|
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)
|
$1,750.36 |
$1,750.36 |
$1,750.36 |
$3,098.50
|
|
Knee MRI (with contrast)
|
$1,697.44 |
$1,697.44 |
$1,697.44 |
$2,394.86
|
|
Knee MRI (without contrast)
|
$1,023.69 |
$1,023.69 |
$1,023.69 |
$2,130.88
|
|
Knee X-ray
|
$231.20 |
$231.20 |
$231.20 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$191.09 |
$191.09 |
$191.09 |
$294.25
|
|
Knee X-ray (3 views, both knees)
|
$191.09 |
$191.09 |
$191.09 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$191.09 |
$191.09 |
$191.09 |
$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
|
$59.55 |
$59.55 |
$59.55 |
$70.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$70.64 |
$70.64 |
$70.64 |
$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
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$0.99 |
$0.99 |
$0.99 |
$175.92
|
|
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
|
|
Laparo ablate renal mass
|
$5,891.20 |
$5,891.20 |
$5,891.20 |
$12,320.22
|
|
Laparo-asst vag hysterectomy
|
$2,206.40 |
$2,206.40 |
$2,206.40 |
$6,463.42
|
|
Laparo cholecystectomy/explr
|
$2,732.00 |
$2,732.00 |
$2,732.00 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$1,756.80 |
$1,756.80 |
$1,756.80 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$1,575.20 |
$1,575.20 |
$1,575.20 |
$5,419.00
|
|
Laparo ligate spermatic vein
|
$2,161.60 |
$2,161.60 |
$2,161.60 |
$6,604.38
|
|
Laparo-myomectomy complex
|
$2,804.80 |
$2,804.80 |
$2,804.80 |
$11,419.92
|
|
Laparo new ureter/bladder
|
$7,008.00 |
$7,008.00 |
$7,008.00 |
$9,116.80
|
|
Laparo new ureter/bladder
|
$6,440.00 |
$6,440.00 |
$6,440.00 |
$11,523.76
|
|
Laparo partial colectomy 44204
|
$3,790.40 |
$3,790.40 |
$3,790.40 |
$2,778.60
|
|
Laparo partial nephrectomy
|
$7,524.80 |
$7,524.80 |
$7,524.80 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$2,894.40 |
$2,894.40 |
$2,894.40 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$6,764.80 |
$6,764.80 |
$6,764.80 |
$2,983.86
|
|
Laparo removal donor kidney
|
$7,905.60 |
$7,905.60 |
$7,905.60 |
$7,905.60
|
|
Laparo remove w/ureter
|
$6,804.80 |
$6,804.80 |
$6,804.80 |
$2,996.40
|
|
Laparoscopic myomectomy
|
$2,246.40 |
$2,246.40 |
$2,246.40 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$6,064.00 |
$6,064.00 |
$6,064.00 |
$5,686.20
|
|
Laparoscopic proc
|
$2,827.20 |
$2,827.20 |
$2,827.20 |
$2,109.60
|
|
Laparoscopic salpingostomy 58673
|
$3,993.60 |
$3,993.60 |
$3,993.60 |
$5,214.15
|
|
Laparoscopy adrenalectomy
|
$5,888.00 |
$5,888.00 |
$5,888.00 |
$5,389.80
|
|
Laparoscopy aspiration
|
$919.20 |
$919.20 |
$919.20 |
$6,904.15
|
|
Laparoscopy biopsy
|
$848.80 |
$848.80 |
$848.80 |
$6,463.42
|
|
Laparoscopye procstom 43659
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$1,776.00 |
$1,776.00 |
$1,776.00 |
$7,243.60
|
|
Laparoscopy fundoplasty
|
$2,647.20 |
$2,647.20 |
$2,647.20 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$1,408.80 |
$1,408.80 |
$1,408.80 |
$6,376.26
|
|
Laparoscopy lymphadenectomy
|
$1,672.80 |
$1,672.80 |
$1,672.80 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$2,273.60 |
$2,273.60 |
$2,273.60 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$1,271.20 |
$1,271.20 |
$1,271.20 |
$6,904.15
|
|
Laparoscopy lysis
|
$1,687.20 |
$1,687.20 |
$1,687.20 |
$5,741.00
|
|
Laparoscopy orchiectomy
|
$3,315.20 |
$3,315.20 |
$3,315.20 |
$5,855.00
|
|
Laparoscopy orchiopexy
|
$3,832.00 |
$3,832.00 |
$3,832.00 |
$6,904.15
|
|
Laparoscopy pyeloplasty
|
$6,294.40 |
$6,294.40 |
$6,294.40 |
$11,533.76
|
|
Laparoscopy remove adnexa
|
$3,251.20 |
$3,251.20 |
$3,251.20 |
$8,777.57
|
|
Laparoscopy splenectomy
|
$2,580.80 |
$2,580.80 |
$2,580.80 |
$9,114.50
|
|
Laparoscopy surg colpopexy
|
$2,449.60 |
$2,449.60 |
$2,449.60 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$920.00 |
$920.00 |
$920.00 |
$5,419.00
|
|
Laparoscopy ureterolithotomy
|
$4,915.20 |
$4,915.20 |
$4,915.20 |
$6,457.82
|
|
Laparoscopy vagus nerve
|
$1,604.00 |
$1,604.00 |
$1,604.00 |
$6,839.00
|
|
Laparoscopy vagus nerve
|
$1,872.80 |
$1,872.80 |
$1,872.80 |
$6,839.00
|
|
Laparo sling operation 51992
|
$2,105.60 |
$2,105.60 |
$2,105.60 |
$5,353.60
|
|
Laparo total proctocolectomy
|
$5,071.20 |
$5,071.20 |
$5,071.20 |
$5,071.20
|
|
Laparo urethral suspension
|
$1,884.80 |
$1,884.80 |
$1,884.80 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$2,458.40 |
$2,458.40 |
$2,458.40 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$3,287.20 |
$3,287.20 |
$3,287.20 |
$8,917.26
|
|
Laparscpy ablat 1>lvr tum cryo
|
$3,079.20 |
$3,079.20 |
$3,079.20 |
$11,221.60
|
|
Lap close enterostomy with resect 44227
|
$4,097.60 |
$4,097.60 |
$4,097.60 |
$3,411.60
|
|
Lap colectomy/coloproctostomy 44207
|
$4,491.20 |
$4,491.20 |
$4,491.20 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$4,896.80 |
$4,896.80 |
$4,896.80 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$3,298.40 |
$3,298.40 |
$3,298.40 |
$2,653.92
|
|
Lap colectomy w/proctectomy 44211
|
$5,330.40 |
$5,330.40 |
$5,330.40 |
$3,222.00
|
|
Lap colostomy 44188
|
$3,008.00 |
$3,008.00 |
$3,008.00 |
$3,008.00
|
|
Lap enterectomy 44202
|
$3,404.00 |
$3,404.00 |
$3,404.00 |
$2,142.00
|
|
Lap enterolysis
|
$2,257.60 |
$2,257.60 |
$2,257.60 |
$6,457.82
|
|
Lap esophageal lengthening addl 43283
|
$388.00 |
$388.00 |
$388.00 |
$388.00
|
|
Lap fimbrioplasty 58672
|
$3,676.80 |
$3,676.80 |
$3,676.80 |
$6,870.89
|
