|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$458.00 |
$458.00 |
$458.00 |
$437.45
|
|
Jak2 targeted sequence analysis
|
$140.00 |
$140.00 |
$140.00 |
$393.43
|
|
John cunningham antibody
|
$2,266.62 |
$2,266.62 |
$2,266.62 |
$66.31
|
|
Keratoprosthesis
|
$1,404.50 |
$1,404.50 |
$1,404.50 |
$13,812.84
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$109.98 |
$109.98 |
$109.98 |
$58.50
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$5.24 |
$5.24 |
$5.24 |
$23.77
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$254.00 |
$254.00 |
$254.00 |
$673.36
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit lead specify 5-6-5
|
$6,027.50 |
$6,027.50 |
$6,027.50 |
$16,965.41
|
|
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)
|
$4,707.50 |
$4,707.50 |
$4,707.50 |
$4,499.12
|
|
Knee arthroscopy/drainage
|
$566.00 |
$566.00 |
$566.00 |
$3,839.54
|
|
Knee arthroscopy dx
|
$436.50 |
$436.50 |
$436.50 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$4,569.50 |
$4,569.50 |
$4,569.50 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$5,025.50 |
$5,025.50 |
$5,025.50 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$592.00 |
$592.00 |
$592.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,336.50 |
$4,336.50 |
$4,336.50 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$690.50 |
$690.50 |
$690.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$4,035.50 |
$4,035.50 |
$4,035.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$7,121.50 |
$7,121.50 |
$7,121.50 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$757.00 |
$757.00 |
$757.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$886.50 |
$886.50 |
$886.50 |
$4,137.60
|
|
Knee arthroscopy/surgery
|
$654.50 |
$654.50 |
$654.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$829.50 |
$829.50 |
$829.50 |
$5,855.00
|
|
Knee arthroscopy/surgery
|
$12,321.50 |
$12,321.50 |
$12,321.50 |
$8,979.74
|
|
Knee arthroscopy/surgery
|
$1,349.00 |
$1,349.00 |
$1,349.00 |
$6,411.60
|
|
Knee MRI (with and without contrast)
|
$1,651.00 |
$1,651.00 |
$1,651.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$1,168.00 |
$1,168.00 |
$1,168.00 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,432.50 |
$1,432.50 |
$1,432.50 |
$2,110.76
|
|
Knee X-ray
|
$277.00 |
$277.00 |
$277.00 |
$425.55
|
|
Kras gene addl variants
|
$102.00 |
$102.00 |
$102.00 |
$386.75
|
|
Kras gene variants exon 2
|
$102.00 |
$102.00 |
$102.00 |
$509.00
|
|
Kyleena, 19.5 mg
|
$1,822.00 |
$1,822.00 |
$1,822.00 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$1.14 |
$1.14 |
$1.14 |
$33.60
|
|
Lactate dehydrogenase (ldh)
|
$34.00 |
$34.00 |
$34.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$15.00 |
$15.00 |
$15.00 |
$44.91
|
|
Lactic acid
|
$237.00 |
$237.00 |
$237.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$94.50 |
$94.50 |
$94.50 |
$81.00
|
|
Lam facetec & foramot crv
|
$1,409.00 |
$1,409.00 |
$1,409.00 |
$7,549.13
|
|
Laparo ablate renal cyst
|
$958.50 |
$958.50 |
$958.50 |
$9,367.23
|
|
Laparo-asst vag hysterectomy
|
$981.50 |
$981.50 |
$981.50 |
$6,839.00
|
|
Laparo cholecystectomy/explr
|
$1,259.50 |
$1,259.50 |
$1,259.50 |
$6,637.99
|
|
Laparo cholecystectomy/graph
|
$7,275.50 |
$7,275.50 |
$7,275.50 |
$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
|
$595.50 |
$595.50 |
$595.50 |
$6,622.75
|
|
Laparoscopic myomectomy
|
$953.00 |
$953.00 |
$953.00 |
$6,461.32
|
|
Laparoscopic proc
|
$1,188.50 |
$1,188.50 |
$1,188.50 |
$2,215.20
|
|
Laparoscopic salpingostomy 58673
|
$838.00 |
$838.00 |
$838.00 |
$5,214.15
|
|
Laparoscopy aspiration
|
$401.50 |
$401.50 |
$401.50 |
$6,839.00
|
|
Laparoscopy biopsy
|
$4,972.50 |
$4,972.50 |
$4,972.50 |
$6,376.26
|
|
Laparoscopye procstom 43659
|
$962.00 |
$962.00 |
$962.00 |
$6,448.00
|
|
Laparoscopy excise lesions
|
$3,103.00 |
$3,103.00 |
$3,103.00 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$1,161.50 |
$1,161.50 |
$1,161.50 |
$11,424.40
|
|
Laparoscopy lymphadenectomy
|
$694.00 |
$694.00 |
$694.00 |
$12,320.22
|
|
Laparoscopy lymphadenectomy
|
$944.50 |
$944.50 |
$944.50 |
$8,932.00
|
|
Laparoscopy lymph node biop
|
$571.50 |
$571.50 |
$571.50 |
$6,904.15
|
|
Laparoscopy lysis
|
$729.50 |
$729.50 |
$729.50 |
$5,419.00
|
|
Laparoscopy remove adnexa
|
$5,497.50 |
$5,497.50 |
$5,497.50 |
$8,607.55
|
|
Laparoscopy splenectomy
|
$1,139.00 |
$1,139.00 |
$1,139.00 |
$10,488.40
|
|
Laparoscopy surg colpopexy
|
$1,024.00 |
$1,024.00 |
$1,024.00 |
$10,897.60
|
|
Laparoscopy tubal block 58671
|
$390.50 |
$390.50 |
$390.50 |
$5,166.25
|
|
Laparo sling operation 51992
|
$927.00 |
$927.00 |
$927.00 |
$5,353.60
|
|
Laparo urethral suspension
|
$778.50 |
$778.50 |
$778.50 |
$5,353.60
|
|
Laparo-vag hyst incl t/o
|
$7,436.00 |
$7,436.00 |
$7,436.00 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$9,620.00 |
$9,620.00 |
$9,620.00 |
$8,917.26
|
|
Lap close enterostomy with resect 44227
|
$1,763.00 |
$1,763.00 |
$1,763.00 |
$3,582.00
|
|
Lap colectomy/coloproctostomy 44207
|
$2,015.50 |
$2,015.50 |
$2,015.50 |
$4,491.20
|
|
Lap colectomy/coloproctostomy w/clst 44208
|
$2,078.50 |
$2,078.50 |
$2,078.50 |
$4,896.80
|
|
Lap colectomy part w/ileum 44205
|
$1,417.00 |
$1,417.00 |
$1,417.00 |
$2,938.32
|
|
Lap colostomy 44188
|
$1,282.50 |
$1,282.50 |
$1,282.50 |
$3,008.00
|
|
Lap enterectomy 44202
|
$1,486.50 |
$1,486.50 |
$1,486.50 |
$2,142.00
|
|
Lap enterolysis
|
$1,036.50 |
$1,036.50 |
$1,036.50 |
$6,376.26
|
|
Lap ing hernia repair init
|
$11,596.00 |
$11,596.00 |
$11,596.00 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$18,044.00 |
$18,044.00 |
$18,044.00 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$415.50 |
$415.50 |
$415.50 |
$6,895.20
|
|
Lap mobil splenic fl add-on 44213
|
$208.50 |
$208.50 |
$208.50 |
$622.40
|
|
Lap paraesophag hern repair
|
$1,655.50 |
$1,655.50 |
$1,655.50 |
$12,260.88
|
|
Lap part colectomy w/stoma 44206
|
$1,848.00 |
$1,848.00 |
$1,848.00 |
$4,307.20
|
|
Lap rmvl gastr adj all parts
|
$5,598.34 |
$5,598.34 |
$5,598.34 |
$4,502.13
|
|
Lap sleeve gastrectomy
|
$1,202.00 |
$1,202.00 |
$1,202.00 |
$2,733.60
|
|
Laps pelvic lymphadec
|
$1,244.00 |
$1,244.00 |
$1,244.00 |
$7,285.60
|
|
Lap w/omentopexy add-on 49326
|
$203.50 |
$203.50 |
$203.50 |
$463.20
|
|
Largsc w/rmvl foreign bdy(s)
|
$146.00 |
$146.00 |
$146.00 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$175.00 |
$175.00 |
$175.00 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$208.00 |
$208.00 |
$208.00 |
$2,854.09
|
|
Laser surgery eye strands
|
$351.50 |
$351.50 |
$351.50 |
$1,513.20
|
|
Laser surgery of prostate
|
$723.50 |
$723.50 |
$723.50 |
$6,822.11
|
|
Laser surg penis lesion(s)
|
$105.00 |
$105.00 |
$105.00 |
$3,562.00
|
|
Lat retinacular release open
|
$498.00 |
$498.00 |
$498.00 |
$3,839.54
|
|
Lavh >250 gms 58553
|
$9,672.00 |
$9,672.00 |
$9,672.00 |
$8,917.26
|
|
Lb with mastopexy 15839
|
$774.50 |
$774.50 |
$774.50 |
$3,386.84
|
|
Lead capillary
|
$68.00 |
$68.00 |
$68.00 |
$55.25
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$576.50 |
$576.50 |
$576.50 |
$1,092.58
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$268.00 |
$268.00 |
$268.00 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$405.40 |
$405.40 |
$405.40 |
$1,044.75
|
|
Leuprolide 30 mg (4 month) intramuscular syringe kit
|
$1,464.65 |
$1,464.65 |
$1,464.65 |
$6,236.52
|
|
Leuprolide 3.75 mg intramuscular syringe kit
|
$2,607.50 |
$2,607.50 |
$2,607.50 |
$9,107.80
|
|
Lev 3 hosp type b ed visit
|
$585.50 |
$585.50 |
$585.50 |
$598.15
|
|
Levalbuterol non-comp unit
|
$2.00 |
$2.00 |
$2.00 |
$6.00
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$6.89 |
$6.89 |
$6.89 |
$97.62
|
