|
Knee Arthroscopy (Meniscus Repair)
|
$363.28 |
$363.28 |
$363.28 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$418.38 |
$418.38 |
$418.38 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$614.08 |
$614.08 |
$614.08 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$364.61 |
$364.61 |
$364.61 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$358.53 |
$358.53 |
$358.53 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$333.45 |
$333.45 |
$333.45 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$435.48 |
$435.48 |
$435.48 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$441.37 |
$441.37 |
$441.37 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$376.39 |
$376.39 |
$376.39 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$457.90 |
$457.90 |
$457.90 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$555.94 |
$555.94 |
$555.94 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$414.39 |
$414.39 |
$414.39 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$426.36 |
$426.36 |
$426.36 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$502.55 |
$502.55 |
$502.55 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$640.30 |
$640.30 |
$640.30 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$807.69 |
$807.69 |
$807.69 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$2,748.92 |
$2,748.92 |
$2,748.92 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,839.77 |
$1,839.77 |
$1,839.77 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,648.44 |
$1,648.44 |
$1,648.44 |
$2,110.76
|
|
Knee X-ray
|
$212.99 |
$212.99 |
$212.99 |
$425.55
|
|
Kras gene addl variants
|
$24.32 |
$24.32 |
$24.32 |
$386.75
|
|
Kras gene variants exon 2
|
$24.41 |
$24.41 |
$24.41 |
$509.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$12.45 |
$12.45 |
$12.45 |
$33.60
|
|
Labioplasty 56800
|
$166.06 |
$166.06 |
$166.06 |
$3,786.00
|
|
Lactate dehydrogenase (ldh)
|
$69.54 |
$69.54 |
$69.54 |
$55.50
|
|
Lactated ringers intravenous solution
|
$16.98 |
$16.98 |
$16.98 |
$44.91
|
|
Lactation class
|
$57.38 |
$57.38 |
$57.38 |
$93.71
|
|
Lactic acid
|
$81.70 |
$81.70 |
$81.70 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$46.74 |
$46.74 |
$46.74 |
$81.00
|
|
Lam facetc/frmt arthrd lum 1
|
$159.79 |
$159.79 |
$159.79 |
$582.40
|
|
Lam facetec & foramot crv
|
$823.46 |
$823.46 |
$823.46 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$1,070.84 |
$1,070.84 |
$1,070.84 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$789.64 |
$789.64 |
$789.64 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$141.74 |
$141.74 |
$141.74 |
$492.80
|
|
Lamie excise intrspinl lesion thrc 63266
|
$1,086.23 |
$1,086.23 |
$1,086.23 |
$5,339.00
|
|
Laminotomy single cervical
|
$882.55 |
$882.55 |
$882.55 |
$8,412.89
|
|
Laminotomy single lumbar
|
$832.96 |
$832.96 |
$832.96 |
$8,453.60
|
|
Lamiotoiotiotinotomy addl cervical 63043
|
$180.69 |
$180.69 |
$180.69 |
$1,506.40
|
|
Laparo ablate renal cyst
|
$593.18 |
$593.18 |
$593.18 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$571.14 |
$571.14 |
$571.14 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$713.83 |
$713.83 |
$713.83 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$460.18 |
$460.18 |
$460.18 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$411.92 |
$411.92 |
$411.92 |
$5,741.00
|
|
Laparo new ureter/bladder
|
$890.72 |
$890.72 |
$890.72 |
$9,116.80
|
|
Laparo partial colectomy 44204
|
$971.85 |
$971.85 |
$971.85 |
$2,917.80
|
|
Laparo partial nephrectomy
|
$961.97 |
$961.97 |
$961.97 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$589.38 |
$589.38 |
$589.38 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$858.99 |
$858.99 |
$858.99 |
$6,360.80
|
|
Laparo remove w/ureter
|
$862.60 |
$862.60 |
$862.60 |
$6,593.60
|
|
Laparoscopic myomectomy
|
$581.59 |
$581.59 |
$581.59 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$777.10 |
$777.10 |
$777.10 |
$5,686.20
|
|
Laparoscopic proc
|
$726.75 |
$726.75 |
$726.75 |
$2,215.20
|
|
Laparoscopic salpingostomy 58673
|
$509.58 |
$509.58 |
$509.58 |
$5,214.15
|
|
Laparoscopy aspiration
|
$240.73 |
$240.73 |
$240.73 |
$6,839.00
|
|
Laparoscopy biopsy
|
$222.49 |
$222.49 |
$222.49 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$199.69 |
$199.69 |
$199.69 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$461.13 |
$461.13 |
$461.13 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$681.53 |
$681.53 |
$681.53 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$374.87 |
$374.87 |
$374.87 |
$6,457.82
|
|
Laparoscopy lymphadenectomy
|
$429.40 |
$429.40 |
$429.40 |
$12,320.22
|
|
Laparoscopy lymph node biop
|
$335.16 |
$335.16 |
$335.16 |
$6,904.15
|
|
Laparoscopy lysis
|
$441.18 |
$441.18 |
$441.18 |
$5,419.00
|
|
Laparoscopy orchiectomy
|
$427.69 |
$427.69 |
$427.69 |
$6,311.00
|
|
Laparoscopy pyeloplasty
|
$798.57 |
$798.57 |
$798.57 |
$11,963.98
|
|
Laparoscopy remove adnexa
|
$631.18 |
$631.18 |
$631.18 |
$8,607.55
|
|
Laparoscopy splenectomy
|
$108.11 |
$108.11 |
$108.11 |
$10,488.40
|
|
Laparoscopy surg colpopexy
|
$628.52 |
$628.52 |
$628.52 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$242.25 |
$242.25 |
$242.25 |
$5,166.25
|
|
Laparo sling operation 51992
|
$538.08 |
$538.08 |
$538.08 |
$5,353.60
|
|
Laparotomy; inject/aspirate liver cyst 47015
|
$741.76 |
$741.76 |
$741.76 |
$1,659.80
|
|
Laparo urethral suspension
|
$484.12 |
$484.12 |
$484.12 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$634.41 |
$634.41 |
$634.41 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$838.47 |
$838.47 |
$838.47 |
$8,917.26
|
|
Lap close enterostomy with resect 44227
|
$1,046.14 |
$1,046.14 |
$1,046.14 |
$3,582.00
|
|
Lap colectomy/coloproctostomy 44207
|
$1,144.37 |
$1,144.37 |
$1,144.37 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$1,246.97 |
$1,246.97 |
$1,246.97 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$845.88 |
$845.88 |
$845.88 |
$2,938.32
|
|
Lap colectomy w/proctectomy 44211
|
$217.36 |
$217.36 |
$217.36 |
$3,222.00
|
|
Lap colostomy 44188
|
$775.01 |
$775.01 |
$775.01 |
$3,008.00
|
|
Lap enterectomy 44202
|
$877.99 |
$877.99 |
$877.99 |
$2,142.00
|
|
Lap enterolysis
|
$585.20 |
$585.20 |
$585.20 |
$6,376.26
|
|
Lap esophageal lengthening addl 43283
|
$96.52 |
$96.52 |
$96.52 |
$388.00
|
|
Lap gastric bypass/roux-en-y
|
$1,095.54 |
$1,095.54 |
$1,095.54 |
$4,255.20
|
|
Lap ileo/jejuno-stomy 44187
|
$700.53 |
$700.53 |
$700.53 |
$2,716.80
|
|
Lap ing hernia repair init
|
$422.75 |
$422.75 |
$422.75 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$366.70 |
$366.70 |
$366.70 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$245.48 |
$245.48 |
$245.48 |
$6,895.20
|
|
Lap jejunostomy 44186
|
$416.48 |
$416.48 |
$416.48 |
$6,376.26
|
|
Lap mobil splenic fl add-on 44213
|
$116.09 |
$116.09 |
$116.09 |
$622.40
|
|
Lap paraesophag hern repair
|
$962.54 |
$962.54 |
$962.54 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$1,084.14 |
$1,084.14 |
$1,084.14 |
$10,029.60
|
|
Lap part colectomy w/stoma 44206
|
$1,098.39 |
$1,098.39 |
$1,098.39 |
$4,307.20
|
|
Lap place gastr adj device
|
$718.01 |
$718.01 |
$718.01 |
$10,522.00
|
|
Lap proctopexy w/sig resect 45402
|
$964.82 |
$964.82 |
$964.82 |
$3,351.48
|
|
Lap removal of rectum w/colostomy 45395
|
$199.50 |
$199.50 |
$199.50 |
$4,880.80
|
|
Lap resect s/intestine addl 44203
|
$148.77 |
$148.77 |
$148.77 |
$516.78
|
|
Lap revision perm ip cath
|
$261.44 |
$261.44 |
$261.44 |
$6,904.15
|
|
Lap rmvl gastr adj all parts
|
$611.61 |
$611.61 |
$611.61 |
$4,502.13
|
|
Lap rmvl gastr adj device
|
$604.58 |
$604.58 |
$604.58 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$686.09 |
$686.09 |
$686.09 |
$2,733.60
|
