|
Ketorolac 15 mg/ml injection (wrapper)
|
$1.50 |
$1.50 |
$1.50 |
$23.77
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$490.50 |
$490.50 |
$490.50 |
$673.36
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$119.50 |
$119.50 |
$119.50 |
$923.90
|
|
Knee Arthroscopy (Cartilage Repair)
|
$682.00 |
$682.00 |
$682.00 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$566.00 |
$566.00 |
$566.00 |
$3,839.54
|
|
Knee arthroscopy dx
|
$450.00 |
$450.00 |
$450.00 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$922.50 |
$922.50 |
$922.50 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$576.00 |
$576.00 |
$576.00 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$569.00 |
$569.00 |
$569.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$524.50 |
$524.50 |
$524.50 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$690.50 |
$690.50 |
$690.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$703.00 |
$703.00 |
$703.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$983.00 |
$983.00 |
$983.00 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$757.00 |
$757.00 |
$757.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$891.50 |
$891.50 |
$891.50 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$654.50 |
$654.50 |
$654.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$802.00 |
$802.00 |
$802.00 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$1,072.50 |
$1,072.50 |
$1,072.50 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$1,349.00 |
$1,349.00 |
$1,349.00 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$1,727.50 |
$1,727.50 |
$1,727.50 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,313.00 |
$1,313.00 |
$1,313.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,121.50 |
$1,121.50 |
$1,121.50 |
$2,110.76
|
|
Knee X-ray
|
$156.50 |
$156.50 |
$156.50 |
$425.55
|
|
Kras gene addl variants
|
$95.00 |
$95.00 |
$95.00 |
$386.75
|
|
Kras gene variants exon 2
|
$95.00 |
$95.00 |
$95.00 |
$509.00
|
|
Kyleena, 19.5 mg
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,125.00
|
|
Lactate dehydrogenase (ldh)
|
$14.50 |
$14.50 |
$14.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$7.00 |
$7.00 |
$7.00 |
$44.91
|
|
Lactic acid
|
$65.00 |
$65.00 |
$65.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$115.50 |
$115.50 |
$115.50 |
$81.00
|
|
Lam facetec & foramot crv
|
$1,467.50 |
$1,467.50 |
$1,467.50 |
$7,549.13
|
|
Laparo ablate renal cyst
|
$945.50 |
$945.50 |
$945.50 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$912.50 |
$912.50 |
$912.50 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$1,205.00 |
$1,205.00 |
$1,205.00 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$809.00 |
$809.00 |
$809.00 |
$8,346.00
|
|
Laparo partial colectomy 44204
|
$1,716.00 |
$1,716.00 |
$1,716.00 |
$2,917.80
|
|
Laparo proc abdm/per/oment 49329
|
$463.50 |
$463.50 |
$463.50 |
$6,622.75
|
|
Laparoscopic myomectomy
|
$941.50 |
$941.50 |
$941.50 |
$6,461.32
|
|
Laparoscopic proc
|
$1,188.50 |
$1,188.50 |
$1,188.50 |
$2,215.20
|
|
Laparoscopic salpingostomy 58673
|
$816.50 |
$816.50 |
$816.50 |
$5,214.15
|
|
Laparoscopy aspiration
|
$413.50 |
$413.50 |
$413.50 |
$6,839.00
|
|
Laparoscopy biopsy
|
$381.50 |
$381.50 |
$381.50 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$962.00 |
$962.00 |
$962.00 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$751.50 |
$751.50 |
$751.50 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$1,193.00 |
$1,193.00 |
$1,193.00 |
$11,424.40
|
|
Laparoscopy lymphadenectomy
|
$688.00 |
$688.00 |
$688.00 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$960.50 |
$960.50 |
$960.50 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$557.00 |
$557.00 |
$557.00 |
$6,904.15
|
|
Laparoscopy lysis
|
$732.00 |
$732.00 |
$732.00 |
$5,419.00
|
|
Laparoscopy remove adnexa
|
$684.50 |
$684.50 |
$684.50 |
$8,607.55
|
|
Laparoscopy splenectomy
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$10,488.40
|
|
Laparoscopy surg colpopexy
|
$997.50 |
$997.50 |
$997.50 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$382.00 |
$382.00 |
$382.00 |
$5,166.25
|
|
Laparo sling operation 51992
|
$866.50 |
$866.50 |
$866.50 |
$5,353.60
|
|
Laparo urethral suspension
|
$769.50 |
$769.50 |
$769.50 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$1,036.50 |
$1,036.50 |
$1,036.50 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$1,357.50 |
$1,357.50 |
$1,357.50 |
$8,917.26
|
|
Lap close enterostomy with resect 44227
|
$1,785.00 |
$1,785.00 |
$1,785.00 |
$3,582.00
|
|
Lap colectomy/coloproctostomy 44207
|
$1,933.50 |
$1,933.50 |
$1,933.50 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$2,102.50 |
$2,102.50 |
$2,102.50 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$1,435.00 |
$1,435.00 |
$1,435.00 |
$2,938.32
|
|
Lap colostomy 44188
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$3,008.00
|
|
Lap enterectomy 44202
|
$1,517.00 |
$1,517.00 |
$1,517.00 |
$2,142.00
|
|
Lap enterolysis
|
$1,016.00 |
$1,016.00 |
$1,016.00 |
$6,376.26
|
|
Lap ing hernia repair init
|
$488.00 |
$488.00 |
$488.00 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$634.50 |
$634.50 |
$634.50 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$429.50 |
$429.50 |
$429.50 |
$6,895.20
|
|
Lap mobil splenic fl add-on 44213
|
$196.50 |
$196.50 |
$196.50 |
$622.40
|
|
Lap paraesophag hern repair
|
$1,693.00 |
$1,693.00 |
$1,693.00 |
$12,260.88
|
|
Lap part colectomy w/stoma 44206
|
$1,878.50 |
$1,878.50 |
$1,878.50 |
$4,307.20
|
|
Lap rmvl gastr adj all parts
|
$1,067.00 |
$1,067.00 |
$1,067.00 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$2,733.60
|
|
Laps pelvic lymphadec
|
$1,264.00 |
$1,264.00 |
$1,264.00 |
$7,285.60
|
|
Lap w/omentopexy add-on 49326
|
$205.00 |
$205.00 |
$205.00 |
$463.20
|
|
Largsc w/rmvl foreign bdy(s)
|
$136.50 |
$136.50 |
$136.50 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$158.00 |
$158.00 |
$158.00 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$199.50 |
$199.50 |
$199.50 |
$2,854.09
|
|
Laser surgery eye strands
|
$333.50 |
$333.50 |
$333.50 |
$1,513.20
|
|
Laser surgery of prostate
|
$723.50 |
$723.50 |
$723.50 |
$6,822.11
|
|
Laser surg penis lesion(s)
|
$100.50 |
$100.50 |
$100.50 |
$3,562.00
|
|
Lat retinacular release open
|
$491.00 |
$491.00 |
$491.00 |
$3,839.54
|
|
Lavh >250 gms 58553
|
$1,152.00 |
$1,152.00 |
$1,152.00 |
$8,917.26
|
|
Lb with mastopexy 15839
|
$772.00 |
$772.00 |
$772.00 |
$3,386.84
|
|
Lead capillary
|
$117.50 |
$117.50 |
$117.50 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$458.00 |
$458.00 |
$458.00 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$75.00 |
$75.00 |
$75.00 |
$1,044.75
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$256.50 |
$256.50 |
$256.50 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,607.50 |
$2,607.50 |
$2,607.50 |
$9,107.80
|
|
Levalbuterol non-comp unit
|
$2.00 |
$2.00 |
$2.00 |
$6.00
|
|
Levetiracetam therapeutic drug level
|
$31.00 |
$31.00 |
$31.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$3.50 |
$3.50 |
$3.50 |
$55.60
|
|
Ligate leg veins open
|
$577.50 |
$577.50 |
$577.50 |
$3,724.63
|
|
Ligate leg veins radical 37760
|
$637.00 |
$637.00 |
$637.00 |
$3,439.84
|
|
Ligate oviduct(s) add-on 58611
|
$77.00 |
$77.00 |
$77.00 |
$800.00
|
|
Ligate/strip long leg vein
|
$506.00 |
$506.00 |
$506.00 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$433.50 |
$433.50 |
$433.50 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$381.50 |
$381.50 |
$381.50 |
$3,522.35
|
|
Ligation/biopsy of temporal artery 37609
|
$216.00 |
$216.00 |
$216.00 |
$3,322.80
|
|
Ligation common iliac vein
|
$1,448.50 |
$1,448.50 |
$1,448.50 |
$3,349.39
|
