|
IV Fluids (first hour)
|
$945.10 |
$945.10 |
$945.10 |
$390.00
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$495.30 |
$495.30 |
$495.30 |
$162.00
|
|
IV inj ra drug dx study
|
$1,802.45 |
$1,802.45 |
$1,802.45 |
$567.00
|
|
IV Medicine Infusion (additional drug)
|
$319.15 |
$319.15 |
$319.15 |
$191.75
|
|
IV Medicine Infusion (each additional hour)
|
$206.70 |
$206.70 |
$206.70 |
$154.00
|
|
IV Medicine Infusion (first hour)
|
$945.10 |
$945.10 |
$945.10 |
$441.75
|
|
IV njx tst vasc flo flap/grf
|
$507.00 |
$507.00 |
$507.00 |
$476.00
|
|
IV Push Injection (each additional drug)
|
$206.70 |
$206.70 |
$206.70 |
$166.80
|
|
IV Push Injection (first drug)
|
$945.10 |
$945.10 |
$945.10 |
$254.52
|
|
Ivp w/wo kub w/wo tomography
|
$938.60 |
$938.60 |
$938.60 |
$713.40
|
|
Ixabepilone 15 mg intravenous solution
|
$18,856.29 |
$18,856.29 |
$18,856.29 |
$10,695.32
|
|
Jak2 targeted sequence analysis
|
$830.70 |
$830.70 |
$830.70 |
$405.00
|
|
Jaw Joint (TMJ) X-ray (both sides, open and closed)
|
$457.60 |
$457.60 |
$457.60 |
$330.05
|
|
Jaw (Mandible) X-ray (complete)
|
$542.10 |
$542.10 |
$542.10 |
$362.05
|
|
Jejunstmy tube plcmt
|
$5,671.90 |
$5,671.90 |
$5,671.90 |
$2,174.40
|
|
J-tube placement
|
$681.20 |
$681.20 |
$681.20 |
$593.08
|
|
Ketamine and metabolite screen - quest
|
$12.35 |
$12.35 |
$12.35 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$36.40 |
$36.40 |
$36.40 |
$58.56
|
|
Ketorolac (Toradol) Pain Shot, 15 mg
|
$15.29 |
$15.29 |
$15.29 |
$23.50
|
|
Kidney endoscopy
|
$1,453.40 |
$1,453.40 |
$1,453.40 |
$5,110.00
|
|
Kidney endoscopy
|
$3,629.60 |
$3,629.60 |
$3,629.60 |
$5,741.00
|
|
Kidney endoscopy & biopsy
|
$1,695.20 |
$1,695.20 |
$1,695.20 |
$6,311.00
|
|
Kidney endoscopy & biopsy
|
$2,860.00 |
$2,860.00 |
$2,860.00 |
$3,326.40
|
|
Kidney endoscopy & treatment
|
$1,970.80 |
$1,970.80 |
$1,970.80 |
$5,728.00
|
|
Kidney endoscopy & treatment
|
$3,078.40 |
$3,078.40 |
$3,078.40 |
$5,626.86
|
|
Kidney imag w/bld flow multi
|
$2,780.70 |
$2,780.70 |
$2,780.70 |
$1,566.50
|
|
Kidney img w/bldflw sgl without rx
|
$2,414.10 |
$2,414.10 |
$2,414.10 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$648.70 |
$648.70 |
$648.70 |
$673.36
|
|
Kidney (Retroperitoneal) Ultrasound (limited)
|
$627.90 |
$627.90 |
$627.90 |
$492.25
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$202.70 |
$202.70 |
$202.70 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$7,637.50 |
$7,637.50 |
$7,637.50 |
$9,423.50
|
|
Kit gene analys d816 variant
|
$560.30 |
$560.30 |
$560.30 |
$374.40
|
|
Kit ipg optimizer smart
|
$41,112.50 |
$41,112.50 |
$41,112.50 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$3,259.75 |
$3,259.75 |
$3,259.75 |
$16,672.10
|
|
Knee Arthroscopy (Cartilage Smoothing)
|
$2,373.80 |
$2,373.80 |
$2,373.80 |
$4,627.00
|
|
Knee arthroscopy/drainage
|
$1,913.60 |
$1,913.60 |
$1,913.60 |
$3,986.00
|
|
Knee arthroscopy dx
|
$1,484.60 |
$1,484.60 |
$1,484.60 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Trimming)
|
$2,010.45 |
$2,010.45 |
$2,010.45 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$2,150.20 |
$2,150.20 |
$2,150.20 |
$3,062.40
|
|
Knee arthroscopy/surgery
|
$3,447.60 |
$3,447.60 |
$3,447.60 |
$2,974.01
|
|
Knee arthroscopy/surgery
|
$1,784.90 |
$1,784.90 |
$1,784.90 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$2,056.60 |
$2,056.60 |
$2,056.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,844.70 |
$1,844.70 |
$1,844.70 |
$5,110.00
|
|
Knee arthroscopy/surgery
|
$2,306.20 |
$2,306.20 |
$2,306.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,113.80 |
$2,113.80 |
$2,113.80 |
$4,629.00
|
|
Knee arthroscopy/surgery
|
$2,745.60 |
$2,745.60 |
$2,745.60 |
$4,072.33
|
|
Knee arthroscopy/surgery
|
$3,060.20 |
$3,060.20 |
$3,060.20 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$2,152.80 |
$2,152.80 |
$2,152.80 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,428.40 |
$2,428.40 |
$2,428.40 |
$3,821.05
|
|
Knee arthroscopy/surgery
|
$2,641.60 |
$2,641.60 |
$2,641.60 |
$5,886.74
|
|
Knee arthroscopy/surgery
|
$4,089.80 |
$4,089.80 |
$4,089.80 |
$9,001.20
|
|
Knee arthroscopy/surgery
|
$4,526.60 |
$4,526.60 |
$4,526.60 |
$6,839.00
|
|
Knee cap medial or lateral p
|
$65.65 |
$65.65 |
$65.65 |
$104.54
|
|
Knee MRI (with and without contrast)
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$3,543.15 |
$3,543.15 |
$3,543.15 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,084.20 |
$1,084.20 |
$1,084.20 |
$2,122.12
|
|
Knee X-ray
|
$540.15 |
$540.15 |
$540.15 |
$428.12
|
|
Knee X-ray (1 to 2 views, both knees)
|
$440.70 |
$440.70 |
$440.70 |
$291.20
|
|
Knee X-ray (3 views, both knees)
|
$446.55 |
$446.55 |
$446.55 |
$363.60
|
|
Knee X-ray (standing, both knees)
|
$436.80 |
$436.80 |
$436.80 |
$252.50
|
|
Ko elastic w/joints pre ots
|
$99.45 |
$99.45 |
$99.45 |
$137.05
|
|
Ko single upright pre cst
|
$665.60 |
$665.60 |
$665.60 |
$988.40
|
|
Ko w adj flex/ext rotat mold
|
$1,129.70 |
$1,129.70 |
$1,129.70 |
$2,418.09
|
|
Ko w/adj jt rot cntrl molded
|
$617.50 |
$617.50 |
$617.50 |
$2,237.20
|
|
Kras gene addl variants
|
$866.45 |
$866.45 |
$866.45 |
$387.20
|
|
Kras gene variants exon 2
|
$866.45 |
$866.45 |
$866.45 |
$536.20
|
|
Kyleena, 19.5 mg
|
$1,894.83 |
$1,894.83 |
$1,894.83 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$9.36 |
$9.36 |
$9.36 |
$33.60
|
|
Labioplasty 56800
|
$1,021.80 |
$1,021.80 |
$1,021.80 |
$3,905.53
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$11.60 |
$11.60 |
$11.60 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$27.30 |
$27.30 |
$27.30 |
$55.50
|
|
Lactated ringers intravenous solution
|
$0.04 |
$0.04 |
$0.04 |
$43.74
|
|
Lactation class
|
$66.30 |
$66.30 |
$66.30 |
$104.96
|
|
Lactic acid
|
$52.00 |
$52.00 |
$52.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$88.40 |
$88.40 |
$88.40 |
$82.40
|
|
Lam facetc/frmt arthrd lum 1
|
$1,105.00 |
$1,105.00 |
$1,105.00 |
$582.40
|
|
Lam facetec & foramot crv
|
$4,667.00 |
$4,667.00 |
$4,667.00 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$4,395.95 |
$4,395.95 |
$4,395.95 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$4,933.50 |
$4,933.50 |
$4,933.50 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$982.80 |
$982.80 |
$982.80 |
$471.20
|
|
Lamie bx/exc idrl spine lesn lmbr 63282
|
$7,319.00 |
$7,319.00 |
$7,319.00 |
$4,650.40
|
|
Lamie bx/exc idrl spine lesn thrc 63281
|
$7,797.40 |
$7,797.40 |
$7,797.40 |
$4,925.60
|
|
Lamie excise intrspinl lesion thrc 63266
|
$6,416.80 |
$6,416.80 |
$6,416.80 |
$5,178.00
|
|
Laminotomy single lumbar
|
$4,877.60 |
$4,877.60 |
$4,877.60 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$74,084.40 |
$74,084.40 |
$74,084.40 |
$19,124.00
|
|
Laparo ablate liver tumor rf
|
$5,408.00 |
$5,408.00 |
$5,408.00 |
$10,948.04
|
|
Laparo ablate renal cyst
|
$4,383.60 |
$4,383.60 |
$4,383.60 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$3,926.00 |
$3,926.00 |
$3,926.00 |
$6,463.42
|
|
Laparo cholecystectomy/explr
|
$4,680.00 |
$4,680.00 |
$4,680.00 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$17,444.70 |
$17,444.70 |
$17,444.70 |
$8,346.00
|
|
Laparo drng lymphocele 49323
|
$2,659.80 |
$2,659.80 |
$2,659.80 |
$5,419.00
|
|
Laparo ligate spermatic vein
|
$1,872.00 |
$1,872.00 |
$1,872.00 |
$6,604.38
|
|
Laparo-myomectomy complex
|
$5,184.40 |
$5,184.40 |
$5,184.40 |
$11,419.92
|
|
Laparo new ureter/bladder
|
$6,812.65 |
$6,812.65 |
$6,812.65 |
$11,523.76
|
|
Laparo partial colectomy 44204
|
$6,869.20 |
$6,869.20 |
$6,869.20 |
$2,778.60
|
|
Laparo partial nephrectomy
|
$7,126.60 |
$7,126.60 |
$7,126.60 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$13,975.00 |
$13,975.00 |
$13,975.00 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$6,515.60 |
$6,515.60 |
$6,515.60 |
$2,983.86
|
|
Laparo remove w/ureter
|
$6,593.60 |
$6,593.60 |
$6,593.60 |
$2,996.40
|
