|
Lactoferrin fecal qualitative
|
$101.50 |
$101.50 |
$101.50 |
$81.00
|
|
Lactoferrin fecal quant
|
$84.00 |
$84.00 |
$84.00 |
$108.93
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,124.00 |
$19,124.00 |
$19,124.00 |
$19,124.00
|
|
Laparo-asst vag hysterectomy
|
$11,658.00 |
$11,658.00 |
$11,658.00 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$6,216.50 |
$6,216.50 |
$6,216.50 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$6,345.00 |
$6,345.00 |
$6,345.00 |
$8,346.00
|
|
Laparo proc abdm/per/oment 49329
|
$6,399.00 |
$6,399.00 |
$6,399.00 |
$6,622.75
|
|
Laparoscopy biopsy
|
$7,150.00 |
$7,150.00 |
$7,150.00 |
$6,376.26
|
|
Laparoscopy excise lesions
|
$6,779.00 |
$6,779.00 |
$6,779.00 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$13,263.00 |
$13,263.00 |
$13,263.00 |
$11,424.40
|
|
Laparoscopy lysis
|
$8,035.50 |
$8,035.50 |
$8,035.50 |
$5,419.00
|
|
Laparoscopy remove adnexa
|
$7,713.50 |
$7,713.50 |
$7,713.50 |
$8,607.55
|
|
Laparo-vag hyst incl t/o
|
$10,289.50 |
$10,289.50 |
$10,289.50 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$11,579.00 |
$11,579.00 |
$11,579.00 |
$8,917.26
|
|
Lap ing hernia repair init
|
$8,888.00 |
$8,888.00 |
$8,888.00 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$12,388.00 |
$12,388.00 |
$12,388.00 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$5,459.50 |
$5,459.50 |
$5,459.50 |
$6,895.20
|
|
Lap jejunostomy 44186
|
$5,540.00 |
$5,540.00 |
$5,540.00 |
$6,376.26
|
|
Lap paraesophag hern repair
|
$9,588.00 |
$9,588.00 |
$9,588.00 |
$12,260.88
|
|
Lap revision perm ip cath
|
$4,423.00 |
$4,423.00 |
$4,423.00 |
$6,904.15
|
|
Laps abltj uterine fibroids
|
$4,424.34 |
$4,424.34 |
$4,424.34 |
$12,320.22
|
|
Laps surg prst8ect rpbic rad
|
$22,756.34 |
$22,756.34 |
$22,756.34 |
$12,320.22
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$10,599.34 |
$10,599.34 |
$10,599.34 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$3,283.00 |
$3,283.00 |
$3,283.00 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$4,423.00 |
$4,423.00 |
$4,423.00 |
$4,362.99
|
|
Laryngoscopy w/exc of tumor
|
$4,815.50 |
$4,815.50 |
$4,815.50 |
$5,126.62
|
|
Laryngoscopy with biopsy
|
$1,940.00 |
$1,940.00 |
$1,940.00 |
$3,297.83
|
|
Larynscop w/tumr exc + scope
|
$4,060.50 |
$4,060.50 |
$4,060.50 |
$5,104.80
|
|
Laser surgery of prostate
|
$9,434.00 |
$9,434.00 |
$9,434.00 |
$6,822.11
|
|
Lead acuity x4 spiral l 86cm
|
$231.02 |
$231.02 |
$231.02 |
$5,534.00
|
|
Lead capillary
|
$62.50 |
$62.50 |
$62.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,085.00 |
$1,085.00 |
$1,085.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$3,684.18 |
$3,684.18 |
$3,684.18 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$600.00 |
$600.00 |
$600.00 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$77.00 |
$77.00 |
$77.00 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$196.75 |
$196.75 |
$196.75 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,693.58 |
$1,693.58 |
$1,693.58 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,911.00 |
$3,911.00 |
$3,911.00 |
$9,107.80
|
|
Lev 1 hosp type b ed visit
|
$247.00 |
$247.00 |
$247.00 |
$186.98
|
|
Lev 2 hosp type b ed visit
|
$446.00 |
$446.00 |
$446.00 |
$359.65
|
|
Lev 3 hosp type b ed visit
|
$671.50 |
$671.50 |
$671.50 |
$598.15
|
|
Lev 4 hosp type b ed visit
|
$1,091.00 |
$1,091.00 |
$1,091.00 |
$915.40
|
|
Lev 5 hosp type b ed visit
|
$1,621.00 |
$1,621.00 |
$1,621.00 |
$1,542.68
|
|
Levalbuterol non-comp unit
|
$2.50 |
$2.50 |
$2.50 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$58.50 |
$58.50 |
$58.50 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$33.50 |
$33.50 |
$33.50 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.77 |
$7.77 |
$7.77 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$56.20 |
$56.20 |
$56.20 |
$420.60
|
|
Liberta rc ipg
|
$15,085.00 |
$15,085.00 |
$15,085.00 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$19.83 |
$19.83 |
$19.83 |
$46.02
|
|
Lidocaine therapeutic drug level
|
$76.00 |
$76.00 |
$76.00 |
$87.45
|
|
Ligation/major artery/extremity 37618
|
$4,651.00 |
$4,651.00 |
$4,651.00 |
$1,525.00
|
|
Lig/band angioaccess av fistula
|
$3,993.33 |
$3,993.33 |
$3,993.33 |
$4,676.50
|
|
Liletta, 52 mg
|
$2,096.50 |
$2,096.50 |
$2,096.50 |
$1,514.24
|
|
Lincomycin injection
|
$34.50 |
$34.50 |
$34.50 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$144.45 |
$144.45 |
$144.45 |
$121.00
|
|
Lipase
|
$37.50 |
$37.50 |
$37.50 |
$91.65
|
|
Lipoprotein blood high res frac & quant
|
$128.00 |
$128.00 |
$128.00 |
$86.42
|
|
Lipoprotein blood quant
|
$53.80 |
$53.80 |
$53.80 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$42.00 |
$42.00 |
$42.00 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$41.50 |
$41.50 |
$41.50 |
$61.60
|
|
Lithium therapeutic drug level
|
$34.50 |
$34.50 |
$34.50 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$3,870.00 |
$3,870.00 |
$3,870.00 |
$4,113.20
|
|
Liver elastography 91200
|
$148.00 |
$148.00 |
$148.00 |
$280.00
|
|
Liver Function Test
|
$42.00 |
$42.00 |
$42.00 |
$115.44
|
|
Lngth/shrt tendon leg/ankle 1 tendon
|
$4,187.51 |
$4,187.51 |
$4,187.51 |
$3,839.54
|
|
Locm 100-199mg/ml iodine,1ml
|
$39.50 |
$39.50 |
$39.50 |
$48.19
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$10.50 |
$10.50 |
$10.50 |
$37.37
|
|
Low back disk surgery
|
$5,373.50 |
$5,373.50 |
$5,373.50 |
$8,412.89
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,395.50 |
$1,395.50 |
$1,395.50 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$246.50 |
$246.50 |
$246.50 |
$1,804.80
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$706.50 |
$706.50 |
$706.50 |
$1,470.00
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$2,992.50 |
$2,992.50 |
$2,992.50 |
$3,070.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,783.50 |
$2,783.50 |
$2,783.50 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,724.50 |
$1,724.50 |
$1,724.50 |
$2,065.69
|
|
Lower Back (Lumbar Spine) X-ray
|
$322.50 |
$322.50 |
$322.50 |
$356.16
|
|
Lumbar diskogram s&i
|
$2,197.00 |
$2,197.00 |
$2,197.00 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$313.50 |
$313.50 |
$313.50 |
$295.35
|
|
Lung perfusion imaging
|
$1,063.50 |
$1,063.50 |
$1,063.50 |
$1,059.97
|
|
Luspatercept-aamt 25 mg subcutaneous solution
|
$22,139.08 |
$22,139.08 |
$22,139.08 |
$22,210.87
|
|
Lutetium lu 177 dotatat ther
|
$333.50 |
$333.50 |
$333.50 |
$333.50
|
|
Lutetium lu 177 vipivotide
|
$288.00 |
$288.00 |
$288.00 |
$345.87
|
|
Lymphatics/lymph node imaging
|
$1,516.50 |
$1,516.50 |
$1,516.50 |
$1,463.22
|
|
Lymphocyte transformation mitogen
|
$350.00 |
$350.00 |
$350.00 |
$271.88
|
|
Magnesium
|
$36.00 |
$36.00 |
$36.00 |
$72.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$69.00 |
$69.00 |
$69.00 |
$59.88
|
|
Makena, 10 mg
|
$73.50 |
$73.50 |
$73.50 |
$1,405.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$340.00 |
$340.00 |
$340.00 |
$131.16
|
|
Manipulation chest wall initial demonstration/evaluation
|
$85.00 |
$85.00 |
$85.00 |
$160.80
|
|
Mapping io sentinel lymph node
|
$2,057.88 |
$2,057.88 |
$2,057.88 |
$650.00
|
|
Marker biop eviva buckle ss
|
$516.50 |
$516.50 |
$516.50 |
$1,451.30
|
|
Mastectomy partial
|
$8,644.00 |
$8,644.00 |
$8,644.00 |
$4,531.42
|
|
Mast mod rad
|
$6,636.50 |
$6,636.50 |
$6,636.50 |
$7,127.17
|
|
Mastoids complete
|
$319.50 |
$319.50 |
$319.50 |
$299.50
|
|
Mast simple complete
|
$9,211.00 |
$9,211.00 |
$9,211.00 |
$6,174.00
|
|
Matrion 1 sq cm
|
$566.50 |
$566.50 |
$566.50 |
$361.00
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$6,321.66
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$57.50 |
$57.50 |
$57.50 |
$65.00
|
|
Mayo aathr protein s free
|
$79.00 |
$79.00 |
$79.00 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$54.00 |
$54.00 |
$54.00 |
$97.50
|
