|
Lefort i-3/> piece with graft
|
$9,063.20 |
$9,063.20 |
$9,063.20 |
$6,048.05
|
|
Lefort ii anterior intrusion
|
$9,724.80 |
$9,724.80 |
$9,724.80 |
$6,966.64
|
|
Left compres band >=3" <5"/yd
|
$12.00 |
$12.00 |
$12.00 |
$5.20
|
|
Left compres band <3"/yd
|
$12.00 |
$12.00 |
$12.00 |
$3.64
|
|
Left compres band >=5"/yd
|
$16.00 |
$16.00 |
$16.00 |
$6.73
|
|
Leg Artery Ultrasound (complete, both legs)
|
$1,491.60 |
$1,491.60 |
$2,435.26 |
$990.00
|
|
Leg CT Scan (with contrast, both legs)
|
$1,619.20 |
$1,619.20 |
$5,043.37 |
$1,612.00
|
|
Leg CT Scan (without contrast, both legs)
|
$1,472.90 |
$1,472.90 |
$3,077.92 |
$1,372.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,532.85 |
$1,532.85 |
$2,571.04 |
$1,092.58
|
|
Lengthening of palate
|
$4,189.60 |
$4,189.60 |
$4,189.60 |
$6,553.49
|
|
Lengthening of palate+pharyngeal flap 42226
|
$7,574.40 |
$7,574.40 |
$7,574.40 |
$6,465.11
|
|
Lengthening of thigh bone
|
$8,692.00 |
$8,692.00 |
$8,692.00 |
$7,413.38
|
|
Lengthen metacarpal/finger
|
$4,465.60 |
$4,465.60 |
$4,465.60 |
$6,653.00
|
|
Lengthen radius or ulna
|
$9,121.60 |
$9,121.60 |
$9,121.60 |
$14,241.77
|
|
Lengthen radius & ulna
|
$10,259.20 |
$10,259.20 |
$10,259.20 |
$7,968.80
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,681.91 |
$2,681.91 |
$2,681.91 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$284.56 |
$284.56 |
$284.56 |
$162.76
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$3,387.04 |
$3,387.04 |
$3,387.04 |
$6,360.76
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,887.32 |
$2,887.32 |
$2,887.32 |
$8,348.12
|
|
Levalbuterol non-comp unit
|
$7.20 |
$7.20 |
$7.20 |
$6.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$5.20 |
$5.20 |
$5.20 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$50.60 |
$50.60 |
$220.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$39.88 |
$39.88 |
$39.88 |
$55.60
|
|
Levothyroxine 100 mcg intravenous powder for solution
|
$25.93 |
$25.93 |
$25.93 |
$420.60
|
|
Liberta rc ipg
|
$21,657.49 |
$21,657.49 |
$40,470.00 |
$39,189.70
|
|
Lidocaine injection
|
$1.84 |
$1.84 |
$1.84 |
$44.76
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$16.68 |
$16.68 |
$16.68 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$39.75
|
|
Lidocaine therapeutic drug level
|
$39.60 |
$39.60 |
$181.08 |
$88.40
|
|
Ligate/strip long leg vein
|
$7,506.72 |
$7,506.72 |
$7,506.72 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$4,258.65 |
$4,258.65 |
$4,258.65 |
$3,561.20
|
|
Ligation/biopsy of temporal artery 37609
|
$3,609.14 |
$3,609.14 |
$3,609.14 |
$3,322.80
|
|
Ligation/divis of long saph vein 37700
|
$2,939.20 |
$2,939.20 |
$2,939.20 |
$4,255.00
|
|
Ligation internal jugular vein 37565
|
$3,571.20 |
$3,571.20 |
$3,571.20 |
$3,564.80
|
|
Ligation/major artery/extremity 37618
|
$1,895.20 |
$1,895.20 |
$1,895.20 |
$1,581.82
|
|
Ligation nasal sinus artery
|
$2,764.80 |
$2,764.80 |
$2,764.80 |
$4,341.66
|
|
Ligation of inf vena cava
|
$9,688.20 |
$9,688.20 |
$9,688.20 |
$5,983.35
|
|
Ligation of salivary duct
|
$2,301.60 |
$2,301.60 |
$2,301.60 |
$4,558.89
|
|
Ligation upper jaw artery
|
$3,268.00 |
$3,268.00 |
$3,268.00 |
$3,724.63
|
|
Ligation vericose vein cluster(s) 1 leg
|
$5,734.86 |
$5,734.86 |
$5,734.86 |
$3,724.63
|
|
Lig/band angioaccess av fistula
|
$8,512.65 |
$8,512.65 |
$8,512.65 |
$4,676.50
|
|
Liletta, 52 mg
|
$1,223.20 |
$1,223.20 |
$1,223.20 |
$1,514.24
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$36.62 |
$36.62 |
$36.62 |
$119.81
|
|
Lipase
|
$70.40 |
$70.40 |
$91.80 |
$92.88
|
|
Lip exc/transverse wedge/w closure 40510
|
$1,032.80 |
$1,032.80 |
$1,032.80 |
$3,837.72
|
|
Lipoprotein blood high res frac & quant
|
$140.80 |
$140.80 |
$170.50 |
$87.00
|
|
Lipoprotein blood quant
|
$81.40 |
$81.40 |
$390.17 |
$97.53
|
|
Lipoprotein direct measurement hdl
|
$78.10 |
$78.10 |
$109.26 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$23.10 |
$23.10 |
$119.36 |
$61.60
|
|
Lith ion batt cid,non-earlvl
|
$8,416.99 |
$8,416.99 |
$8,416.99 |
$72.80
|
|
Lithium therapeutic drug level
|
$87.76 |
$87.76 |
$149.05 |
$69.42
|
|
Lithotripsy transluminal coronary percutaneous
|
$2,260.44 |
$2,260.44 |
$6,539.50 |
$4,371.12
|
|
Liver ds alys 3 bmrk srm alg
|
$719.20 |
$719.20 |
$719.20 |
$365.28
|
|
Liver Function Test
|
$142.04 |
$142.04 |
$150.70 |
$115.44
|
|
Liver imaging
|
$1,013.65 |
$1,013.65 |
$1,446.03 |
$1,109.00
|
|
Liver/spleen imag static only
|
$1,108.80 |
$1,108.80 |
$1,446.03 |
$1,135.20
|
|
Locm 100-199mg/ml iodine,1ml
|
$10.04 |
$10.04 |
$10.04 |
$49.70
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$73.82 |
$73.82 |
$73.82 |
$37.20
|
|
Loudness balance test
|
$166.40 |
$166.40 |
$166.40 |
$344.68
|
|
Low back disk surgery
|
$14,924.00 |
$14,924.00 |
$14,924.00 |
$8,412.89
|
|
Low cost skin substitute app
|
$103.20 |
$103.20 |
$103.20 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$2,717.55 |
$2,717.55 |
$4,905.25 |
$1,909.80
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,491.50 |
$2,491.50 |
$4,905.25 |
$1,824.55
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$2,265.45 |
$2,265.45 |
$3,187.15 |
$1,450.80
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$3,009.05 |
$3,009.05 |
$3,141.13 |
$3,102.55
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$2,757.70 |
$2,757.70 |
$3,141.13 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$2,118.84 |
$2,118.84 |
$2,506.90 |
$2,069.40
|
|
Lower Back (Lumbar Spine) X-ray
|
$454.85 |
$454.85 |
$601.04 |
$359.20
|
|
Lower Back (Lumbar Spine) X-ray (4 or more views)
|
$523.60 |
$523.60 |
$925.86 |
$505.83
|
|
Lower Back (Lumbar Spine) X-ray (with bending views)
|
$859.38 |
$859.38 |
$859.38 |
$535.91
|
|
Lower jaw bone graft
|
$5,525.60 |
$5,525.60 |
$5,525.60 |
$7,000.36
|
|
Lower Leg (Shin) X-ray (both sides)
|
$371.25 |
$371.25 |
$601.04 |
$338.40
|
|
Lso r post pnl sj-t9 pre cst
|
$728.00 |
$728.00 |
$734.30 |
$326.82
|
|
Lso s/c shell/panel prefab
|
$4,269.85 |
$4,269.85 |
$4,269.85 |
$1,332.80
|
|
Lumbar diskogram s&i
|
$1,260.05 |
$1,260.05 |
$5,545.69 |
$2,358.23
|
|
Lumbar Spinal Fusion (single level)
|
$7,552.00 |
$7,552.00 |
$7,552.00 |
$14,331.20
|
|
Lumizyme injection
|
$309.06 |
$309.06 |
$309.06 |
$1,738.40
|
|
Lung Function Test Before and After an Inhaler
|
$312.40 |
$312.40 |
$708.50 |
$549.83
|
|
Lung function test (mbc/mvv)
|
$383.71 |
$383.71 |
$383.71 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$162.80 |
$162.80 |
$302.93 |
$296.91
|
|
Lung perfusion imaging
|
$1,065.35 |
$1,065.35 |
$1,959.71 |
$1,067.57
|
|
Lung volume reduction 32491
|
$13,188.80 |
$13,188.80 |
$13,188.80 |
$2,141.40
|
|
Lutetium lu 177 dotatat ther
|
$365.20 |
$365.20 |
$365.20 |
$347.50
|
|
Lutetium lu 177 vipivotide
|
$581.08 |
$581.08 |
$581.08 |
$357.85
|
|
Lw ntsty Ultrasound stimj bone healg
|
$401.60 |
$401.60 |
$401.60 |
$114.40
|
|
Lymphatics/lymph node imaging
|
$1,414.60 |
$1,414.60 |
$2,559.07 |
$1,487.90
|
|
Lymphocyte transformation mitogen
|
$220.80 |
$220.80 |
$220.80 |
$271.88
|
|
Lysis intranasal synechia 30560
|
$555.20 |
$555.20 |
$555.20 |
$820.50
|
|
Lysis penil circumic lesion
|
$2,552.00 |
$2,552.00 |
$2,552.00 |
$3,503.00
|
|
Macro exam dissect molec study ea
|
$116.80 |
$116.80 |
$116.80 |
$67.08
|
|
Macroscopic exam arthropod
|
$56.92 |
$56.92 |
$84.70 |
$38.58
|
|
Macroscopic exam parasite
|
$34.40 |
$34.40 |
$89.10 |
$37.05
|
|
Magnesium
|
$71.50 |
$71.50 |
$89.97 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$41.56 |
$41.56 |
$41.56 |
$58.70
|
|
Makena, 10 mg
|
$54.40 |
$54.40 |
$54.40 |
$1,405.80
|
|
Male sling procedure
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$8,465.18
|
|
Manipulate wrist w/anesthes
|
$3,764.80 |
$3,764.80 |
$3,764.80 |
$2,341.00
|
|
Manipulation of hip joint
|
$1,307.20 |
$1,307.20 |
$1,307.20 |
$2,211.05
|
|
Manipulat palm cord post inj
|
$1,033.60 |
$1,033.60 |
$1,033.60 |
$521.60
|
|
Mannitol 12.5 gm/50 ml inj
|
$21.75 |
$21.75 |
$21.75 |
$26.29
|
