335.50
|
|
Lisocabtagene mara car pos t
|
$487,477.43 |
$487,477.43 |
$487,477.43 |
$824,828.65
|
|
Lithium therapeutic drug level
|
$47.50 |
$47.50 |
$47.50 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$5,687.50 |
$5,687.50 |
$5,687.50 |
$4,113.20
|
|
Litt icr mlt trj mlt/cplx ls
|
$22,612.00 |
$22,612.00 |
$22,612.00 |
$2,143.60
|
|
Liver ds alys 3 bmrk srm alg
|
$340.00 |
$340.00 |
$340.00 |
$365.28
|
|
Liver elastography 91200
|
$339.00 |
$339.00 |
$339.00 |
$280.00
|
|
Liver Function Test
|
$38.00 |
$38.00 |
$38.00 |
$115.44
|
|
Liver imaging
|
$699.50 |
$699.50 |
$699.50 |
$1,143.00
|
|
Liver imag w/vasclr flow
|
$693.50 |
$693.50 |
$693.50 |
$1,227.60
|
|
Liver/spleen imag static only
|
$705.50 |
$705.50 |
$705.50 |
$1,123.50
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$27,870.50 |
$27,870.50 |
$27,870.50 |
$3,839.54
|
|
Lomustine 10 mg
|
$5,134.99 |
$5,134.99 |
$5,134.99 |
$795.94
|
|
Loncastuximab tesirine-lpyl 10 mg intravenous solution
|
$49,563.03 |
$49,563.03 |
$49,563.03 |
$61,208.69
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$5.25 |
$5.25 |
$5.25 |
$37.37
|
|
Loudness balance test
|
$369.50 |
$369.50 |
$369.50 |
$344.68
|
|
Low back disk surgery
|
$21,897.50 |
$21,897.50 |
$21,897.50 |
$8,412.89
|
|
Low cost skin substitute app
|
$1,591.00 |
$1,591.00 |
$1,591.00 |
$933.60
|
|
Low cost skin substitute app
|
$1,034.50 |
$1,034.50 |
$1,034.50 |
$1,012.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,573.00 |
$1,573.00 |
$1,573.00 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,633.50 |
$1,633.50 |
$1,633.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$1,056.50 |
$1,056.50 |
$1,056.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,096.00 |
$2,096.00 |
$2,096.00 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,598.00 |
$1,598.00 |
$1,598.00 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,552.00 |
$1,552.00 |
$1,552.00 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$247.50 |
$247.50 |
$247.50 |
$356.16
|
|
Lower jaw bone graft
|
$7,411.88 |
$7,411.88 |
$7,411.88 |
$7,000.36
|
|
Lsh uterus 250 g or less
|
$16,777.00 |
$16,777.00 |
$16,777.00 |
$11,378.21
|
|
Lsh w/t/o ut 250 g or less
|
$19,820.76 |
$19,820.76 |
$19,820.76 |
$7,961.97
|
|
Lso flex no ri stays pre ots
|
$250.00 |
$250.00 |
$250.00 |
$164.80
|
|
Lso full corset
|
$328.50 |
$328.50 |
$328.50 |
$322.50
|
|
Lso r post pnl sj-t9 pre cst
|
$356.00 |
$356.00 |
$356.00 |
$326.82
|
|
Lso sc r pos/lat pnl pre cst
|
$596.00 |
$596.00 |
$596.00 |
$577.00
|
|
L/s ratio fetal lung
|
$247.50 |
$247.50 |
$247.50 |
$178.36
|
|
Lumbar diskogram s&i
|
$713.00 |
$713.00 |
$713.00 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$19,327.25 |
$19,327.25 |
$19,327.25 |
$14,331.20
|
|
Lung function test (mbc/mvv)
|
$146.50 |
$146.50 |
$146.50 |
$180.16
|
|
Lung Function Test (Spirometry)
|
$327.50 |
$327.50 |
$327.50 |
$295.35
|
|
Lung perfusion imaging
|
$816.50 |
$816.50 |
$816.50 |
$1,059.97
|
|
Lurbinectedin 4 mg intravenous solution
|
$26,812.50 |
$26,812.50 |
$26,812.50 |
$19,182.33
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$44,910.70 |
$44,910.70 |
$44,910.70 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$72,618.00 |
$72,618.00 |
$72,618.00 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$301.50 |
$301.50 |
$301.50 |
$345.87
|
|
Lymphadenect/stage/pelv/paraaortic 38562
|
$28,126.50 |
$28,126.50 |
$28,126.50 |
$1,748.00
|
|
Lymphatics/lymph node imaging
|
$901.50 |
$901.50 |
$901.50 |
$1,463.22
|
|
Lymphocyte culture mixed
|
$426.50 |
$426.50 |
$426.50 |
$92.00
|
|
Lymphocyte transformation mitogen
|
$842.00 |
$842.00 |
$842.00 |
$271.88
|
|
Lymphocytotoxicity assay
|
$442.50 |
$442.50 |
$442.50 |
$379.20
|
|
Lymph vessel x-ray arm/leg
|
$1,641.00 |
$1,641.00 |
$1,641.00 |
$972.06
|
|
Lymph vessel x-ray arms/legs
|
$2,894.00 |
$2,894.00 |
$2,894.00 |
$2,072.40
|
|
Lymph vessel x-ray trunk
|
$3,428.00 |
$3,428.00 |
$3,428.00 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$6,131.50 |
$6,131.50 |
$6,131.50 |
$3,380.00
|
|
Lysis intranasal synechia 30560
|
$1,990.56 |
$1,990.56 |
$1,990.56 |
$741.60
|
|
Lysis of labial adhesions
|
$18,092.00 |
$18,092.00 |
$18,092.00 |
$3,986.00
|
|
Lysis penil circumic lesion
|
$3,281.00 |
$3,281.00 |
$3,281.00 |
$3,274.00
|
|
Macroscopic exam arthropod
|
$24.50 |
$24.50 |
$24.50 |
$38.58
|
|
Macroscopic exam parasite
|
$24.50 |
$24.50 |
$24.50 |
$36.55
|
|
Magnesium
|
$81.00 |
$81.00 |
$81.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$17.78 |
$17.78 |
$17.78 |
$59.88
|
|
Magnetic image bone marrow
|
$983.50 |
$983.50 |
$983.50 |
$1,302.80
|
|
Makena, 10 mg
|
$73.50 |
$73.50 |
$73.50 |
$1,405.80
|
|
Malaria antibody
|
$75.00 |
$75.00 |
$75.00 |
$94.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$565.00 |
$565.00 |
$565.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$565.00 |
$565.00 |
$565.00 |
$160.80
|
|
Manipulat palm cord post inj
|
$315.50 |
$315.50 |
$315.50 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$49.95 |
$49.95 |
$49.95 |
$30.75
|
|
Mapping functional cort/subcort ea add'l hr
|
$316.00 |
$316.00 |
$316.00 |
$636.50
|
|
Mapping io sentinel lymph node
|
$6,399.25 |
$6,399.25 |
$6,399.25 |
$650.00
|
|
Map tachycard site(s)
|
$5,717.00 |
$5,717.00 |
$5,717.00 |
$4,082.82
|
|
Marker biop eviva buckle ss
|
$501.50 |
$501.50 |
$501.50 |
$1,451.30
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,201.50 |
$1,201.50 |
$1,201.50 |
$1,941.63
|
|
Mastectomy partial
|
$30,680.00 |
$30,680.00 |
$30,680.00 |
$4,531.42
|
|
Mast mod rad
|
$52,067.50 |
$52,067.50 |
$52,067.50 |
$7,127.17
|
|
Mastoidectomy
|
$17,846.76 |
$17,846.76 |
$17,846.76 |
$6,406.40
|
|
Mastoids complete
|
$191.00 |
$191.00 |
$191.00 |
$299.50
|
|
Mastopexy
|
$19,778.50 |
$19,778.50 |
$19,778.50 |
$6,591.20
|
|
Mast simple complete
|
$23,305.01 |
$23,305.01 |
$23,305.01 |
$6,174.00
|
|
Matrion 1 sq cm
|
$583.50 |
$583.50 |
$583.50 |
$361.00
|
