|
Knee Arthroscopy (Meniscus Repair)
|
$382.40 |
$382.40 |
$382.40 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$440.40 |
$440.40 |
$440.40 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$646.40 |
$646.40 |
$646.40 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$383.80 |
$383.80 |
$383.80 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$377.40 |
$377.40 |
$377.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$351.00 |
$351.00 |
$351.00 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$458.40 |
$458.40 |
$458.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$464.60 |
$464.60 |
$464.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$396.20 |
$396.20 |
$396.20 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$482.00 |
$482.00 |
$482.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$585.20 |
$585.20 |
$585.20 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$436.20 |
$436.20 |
$436.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$448.80 |
$448.80 |
$448.80 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$529.00 |
$529.00 |
$529.00 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$674.00 |
$674.00 |
$674.00 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$850.20 |
$850.20 |
$850.20 |
$6,411.60
|
|
Knee control full kneecap
|
$63.80 |
$63.80 |
$63.80 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$84.20 |
$84.20 |
$84.20 |
$288.41
|
|
Knee MRI (with and without contrast)
|
$1,926.00 |
$1,926.00 |
$1,926.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,416.60 |
$1,416.60 |
$1,416.60 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,235.80 |
$1,235.80 |
$1,235.80 |
$2,110.76
|
|
Knee X-ray
|
$326.80 |
$326.80 |
$326.80 |
$425.55
|
|
Kras gene variants exon 2
|
$86.60 |
$86.60 |
$86.60 |
$509.00
|
|
Kyleena, 19.5 mg
|
$526.60 |
$526.60 |
$526.60 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$9.34 |
$9.34 |
$9.34 |
$33.60
|
|
Labioplasty 56800
|
$174.80 |
$174.80 |
$174.80 |
$3,786.00
|
|
Lactate dehydrogenase (ldh)
|
$28.60 |
$28.60 |
$28.60 |
$55.50
|
|
Lactated ringers intravenous solution
|
$8.84 |
$8.84 |
$8.84 |
$44.91
|
|
Lactation class
|
$60.80 |
$60.80 |
$60.80 |
$93.71
|
|
Lactic acid
|
$62.20 |
$62.20 |
$62.20 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$3.49 |
$3.49 |
$3.49 |
$81.00
|
|
Lam facetc/frmt arthrd lum 1
|
$168.20 |
$168.20 |
$168.20 |
$582.40
|
|
Lam facetec & foramot crv
|
$866.80 |
$866.80 |
$866.80 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$1,127.20 |
$1,127.20 |
$1,127.20 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$831.20 |
$831.20 |
$831.20 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$149.20 |
$149.20 |
$149.20 |
$492.80
|
|
Lamie excise intrspinl lesion thrc 63266
|
$1,143.40 |
$1,143.40 |
$1,143.40 |
$5,339.00
|
|
Laminotomy single cervical
|
$929.00 |
$929.00 |
$929.00 |
$8,412.89
|
|
Laminotomy single lumbar
|
$876.80 |
$876.80 |
$876.80 |
$8,453.60
|
|
Lamiotoiotiotinotomy addl cervical 63043
|
$190.20 |
$190.20 |
$190.20 |
$1,506.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$7,600.00 |
$7,600.00 |
$7,600.00 |
$19,124.00
|
|
Laparo ablate renal cyst
|
$624.40 |
$624.40 |
$624.40 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$601.20 |
$601.20 |
$601.20 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$751.40 |
$751.40 |
$751.40 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$484.40 |
$484.40 |
$484.40 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$433.60 |
$433.60 |
$433.60 |
$5,741.00
|
|
Laparo new ureter/bladder
|
$937.60 |
$937.60 |
$937.60 |
$9,116.80
|
|
Laparo partial colectomy 44204
|
$1,023.00 |
$1,023.00 |
$1,023.00 |
$2,917.80
|
|
Laparo partial nephrectomy
|
$1,012.60 |
$1,012.60 |
$1,012.60 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$620.40 |
$620.40 |
$620.40 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$904.20 |
$904.20 |
$904.20 |
$6,360.80
|
|
Laparo remove w/ureter
|
$908.00 |
$908.00 |
$908.00 |
$6,593.60
|
|
Laparoscopic myomectomy
|
$612.20 |
$612.20 |
$612.20 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$818.00 |
$818.00 |
$818.00 |
$5,686.20
|
|
Laparoscopic proc
|
$765.00 |
$765.00 |
$765.00 |
$2,215.20
|
|
Laparoscopic salpingostomy 58673
|
$536.40 |
$536.40 |
$536.40 |
$5,214.15
|
|
Laparoscopy aspiration
|
$253.40 |
$253.40 |
$253.40 |
$6,839.00
|
|
Laparoscopy biopsy
|
$234.20 |
$234.20 |
$234.20 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$210.20 |
$210.20 |
$210.20 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$485.40 |
$485.40 |
$485.40 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$717.40 |
$717.40 |
$717.40 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$394.60 |
$394.60 |
$394.60 |
$6,457.82
|
|
Laparoscopy lymphadenectomy
|
$452.00 |
$452.00 |
$452.00 |
$12,320.22
|
|
Laparoscopy lymph node biop
|
$352.80 |
$352.80 |
$352.80 |
$6,904.15
|
|
Laparoscopy lysis
|
$464.40 |
$464.40 |
$464.40 |
$5,419.00
|
|
Laparoscopy orchiectomy
|
$450.20 |
$450.20 |
$450.20 |
$6,311.00
|
|
Laparoscopy pyeloplasty
|
$840.60 |
$840.60 |
$840.60 |
$11,963.98
|
|
Laparoscopy remove adnexa
|
$664.40 |
$664.40 |
$664.40 |
$8,607.55
|
|
Laparoscopy splenectomy
|
$113.80 |
$113.80 |
$113.80 |
$10,488.40
|
|
Laparoscopy surg colpopexy
|
$661.60 |
$661.60 |
$661.60 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$255.00 |
$255.00 |
$255.00 |
$5,166.25
|
|
Laparo sling operation 51992
|
$566.40 |
$566.40 |
$566.40 |
$5,353.60
|
|
Laparotomy; inject/aspirate liver cyst 47015
|
$780.80 |
$780.80 |
$780.80 |
$1,659.80
|
|
Laparo urethral suspension
|
$509.60 |
$509.60 |
$509.60 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$667.80 |
$667.80 |
$667.80 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$882.60 |
$882.60 |
$882.60 |
$8,917.26
|
|
Lap close enterostomy with resect 44227
|
$1,101.20 |
$1,101.20 |
$1,101.20 |
$3,582.00
|
|
Lap colectomy/coloproctostomy 44207
|
$1,204.60 |
$1,204.60 |
$1,204.60 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$1,312.60 |
$1,312.60 |
$1,312.60 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$890.40 |
$890.40 |
$890.40 |
$2,938.32
|
|
Lap colectomy w/proctectomy 44211
|
$228.80 |
$228.80 |
$228.80 |
$3,222.00
|
|
Lap colostomy 44188
|
$815.80 |
$815.80 |
$815.80 |
$3,008.00
|
|
Lap enterectomy 44202
|
$924.20 |
$924.20 |
$924.20 |
$2,142.00
|
|
Lap enterolysis
|
$616.00 |
$616.00 |
$616.00 |
$6,376.26
|
|
Lap esophageal lengthening addl 43283
|
$101.60 |
$101.60 |
$101.60 |
$388.00
|
|
Lap gastric bypass/roux-en-y
|
$1,153.20 |
$1,153.20 |
$1,153.20 |
$4,255.20
|
|
Lap ileo/jejuno-stomy 44187
|
$737.40 |
$737.40 |
$737.40 |
$2,716.80
|
|
Lap ing hernia repair init
|
$445.00 |
$445.00 |
$445.00 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$386.00 |
$386.00 |
$386.00 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$258.40 |
$258.40 |
$258.40 |
$6,895.20
|
|
Lap jejunostomy 44186
|
$438.40 |
$438.40 |
$438.40 |
$6,376.26
|
|
Lap mobil splenic fl add-on 44213
|
$122.20 |
$122.20 |
$122.20 |
$622.40
|
|
Lap paraesophag hern repair
|
$1,013.20 |
$1,013.20 |
$1,013.20 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$1,141.20 |
$1,141.20 |
$1,141.20 |
$10,029.60
|
|
Lap part colectomy w/stoma 44206
|
$1,156.20 |
$1,156.20 |
$1,156.20 |
$4,307.20
|
|
Lap place gastr adj device
|
$755.80 |
$755.80 |
$755.80 |
$10,522.00
|
|
Lap proctopexy w/sig resect 45402
|
$1,015.60 |
$1,015.60 |
$1,015.60 |
$3,351.48
|
|
Lap removal of rectum w/colostomy 45395
|
$210.00 |
$210.00 |
$210.00 |
$4,880.80
|
|
Lap resect s/intestine addl 44203
|
$156.60 |
$156.60 |
$156.60 |
$516.78
|
|
Lap revision perm ip cath
|
$275.20 |
$275.20 |
$275.20 |
$6,904.15
|
