|
Knee Arthroscopy (Meniscus Repair)
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,705.22
|
|
Knee arthroscopy/surgery
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,211.05
|
|
Knee arthroscopy/surgery
|
$1,749.06 |
$1,749.06 |
$1,749.06 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,591.33
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,743.15
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,594.44
|
|
Knee arthroscopy/surgery
|
$3,545.97 |
$3,545.97 |
$3,545.97 |
$3,346.10
|
|
Knee arthroscopy/surgery
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$3,691.20
|
|
Knee arthroscopy/surgery
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$7,907.11
|
|
Knee arthroscopy/surgery
|
$14,061.89 |
$14,061.89 |
$14,061.89 |
$10,477.98
|
|
Knee MRI (with and without contrast)
|
$390.30 |
$390.30 |
$390.30 |
$2,703.85
|
|
Knee MRI (with contrast)
|
$863.44 |
$863.44 |
$863.44 |
$2,315.95
|
|
Knee MRI (without contrast)
|
$264.17 |
$264.17 |
$264.17 |
$2,120.00
|
|
Knee X-ray
|
$116.22 |
$116.22 |
$116.22 |
$387.20
|
|
Kras gene addl variants
|
$193.25 |
$193.25 |
$193.25 |
$366.56
|
|
Kras gene variants exon 2
|
$193.25 |
$193.25 |
$193.25 |
$495.00
|
|
Labioplasty 56800
|
$3,474.84 |
$3,474.84 |
$3,474.84 |
$3,519.29
|
|
Lactate dehydrogenase (ldh)
|
$6.04 |
$6.04 |
$6.04 |
$50.55
|
|
Lactic acid
|
$11.57 |
$11.57 |
$11.57 |
$85.20
|
|
Lactoferrin fecal qualitative
|
$19.70 |
$19.70 |
$19.70 |
$88.40
|
|
Lactoferrin fecal quant
|
$19.63 |
$19.63 |
$19.63 |
$106.10
|
|
Lam facetec & foramot crv
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$7,807.24
|
|
Lam facetec & foramot lumbar
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$7,913.97
|
|
Lam facetec & foramot thrc
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$7,807.24
|
|
Lamie excise intrspinl lesion thrc 63266
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$6,416.80
|
|
Laminotomy single cervical
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$7,913.97
|
|
Laminotomy single lumbar
|
$7,807.24 |
$7,807.24 |
$7,807.24 |
$7,907.11
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$36.66 |
$36.66 |
$36.66 |
$21,470.76
|
|
Laparo ablate liver tumor rf
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$9,367.23
|
|
Laparo ablate renal mass
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,533.76
|
|
Laparo-asst vag hysterectomy
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,457.82
|
|
Laparo cholecystectomy/explr
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,870.89
|
|
Laparo drng lymphocele 49323
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,376.26
|
|
Laparo ligate spermatic vein
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,457.82
|
|
Laparo-myomectomy complex
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$7,490.49
|
|
Laparo new ureter/bladder
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$10,689.72
|
|
Laparo new ureter/bladder
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$8,772.71
|
|
Laparo partial nephrectomy
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$9,363.13
|
|
Laparo proc abdm/per/oment 49329
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,622.75
|
|
Laparoscope proc rectum
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,463.42
|
|
Laparoscopic myomectomy
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,457.82
|
|
Laparoscopic salpingostomy 58673
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$5,214.15
|
|
Laparoscopy aspiration
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,922.01
|
|
Laparoscopy biopsy
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,954.23
|
|
Laparoscopye procstom 43659
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,870.89
|
|
Laparoscopy excise lesions
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,747.73
|
|
Laparoscopy fundoplasty
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,191.12
|
|
Laparoscopy gastrostomy
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$3,907.68
|
|
Laparoscopy lymphadenectomy
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,523.76
|
|
Laparoscopy lymphadenectomy
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$9,372.17
|
|
Laparoscopy lymph node biop
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,376.26
|
|
Laparoscopy lysis
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,057.88
|
|
Laparoscopy orchiectomy
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$4,713.11
|
|
Laparoscopy orchiopexy
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,463.42
|
|
Laparoscopy pyeloplasty
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,533.76
|
|
Laparoscopy remove adnexa
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,672.53
|
|
Laparoscopy splenectomy
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$7,975.19
|
|
Laparoscopy surg colpopexy
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$9,114.50
|
|
Laparoscopy tubal block 58671
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$4,713.11
|
|
Laparoscopy ureterolithotomy
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,794.33
|
|
Laparoscopy vagus nerve
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$3,070.40
|
|
Laparoscopy vagus nerve
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,376.26
|
|
Laparo sling operation 51992
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,183.56
|
|
Laparo urethral suspension
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,463.42
|
|
Laparo-vag hyst incl t/o
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$7,595.42
|
|
Laparo-vag hyst w/t/o compl
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$8,917.26
|
|
Laparscpy ablat 1>lvr tum cryo
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,378.21
|
|
Lap enterolysis
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,868.27
|
|
Lap fimbrioplasty 58672
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,457.82
|
|
Lap impl electrode antrum
|
$13,628.55 |
$13,628.55 |
$13,628.55 |
$13,628.55
|
|
Lap ing hernia repair init
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,457.82
|
|
Lap ing hernia repair recur
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,376.26
|
|
Lap insert tunnel ip cath
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,457.82
|
|
Lap jejunostomy 44186
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$5,698.48
|
|
Lap paraesophag hern repair
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$8,854.66
|
|
Lap paraesoph her rpr w/mesh
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$7,826.00
|
|
Lap place gastr adj device
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$7,314.45
|
|
Lap replace gastr adj device
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,376.26
|
|
Lap revise/remv eltrd antrum
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$3,019.20
|
|
Lap revision perm ip cath
|
$6,376.26 |
$6,376.26 |
$6,376.26 |
$6,376.26
|
|
Lap rmvl gastr adj all parts
|
$4,157.89 |
$4,157.89 |
$4,157.89 |
$4,097.60
|
|
Lap rmvl gastr adj device
|
$4,157.89 |
$4,157.89 |
$4,157.89 |
$4,157.89
|
|
Laps abltj uterine fibroids
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,378.21
|
|
Laps esophgl sphnctr agmntj 43284
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$10,500.26
|
|
Laps pelvic lymphadec
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,378.21
|
|
Laps surg prst8ect rpbic rad
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,523.76
|
|
Laps surg prst8ect smpl stot
|
$11,378.21 |
$11,378.21 |
$11,378.21 |
$11,378.21
|
|
Largsc w/laser dstrj les
|
$4,029.39 |
$4,029.39 |
$4,029.39 |
$5,126.62
|
|
Largsc w/njx augmentation
|
$1,884.64 |
$1,884.64 |
$1,884.64 |
$3,297.97
|
|
Largsc w/removal lesion
|
$4,029.39 |
$4,029.39 |
$4,029.39 |
$4,080.94
|
|
Largsc w/rmvl foreign bdy(s)
|
$424.38 |
$424.38 |
$424.38 |
$765.97
|
|
Largsc w/ther injection
|
$1,884.64 |
$1,884.64 |
$1,884.64 |
$1,962.76
|
