|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$173.40 |
$173.40 |
$173.40 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$241.80 |
$241.80 |
$241.80 |
$439.56
|
|
Ivp w/nephrotomography
|
$2,364.00 |
$2,364.00 |
$2,364.00 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$1,635.00 |
$1,635.00 |
$1,635.00 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$591.00 |
$591.00 |
$591.00 |
$379.87
|
|
John cunningham antibody
|
$133.20 |
$133.20 |
$133.20 |
$72.60
|
|
J-tube placement
|
$942.00 |
$942.00 |
$942.00 |
$462.00
|
|
Kafo dbl solid stirrup band/
|
$2,607.45 |
$2,607.45 |
$2,607.45 |
$2,185.15
|
|
Kafo dbl solid stirrup without j
|
$2,562.92 |
$2,562.92 |
$2,562.92 |
$2,562.92
|
|
Kafo fem fx cast molded to p
|
$3,838.16 |
$3,838.16 |
$3,838.16 |
$3,130.66
|
|
Kafo fem fx cast semi-rigid
|
$2,726.67 |
$2,726.67 |
$2,726.67 |
$2,130.02
|
|
Kafo fem fx cast thermoplas
|
$2,710.45 |
$2,710.45 |
$2,710.45 |
$2,710.45
|
|
Kafo femoral fx cast rigid
|
$2,983.95 |
$2,983.95 |
$2,983.95 |
$2,138.81
|
|
Kafo pla sin up w/wo k/a cus
|
$4,806.65 |
$4,806.65 |
$4,806.65 |
$4,806.65
|
|
Kafo plas sing free knee mol
|
$3,923.78 |
$3,923.78 |
$3,923.78 |
$3,923.78
|
|
Kafo plastic pediatric size
|
$409.90 |
$409.90 |
$409.90 |
$409.90
|
|
Kafo sing fre stirr thi/calf
|
$2,646.89 |
$2,646.89 |
$2,646.89 |
$2,646.89
|
|
Kafo sng/dbl mechanical act
|
$9,695.60 |
$9,695.60 |
$9,695.60 |
$9,695.60
|
|
Kafo sng solid stirrup without j
|
$2,064.55 |
$2,064.55 |
$2,064.55 |
$2,064.55
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$92.40 |
$92.40 |
$92.40 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$14.76 |
$14.76 |
$14.76 |
$23.50
|
|
Kidney imag w/bld flow multi
|
$1,265.40 |
$1,265.40 |
$1,265.40 |
$1,570.65
|
|
Kidney img w/bldflw sgl without rx
|
$1,059.60 |
$1,059.60 |
$1,059.60 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$744.60 |
$744.60 |
$744.60 |
$666.00
|
|
Kit case 4.2mm spinejack
|
$10,929.88 |
$10,929.88 |
$10,929.88 |
$7,751.14
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$12,333.83 |
$12,333.83 |
$12,333.83 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$319.20 |
$319.20 |
$319.20 |
$374.61
|
|
Kit hfx iq ipg bundle
|
$69,279.41 |
$69,279.41 |
$69,279.41 |
$30,006.00
|
|
Kit ipg optimizer smart
|
$68,229.72 |
$68,229.72 |
$68,229.72 |
$49,011.18
|
|
Kit lead specify 5-6-5
|
$28,866.42 |
$28,866.42 |
$28,866.42 |
$15,639.00
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,928.80 |
$1,928.80 |
$1,928.80 |
$1,543.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$35,629.01 |
$35,629.01 |
$35,629.01 |
$740.00
|
|
Kit sound processor cochlear osia 2
|
$31,351.55 |
$31,351.55 |
$31,351.55 |
$10,164.00
|
|
Kit tissue closure sealant adhesive air leak progel 4 ml pleura
|
$2,056.52 |
$2,056.52 |
$2,056.52 |
$2,089.15
|
|
Knee Arthroscopy (Cartilage Repair)
|
$16,894.02 |
$16,894.02 |
$16,894.02 |
$4,304.96
|
|
Knee arthroscopy dx
|
$14,652.90 |
$14,652.90 |
$14,652.90 |
$3,839.54
|
|
Knee Arthroscopy (Meniscus Repair)
|
$49,702.80 |
$49,702.80 |
$49,702.80 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$17,266.08 |
$17,266.08 |
$17,266.08 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$24,380.63 |
$24,380.63 |
$24,380.63 |
$4,535.82
|
|
Knee arthroscopy/surgery
|
$88,694.80 |
$88,694.80 |
$88,694.80 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$14,886.48 |
$14,886.48 |
$14,886.48 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$69,437.26 |
$69,437.26 |
$69,437.26 |
$4,499.12
|
|
Knee arthroscopy/surgery
|
$94,702.90 |
$94,702.90 |
$94,702.90 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$61,501.04 |
$61,501.04 |
$61,501.04 |
$3,986.00
|
|
Knee arthroscopy/surgery
|
$15,729.01 |
$15,729.01 |
$15,729.01 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$89,906.47 |
$89,906.47 |
$89,906.47 |
$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
|
|
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)
|
$26.40 |
$26.40 |
$26.40 |
$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 ablate renal cyst
|
$32,579.95 |
$32,579.95 |
$32,579.95 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$34,510.26 |
$34,510.26 |
$34,510.26 |
$6,463.42
|
|
Laparo cholecystectomy/graph
|
$26,169.49 |
$26,169.49 |
$26,169.49 |
$8,346.00
|
|
Laparo partial nephrectomy
|
$50,592.96 |
$50,592.96 |
$50,592.96 |
$12,320.22
|
|
Laparoscopic myomectomy
|
$36,810.97 |
$36,810.97 |
$36,810.97 |
$6,461.32
|
|
Laparoscopy biopsy
|
$35,907.00 |
$35,907.00 |
$35,907.00 |
$5,954.23
|
|
Laparoscopy excise lesions
|
$35,907.00 |
$35,907.00 |
$35,907.00 |
$6,904.15
|
|
Laparoscopy lymphadenectomy
|
$56,228.14 |
$56,228.14 |
$56,228.14 |
$12,260.88
|
|
Laparoscopy splenectomy
|
$54,237.76 |
$54,237.76 |
$54,237.76 |
$9,114.50
|
|
Laparo-vag hyst incl t/o
|
$32,013.61 |
$32,013.61 |
$32,013.61 |
$12,100.40
|
|
Lap ing hernia repair init
|
$26,529.62 |
$26,529.62 |
$26,529.62 |
$6,904.15
|
|
Lap ing hernia repair recur
|
$24,934.66 |
$24,934.66 |
$24,934.66 |
$6,376.26
|
|
Lap paraesoph her rpr w/mesh
|
$39,211.28 |
$39,211.28 |
$39,211.28 |
$10,029.60
|
|
Lap rmvl gastr adj all parts
|
$25,492.93 |
$25,492.93 |
$25,492.93 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$36,386.90 |
$36,386.90 |
$36,386.90 |
$2,733.60
|
|
Laps surg prst8ect rpbic rad
|
$56,126.95 |
$56,126.95 |
$56,126.95 |
$12,320.22
|
|
Laps surg prst8ect smpl stot
|
$44,117.59 |
$44,117.59 |
$44,117.59 |
$12,260.88
|
|
Laryngoscop w/vc inj + scope
|
$13,161.82 |
$13,161.82 |
$13,161.82 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$3,670.20 |
$3,670.20 |
$3,670.20 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$1,361.40 |
$1,361.40 |
$1,361.40 |
$832.00
|
|
Laryngoscopy w/biopsy
|
$14,695.20 |
$14,695.20 |
$14,695.20 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$15,347.88 |
$15,347.88 |
$15,347.88 |
$4,362.99
|
|
Laryngoscopy w/fb removal
|
$3,163.80 |
$3,163.80 |
$3,163.80 |
$3,055.20
|
