|
Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm
|
$191.20 |
$191.20 |
$191.20 |
$923.90
|
|
Knee Arthroscopy (Cartilage Repair)
|
$1,056.00 |
$1,056.00 |
$1,056.00 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$881.60 |
$881.60 |
$881.60 |
$3,839.54
|
|
Knee arthroscopy dx
|
$712.80 |
$712.80 |
$712.80 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$4,370.67 |
$4,370.67 |
$4,370.67 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$7,867.20 |
$7,867.20 |
$7,867.20 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$910.40 |
$910.40 |
$910.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,659.20 |
$4,659.20 |
$4,659.20 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$5,602.14 |
$5,602.14 |
$5,602.14 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$6,853.60 |
$6,853.60 |
$6,853.60 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$8,735.20 |
$8,735.20 |
$8,735.20 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$7,654.40 |
$7,654.40 |
$7,654.40 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,426.40 |
$1,426.40 |
$1,426.40 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$1,055.20 |
$1,055.20 |
$1,055.20 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$1,283.20 |
$1,283.20 |
$1,283.20 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$8,979.74 |
$8,979.74 |
$8,979.74 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$2,063.20 |
$2,063.20 |
$2,063.20 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$1,588.80 |
$1,588.80 |
$1,588.80 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$2,696.00 |
$2,696.00 |
$2,696.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$969.60 |
$969.60 |
$969.60 |
$2,110.76
|
|
Knee X-ray
|
$472.00 |
$472.00 |
$472.00 |
$425.55
|
|
Kras gene variants exon 2
|
$44.80 |
$44.80 |
$44.80 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,915.20 |
$2,915.20 |
$2,915.20 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$18.93 |
$18.93 |
$18.93 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$10.40 |
$10.40 |
$10.40 |
$55.50
|
|
Lactated ringers intravenous solution
|
$24.00 |
$24.00 |
$24.00 |
$44.91
|
|
Lactic acid
|
$73.60 |
$73.60 |
$73.60 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$71.20 |
$71.20 |
$71.20 |
$81.00
|
|
Lactoferrin fecal quant
|
$44.00 |
$44.00 |
$44.00 |
$108.93
|
|
Lam facetec & foramot crv
|
$2,348.00 |
$2,348.00 |
$2,348.00 |
$7,549.13
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$22,948.80 |
$22,948.80 |
$22,948.80 |
$19,124.00
|
|
Laparo ablate renal cyst
|
$1,512.80 |
$1,512.80 |
$1,512.80 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$1,460.00 |
$1,460.00 |
$1,460.00 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$1,988.80 |
$1,988.80 |
$1,988.80 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$8,463.20 |
$8,463.20 |
$8,463.20 |
$8,346.00
|
|
Laparo partial colectomy 44204
|
$2,655.20 |
$2,655.20 |
$2,655.20 |
$2,917.80
|
|
Laparoscopic myomectomy
|
$1,506.40 |
$1,506.40 |
$1,506.40 |
$6,461.32
|
|
Laparoscopic proc
|
$1,930.40 |
$1,930.40 |
$1,930.40 |
$2,215.20
|
|
Laparoscopic salpingostomy 58673
|
$1,306.40 |
$1,306.40 |
$1,306.40 |
$5,214.15
|
|
Laparoscopy aspiration
|
$661.60 |
$661.60 |
$661.60 |
$6,839.00
|
|
Laparoscopy biopsy
|
$3,577.60 |
$3,577.60 |
$3,577.60 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$1,539.20 |
$1,539.20 |
$1,539.20 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$3,827.20 |
$3,827.20 |
$3,827.20 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$1,908.80 |
$1,908.80 |
$1,908.80 |
$11,424.40
|
|
Laparoscopy lymphadenectomy
|
$1,100.80 |
$1,100.80 |
$1,100.80 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$1,536.80 |
$1,536.80 |
$1,536.80 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$891.20 |
$891.20 |
$891.20 |
$6,904.15
|
|
Laparoscopy lysis
|
$1,171.20 |
$1,171.20 |
$1,171.20 |
$5,419.00
|
|
Laparoscopy remove adnexa
|
$6,675.20 |
$6,675.20 |
$6,675.20 |
$8,607.55
|
|
Laparoscopy splenectomy
|
$1,868.80 |
$1,868.80 |
$1,868.80 |
$10,488.40
|
|
Laparoscopy surg colpopexy
|
$1,596.00 |
$1,596.00 |
$1,596.00 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$611.20 |
$611.20 |
$611.20 |
$5,166.25
|
|
Laparo sling operation 51992
|
$1,386.40 |
$1,386.40 |
$1,386.40 |
$5,353.60
|
|
Laparo urethral suspension
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$1,632.80 |
$1,632.80 |
$1,632.80 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$2,172.00 |
$2,172.00 |
$2,172.00 |
$8,917.26
|
|
Lap close enterostomy with resect 44227
|
$2,856.00 |
$2,856.00 |
$2,856.00 |
$3,582.00
|
|
Lap colectomy/coloproctostomy 44207
|
$3,093.60 |
$3,093.60 |
$3,093.60 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$3,364.00 |
$3,364.00 |
$3,364.00 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$2,296.00 |
$2,296.00 |
$2,296.00 |
$2,938.32
|
|
Lap colostomy 44188
|
$2,110.40 |
$2,110.40 |
$2,110.40 |
$3,008.00
|
|
Lap enterectomy 44202
|
$2,427.20 |
$2,427.20 |
$2,427.20 |
$2,142.00
|
|
Lap enterolysis
|
$1,625.60 |
$1,625.60 |
$1,625.60 |
$6,376.26
|
|
Lap ing hernia repair init
|
$780.80 |
$780.80 |
$780.80 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$1,015.20 |
$1,015.20 |
$1,015.20 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$687.20 |
$687.20 |
$687.20 |
$6,895.20
|
|
Lap mobil splenic fl add-on 44213
|
$314.40 |
$314.40 |
$314.40 |
$622.40
|
|
Lap paraesophag hern repair
|
$2,708.80 |
$2,708.80 |
$2,708.80 |
$12,260.88
|
|
Lap part colectomy w/stoma 44206
|
$3,005.60 |
$3,005.60 |
$3,005.60 |
$4,307.20
|
|
Lap rmvl gastr adj all parts
|
$1,707.20 |
$1,707.20 |
$1,707.20 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$1,932.00 |
$1,932.00 |
$1,932.00 |
$2,733.60
|
|
Laps pelvic lymphadec
|
$2,022.40 |
$2,022.40 |
$2,022.40 |
$7,285.60
|
|
Lap w/omentopexy add-on 49326
|
$328.00 |
$328.00 |
$328.00 |
$463.20
|
|
Largsc w/rmvl foreign bdy(s)
|
$218.40 |
$218.40 |
$218.40 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,845.60 |
$2,845.60 |
$2,845.60 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$319.20 |
$319.20 |
$319.20 |
$2,854.09
|
|
Laser surgery eye strands
|
$533.60 |
$533.60 |
$533.60 |
$1,513.20
|
|
Laser surgery of prostate
|
$963.20 |
$963.20 |
$963.20 |
$6,822.11
|
|
Laser surg penis lesion(s)
|
$160.80 |
$160.80 |
$160.80 |
$3,562.00
|
|
Lat retinacular release open
|
$785.60 |
$785.60 |
$785.60 |
$3,839.54
|
|
Lavh >250 gms 58553
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$8,917.26
|
|
Lb with mastopexy 15839
|
$1,235.20 |
$1,235.20 |
$1,235.20 |
$3,386.84
|
|
Lead capillary
|
$64.00 |
$64.00 |
$64.00 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$539.20 |
$539.20 |
$539.20 |
$1,092.58
|
|
Lens iol ant bicnvx 24.0 multi
|
$120.00 |
$120.00 |
$120.00 |
$1,044.75
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$372.34 |
$372.34 |
$372.34 |
$164.09
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,737.00 |
$1,737.00 |
$1,737.00 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$12,514.20 |
$12,514.20 |
$12,514.20 |
$9,107.80
|
|
Lev 3 hosp type b ed visit
|
$593.60 |
$593.60 |
$593.60 |
$598.15
|
|
Levalbuterol non-comp unit
|
$3.20 |
$3.20 |
$3.20 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$14.11 |
$14.11 |
$14.11 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$35.20 |
$35.20 |
$35.20 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$7.20 |
$7.20 |
$7.20 |
$55.60
|
|
Lidocaine (pf) 10 mg/ml (1 %) injection solution
|
$29.11 |
$29.11 |
$29.11 |
$46.02
|
|
Ligate leg veins open
|
$924.00 |
$924.00 |
$924.00 |
$3,724.63
|
|
Ligate leg veins radical 37760
|
$1,019.20 |
$1,019.20 |
$1,019.20 |
$3,439.84
|
|
Ligate oviduct(s) add-on 58611
|
$123.20 |
$123.20 |
$123.20 |
$800.00
|
|
Ligate/strip long leg vein
|
$809.60 |
$809.60 |
$809.60 |
$3,724.63
|
|
Ligate/strip short leg vein
|
$693.60 |
$693.60 |
$693.60 |
$3,724.63
|
|
Ligate/transect fallopian tubes 58600
|
$610.40 |
$610.40 |
$610.40 |
$3,522.35
|
