|
Ivp w/nephrotomography
|
$431.36 |
$431.36 |
$564.75 |
|
|
Ivp w/wo kub w/wo tomography
|
$326.72 |
$326.72 |
$525.00 |
|
|
Ixabepilone 15 mg intravenous solution
|
$14,175.96 |
$14,175.96 |
$14,175.96 |
|
|
Jak2 targeted sequence analysis
|
$188.80 |
$188.80 |
$514.50 |
|
|
Jejunstmy tube plcmt
|
$4,932.75 |
$4,932.75 |
$4,932.75 |
|
|
John cunningham antibody
|
$9.60 |
$9.60 |
$96.00 |
|
|
Ketamine and metabolite screen - quest
|
$35.20 |
$35.20 |
$89.25 |
|
|
Ketogenic steroids fract
|
$86.25 |
$86.25 |
$86.25 |
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$25.60 |
$25.60 |
$75.75 |
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$12.07 |
$12.07 |
$14.31 |
|
|
Kidney endoscopy & treatment
|
$3,435.75 |
$3,435.75 |
$3,435.75 |
|
|
Kidney function study
|
$389.76 |
$389.76 |
$997.50 |
|
|
Kidney imaging morphology
|
$997.50 |
$997.50 |
$997.50 |
|
|
Kidney imag w/bld flow multi
|
$836.80 |
$836.80 |
$1,335.00 |
|
|
Kidney img w/bldflw sgl without rx
|
$745.60 |
$745.60 |
$1,386.00 |
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$239.68 |
$239.68 |
$630.00 |
|
|
Kit case 4.2mm spinejack
|
$3.75 |
$3.75 |
$3.75 |
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$5.25 |
$5.25 |
$6,138.88 |
|
|
Kit gene analys d816 variant
|
$179.20 |
$179.20 |
$179.20 |
|
|
Kit hfx iq ipg bundle
|
$31.50 |
$31.50 |
$42,400.00 |
|
|
Kit ipg optimizer smart
|
$0.75 |
$0.75 |
$0.75 |
|
|
Kit lead specify 5-6-5
|
$457.50 |
$457.50 |
$13,586.56 |
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$684.12 |
$684.12 |
$1,491.20 |
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$10.50 |
$10.50 |
$10.50 |
|
|
Kit sound processor cochlear osia 2
|
$364.50 |
$364.50 |
$364.50 |
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$0.75 |
$0.75 |
$0.75 |
|
|
Kit trach suct cls 30.5cm
|
$35.42 |
$35.42 |
$35.42 |
|
|
Knee Arthroscopy (Cartilage Repair)
|
$510.72 |
$510.72 |
$510.72 |
|
|
Knee arthroscopy dx
|
$2,148.75 |
$2,148.75 |
$2,148.75 |
|
|
Knee Arthroscopy (Meniscus Repair)
|
$471.04 |
$471.04 |
$471.04 |
|
|
Knee arthroscopy/surgery
|
$561.28 |
$561.28 |
$561.28 |
|
|
Knee arthroscopy/surgery
|
$681.28 |
$681.28 |
$5,766.75 |
|
|
Knee arthroscopy/surgery
|
$786.88 |
$786.88 |
$786.88 |
|
|
Knee MRI (with and without contrast)
|
$1,135.04 |
$1,135.04 |
$2,400.00 |
|
|
Knee MRI (with contrast)
|
$965.12 |
$965.12 |
$2,107.50 |
|
|
Knee MRI (without contrast)
|
$1,101.12 |
$1,101.12 |
$1,747.50 |
|
|
Knee X-ray
|
$248.64 |
$248.64 |
$380.25 |
|
|
Ko elastic w/joints pre ots
|
$98.84 |
$98.84 |
$98.84 |
|
|
Kras gene addl variants
|
$191.36 |
$191.36 |
$191.36 |
|
|
Kras gene variants exon 2
|
$191.36 |
$191.36 |
$191.36 |
|
|
Kyleena, 19.5 mg
|
$932.80 |
$932.80 |
$2,845.99 |
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$14.41 |
$14.41 |
$31.55 |
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$96.98 |
$96.98 |
$235.61 |
|
|
Lactate dehydrogenase (ldh)
|
$46.72 |
$46.72 |
$52.50 |
|
|
Lactated ringers intravenous solution
|
$13.76 |
$13.76 |
$31.80 |
|
|
Lactation class
|
$108.80 |
$108.80 |
$108.80 |
|
|
Lactic acid
|
$40.64 |
$40.64 |
$103.50 |
|
|
Lactoferrin fecal qualitative
|
$17.60 |
$17.60 |
$119.25 |
|
|
Lactoferrin fecal quant
|
$119.25 |
$119.25 |
$119.25 |
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$6,880.00 |
$6,880.00 |
$21,482.79 |
|
|
Laparo ablate liver tumor rf
|
$8,733.75 |
$8,733.75 |
$8,733.75 |
|
|
Laparo cholecystectomy/graph
|
$562.24 |
$562.24 |
$3,831.75 |
|
|
Laparo-myomectomy complex
|
$878.40 |
$878.40 |
$878.40 |
|
|
Laparo new ureter/bladder
|
$916.16 |
$916.16 |
$916.16 |
|
|
Laparo partial colectomy 44204
|
$1,187.20 |
$1,187.20 |
$1,187.20 |
|
|
Laparo partial nephrectomy
|
$1,173.44 |
$1,173.44 |
$1,173.44 |
|
|
Laparo radical nephrectomy
|
$1,041.28 |
$1,041.28 |
$1,041.28 |
|
|
Laparo remove w/ureter
|
$1,045.44 |
$1,045.44 |
$1,045.44 |
|
|
Laparoscopic myomectomy
|
$716.16 |
$716.16 |
$716.16 |
|
|
Laparoscopy aspiration
|
$293.44 |
$293.44 |
$293.44 |
|
|
Laparoscopy biopsy
|
$230.08 |
$230.08 |
$230.08 |
|
|
Laparoscopye procstom 43659
|
$678.40 |
$678.40 |
$678.40 |
|
|
Laparoscopy excise lesions
|
$567.68 |
$567.68 |
$567.68 |
|
|
Laparoscopy fundoplasty
|
$827.84 |
$827.84 |
$827.84 |
|
|
Laparoscopy gastrostomy
|
$460.16 |
$460.16 |
$460.16 |
|
|
Laparoscopy lymphadenectomy
|
$524.16 |
$524.16 |
$524.16 |
|
|
Laparoscopy lymph node biop
|
$346.24 |
$346.24 |
$346.24 |
|
|
Laparoscopy lysis
|
$541.76 |
$541.76 |
$541.76 |
|
|
Laparoscopy pyeloplasty
|
$972.80 |
$972.80 |
$972.80 |
|
|
Laparoscopy remove adnexa
|
$776.32 |
$776.32 |
$3,831.75 |
|
|
Laparo-vag hyst incl t/o
|
$779.52 |
$779.52 |
$779.52 |
|
|
Laparo-vag hyst w/t/o compl
|
$1,018.24 |
$1,018.24 |
$1,018.24 |
|
|
Lap close enterostomy with resect 44227
|
$1,269.76 |
$1,269.76 |
$1,269.76 |
|
|
Lap colectomy/coloproctostomy 44207
|
$1,397.76 |
$1,397.76 |
$1,397.76 |
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$1,527.04 |
$1,527.04 |
$1,527.04 |
|
|
Lap colectomy part w/ileum 44205
|
$1,033.28 |
$1,033.28 |
$1,033.28 |
|
|
Lap colostomy 44188
|
$944.32 |
$944.32 |
$944.32 |
|
|
Lap enterectomy 44202
|
$1,066.56 |
$1,066.56 |
$1,066.56 |
|
|
Lap enterolysis
|
$714.24 |
$714.24 |
$714.24 |
|
|
Lap esophageal lengthening addl 43283
|
$91.20 |
$91.20 |
$91.20 |
|
|
Lap gastr bypass incl smll i
|
$1,416.32 |
$1,416.32 |
$1,416.32 |
|
|
Lap gastric bypass/roux-en-y
|
$1,336.64 |
$1,336.64 |
$1,336.64 |
|
|
Lap ing hernia repair init
|
$345.28 |
$345.28 |
$345.28 |
|
|
Lap ing hernia repair recur
|
$449.92 |
$449.92 |
$449.92 |
|
|
Lap jejunostomy 44186
|
$507.20 |
$507.20 |
$507.20 |
|
|
Lap mobil splenic fl add-on 44213
|
$141.12 |
$141.12 |
$141.12 |
|
|
Lap paraesophag hern repair
|
$1,175.36 |
$1,175.36 |
$1,175.36 |
|
|
Lap part colectomy w/stoma 44206
|
$1,344.32 |
$1,344.32 |
$1,344.32 |
|
|
Lap revision perm ip cath
|
$320.00 |
$320.00 |
$320.00 |
|
|
Lap rmvl gastr adj all parts
|
$746.56 |
$746.56 |
$746.56 |
|
|
Lap rmvl gastr adj device
|
$736.96 |
$736.96 |
$736.96 |
|
|
Laps abltj uterine fibroids
|
$494.72 |
$494.72 |
$494.72 |
|
|
Laps esophgl sphnctr agmntj 43284
|
$512.64 |
$512.64 |
$512.64 |
|
|
Lap sleeve gastrectomy
|
$834.56 |
$834.56 |
$834.56 |
|
|
Laps surg prst8ect rpbic rad
|
$939.52 |
$939.52 |
$939.52 |
|
|
Laps surg prst8ect smpl stot
|
$826.56 |
$826.56 |
$826.56 |
|
|
Lap tot proctocolectomy 44210
|
$1,382.72 |
$1,382.72 |
$1,382.72 |
|
|
Largsc w/njx augmentation
|
$119.36 |
$119.36 |
$119.36 |
|
|
Largsc w/rmvl foreign bdy(s)
|
$106.56 |
$106.56 |
$1,026.75 |
|
|
Laronidase injection
|
$2,609.06 |
$2,609.06 |
$2,609.06 |
|
