|
Ketorolac 15 mg/ml injection (wrapper)
|
$6.22 |
$6.22 |
$6.22 |
$23.77
|
|
Kidney imaging morphology
|
$873.00 |
$873.00 |
$873.00 |
$785.00
|
|
Kidney imag w/bld flow multi
|
$2,375.00 |
$2,375.00 |
$2,375.00 |
$1,557.41
|
|
Kidney img w/bldflw sgl without rx
|
$1,287.50 |
$1,287.50 |
$1,287.50 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$659.50 |
$659.50 |
$659.50 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$265.00 |
$265.00 |
$265.00 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$6,462.50 |
$6,462.50 |
$6,462.50 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit hfx iq ipg bundle
|
$1,075.00 |
$1,075.00 |
$1,075.00 |
$34,160.00
|
|
Kit lead specify 5-6-5
|
$9,362.00 |
$9,362.00 |
$9,362.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,146.50 |
$1,146.50 |
$1,146.50 |
$1,667.50
|
|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$143.50 |
$143.50 |
$143.50 |
$923.90
|
|
Knee Arthroscopy (Cartilage Repair)
|
$3,261.00 |
$3,261.00 |
$3,261.00 |
$4,499.12
|
|
Knee Arthroscopy (Meniscus Repair)
|
$5,053.31 |
$5,053.31 |
$5,053.31 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$7,207.67 |
$7,207.67 |
$7,207.67 |
$2,834.77
|
|
Knee arthroscopy/surgery
|
$3,869.00 |
$3,869.00 |
$3,869.00 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$3,390.00 |
$3,390.00 |
$3,390.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$2,750.67 |
$2,750.67 |
$2,750.67 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,629.00 |
$4,629.00 |
$4,629.00 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$6,985.00 |
$6,985.00 |
$6,985.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,813.50 |
$4,813.50 |
$4,813.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$11,835.00 |
$11,835.00 |
$11,835.00 |
$8,979.74
|
|
Knee MRI (with and without contrast)
|
$1,974.00 |
$1,974.00 |
$1,974.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,886.00 |
$1,886.00 |
$1,886.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$2,110.76
|
|
Knee X-ray
|
$368.00 |
$368.00 |
$368.00 |
$425.55
|
|
Ko swedish type pre ots
|
$607.00 |
$607.00 |
$607.00 |
$581.60
|
|
Kras gene addl variants
|
$195.00 |
$195.00 |
$195.00 |
$386.75
|
|
Kras gene variants exon 2
|
$265.00 |
$265.00 |
$265.00 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$17.74 |
$17.74 |
$17.74 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$38.50 |
$38.50 |
$38.50 |
$55.50
|
|
Lactated ringers intravenous solution
|
$189.00 |
$189.00 |
$189.00 |
$44.91
|
|
Lactic acid
|
$338.50 |
$338.50 |
$338.50 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$100.00 |
$100.00 |
$100.00 |
$81.00
|
|
Lactoferrin fecal quant
|
$77.50 |
$77.50 |
$77.50 |
$108.93
|
|
Lam facetc/frmt arthrd lum 1
|
$4,424.86 |
$4,424.86 |
$4,424.86 |
$582.40
|
|
Lam facetec & foramot lumbar
|
$12,659.50 |
$12,659.50 |
$12,659.50 |
$8,412.89
|
|
Lam factc/frmt arthrd lum ea
|
$3,997.34 |
$3,997.34 |
$3,997.34 |
$492.80
|
|
Laminotomy single cervical
|
$15,448.67 |
$15,448.67 |
$15,448.67 |
$8,412.89
|
|
Lamiotoiotiotinotomy addl cervical 63043
|
$7,724.33 |
$7,724.33 |
$7,724.33 |
$1,506.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,124.00 |
$19,124.00 |
$19,124.00 |
$19,124.00
|
|
Laparo-asst vag hysterectomy
|
$11,597.50 |
$11,597.50 |
$11,597.50 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$11,597.50 |
$11,597.50 |
$11,597.50 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$8,960.00 |
$8,960.00 |
$8,960.00 |
$8,346.00
|
|
Laparo partial nephrectomy
|
$42,509.00 |
$42,509.00 |
$42,509.00 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$5,938.50 |
$5,938.50 |
$5,938.50 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$29,632.00 |
$29,632.00 |
$29,632.00 |
$6,360.80
|
|
Laparoscopic nephrectomy
|
$43,986.00 |
$43,986.00 |
$43,986.00 |
$5,686.20
|
|
Laparoscopy aspiration
|
$3,688.50 |
$3,688.50 |
$3,688.50 |
$6,839.00
|
|
Laparoscopy biopsy
|
$3,219.26 |
$3,219.26 |
$3,219.26 |
$6,376.26
|
|
Laparoscopy excise lesions
|
$6,276.00 |
$6,276.00 |
$6,276.00 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$9,495.34 |
$9,495.34 |
$9,495.34 |
$11,424.40
|
|
Laparoscopy lymphadenectomy
|
$11,039.83 |
$11,039.83 |
$11,039.83 |
$12,320.22
|
|
Laparoscopy remove adnexa
|
$6,985.00 |
$6,985.00 |
$6,985.00 |
$8,607.55
|
|
Laparoscopy surg colpopexy
|
$8,716.34 |
$8,716.34 |
$8,716.34 |
$10,897.60
|
|
Laparo-vag hyst incl t/o
|
$16,593.67 |
$16,593.67 |
$16,593.67 |
$12,100.40
|
|
Lap enterolysis
|
$5,009.00 |
$5,009.00 |
$5,009.00 |
$6,376.26
|
|
Lap esophageal lengthening addl 43283
|
$5,151.00 |
$5,151.00 |
$5,151.00 |
$388.00
|
|
Lap ing hernia repair init
|
$14,186.01 |
$14,186.01 |
$14,186.01 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$20,776.00 |
$20,776.00 |
$20,776.00 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$6,833.00 |
$6,833.00 |
$6,833.00 |
$6,895.20
|
|
Lap jejunostomy 44186
|
$10,899.50 |
$10,899.50 |
$10,899.50 |
$6,376.26
|
|
Lap paraesophag hern repair
|
$22,033.00 |
$22,033.00 |
$22,033.00 |
$12,260.88
|
|
Lap paraesoph her rpr w/mesh
|
$21,936.50 |
$21,936.50 |
$21,936.50 |
$10,029.60
|
|
Lap place gastr adj device
|
$10,522.00 |
$10,522.00 |
$10,522.00 |
$10,522.00
|
|
Lap revise/remv eltrd antrum
|
$8,539.88 |
$8,539.88 |
$8,539.88 |
$11,533.76
|
|
Laps esophgl sphnctr agmntj 43284
|
$18,455.00 |
$18,455.00 |
$18,455.00 |
$10,500.26
|
|
Laps surg prst8ect rpbic rad
|
$34,807.50 |
$34,807.50 |
$34,807.50 |
$12,320.22
|
|
Lap w/omentopexy add-on 49326
|
$2,062.83 |
$2,062.83 |
$2,062.83 |
$463.20
|
|
Largsc w/laser dstrj les
|
$4,285.50 |
$4,285.50 |
$4,285.50 |
$4,881.00
|
|
Largsc w/njx augmentation
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$3,297.97
|
|
Largsc w/removal lesion
|
$4,285.50 |
$4,285.50 |
$4,285.50 |
$4,362.99
|
|
Largsc w/rmvl foreign bdy(s)
|
$450.00 |
$450.00 |
$450.00 |
$765.97
|
|
Largsc w/ther injection
|
$2,046.00 |
$2,046.00 |
$2,046.00 |
$2,286.46
|
|
Laryngoplasty medialization
|
$6,804.50 |
$6,804.50 |
$6,804.50 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$4,285.50 |
$4,285.50 |
$4,285.50 |
$4,108.00
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,607.00 |
$2,607.00 |
$2,607.00 |
$2,480.71
|
|
Laryngoscopy telescopic
|
$450.00 |
$450.00 |
$450.00 |
$852.80
|
|
Laryngoscopy w/biopsy
|
$2,501.00 |
$2,501.00 |
$2,501.00 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$3,376.00 |
$3,376.00 |
$3,376.00 |
$4,362.99
|
|
Laryngoscopy w/fb removal
|
$2,438.50 |
$2,438.50 |
$2,438.50 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$2,085.50 |
$2,085.50 |
$2,085.50 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$445.50 |
$445.50 |
$445.50 |
$800.25
|
|
Larynscop w/tumr exc + scope
|
$3,063.50 |
$3,063.50 |
$3,063.50 |
$5,104.80
|
|
Laser surgery of prostate
|
$3,388.34 |
$3,388.34 |
$3,388.34 |
$6,822.11
|
|
Lateral canthopexy
|
$3,811.00 |
$3,811.00 |
$3,811.00 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$3,341.50 |
$3,341.50 |
$3,341.50 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$2,819.50 |
$2,819.50 |
$2,819.50 |
$5,534.00
|
|
Lead capillary
|
$70.50 |
$70.50 |
$70.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$5,789.50 |
$5,789.50 |
$5,789.50 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,080.00 |
$1,080.00 |
$1,080.00 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$939.50 |
$939.50 |
$939.50 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$420.00 |
$420.00 |
$420.00 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$309.61 |
$309.61 |
$309.61 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$2,306.79 |
$2,306.79 |
$2,306.79 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$3,911.00 |
$3,911.00 |
$3,911.00 |
$9,107.80
|
|
Levalbuterol non-comp unit
|
$2.50 |
$2.50 |
$2.50 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$29.25 |
$29.25 |
$29.25 |
$97.62
|
