|
Knee Arthroscopy (Cartilage Repair)
|
$21,103.12 |
$21,103.12 |
$21,103.12 |
$4,499.12
|
|
Knee Arthroscopy (Meniscus Repair)
|
$22,713.54 |
$22,713.54 |
$22,713.54 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$83,512.86 |
$83,512.86 |
$83,512.86 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$18,876.17 |
$18,876.17 |
$18,876.17 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$70,108.53 |
$70,108.53 |
$70,108.53 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$26,018.31 |
$26,018.31 |
$26,018.31 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$51,065.94 |
$51,065.94 |
$51,065.94 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$21,626.14 |
$21,626.14 |
$21,626.14 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$70,702.72 |
$70,702.72 |
$70,702.72 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$99,274.20 |
$99,274.20 |
$99,274.20 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$19,916.69 |
$19,916.69 |
$19,916.69 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$77,478.83 |
$77,478.83 |
$77,478.83 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$150,832.44 |
$150,832.44 |
$150,832.44 |
$6,411.60
|
|
Knee joint drop lock ea jnt
|
$117.60 |
$117.60 |
$117.60 |
$175.45
|
|
Knee MRI (with and without contrast)
|
$4,428.90 |
$4,428.90 |
$4,428.90 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$4,038.30 |
$4,038.30 |
$4,038.30 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,835.30 |
$3,835.30 |
$3,835.30 |
$2,110.76
|
|
Knee orth pos locking joint
|
$758.32 |
$758.32 |
$758.32 |
$585.60
|
|
Knee X-ray
|
$724.50 |
$724.50 |
$724.50 |
$425.55
|
|
Kras gene addl variants
|
$456.40 |
$456.40 |
$456.40 |
$386.75
|
|
Kras gene variants exon 2
|
$536.20 |
$536.20 |
$536.20 |
$509.00
|
|
Kyleena, 19.5 mg
|
$4,268.95 |
$4,268.95 |
$4,268.95 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$157.85 |
$157.85 |
$157.85 |
$33.60
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$126.70 |
$126.70 |
$126.70 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$81.20 |
$81.20 |
$81.20 |
$55.50
|
|
Lactated ringers intravenous solution
|
$69.47 |
$69.47 |
$69.47 |
$44.91
|
|
Lactic acid
|
$191.10 |
$191.10 |
$191.10 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$95.90 |
$95.90 |
$95.90 |
$81.00
|
|
Lactoferrin fecal quant
|
$226.10 |
$226.10 |
$226.10 |
$108.93
|
|
Lam facetec & foramot crv
|
$80,237.06 |
$80,237.06 |
$80,237.06 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$51,892.60 |
$51,892.60 |
$51,892.60 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$32,322.06 |
$32,322.06 |
$32,322.06 |
$8,453.60
|
|
Laminotomy single lumbar
|
$49,267.09 |
$49,267.09 |
$49,267.09 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$27,399.75 |
$27,399.75 |
$27,399.75 |
$19,124.00
|
|
Laparo cholecystectomy/graph
|
$36,041.07 |
$36,041.07 |
$36,041.07 |
$8,346.00
|
|
Laparo-myomectomy complex
|
$59,171.73 |
$59,171.73 |
$59,171.73 |
$11,523.76
|
|
Laparo new ureter/bladder
|
$102,257.69 |
$102,257.69 |
$102,257.69 |
$11,523.76
|
|
Laparo partial nephrectomy
|
$81,551.53 |
$81,551.53 |
$81,551.53 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$53,119.56 |
$53,119.56 |
$53,119.56 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$70,762.35 |
$70,762.35 |
$70,762.35 |
$6,360.80
|
|
Laparoscopic myomectomy
|
$66,409.64 |
$66,409.64 |
$66,409.64 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$63,847.52 |
$63,847.52 |
$63,847.52 |
$5,686.20
|
|
Laparoscopy adrenalectomy
|
$71,859.67 |
$71,859.67 |
$71,859.67 |
$5,888.00
|
|
Laparoscopy aspiration
|
$31,082.62 |
$31,082.62 |
$31,082.62 |
$6,839.00
|
|
Laparoscopy biopsy
|
$31,401.10 |
$31,401.10 |
$31,401.10 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$51,394.14 |
$51,394.14 |
$51,394.14 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$41,550.63 |
$41,550.63 |
$41,550.63 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$103,760.46 |
$103,760.46 |
$103,760.46 |
$11,424.40
|
|
Laparoscopy lymphadenectomy
|
$84,574.64 |
$84,574.64 |
$84,574.64 |
$12,320.22
|
|
Laparoscopy lymph node biop
|
$51,662.46 |
$51,662.46 |
$51,662.46 |
$6,904.15
|
|
Laparoscopy pyeloplasty
|
$59,504.04 |
$59,504.04 |
$59,504.04 |
$11,963.98
|
|
Laparoscopy remove adnexa
|
$30,999.39 |
$30,999.39 |
$30,999.39 |
$8,607.55
|
|
Laparoscopy surg colpopexy
|
$94,839.37 |
$94,839.37 |
$94,839.37 |
$10,897.60
|
|
Laparo-vag hyst incl t/o
|
$49,739.82 |
$49,739.82 |
$49,739.82 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$40,609.58 |
$40,609.58 |
$40,609.58 |
$8,917.26
|
|
Lap enterolysis
|
$35,776.13 |
$35,776.13 |
$35,776.13 |
$6,376.26
|
|
Lap gastr bypass incl smll i
|
$92,473.93 |
$92,473.93 |
$92,473.93 |
$4,532.00
|
|
Lap gastric bypass/roux-en-y
|
$85,119.24 |
$85,119.24 |
$85,119.24 |
$4,255.20
|
|
Lap inc hern repair comp 49655
|
$95,875.16 |
$95,875.16 |
$95,875.16 |
$9,853.46
|
|
Lap ing hernia repair init
|
$40,993.36 |
$40,993.36 |
$40,993.36 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$47,993.23 |
$47,993.23 |
$47,993.23 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$23,144.90 |
$23,144.90 |
$23,144.90 |
$6,895.20
|
|
Lap myotomy heller
|
$2,136.40 |
$2,136.40 |
$2,136.40 |
$3,158.40
|
|
Lap paraesophag hern repair
|
$60,395.85 |
$60,395.85 |
$60,395.85 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$74,552.97 |
$74,552.97 |
$74,552.97 |
$10,029.60
|
|
Lap revise gastr adj device
|
$51,471.88 |
$51,471.88 |
$51,471.88 |
$3,131.20
|
|
Lap revision perm ip cath
|
$27,322.68 |
$27,322.68 |
$27,322.68 |
$6,904.15
|
|
Lap rmvl gastr adj all parts
|
$37,161.00 |
$37,161.00 |
$37,161.00 |
$4,502.13
|
|
Lap rmvl gastr adj device
|
$34,463.51 |
$34,463.51 |
$34,463.51 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$74,263.22 |
$74,263.22 |
$74,263.22 |
$2,733.60
|
|
Laps surg prst8ect rpbic rad
|
$84,657.59 |
$84,657.59 |
$84,657.59 |
$12,320.22
|
|
Largsc w/laser dstrj les
|
$29,338.13 |
$29,338.13 |
$29,338.13 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$4,148.20 |
$4,148.20 |
$4,148.20 |
$3,297.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$879.90 |
$879.90 |
$879.90 |
$765.97
|
|
Largsc w/ther injection
|
$20,253.32 |
$20,253.32 |
$20,253.32 |
$2,286.46
|
|
Laryngoplasty medialization
|
$26,023.80 |
$26,023.80 |
$26,023.80 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$22,394.49 |
$22,394.49 |
$22,394.49 |
$4,108.00
|
|
Laryngoscop w/vc inj + scope
|
$16,722.18 |
$16,722.18 |
$16,722.18 |
$4,362.99
|
|
Laryngoscopy and dilation
|
$22,394.49 |
$22,394.49 |
$22,394.49 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$13,591.51 |
$13,591.51 |
$13,591.51 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$29,338.13 |
$29,338.13 |
$29,338.13 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$19,452.48 |
$19,452.48 |
$19,452.48 |
$4,362.99
|
|
Laryngoscopy w/exc of tumor
|
$24,716.20 |
$24,716.20 |
$24,716.20 |
$5,126.62
|
|
Laryngoscopy with biopsy
|
$4,039.70 |
$4,039.70 |
$4,039.70 |
$3,297.83
|
|
Larynscop w/tumr exc + scope
|
$26,719.92 |
$26,719.92 |
$26,719.92 |
$5,104.80
|
|
Laser surgery of prostate
|
$33,570.05 |
$33,570.05 |
$33,570.05 |
$6,822.11
|
|
Lead acuity x4 spiral l 86cm
|
$16,862.74 |
$16,862.74 |
$16,862.74 |
$5,534.00
|
|
Lead capillary
|
$121.80 |
$121.80 |
$121.80 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$27,531.00 |
$27,531.00 |
$27,531.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$27,531.00 |
$27,531.00 |
$27,531.00 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$2,626.40 |
$2,626.40 |
$2,626.40 |
$1,092.58
|
|
Leishmania antibody
|
$27.30 |
$27.30 |
$27.30 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$5,253.35 |
$5,253.35 |
$5,253.35 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$5,340.26 |
$5,340.26 |
$5,340.26 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$608.89 |
$608.89 |
$608.89 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$1,079.22 |
$1,079.22 |
$1,079.22 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$34,623.05 |
$34,623.05 |
$34,623.05 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$34,944.87 |
$34,944.87 |
$34,944.87 |
$9,107.80
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$128.62 |
$128.62 |
$128.62 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$148.40 |
$148.40 |
$148.40 |
$88.92
|
