|
Kidney img w/bldflw sgl without rx
|
$636.97 |
$636.97 |
$636.97 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$125.84 |
$125.84 |
$125.84 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$125.84 |
$125.84 |
$125.84 |
$492.25
|
|
Kit gene analys d816 variant
|
$124.87 |
$124.87 |
$124.87 |
$374.40
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,627.00
|
|
Knee arthroscopy/drainage
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,986.00
|
|
Knee arthroscopy dx
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$1,893.86 |
$1,893.86 |
$1,893.86 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$3,839.54 |
$3,839.54 |
$3,839.54 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$15,226.08 |
$15,226.08 |
$15,226.08 |
$6,839.00
|
|
Knee MRI (with and without contrast)
|
$422.61 |
$422.61 |
$422.61 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$934.93 |
$934.93 |
$934.93 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$286.04 |
$286.04 |
$286.04 |
$2,122.12
|
|
Knee X-ray
|
$125.84 |
$125.84 |
$125.84 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$104.19 |
$104.19 |
$104.19 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$104.19 |
$104.19 |
$104.19 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$104.19 |
$104.19 |
$104.19 |
$252.50
|
|
Kras gene addl variants
|
$193.25 |
$193.25 |
$193.25 |
$387.20
|
|
Kras gene variants exon 2
|
$193.25 |
$193.25 |
$193.25 |
$536.20
|
|
Labioplasty 56800
|
$3,762.53 |
$3,762.53 |
$3,762.53 |
$3,905.53
|
|
Lactate dehydrogenase (ldh)
|
$6.04 |
$6.04 |
$6.04 |
$55.50
|
|
Lactic acid
|
$11.57 |
$11.57 |
$11.57 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$19.70 |
$19.70 |
$19.70 |
$82.40
|
|
Lactoferrin fecal quant
|
$19.63 |
$19.63 |
$19.63 |
$108.93
|
|
Lam facetec & foramot crv
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,453.60
|
|
Lamie excise intrspinl lesion thrc 63266
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$5,178.00
|
|
Laminotomy single cervical
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,412.89
|
|
Laminotomy single lumbar
|
$8,453.60 |
$8,453.60 |
$8,453.60 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$49.97 |
$49.97 |
$49.97 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$9,367.23
|
|
Laparo ablate renal mass
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$12,320.22
|
|
Laparo-asst vag hysterectomy
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,463.42
|
|
Laparo cholecystectomy/explr
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$5,419.00
|
|
Laparo ligate spermatic vein
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,604.38
|
|
Laparo-myomectomy complex
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,419.92
|
|
Laparo new ureter/bladder
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$9,116.80
|
|
Laparo new ureter/bladder
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,523.76
|
|
Laparo partial nephrectomy
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,622.75
|
|
Laparoscope proc rectum
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,457.82
|
|
Laparoscopic myomectomy
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,461.32
|
|
Laparoscopic salpingostomy 58673
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$5,214.15
|
|
Laparoscopy aspiration
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,904.15
|
|
Laparoscopy biopsy
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,463.42
|
|
Laparoscopye procstom 43659
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$7,243.60
|
|
Laparoscopy fundoplasty
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,376.26
|
|
Laparoscopy lymphadenectomy
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,904.15
|
|
Laparoscopy lysis
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$5,741.00
|
|
Laparoscopy orchiectomy
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$5,855.00
|
|
Laparoscopy orchiopexy
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,904.15
|
|
Laparoscopy pyeloplasty
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,533.76
|
|
Laparoscopy remove adnexa
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$8,777.57
|
|
Laparoscopy splenectomy
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$9,114.50
|
|
Laparoscopy surg colpopexy
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$5,419.00
|
|
Laparoscopy ureterolithotomy
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,457.82
|
|
Laparoscopy vagus nerve
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,839.00
|
|
Laparoscopy vagus nerve
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,839.00
|
|
Laparo sling operation 51992
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$5,353.60
|
|
Laparo urethral suspension
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$8,917.26
|
|
Laparscpy ablat 1>lvr tum cryo
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,221.60
|
|
Lap enterolysis
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,457.82
|
|
Lap fimbrioplasty 58672
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,870.89
|
|
Lap impl electrode antrum
|
$14,756.87 |
$14,756.87 |
$14,756.87 |
$14,685.79
|
|
Lap ing hernia repair init
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$9,605.51
|
|
Lap ing hernia repair recur
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,870.89
|
|
Lap insert tunnel ip cath
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,895.20
|
|
Lap jejunostomy 44186
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,370.92
|
|
Lap paraesophag hern repair
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$10,029.60
|
|
Lap place gastr adj device
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$9,959.00
|
|
Lap replace gastr adj device
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,839.00
|
|
Lap revise/remv eltrd antrum
|
$12,320.22 |
$12,320.22 |
$12,320.22 |
$11,533.76
|
|
Lap revision perm ip cath
|
$6,904.15 |
$6,904.15 |
$6,904.15 |
$6,904.15
|
|
Lap rmvl gastr adj all parts
|
$4,502.13 |
$4,502.13 |
$4,502.13 |
$4,502.13
|
|
Lap rmvl gastr adj device
|
$4,502.13 |
$4,502.13 |
$4,502.13 |
$4,502.13
|
