|
Irrigation implantable venous access device for drug delivery systems
|
$97.41 |
$97.41 |
$97.41 |
$144.62
|
|
Irrigation vagina and/or appl medicament tx disease
|
$58.82 |
$58.82 |
$58.82 |
$132.00
|
|
Island pedicle flap graft
|
$499.80 |
$499.80 |
$499.80 |
$2,468.80
|
|
Ivc venogram s&i
|
$1,168.75 |
$1,168.75 |
$1,168.75 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$165.92 |
$165.92 |
$165.92 |
$190.56
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$165.92 |
$165.92 |
$165.92 |
$159.00
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$139.06 |
$139.06 |
$139.06 |
$153.60
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$251.94 |
$251.94 |
$251.94 |
$437.45
|
|
Ivp w/nephrotomography
|
$348.33 |
$348.33 |
$348.33 |
$748.15
|
|
Ivp w/wo kub w/wo tomography
|
$316.37 |
$316.37 |
$316.37 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$11.06 |
$11.06 |
$11.06 |
$393.43
|
|
Jejunstmy tube plcmt
|
$136.85 |
$136.85 |
$136.85 |
$2,174.40
|
|
John cunningham antibody
|
$5.10 |
$5.10 |
$5.10 |
$66.31
|
|
J-tube placement
|
$92.31 |
$92.31 |
$92.31 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$18.02 |
$18.02 |
$18.02 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$1.54 |
$1.54 |
$1.54 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$17.09 |
$17.09 |
$17.09 |
$23.77
|
|
Kidney endoscopy & treatment
|
$224.91 |
$224.91 |
$224.91 |
$5,626.86
|
|
Kidney imaging morphology
|
$205.19 |
$205.19 |
$205.19 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$490.62 |
$490.62 |
$490.62 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$443.19 |
$443.19 |
$443.19 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$296.82 |
$296.82 |
$296.82 |
$673.36
|
|
Kit case 4.2mm spinejack
|
$3,053.71 |
$3,053.71 |
$3,053.71 |
$7,751.14
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$21.93 |
$21.93 |
$21.93 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$3,261.28 |
$3,261.28 |
$3,261.28 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$47.60 |
$47.60 |
$47.60 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$25,758.06 |
$25,758.06 |
$25,758.06 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$5,916.00 |
$5,916.00 |
$5,916.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,518.61 |
$1,518.61 |
$1,518.61 |
$1,667.50
|
|
Knee Arthroscopy (Cartilage Repair)
|
$371.45 |
$371.45 |
$371.45 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$309.74 |
$309.74 |
$309.74 |
$3,839.54
|
|
Knee arthroscopy dx
|
$250.24 |
$250.24 |
$250.24 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$325.04 |
$325.04 |
$325.04 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$374.34 |
$374.34 |
$374.34 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$549.44 |
$549.44 |
$549.44 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$326.23 |
$326.23 |
$326.23 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$320.79 |
$320.79 |
$320.79 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$298.35 |
$298.35 |
$298.35 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$389.64 |
$389.64 |
$389.64 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$394.91 |
$394.91 |
$394.91 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$336.77 |
$336.77 |
$336.77 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$409.70 |
$409.70 |
$409.70 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$497.42 |
$497.42 |
$497.42 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$370.77 |
$370.77 |
$370.77 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$381.48 |
$381.48 |
$381.48 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$449.65 |
$449.65 |
$449.65 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$572.90 |
$572.90 |
$572.90 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$722.67 |
$722.67 |
$722.67 |
$6,411.60
|
|
Knee control full kneecap
|
$54.23 |
$54.23 |
$54.23 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$71.57 |
$71.57 |
$71.57 |
$288.41
|
|
Knee MRI (with and without contrast)
|
$1,091.23 |
$1,091.23 |
$1,091.23 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$779.11 |
$779.11 |
$779.11 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$896.41 |
$896.41 |
$896.41 |
$2,110.76
|
|
Knee X-ray
|
$195.67 |
$195.67 |
$195.67 |
$425.55
|
|
Kyleena, 19.5 mg
|
$943.33 |
$943.33 |
$943.33 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$15.13 |
$15.13 |
$15.13 |
$33.60
|
|
Labioplasty 56800
|
$148.58 |
$148.58 |
$148.58 |
$3,786.00
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$170.40 |
$170.40 |
$170.40 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$74.97 |
$74.97 |
$74.97 |
$55.50
|
|
Lactated ringers intravenous solution
|
$25.34 |
$25.34 |
$25.34 |
$44.91
|
|
Lactic acid
|
$94.18 |
$94.18 |
$94.18 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$45.73 |
$45.73 |
$45.73 |
$81.00
|
|
Lam facetc/frmt arthrd lum 1
|
$142.97 |
$142.97 |
$142.97 |
$582.40
|
|
Lam facetec & foramot crv
|
$736.78 |
$736.78 |
$736.78 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$958.12 |
$958.12 |
$958.12 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$706.52 |
$706.52 |
$706.52 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$126.82 |
$126.82 |
$126.82 |
$492.80
|
|
Lamie excise intrspinl lesion thrc 63266
|
$971.89 |
$971.89 |
$971.89 |
$5,339.00
|
|
Laminotomy single cervical
|
$789.65 |
$789.65 |
$789.65 |
$8,412.89
|
|
Laminotomy single lumbar
|
$745.28 |
$745.28 |
$745.28 |
$8,453.60
|
|
Lamiotoiotiotinotomy addl cervical 63043
|
$161.67 |
$161.67 |
$161.67 |
$1,506.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$13,090.00 |
$13,090.00 |
$13,090.00 |
$19,124.00
|
|
Laparo ablate renal cyst
|
$530.74 |
$530.74 |
$530.74 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$511.02 |
$511.02 |
$511.02 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$638.69 |
$638.69 |
$638.69 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$411.74 |
$411.74 |
$411.74 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$368.56 |
$368.56 |
$368.56 |
$5,741.00
|
|
Laparo new ureter/bladder
|
$796.96 |
$796.96 |
$796.96 |
$9,116.80
|
|
Laparo partial colectomy 44204
|
$869.55 |
$869.55 |
$869.55 |
$2,917.80
|
|
Laparo partial nephrectomy
|
$860.71 |
$860.71 |
$860.71 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$527.34 |
$527.34 |
$527.34 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$768.57 |
$768.57 |
$768.57 |
$6,360.80
|
|
Laparo remove w/ureter
|
$771.80 |
$771.80 |
$771.80 |
$6,593.60
|
|
Laparoscopic myomectomy
|
$520.37 |
$520.37 |
$520.37 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$695.30 |
$695.30 |
$695.30 |
$5,686.20
|
|
Laparoscopic proc
|
$650.25 |
$650.25 |
$650.25 |
$2,215.20
|
|
Laparoscopic salpingostomy 58673
|
$455.94 |
$455.94 |
$455.94 |
$5,214.15
|
|
Laparoscopy aspiration
|
$215.39 |
$215.39 |
$215.39 |
$6,839.00
|
|
Laparoscopy biopsy
|
$199.07 |
$199.07 |
$199.07 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$178.67 |
$178.67 |
$178.67 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$412.59 |
$412.59 |
$412.59 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$609.79 |
$609.79 |
$609.79 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$335.41 |
$335.41 |
$335.41 |
$6,457.82
|
|
Laparoscopy lymphadenectomy
|
$384.20 |
$384.20 |
$384.20 |
$12,320.22
|
|
Laparoscopy lymph node biop
|
$299.88 |
$299.88 |
$299.88 |
$6,904.15
|
|
Laparoscopy lysis
|
$394.74 |
$394.74 |
$394.74 |
$5,419.00
|
|
Laparoscopy orchiectomy
|
$382.67 |
$382.67 |
$382.67 |
$6,311.00
|
|
Laparoscopy pyeloplasty
|
$714.51 |
$714.51 |
$714.51 |
$11,963.98
|
|
Laparoscopy remove adnexa
|
$564.74 |
$564.74 |
$564.74 |
$8,607.55
|
|
Laparoscopy splenectomy
|
$96.73 |
$96.73 |
$96.73 |
$10,488.40
|
