|
Knee-shin exo frct swg & sta
|
$1,566.19 |
$1,566.19 |
$1,566.19 |
$1,366.40
|
|
Knee-shin exo frict swg & st
|
$727.98 |
$727.98 |
$727.98 |
$646.80
|
|
Knee-shin exo mech stance ph
|
$1,464.68 |
$1,464.68 |
$1,464.68 |
$1,094.80
|
|
Knee-shin exo mnl lock ultra
|
$1,019.78 |
$1,019.78 |
$1,019.78 |
$784.00
|
|
Knee-shin exo variable frict
|
$740.72 |
$740.72 |
$740.72 |
$562.80
|
|
Knee-shin ext jnts fld swg e
|
$3,494.99 |
$3,494.99 |
$3,494.99 |
$2,217.60
|
|
Knee-shin fluid swg & stance
|
$4,095.74 |
$4,095.74 |
$4,095.74 |
$3,567.20
|
|
Knee-shin pneum/hydra pneum
|
$2,255.02 |
$2,255.02 |
$2,255.02 |
$1,716.40
|
|
Knee-shin pneum swg frct exo
|
$1,904.61 |
$1,904.61 |
$1,904.61 |
$1,220.80
|
|
Knee-shin pro flex/ext cont
|
$24,655.27 |
$24,655.27 |
$24,655.27 |
$24,655.27
|
|
Knee-shin sys hydraul stance
|
$1,827.29 |
$1,827.29 |
$1,827.29 |
$1,187.20
|
|
Knee-shin sys stance flexion
|
$3,045.73 |
$3,045.73 |
$3,045.73 |
$1,979.60
|
|
Knee X-ray
|
$143.75 |
$143.75 |
$143.75 |
$432.18
|
|
Knee X-ray (1 to 2 views, both knees)
|
$119.66 |
$119.66 |
$119.66 |
$294.25
|
|
Knee X-ray (3 views, both knees)
|
$119.66 |
$119.66 |
$119.66 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$119.66 |
$119.66 |
$119.66 |
$252.50
|
|
Kne-shin exo sng axi mnl loc
|
$607.63 |
$607.63 |
$607.63 |
$540.40
|
|
Kne sing axis fric shin sach
|
$6,176.91 |
$6,176.91 |
$6,176.91 |
$4,513.60
|
|
Ko dbl upright w/air pre cst
|
$975.47 |
$975.47 |
$975.47 |
$1,208.98
|
|
Ko dbl upright w/air pre ots
|
$975.47 |
$975.47 |
$975.47 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$1,594.89 |
$1,594.89 |
$1,594.89 |
$1,694.30
|
|
Ko elastic w/joints pre ots
|
$108.34 |
$108.34 |
$108.34 |
$137.05
|
|
Ko rigid without joints pre ots
|
$138.04 |
$138.04 |
$138.04 |
$215.32
|
|
Ko single upright pre cst
|
$1,521.74 |
$1,521.74 |
$1,521.74 |
$988.40
|
|
Ko single upright prefab ots
|
$928.28 |
$928.28 |
$928.28 |
$928.28
|
|
Ko supracondylar socket mold
|
$2,114.84 |
$2,114.84 |
$2,114.84 |
$2,621.08
|
|
Ko swedish type pre ots
|
$317.95 |
$317.95 |
$317.95 |
$551.12
|
|
Ko w/0 joint rigid molded to
|
$1,230.99 |
$1,230.99 |
$1,230.99 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$1,984.33 |
$1,984.33 |
$1,984.33 |
$2,418.09
|
|
Ko w/adj jt rot cntrl molded
|
$2,582.68 |
$2,582.68 |
$2,582.68 |
$2,237.20
|
|
Kras gene addl variants
|
$266.69 |
$266.69 |
$266.69 |
$387.20
|
|
Kras gene variants exon 2
|
$266.69 |
$266.69 |
$266.69 |
$530.40
|
|
Kyleena, 19.5 mg
|
$1,289.09 |
$1,289.09 |
$1,289.09 |
$2,125.00
|
|
Kyphectomy 1-2 segments
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$17,913.59
|
|
Kyphectomy 3 or more
|
$24,109.66 |
$24,109.66 |
$24,109.66 |
$17,913.59
|
|
Kyphosis pad
|
$182.75 |
$182.75 |
$182.75 |
$232.96
|
|
Kyphosis pad floating
|
$263.66 |
$263.66 |
$263.66 |
$336.11
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$22.16 |
$22.16 |
$22.16 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$18.05 |
$18.05 |
$18.05 |
$70.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$0.48 |
$0.48 |
$0.48 |
$33.60
|
|
Labioplasty 56800
|
$4,451.18 |
$4,451.18 |
$4,451.18 |
$3,905.53
|
|
Lacer molded to patient mode
|
$622.67 |
$622.67 |
$622.67 |
$775.69
|
|
Lactate dehydrogenase (ldh)
|
$8.34 |
$8.34 |
$8.34 |
$55.50
|
|
Lactated ringers intravenous solution
|
$3.29 |
$3.29 |
$3.29 |
$43.74
|
|
Lactic acid
|
$15.97 |
$15.97 |
$15.97 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$27.19 |
$27.19 |
$27.19 |
$82.16
|
|
Lactoferrin fecal quant
|
$27.09 |
$27.09 |
$27.09 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$357.57 |
$357.57 |
$357.57 |
$582.40
|
|
Lam facetec & foramot crv
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$318.82 |
$318.82 |
$318.82 |
$471.20
|
|
Lamie bx/exc idrl spine lesn lmbr 63282
|
$3,004.20 |
$3,004.20 |
$3,004.20 |
$4,650.40
|
|
Lamie bx/exc idrl spine lesn thrc 63281
|
$3,177.91 |
$3,177.91 |
$3,177.91 |
$4,925.60
|
|
Lamie excise intrspinl lesion thrc 63266
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$5,178.00
|
|
Lamination collar with couplin
|
$329.56 |
$329.56 |
$329.56 |
$198.80
|
|
Laminotomy single cervical
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,412.89
|
|
Laminotomy single lumbar
|
$9,977.57 |
$9,977.57 |
$9,977.57 |
$8,453.60
|
|
Lam w/cordotomy 1stg thrc
|
$2,609.79 |
$2,609.79 |
$2,609.79 |
$2,609.79
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$48.84 |
$48.84 |
$48.84 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$9,367.23
|
|
Laparo ablate renal mass
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$12,320.22
|
|
Laparo-asst vag hysterectomy
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,463.42
|
|
Laparo cholecystectomy/explr
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$8,346.00
|
|
Laparo cholecystoenterostomy
|
$1,108.77 |
$1,108.77 |
$1,108.77 |
$1,108.77
|
|
Laparo drng lymphocele 49323
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$5,419.00
|
|
Laparo ligate spermatic vein
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,604.38
|
|
Laparo-myomectomy complex
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$11,419.92
|
|
Laparo new ureter/bladder
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$9,116.80
|
|
Laparo new ureter/bladder
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$11,523.76
|
|
Laparo partial colectomy 44204
|
$2,114.60 |
$2,114.60 |
$2,114.60 |
$2,778.60
|
|
Laparo partial nephrectomy
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$1,725.03 |
$1,725.03 |
$1,725.03 |
$2,983.86
|
|
Laparo removal donor kidney
|
$2,302.10 |
$2,302.10 |
$2,302.10 |
$7,905.60
|
|
Laparo remove w/ureter
|
$1,733.06 |
$1,733.06 |
$1,733.06 |
$2,996.40
|
|
Laparoscope proc rectum
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,457.82
|
|
Laparoscopic myomectomy
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$1,569.92 |
$1,569.92 |
$1,569.92 |
$5,686.20
|
|
Laparoscopic proc
|
$1,533.12 |
$1,533.12 |
$1,533.12 |
$2,109.60
|
|
Laparoscopic salpingostomy 58673
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$5,214.15
|
|
Laparoscopy adrenalectomy
|
$1,655.54 |
$1,655.54 |
$1,655.54 |
$5,389.80
|
|
Laparoscopy aspiration
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Laparoscopy biopsy
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,463.42
|
|
Laparoscopye procstom 43659
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$7,243.60
|
|
Laparoscopy fundoplasty
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,376.26
|
|
Laparoscopy islet cell trans
|
$1,078.54 |
$1,078.54 |
$1,078.54 |
$1,078.54
|
|
Laparoscopy lymphadenectomy
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Laparoscopy lysis
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$5,741.00
|
|
Laparoscopy orchiectomy
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$5,855.00
|
|
Laparoscopy orchiopexy
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$6,904.15
|
|
Laparoscopy pyeloplasty
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$11,533.76
|
|
Laparoscopy remove adnexa
|
$8,312.83 |
$8,312.83 |
$8,312.83 |
$8,777.57
|
|
Laparoscopy splenectomy
|
$14,616.42 |
$14,616.42 |
$14,616.42 |
$9,114.50
|
