|
Knee arthroscopy/surgery
|
$335.94 |
$335.94 |
$335.94 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$335.06 |
$335.06 |
$335.06 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$310.64 |
$310.64 |
$310.64 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$407.88 |
$407.88 |
$407.88 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$413.38 |
$413.38 |
$413.38 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$351.12 |
$351.12 |
$351.12 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$429.66 |
$429.66 |
$429.66 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$522.50 |
$522.50 |
$522.50 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$387.20 |
$387.20 |
$387.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$398.86 |
$398.86 |
$398.86 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$470.80 |
$470.80 |
$470.80 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$604.34 |
$604.34 |
$604.34 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$761.42 |
$761.42 |
$761.42 |
$6,839.00
|
|
Knee MRI (with and without contrast)
|
$3,134.04 |
$3,134.04 |
$3,134.04 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$5,546.58 |
$5,546.58 |
$5,546.58 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,697.28 |
$1,697.28 |
$1,697.28 |
$2,110.00
|
|
Knee X-ray
|
$342.42 |
$342.42 |
$342.42 |
$425.55
|
|
Knee X-ray (1 to 2 views, both knees)
|
$283.14 |
$283.14 |
$283.14 |
$290.40
|
|
Knee X-ray (3 views, both knees)
|
$354.12 |
$354.12 |
$354.12 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$283.14 |
$283.14 |
$283.14 |
$252.50
|
|
Kras gene addl variants
|
$127.60 |
$127.60 |
$127.60 |
$387.20
|
|
Kras gene variants exon 2
|
$127.60 |
$127.60 |
$127.60 |
$530.40
|
|
Kyphectomy 1-2 segments
|
$1,328.36 |
$1,328.36 |
$1,328.36 |
$17,913.59
|
|
Kyphectomy 3 or more
|
$1,528.78 |
$1,528.78 |
$1,528.78 |
$17,913.59
|
|
Lab draw < 3 yrs fem/jugular 36400
|
$11.44 |
$11.44 |
$11.44 |
$109.20
|
|
Lab draw <3 yrs scalp vein 36405
|
$9.02 |
$9.02 |
$9.02 |
$70.00
|
|
Labioplasty 56800
|
$156.64 |
$156.64 |
$156.64 |
$3,905.53
|
|
Lactate dehydrogenase (ldh)
|
$31.98 |
$31.98 |
$31.98 |
$55.50
|
|
Lactated ringers intravenous solution
|
$6.93 |
$6.93 |
$6.93 |
$43.74
|
|
Lactic acid
|
$60.84 |
$60.84 |
$60.84 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$13.20 |
$13.20 |
$13.20 |
$82.16
|
|
Lactoferrin fecal quant
|
$103.74 |
$103.74 |
$103.74 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$159.28 |
$159.28 |
$159.28 |
$582.40
|
|
Lam facetec & foramot crv
|
$802.78 |
$802.78 |
$802.78 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$689.70 |
$689.70 |
$689.70 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$766.92 |
$766.92 |
$766.92 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$141.02 |
$141.02 |
$141.02 |
$471.20
|
|
Lamie bx/exc idrl spine lesn lmbr 63282
|
$1,238.38 |
$1,238.38 |
$1,238.38 |
$4,650.40
|
|
Lamie bx/exc idrl spine lesn thrc 63281
|
$1,309.00 |
$1,309.00 |
$1,309.00 |
$4,925.60
|
|
Lamie excise intrspinl lesion thrc 63266
|
$1,070.08 |
$1,070.08 |
$1,070.08 |
$5,178.00
|
|
Laminotomy single cervical
|
$856.68 |
$856.68 |
$856.68 |
$8,412.89
|
|
Laminotomy single lumbar
|
$805.20 |
$805.20 |
$805.20 |
$8,453.60
|
|
Lam w/cordotomy 1stg thrc
|
$1,070.30 |
$1,070.30 |
$1,070.30 |
$2,609.79
|
|
Laparo ablate liver tumor rf
|
$776.82 |
$776.82 |
$776.82 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$565.40 |
$565.40 |
$565.40 |
$9,367.23
|
|
Laparo ablate renal mass
|
$718.08 |
$718.08 |
$718.08 |
$12,320.22
|
|
Laparo-asst vag hysterectomy
|
$546.04 |
$546.04 |
$546.04 |
$6,463.42
|
|
Laparo cholecystectomy/explr
|
$693.44 |
$693.44 |
$693.44 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$446.38 |
$446.38 |
$446.38 |
$8,346.00
|
|
Laparo cholecystoenterostomy
|
$481.58 |
$481.58 |
$481.58 |
$1,108.77
|
|
Laparo drng lymphocele 49323
|
$397.10 |
$397.10 |
$397.10 |
$5,419.00
|
|
Laparo ligate spermatic vein
|
$266.86 |
$266.86 |
$266.86 |
$6,604.38
|
|
Laparo-myomectomy complex
|
$687.94 |
$687.94 |
$687.94 |
$11,419.92
|
|
Laparo new ureter/bladder
|
$850.30 |
$850.30 |
$850.30 |
$9,116.80
|
|
Laparo new ureter/bladder
|
$785.84 |
$785.84 |
$785.84 |
$11,523.76
|
|
Laparo partial colectomy 44204
|
$944.46 |
$944.46 |
$944.46 |
$2,778.60
|
|
Laparo partial nephrectomy
|
$916.52 |
$916.52 |
$916.52 |
$12,320.22
|
|
Laparo radical nephrectomy
|
$821.04 |
$821.04 |
$821.04 |
$2,983.86
|
|
Laparo removal donor kidney
|
$1,008.26 |
$1,008.26 |
$1,008.26 |
$7,905.60
|
|
Laparo remove w/ureter
|
$825.22 |
$825.22 |
$825.22 |
$2,996.40
|
|
Laparoscopic myomectomy
|
$557.48 |
$557.48 |
$557.48 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$741.62 |
$741.62 |
$741.62 |
$5,686.20
|
|
Laparoscopic proc
|
$695.86 |
$695.86 |
$695.86 |
$2,109.60
|
|
Laparoscopic salpingostomy 58673
|
$489.72 |
$489.72 |
$489.72 |
$5,214.15
|
|
Laparoscopy adrenalectomy
|
$738.54 |
$738.54 |
$738.54 |
$5,389.80
|
|
Laparoscopy aspiration
|
$232.32 |
$232.32 |
$232.32 |
$6,904.15
|
|
Laparoscopy biopsy
|
$213.84 |
$213.84 |
$213.84 |
$6,463.42
|
|
Laparoscopy excise lesions
|
$441.32 |
$441.32 |
$441.32 |
$7,243.60
|
|
Laparoscopy fundoplasty
|
$666.38 |
$666.38 |
$666.38 |
$11,424.40
|
|
Laparoscopy gastrostomy
|
$359.26 |
$359.26 |
$359.26 |
$6,376.26
|
|
Laparoscopy islet cell trans
|
$467.28 |
$467.28 |
$467.28 |
$1,078.54
|
|
Laparoscopy lymphadenectomy
|
$409.20 |
$409.20 |
$409.20 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$554.40 |
$554.40 |
$554.40 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$319.44 |
$319.44 |
$319.44 |
$6,904.15
|
|
Laparoscopy lysis
|
$424.60 |
$424.60 |
$424.60 |
$5,741.00
|
|
Laparoscopy orchiectomy
|
$405.68 |
$405.68 |
$405.68 |
$5,855.00
|
|
Laparoscopy orchiopexy
|
$467.06 |
$467.06 |
$467.06 |
$6,904.15
|
|
Laparoscopy pyeloplasty
|
$763.18 |
$763.18 |
$763.18 |
$11,533.76
|
|
Laparoscopy remove adnexa
|
$403.48 |
$403.48 |
$403.48 |
$8,777.57
|
|
Laparoscopy splenectomy
|
$655.82 |
$655.82 |
$655.82 |
$9,114.50
|
|
Laparoscopy surg colpopexy
|
$601.04 |
$601.04 |
$601.04 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$229.68 |
$229.68 |
$229.68 |
$5,419.00
|
|
Laparoscopy ureterolithotomy
|
$597.52 |
$597.52 |
$597.52 |
$6,457.82
|
|
Laparoscopy vagus nerve
|
$408.98 |
$408.98 |
$408.98 |
$6,839.00
|
|
Laparoscopy vagus nerve
|
$475.86 |
$475.86 |
$475.86 |
$6,839.00
|
|
Laparo sling operation 51992
|
$515.90 |
$515.90 |
$515.90 |
$5,353.60
|
|
Laparotomy; inject/aspirate liver cyst 47015
|
$720.50 |
$720.50 |
$720.50 |
$1,591.12
|
|
Laparotomy islet cell transp
|
$763.18 |
$763.18 |
$763.18 |
$1,753.83
|
|
Laparo total proctocolectomy
|
$1,242.56 |
$1,242.56 |
$1,242.56 |
$5,071.20
|
|
Laparo urethral suspension
|
$460.02 |
$460.02 |
$460.02 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$607.20 |
$607.20 |
$607.20 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$805.42 |
$805.42 |
$805.42 |
$8,917.26
|
|
Laparscpy ablat 1>lvr tum cryo
|
$779.46 |
$779.46 |
$779.46 |
$11,221.60
|
|
Lap close enterostomy with resect 44227
|
$1,017.72 |
$1,017.72 |
$1,017.72 |
$3,411.60
|
|
Lap colectomy/coloproctostomy 44207
|
$1,110.56 |
$1,110.56 |
$1,110.56 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$1,206.26 |
$1,206.26 |
$1,206.26 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$820.38 |
$820.38 |
$820.38 |
$2,653.92
|
|
Lap colectomy w/proctectomy 44211
|
$1,292.72 |
$1,292.72 |
$1,292.72 |
$3,222.00
|
|
Lap colostomy 44188
|
$745.14 |
$745.14 |
$745.14 |
$3,008.00
|
|
Lap enterectomy 44202
|
$855.58 |
$855.58 |
$855.58 |
$2,142.00
|
