|
Knee arthroscopy/surgery
|
$37,526.36 |
$37,526.36 |
$37,526.36 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$13,180.44 |
$13,180.44 |
$39,510.08 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$24,465.06 |
$24,465.06 |
$94,297.55 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$94,297.55 |
$94,297.55 |
$94,297.55 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$72,145.00 |
$72,145.00 |
$72,145.00 |
$6,411.60
|
|
Knee control condylar pad
|
$292.62 |
$292.62 |
$292.62 |
$175.04
|
|
Knee control full kneecap
|
$293.81 |
$293.81 |
$293.81 |
$192.00
|
|
Knee disc/dial lock/adj flex
|
$513.60 |
$513.60 |
$513.60 |
$288.41
|
|
Knee jnt ratchet lock ea jnt
|
$896.40 |
$896.40 |
$896.40 |
$309.90
|
|
Knee joint cam lock each joi
|
$435.28 |
$435.28 |
$435.28 |
$262.64
|
|
Knee joint drop lock ea jnt
|
$544.80 |
$544.80 |
$544.80 |
$175.45
|
|
Knee lift loop drop lock rin
|
$420.22 |
$420.22 |
$420.22 |
$222.00
|
|
Knee orth pos locking joint
|
$1,054.46 |
$1,054.46 |
$1,054.46 |
$585.60
|
|
Knee X-ray
|
$617.40 |
$617.40 |
$617.40 |
$425.55
|
|
Ko dbl upright w/air pre cst
|
$1,360.92 |
$1,360.92 |
$1,360.92 |
$1,208.98
|
|
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 |
$1,594.89
|
|
Ko elastic w/joints pre ots
|
$288.92 |
$288.92 |
$288.92 |
$137.05
|
|
Ko rigid without joints pre ots
|
$478.00 |
$478.00 |
$478.00 |
$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 |
$2,621.08
|
|
Ko swedish type pre ots
|
$1,020.72 |
$1,020.72 |
$1,020.72 |
$581.60
|
|
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 |
$2,418.09
|
|
Kras gene addl variants
|
$397.20 |
$397.20 |
$397.20 |
$384.80
|
|
Kras gene variants exon 2
|
$397.20 |
$397.20 |
$397.20 |
$509.00
|
|
Kyphosis pad
|
$386.08 |
$386.08 |
$386.08 |
$232.96
|
|
Kyphosis pad floating
|
$557.03 |
$557.03 |
$557.03 |
$336.11
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$8.82 |
$8.82 |
$12.30 |
$33.60
|
|
Lacer molded to patient mode
|
$1,315.45 |
$1,315.45 |
$1,315.45 |
$775.69
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$133.80 |
$133.80 |
$139.74 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$77.40 |
$77.40 |
$77.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$25.38 |
$25.38 |
$33.00 |
$44.91
|
|
Lactic acid
|
$294.60 |
$294.60 |
$294.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$42.60 |
$42.60 |
$42.60 |
$80.60
|
|
Lam facetc/frmt arthrd lum 1
|
$107,706.23 |
$107,706.23 |
$107,706.23 |
$582.40
|
|
Lam facetec & foramot crv
|
$52,013.44 |
$52,013.44 |
$52,013.44 |
$7,549.13
|
|
Lam facetec & foramot lumbar
|
$29,855.44 |
$29,855.44 |
$29,855.44 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$24,818.14 |
$24,818.14 |
$24,818.14 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$117,968.32 |
$117,968.32 |
$117,968.32 |
$492.80
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$49,053.06 |
$49,053.06 |
$49,053.06 |
$19,124.00
|
|
Lanthanum carbonate oral 5mg
|
$40.38 |
$40.38 |
$48.60 |
$14.53
|
|
Laparo ablate liver tumor rf
|
$37,314.61 |
$37,314.61 |
$37,314.61 |
$10,948.04
|
|
Laparo cholecystectomy/explr
|
$33,368.44 |
$33,368.44 |
$33,368.44 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$19,823.24 |
$19,823.24 |
$24,624.98 |
$8,346.00
|
|
Laparo proc abdm/per/oment 49329
|
$12,623.05 |
$12,623.05 |
$33,368.44 |
$6,622.75
|
|
Laparoscopic myomectomy
|
$23,771.08 |
$23,771.08 |
$23,771.08 |
$6,461.32
|
|
Laparoscopy aspiration
|
$11,774.28 |
$11,774.28 |
$11,774.28 |
$6,839.00
|
|
Laparoscopy biopsy
|
$14,422.74 |
$14,422.74 |
$20,452.84 |
$6,376.26
|
|
Laparoscopy excise lesions
|
$14,631.70 |
$14,631.70 |
$14,631.70 |
$6,904.15
|
|
Laparoscopy lymph node biop
|
$36,971.70 |
$36,971.70 |
$36,971.70 |
$6,904.15
|
|
Laparoscopy pyeloplasty
|
$25,836.52 |
$25,836.52 |
$25,836.52 |
$11,963.98
|
|
Laparoscopy remove adnexa
|
$21,859.44 |
$21,859.44 |
$21,859.44 |
$8,607.55
|
|
Laparoscopy surg colpopexy
|
$36,107.31 |
$36,107.31 |
$36,107.31 |
$10,897.60
|
|
Lap enterolysis
|
$15,902.47 |
$15,902.47 |
$15,902.47 |
$6,376.26
|
|
Lap ing hernia repair init
|
$24,934.01 |
$24,934.01 |
$29,158.13 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$24,926.17 |
$24,926.17 |
$24,926.17 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$12,619.54 |
$12,619.54 |
$17,307.24 |
$6,895.20
|
|
Lap paraesophag hern repair
|
$28,154.69 |
$28,154.69 |
$41,609.20 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$37,975.23 |
$37,975.23 |
$37,975.23 |
$10,029.60
|
|
Lap w/omentopexy add-on 49326
|
$14,228.62 |
$14,228.62 |
$14,228.62 |
$463.20
|
|
Laryngoscop w/vc inj + scope
|
$12,109.06 |
$12,109.06 |
$12,816.78 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$40,397.41 |
$40,397.41 |
$40,397.41 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$12,482.52 |
$12,482.52 |
$21,234.84 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$10,948.20 |
$10,948.20 |
$14,300.40 |
$4,362.99
|
|
Larynscop w/tumr exc + scope
|
$9,892.02 |
$9,892.02 |
$15,352.74 |
$5,104.80
|
|
Laser treatment of retina
|
$29,623.67 |
$29,623.67 |
$29,623.67 |
$5,954.00
|
|
Laser treatment of retina
|
$10,853.28 |
$10,853.28 |
$10,853.28 |
$6,370.00
|
|
Lateral thoracic extension
|
$876.59 |
$876.59 |
$876.59 |
$453.47
|
|
Lateral trochanteric pad
|
$278.39 |
$278.39 |
$278.39 |
$144.00
|
|
Lb with mastopexy 15839
|
$10,906.97 |
$10,906.97 |
$22,868.54 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$79,473.60 |
$79,473.60 |
$79,473.60 |
$5,602.50
|
|
Lead capillary
|
$19.20 |
$19.20 |
$19.20 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$87,989.20 |
$87,989.20 |
$87,989.20 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$24,835.50 |
$24,835.50 |
$24,835.50 |
$8,204.74
|
|
Legg perthes orthosis trilat
|
$3,490.40 |
$3,490.40 |
$3,490.40 |
$2,657.76
|
|
Legg perthes orth scottish r
|
$2,946.68 |
$2,946.68 |
$2,946.68 |
$2,243.76
|
|
Legg perthes patten bottom t
|
$4,236.49 |
$4,236.49 |
$4,236.49 |
$3,225.94
|
|
Leg perthes orth toronto typ
|
$3,681.23 |
$3,681.23 |
$3,681.23 |
$2,803.10
|
|
Leishmania antibody
|
$54.00 |
$54.00 |
$54.00 |
$58.50
|
|
Lens, intraocular (new tech)
|
$337.76 |
$337.76 |
$337.76 |
$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
|
$4,748.55 |
$4,748.55 |
$4,748.55 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$1,192.10 |
$1,192.10 |
$1,192.10 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$606.66 |
$606.66 |
$617.28 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$6,404.22 |
$6,404.22 |
$13,821.72 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$25,287.78 |
$25,287.78 |
$27,557.22 |
$9,023.58
|
|
Levalbuterol non-comp con
|
$18.06 |
$18.06 |
$18.06 |
$21.60
|
|
Levalbuterol non-comp unit
|
$5.40 |
$5.40 |
$7.20 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$22.20 |
$22.20 |
$160.74 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$60.00 |
$60.00 |
$60.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$34.02 |
$34.02 |
$35.58 |
$55.60
|
|
Liberta rc ipg
|
$122,925.79 |
$122,925.79 |
$122,925.79 |
$39,406.68
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$27,276.74 |
$27,276.74 |
$46,857.16 |
$46.02
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$48.60 |
$48.60 |
$106,716.82 |
$40.54
|
|
Lidocaine therapeutic drug level
|
$101.40 |
$101.40 |
$101.40 |
$87.45
|
|
Lift heel adj small gl60404sm
|
$264.25 |
$264.25 |
$264.25 |
$136.66
|
|
Lift heel adjustable med
|
$136.61 |
$136.61 |
$136.61 |
$59.90
|
|
Lifts elevation metal extens
|
$1,339.06 |
$1,339.06 |
$1,339.06 |
$959.80
|
|
Ligation/biopsy of temporal artery 37609
|
$12,753.00 |
$12,753.00 |
$12,753.00 |
$3,322.80
|
