|
Knee arthroscopy/surgery
|
$13,740.85 |
$18,198.54 |
$23,185.54 |
$4,535.82
|
|
Knee arthroscopy/surgery
|
$14,566.02 |
$15,794.48 |
$29,778.46 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$51,352.65 |
$51,352.65 |
$51,352.65 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$14,528.58 |
$16,402.56 |
$26,998.46 |
$4,499.12
|
|
Knee arthroscopy/surgery
|
$25,953.22 |
$39,979.52 |
$51,393.10 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$56,429.20 |
$56,429.20 |
$56,429.20 |
$3,986.00
|
|
Knee arthroscopy/surgery
|
$30,447.98 |
$30,447.98 |
$30,447.98 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$35,529.80 |
$56,429.20 |
$66,164.32 |
$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
|
$277.20 |
$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)
|
$6.00 |
$10.26 |
$31.62 |
$32.34
|
|
Lacer molded to patient mode
|
$868.72 |
$868.72 |
$868.72 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$42.00 |
$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 |
$40.80 |
$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
|
|
Lam facetec & foramot crv
|
$45,815.84 |
$45,815.84 |
$45,815.84 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$24,807.48 |
$28,685.15 |
$35,581.97 |
$7,913.97
|
|
Lam facetec & foramot thrc
|
$45,815.84 |
$45,815.84 |
$45,815.84 |
$8,453.60
|
|
Lanthanum carbonate oral 5mg
|
$16.38 |
$36.06 |
$36.06 |
$14.41
|
|
Laparo cholecystectomy/graph
|
$19,653.96 |
$27,722.17 |
$28,188.91 |
$8,346.00
|
|
Laparo ligate spermatic vein
|
$19,513.20 |
$19,513.20 |
$19,513.20 |
$6,604.38
|
|
Laparo proc abdm/per/oment 49329
|
$25,585.92 |
$25,585.92 |
$32,229.77 |
$6,622.75
|
|
Laparoscopy biopsy
|
$18,413.58 |
$18,413.58 |
$33,593.75 |
$5,954.23
|
|
Laparoscopy excise lesions
|
$27,765.32 |
$43,637.98 |
$45,938.24 |
$6,904.15
|
|
Laparoscopy gastrostomy
|
$28,723.49 |
$28,723.49 |
$28,723.49 |
$6,376.26
|
|
Laparoscopy lymphadenectomy
|
$39,295.16 |
$49,931.69 |
$61,008.85 |
$12,260.88
|
|
Laparoscopy lymphadenectomy
|
$48,567.67 |
$48,567.67 |
$48,567.67 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$45,575.93 |
$45,575.93 |
$47,837.59 |
$6,904.15
|
|
Laparoscopy remove adnexa
|
$24,946.56 |
$32,914.87 |
$33,605.35 |
$8,312.83
|
|
Laparoscopy surg colpopexy
|
$26,334.02 |
$36,324.49 |
$63,394.49 |
$10,897.60
|
|
Laparo-vag hyst incl t/o
|
$33,486.47 |
$36,116.54 |
$36,324.49 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$30,249.72 |
$30,249.72 |
$39,443.91 |
$8,917.26
|
|
Lap enterolysis
|
$32,433.26 |
$32,433.26 |
$32,433.26 |
$6,161.68
|
|
Lap ing hernia repair init
|
$28,237.43 |
$32,651.42 |
$33,526.22 |
$6,904.15
|
|
Lap ing hernia repair recur
|
$27,953.08 |
$31,848.07 |
$35,165.86 |
$6,376.26
|
|
Lap insert tunnel ip cath
|
$15,521.46 |
$15,521.46 |
$21,372.70 |
$6,839.00
|
|
Lap paraesophag hern repair
|
$50,902.80 |
$50,902.80 |
$63,677.76 |
$11,533.76
|
|
Lap paraesoph her rpr w/mesh
|
$47,866.67 |
$47,866.67 |
$47,866.67 |
$10,029.60
|
|
Lap revision perm ip cath
|
$20,857.80 |
$20,857.80 |
$20,857.80 |
$6,904.15
|
|
Lap rmvl gastr adj all parts
|
$28,033.44 |
$28,033.44 |
$28,033.44 |
$4,502.13
|
|
Laps abltj uterine fibroids
|
$46,163.47 |
$46,163.47 |
$46,163.47 |
$12,320.22
|
|
Lap sleeve gastrectomy
|
$57,619.42 |
$57,619.42 |
$57,619.42 |
$2,733.60
|
|
Laps pelvic lymphadec
|
$47,064.47 |
$47,064.47 |
$47,064.47 |
$7,285.60
|
|
Laps surg prst8ect rpbic rad
|
$51,130.33 |
$51,130.33 |
$65,452.11 |
$12,320.22
|
|
Laps surg prst8ect smpl stot
|
$38,967.74 |
$38,967.74 |
$38,967.74 |
$12,260.88
|
|
Lap w/omentopexy add-on 49326
|
$21,165.76 |
$21,165.76 |
$21,165.76 |
$463.20
|
|
Largsc w/laser dstrj les
|
$17,595.62 |
$17,595.62 |
$17,595.62 |
$5,110.00
|
|
Laryngoscope w/vc inj
|
$14,553.58 |
$14,553.58 |
$15,059.92 |
$4,108.00
|
|
Laryngoscop w/vc inj + scope
|
$14,009.44 |
$14,009.44 |
$14,840.98 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$12,417.06 |
$17,142.90 |
$32,789.60 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$1,361.40 |
$1,361.40 |
$1,361.40 |
$832.00
|
|
Laryngoscopy w/biopsy
|
$14,198.52 |
$16,311.84 |
$16,540.98 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$13,443.18 |
$13,882.98 |
$14,281.02 |
$4,362.99
|
|
Larynscop w/tumr exc + scope
|
$15,044.58 |
$17,940.00 |
$18,656.78 |
$4,363.27
|
|
Laser surgery of prostate
|
$18,087.85 |
$18,087.85 |
$27,302.18 |
$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
|
|
Lefort i-1 piece without graft
|
$79,256.27 |
$79,256.27 |
$79,256.27 |
$6,320.00
|
|
Lefort i-3/> piece with graft
|
$121,540.03 |
$121,540.03 |
$121,540.03 |
$6,882.20
|
|
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
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$90.00 |
$90.00 |
$104.10 |
$163.62
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,163.16 |
$1,163.16 |
$3,612.00 |
$7,052.00
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$9,293.76 |
$9,293.76 |
$9,293.76 |
$9,107.80
|
|
Levalbuterol non-comp con
|
$15.78 |
$16.08 |
$16.08 |
$21.60
|
|
Levalbuterol non-comp unit
|
$3.60 |
$4.74 |
$4.80 |
$6.00
|
