|
Knee arthroscopy/surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Knee arthroscopy/surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,807.24
|
|
Knee arthroscopy/surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$10,477.98
|
|
Kras gene addl variants
|
$212.58 |
$212.58 |
$212.58 |
$346.45
|
|
Kras gene variants exon 2
|
$212.58 |
$212.58 |
$212.58 |
$495.00
|
|
Labioplasty 56800
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,762.53
|
|
Lactate dehydrogenase (ldh)
|
$6.64 |
$6.64 |
$6.64 |
$53.30
|
|
Lactic acid
|
$12.73 |
$12.73 |
$12.73 |
$102.90
|
|
Lactoferrin fecal qualitative
|
$21.67 |
$21.67 |
$21.67 |
$88.40
|
|
Lactoferrin fecal quant
|
$21.59 |
$21.59 |
$21.59 |
$106.10
|
|
Lam facetec & foramot crv
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,807.24
|
|
Lam facetec & foramot lumbar
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,907.11
|
|
Lam facetec & foramot thrc
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Lamie excise intrspinl lesion thrc 63266
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,416.80
|
|
Laminotomy single cervical
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,907.11
|
|
Laminotomy single lumbar
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,807.24
|
|
Laparo ablate liver tumor rf
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,367.23
|
|
Laparo ablate renal mass
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$11,523.76
|
|
Laparo-asst vag hysterectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,376.26
|
|
Laparo cholecystectomy/explr
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,220.90
|
|
Laparo drng lymphocele 49323
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Laparo ligate spermatic vein
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,457.82
|
|
Laparo-myomectomy complex
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Laparo new ureter/bladder
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$10,689.72
|
|
Laparo new ureter/bladder
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,975.19
|
|
Laparo partial nephrectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,363.13
|
|
Laparo proc abdm/per/oment 49329
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,622.75
|
|
Laparoscope proc rectum
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,463.42
|
|
Laparoscopic myomectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,376.26
|
|
Laparoscopic salpingostomy 58673
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,214.15
|
|
Laparoscopy aspiration
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Laparoscopy biopsy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,954.23
|
|
Laparoscopye procstom 43659
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,827.25
|
|
Laparoscopy excise lesions
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,376.26
|
|
Laparoscopy fundoplasty
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Laparoscopy gastrostomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,384.42
|
|
Laparoscopy lymphadenectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$11,378.21
|
|
Laparoscopy lymphadenectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,372.17
|
|
Laparoscopy lymph node biop
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Laparoscopy lysis
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,057.88
|
|
Laparoscopy orchiectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,110.00
|
|
Laparoscopy orchiopexy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,457.82
|
|
Laparoscopy pyeloplasty
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$11,523.76
|
|
Laparoscopy remove adnexa
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,904.15
|
|
Laparoscopy splenectomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,708.00
|
|
Laparoscopy surg colpopexy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,299.07
|
|
Laparoscopy tubal block 58671
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,881.00
|
|
Laparoscopy ureterolithotomy
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,794.33
|
|
Laparoscopy vagus nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Laparoscopy vagus nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Laparo sling operation 51992
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Laparo urethral suspension
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,457.82
|
|
Laparo-vag hyst incl t/o
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,595.42
|
|
Laparo-vag hyst w/t/o compl
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Laparscpy ablat 1>lvr tum cryo
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,163.00
|
|
Lap enterolysis
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Lap fimbrioplasty 58672
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,376.26
|
|
Lap impl electrode antrum
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Lap ing hernia repair init
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Lap ing hernia repair recur
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Lap insert tunnel ip cath
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Lap jejunostomy 44186
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Lap paraesophag hern repair
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,681.04
|
|
Lap paraesoph her rpr w/mesh
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,826.00
|
|
Lap place gastr adj device
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,314.45
|
|
Lap replace gastr adj device
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Lap revise/remv eltrd antrum
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Lap revision perm ip cath
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,864.32
|
|
Lap rmvl gastr adj all parts
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,214.73
|
|
Lap rmvl gastr adj device
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,480.44
|
|
Laps abltj uterine fibroids
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Laps esophgl sphnctr agmntj 43284
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$10,500.26
|
|
Laps pelvic lymphadec
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Laps surg prst8ect rpbic rad
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,436.00
|
|
Laps surg prst8ect smpl stot
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Largsc w/laser dstrj les
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,362.99
|
|
Largsc w/njx augmentation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,482.74
|
|
Largsc w/removal lesion
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$765.97
|
|
Largsc w/ther injection
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,040.67
|
|
Laryngoplasty cricoid split
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,332.15
|
|
Laryngoplasty fx rdctj fixj
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,311.00
|
|
Laryngoplasty laryngeal sten
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,590.00
|
|
Laryngoplasty laryngeal sten
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,413.19
|
|
Laryngoplasty laryngeal sten
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,720.00
|
|
Laryngoplasty laryngeal sten
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,419.00
|
|
Laryngoplasty laryngeal web
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,103.72
|
|
Laryngoplasty medialization
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Laryngoscope w/vc inj
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,593.25
|
|
Laryngoscop w/arytenoidectom
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,107.38
|
|
Laryngoscop w/vc inj + scope
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,080.94
|
|
Laryngoscopy and dilation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,278.61
|
|
Laryngoscopy and dilation
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,080.94
|
