|
Knee arthroscopy/surgery
|
$16,396.80 |
$16,396.80 |
$16,396.80 |
$6,411.60
|
|
Knee cap medial or lateral p
|
$151.20 |
$151.20 |
$151.20 |
$104.54
|
|
Knee control condylar pad
|
$112.00 |
$112.00 |
$112.00 |
$175.04
|
|
Knee control full kneecap
|
$120.40 |
$120.40 |
$120.40 |
$192.00
|
|
Knee disart expand wall sock
|
$733.60 |
$733.60 |
$733.60 |
$733.60
|
|
Knee disarticulat leather so
|
$873.60 |
$873.60 |
$873.60 |
$873.60
|
|
Knee disc/dial lock/adj flex
|
$159.60 |
$159.60 |
$159.60 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$159.60 |
$159.60 |
$159.60 |
$309.90
|
|
Knee joint cam lock each joi
|
$134.40 |
$134.40 |
$134.40 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$98.00 |
$98.00 |
$98.00 |
$175.45
|
|
Knee lift loop drop lock rin
|
$126.00 |
$126.00 |
$126.00 |
$222.00
|
|
Knee MRI (with and without contrast)
|
$6,199.20 |
$6,199.20 |
$6,199.20 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$4,160.80 |
$4,160.80 |
$4,160.80 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,438.40 |
$3,438.40 |
$3,438.40 |
$2,110.76
|
|
Knee orth pos locking joint
|
$324.80 |
$324.80 |
$324.80 |
$585.60
|
|
Knee-shin exo fluid swing ph
|
$2,170.00 |
$2,170.00 |
$2,170.00 |
$2,170.00
|
|
Knee-shin exo frct swg & sta
|
$1,366.40 |
$1,366.40 |
$1,366.40 |
$1,366.40
|
|
Knee-shin exo frict swg & st
|
$646.80 |
$646.80 |
$646.80 |
$646.80
|
|
Knee-shin exo mech stance ph
|
$1,094.80 |
$1,094.80 |
$1,094.80 |
$1,094.80
|
|
Knee-shin exo mnl lock ultra
|
$784.00 |
$784.00 |
$784.00 |
$784.00
|
|
Knee-shin exo variable frict
|
$562.80 |
$562.80 |
$562.80 |
$562.80
|
|
Knee-shin ext jnts fld swg e
|
$2,217.60 |
$2,217.60 |
$2,217.60 |
$2,217.60
|
|
Knee-shin fluid swg & stance
|
$3,567.20 |
$3,567.20 |
$3,567.20 |
$3,567.20
|
|
Knee-shin pneum/hydra pneum
|
$1,716.40 |
$1,716.40 |
$1,716.40 |
$1,716.40
|
|
Knee-shin pneum swg frct exo
|
$1,220.80 |
$1,220.80 |
$1,220.80 |
$1,220.80
|
|
Knee-shin sys hydraul stance
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
$1,187.20
|
|
Knee-shin sys stance flexion
|
$1,979.60 |
$1,979.60 |
$1,979.60 |
$1,979.60
|
|
Knee X-ray
|
$672.00 |
$672.00 |
$672.00 |
$425.55
|
|
Kne-shin exo sng axi mnl loc
|
$540.40 |
$540.40 |
$540.40 |
$540.40
|
|
Kne sing axis fric shin sach
|
$4,513.60 |
$4,513.60 |
$4,513.60 |
$4,513.60
|
|
Ko dbl upright w/air pre cst
|
$635.60 |
$635.60 |
$635.60 |
$1,208.98
|
|
Ko derot ant cruciate custom
|
$1,296.40 |
$1,296.40 |
$1,296.40 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$147.59 |
$147.59 |
$147.59 |
$137.05
|
|
Ko rigid without joints pre ots
|
$148.40 |
$148.40 |
$148.40 |
$214.97
|
|
Ko single upright pre cst
|
$988.40 |
$988.40 |
$988.40 |
$988.40
|
|
Ko single upright prefab ots
|
$800.24 |
$800.24 |
$800.24 |
$928.28
|
|
Ko supracondylar socket mold
|
$1,512.00 |
$1,512.00 |
$1,512.00 |
$2,621.08
|
|
Ko swedish type pre ots
|
$406.00 |
$406.00 |
$406.00 |
$581.60
|
|
Ko w/0 joint rigid molded to
|
$1,033.20 |
$1,033.20 |
$1,033.20 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$1,495.20 |
$1,495.20 |
$1,495.20 |
$2,418.09
|
|
Ko w/adj jt rot cntrl molded
|
$2,237.20 |
$2,237.20 |
$2,237.20 |
$2,237.20
|
|
Kras gene addl variants
|
$3,875.20 |
$3,875.20 |
$3,875.20 |
$386.75
|
|
Kras gene variants exon 2
|
$442.40 |
$442.40 |
$442.40 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,125.00 |
$2,125.00 |
$2,125.00 |
$2,125.00
|
|
Kyphosis pad
|
$123.20 |
$123.20 |
$123.20 |
$232.96
|
|
Kyphosis pad floating
|
$165.20 |
$165.20 |
$165.20 |
$336.11
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$168.00 |
$168.00 |
$168.00 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$248.08 |
$248.08 |
$248.08 |
$72.80
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$23.55 |
$23.55 |
$23.55 |
$33.60
|
|
Labioplasty 56800
|
$7,145.60 |
$7,145.60 |
$7,145.60 |
$3,786.00
|
|
Lacer molded to patient mode
|
$554.40 |
$554.40 |
$554.40 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$175.92 |
$175.92 |
$175.92 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$87.36 |
$87.36 |
$87.36 |
$55.50
|
|
Lactated ringers intravenous solution
|
$23.74 |
$23.74 |
$23.74 |
$44.91
|
|
Lactic acid
|
$205.52 |
$205.52 |
$205.52 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$80.08 |
$80.08 |
$80.08 |
$81.00
|
|
Lactoferrin fecal quant
|
$199.36 |
$199.36 |
$199.36 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$582.40 |
$582.40 |
$582.40 |
$582.40
|
|
Lam facetec & foramot crv
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$21,968.80 |
$21,968.80 |
$21,968.80 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$492.80 |
$492.80 |
$492.80 |
$492.80
|
|
Lamination collar with couplin
|
$198.80 |
$198.80 |
$198.80 |
$198.80
|
|
Laminotomy single cervical
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$8,412.89
|
|
Laminotomy single lumbar
|
$17,382.40 |
$17,382.40 |
$17,382.40 |
$8,453.60
|
|
Lamiotoiotiotinotomy addl cervical 63043
|
$1,506.40 |
$1,506.40 |
$1,506.40 |
$1,506.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$16,040.48 |
$16,040.48 |
$16,040.48 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$18,648.00 |
$18,648.00 |
$18,648.00 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$14,554.40 |
$14,554.40 |
$14,554.40 |
$9,367.23
|
|
Laparo ablate renal mass
|
$22,859.20 |
$22,859.20 |
$22,859.20 |
$12,320.22
|
|
Laparo-asst vag hysterectomy
|
$14,145.60 |
$14,145.60 |
$14,145.60 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$19,107.20 |
$19,107.20 |
$19,107.20 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$15,814.40 |
$15,814.40 |
$15,814.40 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$12,997.60 |
$12,997.60 |
$12,997.60 |
$5,741.00
|
|
Laparo ligate spermatic vein
|
$12,090.40 |
$12,090.40 |
$12,090.40 |
$6,604.38
|
|
Laparo-myomectomy complex
|
$15,176.00 |
$15,176.00 |
$15,176.00 |
$11,523.76
|
|
Laparo new ureter/bladder
|
$9,116.80 |
$9,116.80 |
$9,116.80 |
$9,116.80
|
|
Laparo new ureter/bladder
|
$13,837.60 |
$13,837.60 |
$13,837.60 |
$11,523.76
|
|
Laparo partial nephrectomy
|
$38,332.00 |
$38,332.00 |
$38,332.00 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$98,823.20 |
$98,823.20 |
$98,823.20 |
$6,622.75
|
|
Laparoscope proc rectum
|
$487.20 |
$487.20 |
$487.20 |
$6,457.82
|
|
Laparoscopic myomectomy
|
$11,648.00 |
$11,648.00 |
$11,648.00 |
$6,461.32
|
|
Laparoscopic salpingostomy 58673
|
$14,509.60 |
$14,509.60 |
$14,509.60 |
$5,214.15
|
|
Laparoscopy aspiration
|
$9,553.60 |
$9,553.60 |
$9,553.60 |
$6,839.00
|
|
Laparoscopy biopsy
|
$15,220.80 |
$15,220.80 |
$15,220.80 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$487.20 |
$487.20 |
$487.20 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$16,049.60 |
$16,049.60 |
$16,049.60 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$14,907.20 |
$14,907.20 |
$14,907.20 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$16,441.60 |
$16,441.60 |
$16,441.60 |
$6,457.82
|
|
Laparoscopy lymphadenectomy
|
$24,830.40 |
$24,830.40 |
$24,830.40 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$8,932.00 |
$8,932.00 |
$8,932.00 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$22,562.40 |
$22,562.40 |
$22,562.40 |
$6,904.15
|
|
Laparoscopy lysis
|
$16,576.00 |
$16,576.00 |
$16,576.00 |
$5,419.00
|
|
Laparoscopy orchiectomy
|
$12,331.20 |
$12,331.20 |
$12,331.20 |
$6,311.00
|
|
Laparoscopy orchiopexy
|
$12,090.40 |
$12,090.40 |
$12,090.40 |
$6,904.15
|
|
Laparoscopy pyeloplasty
|
$18,967.20 |
$18,967.20 |
$18,967.20 |
$11,963.98
|
|
Laparoscopy remove adnexa
|
$27,652.80 |
$27,652.80 |
$27,652.80 |
$8,607.55
|
|
Laparoscopy splenectomy
|
$16,604.00 |
$16,604.00 |
$16,604.00 |
$10,488.40
|
|
Laparoscopy surg colpopexy
|
$10,897.60 |
$10,897.60 |
$10,897.60 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$5,510.40 |
$5,510.40 |
$5,510.40 |
$5,166.25
|
