|
Knee Arthroscopy (Cartilage Repair)
|
$15,053.40 |
$15,053.40 |
$15,053.40 |
$4,304.96
|
|
Knee Arthroscopy (Meniscus Repair)
|
$16,050.18 |
$16,050.18 |
$16,050.18 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$17,781.06 |
$17,781.06 |
$17,781.06 |
$4,535.82
|
|
Knee arthroscopy/surgery
|
$30,066.31 |
$30,066.31 |
$30,066.31 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$16,024.74 |
$16,024.74 |
$16,024.74 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$17,258.28 |
$17,258.28 |
$17,258.28 |
$4,499.12
|
|
Knee arthroscopy/surgery
|
$32,672.65 |
$32,672.65 |
$32,672.65 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$82,251.91 |
$82,251.91 |
$82,251.91 |
$3,986.00
|
|
Knee arthroscopy/surgery
|
$44,290.74 |
$44,290.74 |
$44,290.74 |
$8,453.60
|
|
Knee control condylar pad
|
$193.25 |
$193.25 |
$193.25 |
$193.25
|
|
Knee control full kneecap
|
$194.03 |
$194.03 |
$194.03 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$339.18 |
$339.18 |
$339.18 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$339.18 |
$339.18 |
$339.18 |
$289.44
|
|
Knee joint cam lock each joi
|
$287.46 |
$287.46 |
$287.46 |
$287.46
|
|
Knee joint drop lock ea jnt
|
$187.66 |
$187.66 |
$187.66 |
$175.45
|
|
Knee lift loop drop lock rin
|
$277.51 |
$277.51 |
$277.51 |
$242.92
|
|
Knee orth pos locking joint
|
$696.37 |
$696.37 |
$696.37 |
$585.60
|
|
Knee X-ray
|
$414.60 |
$414.60 |
$414.60 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$1,360.92 |
$1,360.92 |
$1,360.92 |
$1,360.92
|
|
Ko dbl upright w/air pre ots
|
$1,360.92 |
$1,360.92 |
$1,360.92 |
$1,371.41
|
|
Ko derot ant cruciate custom
|
$2,225.10 |
$2,225.10 |
$2,225.10 |
$2,225.10
|
|
Ko elastic w/joints pre ots
|
$190.81 |
$190.81 |
$190.81 |
$147.59
|
|
Ko rigid without joints pre ots
|
$315.67 |
$315.67 |
$315.67 |
$214.97
|
|
Ko single upright prefab ots
|
$2,123.02 |
$2,123.02 |
$2,123.02 |
$928.28
|
|
Ko supracondylar socket mold
|
$2,950.46 |
$2,950.46 |
$2,950.46 |
$2,950.46
|
|
Ko swedish type pre ots
|
$674.08 |
$674.08 |
$674.08 |
$604.50
|
|
Ko w/0 joint rigid molded to
|
$1,892.06 |
$1,892.06 |
$1,892.06 |
$1,230.99
|
|
Ko w adj flex/ext rotat mold
|
$2,768.42 |
$2,768.42 |
$2,768.42 |
$2,768.42
|
|
Kras gene addl variants
|
$319.20 |
$319.20 |
$319.20 |
$384.80
|
|
Kras gene variants exon 2
|
$319.20 |
$319.20 |
$319.20 |
$486.45
|
|
Kyphosis pad
|
$254.97 |
$254.97 |
$254.97 |
$254.97
|
|
Kyphosis pad floating
|
$367.87 |
$367.87 |
$367.87 |
$367.87
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$10.26 |
$10.26 |
$10.26 |
$32.34
|
|
Lacer molded to patient mode
|
$868.72 |
$868.72 |
$868.72 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$111.78 |
$111.78 |
$111.78 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$61.20 |
$61.20 |
$61.20 |
$55.50
|
|
Lactated ringers intravenous solution
|
$37.80 |
$37.80 |
$37.80 |
$45.56
|
|
Lactic acid
|
$58.20 |
$58.20 |
$58.20 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$141.60 |
$141.60 |
$141.60 |
$80.40
|
|
Lactoferrin fecal quant
|
$49.80 |
$49.80 |
$49.80 |
$106.10
|
|
Lanthanum carbonate oral 5mg
|
$36.06 |
$36.06 |
$36.06 |
$14.41
|
|
Laparo cholecystectomy/graph
|
$20,806.56 |
$20,806.56 |
$20,806.56 |
$8,346.00
|
|
Laparoscopy biopsy
|
$25,171.69 |
$25,171.69 |
$25,171.69 |
$5,954.23
|
|
Laparoscopy excise lesions
|
$27,408.37 |
$27,408.37 |
$27,408.37 |
$6,904.15
|
|
Laparoscopy remove adnexa
|
$61,427.90 |
$61,427.90 |
$61,427.90 |
$8,312.83
|
|
Lap enterolysis
|
$62,094.53 |
$62,094.53 |
$62,094.53 |
$6,161.68
|
|
Lap ing hernia repair init
|
$28,362.33 |
$28,362.33 |
$28,362.33 |
$6,904.15
|
|
Lap ing hernia repair recur
|
$28,812.09 |
$28,812.09 |
$28,812.09 |
$6,376.26
|
|
Laryngoscop w/vc inj + scope
|
$11,999.14 |
$11,999.14 |
$11,999.14 |
$4,362.99
|
|
Laryngoscopy telescopic
|
$1,296.60 |
$1,296.60 |
$1,296.60 |
$832.00
|
|
Laryngoscopy w/biopsy
|
$13,151.58 |
$13,151.58 |
$13,151.58 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$17,309.64 |
$17,309.64 |
$17,309.64 |
$4,362.99
|
|
Laser surgery of prostate
|
$15,897.72 |
$15,897.72 |
$15,897.72 |
$6,015.75
|
|
Lateral thoracic extension
|
$578.90 |
$578.90 |
$578.90 |
$578.90
|
|
Lateral trochanteric pad
|
$183.85 |
$183.85 |
$183.85 |
$183.85
|
|
Lead acuity x4 spiral l 86cm
|
$52,484.40 |
$52,484.40 |
$52,484.40 |
$5,488.00
|
|
Lead capillary
|
$39.00 |
$39.00 |
$39.00 |
$57.50
|
|
Lead ingevity 45cm pfret MRI
|
$58,108.10 |
$58,108.10 |
$58,108.10 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$20,744.46 |
$20,744.46 |
$20,744.46 |
$8,000.00
|
|
Legg perthes orthosis trilat
|
$3,490.40 |
$3,490.40 |
$3,490.40 |
$3,490.40
|
|
Legg perthes orth scottish r
|
$2,946.68 |
$2,946.68 |
$2,946.68 |
$2,946.68
|
|
Legg perthes patten bottom t
|
$4,236.49 |
$4,236.49 |
$4,236.49 |
$4,236.49
|
|
Leg perthes orth toronto typ
|
$3,681.23 |
$3,681.23 |
$3,681.23 |
$3,681.23
|
|
Lens, intraocular (new tech)
|
$223.06 |
$223.06 |
$223.06 |
$589.05
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,624.22 |
$2,624.22 |
$2,624.22 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$3,135.94 |
$3,135.94 |
$3,135.94 |
$1,065.00
|
|
Lens iol ant chamb 10.5
|
$787.27 |
$787.27 |
$787.27 |
$367.97
|
|
Levalbuterol non-comp con
|
$16.08 |
$16.08 |
$16.08 |
$21.60
|
|
Levetiracetam therapeutic drug level
|
$115.80 |
$115.80 |
$115.80 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$49.44 |
$49.44 |
$49.44 |
$55.60
|
|
Liberta rc ipg
|
$81,180.25 |
$81,180.25 |
$81,180.25 |
$36,300.00
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$33.42 |
$33.42 |
$33.42 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$40.62 |
$40.62 |
$40.62 |
$39.37
|
|
Lidocaine therapeutic drug level
|
$49.80 |
$49.80 |
$49.80 |
$89.70
|
|
Lift heel adj small gl60404sm
|
$174.51 |
$174.51 |
$174.51 |
$148.39
|
|
Lift heel adjustable med
|
$90.22 |
$90.22 |
$90.22 |
$57.90
|
|
Lifts elevation metal extens
|
$1,339.06 |
$1,339.06 |
$1,339.06 |
$959.80
|
|
Limited ankle motion ea jnt
|
$351.65 |
$351.65 |
$351.65 |
$123.05
|
|
Limited motion knee joint
|
$274.07 |
$274.07 |
$274.07 |
$278.92
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$148.92 |
$148.92 |
$148.92 |
$125.66
|
|
Lipase
|
$68.40 |
$68.40 |
$68.40 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$58.20 |
$58.20 |
$58.20 |
$90.35
|
|
Lipoprotein blood quant
|
$72.00 |
$72.00 |
$72.00 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$66.60 |
$66.60 |
$66.60 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$84.00 |
$84.00 |
$84.00 |
$61.60
|
|
Lithium therapeutic drug level
|
$61.80 |
$61.80 |
$61.80 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$444.00 |
$444.00 |
$444.00 |
$340.00
|
|
Liver elastography 91200
|
$306.60 |
$306.60 |
$306.60 |
$285.18
|
|
Liver Function Test
|
$73.80 |
$73.80 |
$73.80 |
$115.44
|
|
Liver/spleen imag static only
|
$1,113.00 |
$1,113.00 |
$1,113.00 |
$1,123.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$6.00 |
$6.00 |
$6.00 |
$37.20
|
|
Lo rig pos pnl l1-l5 pre ots
|
$408.17 |
$408.17 |
$408.17 |
$414.13
|
|
Lo sag rig pnl stays pre cst
|
$167.74 |
$167.74 |
$167.74 |
$167.74
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$1,740.00 |
$1,740.00 |
$1,740.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$1,527.60 |
$1,527.60 |
$1,527.60 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$989.40 |
$989.40 |
$989.40 |
$1,504.05
|
|
Lower Back (Lumbar Spine) X-ray
|
$404.40 |
$404.40 |
$404.40 |
$352.32
|
|
Lso corset front
|
$249.04 |
$249.04 |
$249.04 |
$172.04
|
|
Lso flex no ri stays pre ots
|
$269.09 |
$269.09 |
$269.09 |
$195.00
|
|
Lso full corset
|
$353.77 |
$353.77 |
$353.77 |
$320.92
|
