|
Ivc venogram s&i
|
$471.20 |
$471.20 |
$471.20 |
$3,345.32
|
|
IV Fluids (each additional hour)
|
$61.65 |
$61.65 |
$61.65 |
$134.00
|
|
IV Fluids (first hour)
|
$278.20 |
$278.20 |
$278.20 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$91.44 |
$91.44 |
$91.44 |
$162.68
|
|
IV inj ra drug dx study
|
$80.80 |
$80.80 |
$80.80 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$91.44 |
$91.44 |
$91.44 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$61.65 |
$61.65 |
$61.65 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$278.20 |
$278.20 |
$278.20 |
$443.20
|
|
IV njx tst vasc flo flap/grf
|
$268.00 |
$268.00 |
$268.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$61.65 |
$61.65 |
$61.65 |
$167.50
|
|
IV Push Injection (first drug)
|
$278.20 |
$278.20 |
$278.20 |
$257.24
|
|
Ivp w/nephrotomography
|
$291.20 |
$291.20 |
$291.20 |
$729.00
|
|
Ivp w/wo kub w/wo tomography
|
$1,030.06 |
$1,030.06 |
$1,030.06 |
$713.40
|
|
Jak2 targeted sequence analysis
|
$370.40 |
$370.40 |
$370.40 |
$417.50
|
|
Jaw arthroscopy/surgery
|
$2,595.20 |
$2,595.20 |
$2,595.20 |
$4,350.00
|
|
Jaw arthroscopy/surgery
|
$3,110.40 |
$3,110.40 |
$3,110.40 |
$4,499.12
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$274.22 |
$274.22 |
$274.22 |
$331.57
|
|
Jaw (Mandible) X-ray (complete)
|
$230.35 |
$230.35 |
$230.35 |
$363.20
|
|
Jejunstmy tube plcmt
|
$604.80 |
$604.80 |
$604.80 |
$2,174.40
|
|
John cunningham antibody
|
$48.57 |
$48.57 |
$48.57 |
$78.60
|
|
J-tube placement
|
$348.80 |
$348.80 |
$348.80 |
$593.08
|
|
Keratoprosthesis
|
$6,963.20 |
$6,963.20 |
$6,963.20 |
$10,476.00
|
|
Ketamine and metabolite screen - quest
|
$72.14 |
$72.14 |
$72.14 |
$72.14
|
|
Ketogenic steroids fract
|
$39.20 |
$39.20 |
$39.20 |
$82.74
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$33.57 |
$33.57 |
$33.57 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$75.24 |
$75.24 |
$75.24 |
$23.50
|
|
Kidney endoscopy
|
$1,808.00 |
$1,808.00 |
$1,808.00 |
$5,110.00
|
|
Kidney endoscopy
|
$1,932.80 |
$1,932.80 |
$1,932.80 |
$5,728.00
|
|
Kidney endoscopy
|
$2,486.40 |
$2,486.40 |
$2,486.40 |
$4,081.37
|
|
Kidney endoscopy
|
$3,617.60 |
$3,617.60 |
$3,617.60 |
$5,741.00
|
|
Kidney endoscopy & biopsy
|
$2,072.00 |
$2,072.00 |
$2,072.00 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$2,860.80 |
$2,860.80 |
$2,860.80 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$9,744.00
|
|
Kidney endoscopy & treatment
|
$2,384.00 |
$2,384.00 |
$2,384.00 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$2,852.80 |
$2,852.80 |
$2,852.80 |
$7,431.20
|
|
Kidney endoscopy & treatment
|
$3,075.20 |
$3,075.20 |
$3,075.20 |
$5,626.86
|
|
Kidney function study
|
$241.60 |
$241.60 |
$241.60 |
$968.50
|
|
Kidney imaging morphology
|
$614.48 |
$614.48 |
$614.48 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$797.60 |
$797.60 |
$797.60 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$1,184.07 |
$1,184.07 |
$1,184.07 |
$1,433.22
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$616.65 |
$616.65 |
$616.65 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$389.80 |
$389.80 |
$389.80 |
$494.65
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$103.20 |
$103.20 |
$103.20 |
$174.00
|
|
Kit cath f 8f w/glv + wipe ster
|
$20.00 |
$20.00 |
$20.00 |
$9.49
|
|
Kit gene analys d816 variant
|
$250.40 |
$250.40 |
$250.40 |
$367.00
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$3,052.80 |
$3,052.80 |
$3,052.80 |
$4,627.00
|
|
Knee arthroscopy/drainage
|
$2,524.80 |
$2,524.80 |
$2,524.80 |
$3,986.00
|
|
Knee arthroscopy dx
|
$2,803.20 |
$2,803.20 |
$2,803.20 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$2,659.20 |
$2,659.20 |
$2,659.20 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$3,062.40 |
$3,062.40 |
$3,062.40 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$4,576.00 |
$4,576.00 |
$4,576.00 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$2,596.80 |
$2,596.80 |
$2,596.80 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$2,644.80 |
$2,644.80 |
$2,644.80 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,440.00 |
$2,440.00 |
$2,440.00 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$3,216.00 |
$3,216.00 |
$3,216.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,254.40 |
$3,254.40 |
$3,254.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,761.60 |
$2,761.60 |
$2,761.60 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$3,408.00 |
$3,408.00 |
$3,408.00 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$4,137.60 |
$4,137.60 |
$4,137.60 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$3,043.20 |
$3,043.20 |
$3,043.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,124.80 |
$3,124.80 |
$3,124.80 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$3,691.20 |
$3,691.20 |
$3,691.20 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$4,832.00 |
$4,832.00 |
$4,832.00 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$6,014.40 |
$6,014.40 |
$6,014.40 |
$6,839.00
|
|
Knee control full kneecap
|
$192.00 |
$192.00 |
$192.00 |
$192.00
|
|
Knee MRI (with and without contrast)
|
$3,306.75 |
$3,306.75 |
$3,306.75 |
$3,098.50
|
|
Knee MRI (with contrast)
|
$2,394.86 |
$2,394.86 |
$2,394.86 |
$2,394.86
|
|
Knee MRI (without contrast)
|
$2,222.54 |
$2,222.54 |
$2,222.54 |
$2,130.88
|
|
Knee X-ray
|
$336.96 |
$336.96 |
$336.96 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$230.35 |
$230.35 |
$230.35 |
$294.25
|
|
Knee X-ray (3 views, both knees)
|
$297.00 |
$297.00 |
$297.00 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$191.79 |
$191.79 |
$191.79 |
$252.50
|
|
Ko swedish type pre ots
|
$581.60 |
$581.60 |
$581.60 |
$551.12
|
|
Kras gene addl variants
|
$387.20 |
$387.20 |
$387.20 |
$387.20
|
|
Kras gene variants exon 2
|
$387.20 |
$387.20 |
$387.20 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,591.20 |
$1,591.20 |
$1,591.20 |
$2,125.00
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$67.20 |
$67.20 |
$67.20 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$58.40 |
$58.40 |
$58.40 |
$70.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$26.89 |
$26.89 |
$26.89 |
$33.60
|
|
Labioplasty 56800
|
$618.40 |
$618.40 |
$618.40 |
$3,905.53
|
|
Lacer molded to patient mode
|
$938.40 |
$938.40 |
$938.40 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$33.57 |
$33.57 |
$33.57 |
$55.50
|
|
Lactated ringers intravenous solution
|
$48.00 |
$48.00 |
$48.00 |
$43.74
|
|
Lactation class
|
$47.20 |
$47.20 |
$47.20 |
$104.96
|
|
Lactic acid
|
$64.28 |
$64.28 |
$64.28 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$64.28 |
$64.28 |
$64.28 |
$82.16
|
|
Lactoferrin fecal quant
|
$64.28 |
$64.28 |
$64.28 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$628.80 |
$628.80 |
$628.80 |
$582.40
|
|
Lam facetec & foramot crv
|
$3,063.20 |
$3,063.20 |
$3,063.20 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$2,649.60 |
$2,649.60 |
$2,649.60 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$2,937.60 |
$2,937.60 |
$2,937.60 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$471.20 |
$471.20 |
$471.20 |
$471.20
|
|
Lamie bx/exc idrl spine lesn lmbr 63282
|
$4,650.40 |
$4,650.40 |
$4,650.40 |
$4,650.40
|
|
Lamie bx/exc idrl spine lesn thrc 63281
|
$4,925.60 |
$4,925.60 |
$4,925.60 |
$4,925.60
|
|
Lamie excise intrspinl lesion thrc 63266
|
$4,073.60 |
$4,073.60 |
$4,073.60 |
$5,178.00
|
|
Laminotomy single cervical
|
$6,683.20 |
$6,683.20 |
$6,683.20 |
$8,412.89
|
|
Laminotomy single lumbar
|
$6,256.00 |
$6,256.00 |
$6,256.00 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$81.60 |
$81.60 |
$81.60 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$3,062.40 |
$3,062.40 |
$3,062.40 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$4,635.20 |
$4,635.20 |
$4,635.20 |
$9,367.23
|