|
Kidney img w/bldflw sgl without rx
|
$1,586.00 |
$1,586.00 |
$1,586.00 |
$1,425.00
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$570.00 |
$570.00 |
$570.00 |
$673.36
|
|
Kit cast tcc 3in w/2reg boots total contact cast
|
$1,725.00 |
$1,725.00 |
$1,725.00 |
$174.00
|
|
Kit cath ivl 2.5x40mm 135cm shockwave s4
|
$8,604.00 |
$8,604.00 |
$8,604.00 |
$9,482.25
|
|
Kit gene analys d816 variant
|
$1,068.00 |
$1,068.00 |
$1,068.00 |
$366.03
|
|
Kit lead specify 5-6-5
|
$7,749.00 |
$7,749.00 |
$7,749.00 |
$16,965.41
|
|
Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set
|
$1,261.88 |
$1,261.88 |
$1,261.88 |
$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)
|
$7,084.50 |
$7,084.50 |
$7,084.50 |
$4,499.12
|
|
Knee arthroscopy dx
|
$5,754.00 |
$5,754.00 |
$5,754.00 |
$3,980.03
|
|
Knee Arthroscopy (Meniscus Repair)
|
$9,434.50 |
$9,434.50 |
$9,434.50 |
$5,148.00
|
|
Knee arthroscopy/surgery
|
$5,265.00 |
$5,265.00 |
$5,265.00 |
$4,198.40
|
|
Knee arthroscopy/surgery
|
$7,084.50 |
$7,084.50 |
$7,084.50 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$9,838.00 |
$9,838.00 |
$9,838.00 |
$4,659.20
|
|
Knee arthroscopy/surgery
|
$6,610.00 |
$6,610.00 |
$6,610.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$5,303.34 |
$5,303.34 |
$5,303.34 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$6,610.00 |
$6,610.00 |
$6,610.00 |
$4,623.79
|
|
Knee arthroscopy/surgery
|
$9,226.00 |
$9,226.00 |
$9,226.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$8,762.00 |
$8,762.00 |
$8,762.00 |
$3,839.54
|
|
Knee arthroscopy/surgery
|
$22,862.50 |
$22,862.50 |
$22,862.50 |
$8,979.74
|
|
Knee MRI (with and without contrast)
|
$2,175.00 |
$2,175.00 |
$2,175.00 |
$3,008.26
|
|
Knee MRI (with contrast)
|
$3,403.50 |
$3,403.50 |
$3,403.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,877.00 |
$1,877.00 |
$1,877.00 |
$2,110.76
|
|
Knee X-ray
|
$1,052.00 |
$1,052.00 |
$1,052.00 |
$425.55
|
|
Kras gene addl variants
|
$418.50 |
$418.50 |
$418.50 |
$386.75
|
|
Kras gene variants exon 2
|
$847.50 |
$847.50 |
$847.50 |
$509.00
|
|
Kyleena, 19.5 mg
|
$2,733.00 |
$2,733.00 |
$2,733.00 |
$2,125.00
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$4.44 |
$4.44 |
$4.44 |
$33.60
|
|
Labioplasty 56800
|
$7,984.00 |
$7,984.00 |
$7,984.00 |
$3,786.00
|
|
Lactate dehydrogenase (ldh)
|
$36.00 |
$36.00 |
$36.00 |
$55.50
|
|
Lactated ringers intravenous solution
|
$180.00 |
$180.00 |
$180.00 |
$44.91
|
|
Lactic acid
|
$140.00 |
$140.00 |
$140.00 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$92.50 |
$92.50 |
$92.50 |
$81.00
|
|
Lam facetc/frmt arthrd lum 1
|
$4,296.04 |
$4,296.04 |
$4,296.04 |
$582.40
|
|
Lam facetec & foramot lumbar
|
$15,890.50 |
$15,890.50 |
$15,890.50 |
$8,412.89
|
|
Lam facetec & foramot thrc
|
$18,700.34 |
$18,700.34 |
$18,700.34 |
$8,453.60
|
|
Lam factc/frmt arthrd lum ea
|
$2,665.32 |
$2,665.32 |
$2,665.32 |
$492.80
|
|
Laminotomy single lumbar
|
$19,925.50 |
$19,925.50 |
$19,925.50 |
$8,453.60
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$19,124.00 |
$19,124.00 |
$19,124.00 |
$19,124.00
|
|
Laparo-asst vag hysterectomy
|
$15,621.50 |
$15,621.50 |
$15,621.50 |
$6,839.00
|
|
Laparo cholecystectomy/graph
|
$16,025.00 |
$16,025.00 |
$16,025.00 |
$8,346.00
|
|
Laparo partial colectomy 44204
|
$79,181.00 |
$79,181.00 |
$79,181.00 |
$2,917.80
|
|
Laparo partial nephrectomy
|
$16,294.00 |
$16,294.00 |
$16,294.00 |
$12,320.22
|
|
Laparo proc abdm/per/oment 49329
|
$5,616.83 |
$5,616.83 |
$5,616.83 |
$6,622.75
|
|
Laparo radical nephrectomy
|
$17,639.00 |
$17,639.00 |
$17,639.00 |
$6,360.80
|
|
Laparoscopic myomectomy
|
$8,618.00 |
$8,618.00 |
$8,618.00 |
$6,461.32
|
|
Laparoscopic nephrectomy
|
$38,136.50 |
$38,136.50 |
$38,136.50 |
$5,686.20
|
|
Laparoscopy aspiration
|
$1,394.92 |
$1,394.92 |
$1,394.92 |
$6,839.00
|
|
Laparoscopy biopsy
|
$8,890.00 |
$8,890.00 |
$8,890.00 |
$6,376.26
|
|
Laparoscopy excise lesions
|
$14,007.50 |
$14,007.50 |
$14,007.50 |
$6,904.15
|
|
Laparoscopy fundoplasty
|
$35,789.00 |
$35,789.00 |
$35,789.00 |
$11,424.40
|
|
Laparoscopy lymphadenectomy
|
$7,805.17 |
$7,805.17 |
$7,805.17 |
$12,320.22
|
|
Laparoscopy lymph node biop
|
$8,498.00 |
$8,498.00 |
$8,498.00 |
$6,904.15
|
|
Laparoscopy lysis
|
$5,484.58 |
$5,484.58 |
$5,484.58 |
$5,419.00
|
|
Laparoscopy pyeloplasty
|
$16,465.00 |
$16,465.00 |
$16,465.00 |
$11,963.98
|
|
Laparoscopy remove adnexa
|
$13,469.50 |
$13,469.50 |
$13,469.50 |
$8,607.55
|
|
Laparoscopy surg colpopexy
|
$30,978.34 |
$30,978.34 |
$30,978.34 |
$10,897.60
|
|
Laparo-vag hyst incl t/o
|
$32,703.00 |
$32,703.00 |
$32,703.00 |
$12,100.40
|
|
Laparo-vag hyst w/t/o compl
|
$19,856.00 |
$19,856.00 |
$19,856.00 |
$8,917.26
|
|
Lap enterolysis
|
$11,445.00 |
$11,445.00 |
$11,445.00 |
$6,376.26
|
|
Lap ing hernia repair init
|
$24,432.50 |
$24,432.50 |
$24,432.50 |
$8,312.83
|
|
Lap ing hernia repair recur
|
$45,959.00 |
$45,959.00 |
$45,959.00 |
$6,463.42
|
|
Lap insert tunnel ip cath
|
$7,820.50 |
$7,820.50 |
$7,820.50 |
$6,895.20
|
|
Lap jejunostomy 44186
|
$13,584.50 |
$13,584.50 |
$13,584.50 |
$6,376.26
|
|
Lap revision perm ip cath
|
$7,727.00 |
$7,727.00 |
$7,727.00 |
$6,904.15
|
|
Laps surg prst8ect rpbic rad
|
$15,610.34 |
$15,610.34 |
$15,610.34 |
$12,320.22
|
|
Laps surg prst8ect smpl stot
|
$16,288.34 |
$16,288.34 |
$16,288.34 |
$12,320.22
|
|
Laryngoplasty medialization
|
$2,153.00 |
$2,153.00 |
$2,153.00 |
$6,465.11
|
|
Laryngoscope w/vc inj
|
$1,076.50 |
$1,076.50 |
$1,076.50 |
$4,108.00
|
|
Laryngoscop w/vc inj + scope
|
$2,844.00 |
$2,844.00 |
$2,844.00 |
$4,362.99
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,148.00 |
$2,148.00 |
$2,148.00 |
$2,480.71
|
|
Laryngoscopy w/biopsy
|
$2,664.75 |
$2,664.75 |
$2,664.75 |
$4,362.99
|
|
Laryngoscopy w/bx & op scope
|
$2,475.00 |
$2,475.00 |
$2,475.00 |
$4,362.99
|
|
Laryngoscopy w/fb removal
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$2,854.09
|
|
Laryngoscopy with biopsy
|
$2,105.00 |
$2,105.00 |
$2,105.00 |
$3,297.83
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$447.00 |
$447.00 |
$447.00 |
$800.25
|
|
Larynscop w/tumr exc + scope
|
$4,386.00 |
$4,386.00 |
$4,386.00 |
$5,104.80
|
|
Laser surgery of cervix 57513
|
$5,265.00 |
$5,265.00 |
$5,265.00 |
$3,762.53
|
|
Laser surgery of prostate
|
$16,697.50 |
$16,697.50 |
$16,697.50 |
$6,822.11
|
|
Laser surg penis lesion(s)
|
$7,955.00 |
$7,955.00 |
$7,955.00 |
$3,562.00
|
|
Laser treatment of retina
|
$6,341.00 |
$6,341.00 |
$6,341.00 |
$5,954.00
|
|
Laser treatment of retina
|
$7,013.50 |
$7,013.50 |
$7,013.50 |
$6,370.00
|
|
Lateral canthopexy
|
$12,045.67 |
$12,045.67 |
$12,045.67 |
$3,837.72
|
|
Lead acuity x4 spiral l 86cm
|
$3,626.20 |
$3,626.20 |
$3,626.20 |
$5,534.00
|
|
Lead capillary
|
$77.50 |
$77.50 |
$77.50 |
$55.25
|
|
Lead ingevity 45cm pfret MRI
|
$1,319.00 |
$1,319.00 |
$1,319.00 |
$3,047.96
|
|
Lead tachy durata sj4 58cm
|
$3,684.18 |
$3,684.18 |
$3,684.18 |
$8,204.74
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$798.00 |
$798.00 |
$798.00 |
$1,092.58
|
|
Leishmania antibody
|
$147.00 |
$147.00 |
$147.00 |
$58.50
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$537.95 |
$537.95 |
$537.95 |
$1,050.40
|
|
Lens iol ant bicnvx 24.0 multi
|
$1,003.13 |
$1,003.13 |
$1,003.13 |
$1,044.75
|
|
Lens iol ant chamb 10.5
|
$176.38 |
$176.38 |
$176.38 |
$377.71
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$62.72 |
$62.72 |
$62.72 |
$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
|
$10,428.50 |
$10,428.50 |
$10,428.50 |
$9,107.80
|
|
Leuprolide acetate injeciton
|
$12.78 |
$12.78 |
$12.78 |
$1,322.50
|
|
Lev 1 hosp type b ed visit
|
$146.50 |
$146.50 |
$146.50 |
$186.98
|
|
Lev 2 hosp type b ed visit
|
$195.50 |
$195.50 |
$195.50 |
$359.65
|
|
Lev 3 hosp type b ed visit
|
$371.00 |
$371.00 |
$371.00 |
$598.15
|
|
Lev 4 hosp type b ed visit
|
$469.00 |
$469.00 |
$469.00 |
$915.40
|
