|
Ileostomy/jejunostomy non-tube 44310
|
$592.28 |
$592.28 |
$592.28 |
$1,976.40
|
|
Iliac/fem angio cath insert
|
$484.33 |
$484.33 |
$484.33 |
$1,856.01
|
|
Immob elbow child sm
|
$48.96 |
$48.96 |
$48.96 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$70.72 |
$70.72 |
$70.72 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$31.79 |
$31.79 |
$31.79 |
$114.60
|
|
Immobilizer shldr sling med
|
$56.95 |
$56.95 |
$56.95 |
$126.00
|
|
Immt breast prosthesis 19340
|
$448.80 |
$448.80 |
$448.80 |
$4,883.20
|
|
Immune complex assay
|
$3.68 |
$3.68 |
$3.68 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$11,327.30 |
$11,327.30 |
$11,327.30 |
$6,106.32
|
|
Immunoassay tumor antigen quantitative ca 125
|
$234.60 |
$234.60 |
$234.60 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$234.60 |
$234.60 |
$234.60 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$3.83 |
$3.83 |
$3.83 |
$48.38
|
|
Immunodiffusion nes
|
$2.12 |
$2.12 |
$2.12 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$23.91 |
$23.91 |
$23.91 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$20.40 |
$20.40 |
$20.40 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$91.80 |
$91.80 |
$91.80 |
$231.40
|
|
Immunoglobulin assay
|
$15.11 |
$15.11 |
$15.11 |
$75.88
|
|
Immunology procedure
|
$22.27 |
$22.27 |
$22.27 |
$142.56
|
|
Impact tooth remov part bony
|
$116.62 |
$116.62 |
$116.62 |
$1,840.30
|
|
Implant cartilage 10mm synthetic
|
$1,839.61 |
$1,839.61 |
$1,839.61 |
$8,184.00
|
|
Implant hormone pellet(s) 11980
|
$105.74 |
$105.74 |
$105.74 |
$315.75
|
|
Implant neuroelectrodes
|
$487.39 |
$487.39 |
$487.39 |
$18,334.40
|
|
Implant neuroelectrodes
|
$3,347.13 |
$3,347.13 |
$3,347.13 |
$8,763.11
|
|
Implant neuroelectrodes
|
$2,173.11 |
$2,173.11 |
$2,173.11 |
$7,766.27
|
|
Implant spine infusion pump
|
$225.08 |
$225.08 |
$225.08 |
$17,270.40
|
|
Implant ureth bulk agent
|
$1,536.67 |
$1,536.67 |
$1,536.67 |
$2,168.00
|
|
Impl neurostim electr perc
|
$4,357.95 |
$4,357.95 |
$4,357.95 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$122.40 |
$122.40 |
$122.40 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$233.58 |
$233.58 |
$233.58 |
$5,095.20
|
|
Implt neurostim elctr each
|
$80.75 |
$80.75 |
$80.75 |
$4,579.99
|
|
In-111 autol wbc diag per dose
|
$379.27 |
$379.27 |
$379.27 |
$3,523.65
|
|
In-111 oxyquinolin per 0.5 mci
|
$379.27 |
$379.27 |
$379.27 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$453.90 |
$453.90 |
$453.90 |
$2,598.17
|
|
In-111 pentetreotide
|
$1,200.37 |
$1,200.37 |
$1,200.37 |
$5,201.00
|
|
Inactivated je vacc im
|
$69.53 |
$69.53 |
$69.53 |
$481.34
|
|
Inc dp bone crtx f/arm&/wrst
|
$354.96 |
$354.96 |
$354.96 |
$6,650.80
|
|
Inc dp opn b1 crtx hum/elbw
|
$311.10 |
$311.10 |
$311.10 |
$3,821.05
|
|
Incis 1 vertebral seg cerv
|
$1,027.65 |
$1,027.65 |
$1,027.65 |
$4,297.60
|
|
Incis 1 vertebral seg lumbar
|
$877.88 |
$877.88 |
$877.88 |
$3,628.80
|
|
Incis 1 vertebral seg thorac
|
$878.73 |
$878.73 |
$878.73 |
$3,619.20
|
|
Incis addl spine segment
|
$201.79 |
$201.79 |
$201.79 |
$880.00
|
|
Incise/drain eyelid lining
|
$114.24 |
$114.24 |
$114.24 |
$1,271.00
|
|
Incise flexor carpi radialis
|
$216.24 |
$216.24 |
$216.24 |
$3,839.54
|
|
Incise hand/finger tendon
|
$276.76 |
$276.76 |
$276.76 |
$2,007.15
|
|
Incise inner ear
|
$339.49 |
$339.49 |
$339.49 |
$2,186.08
|
|
Incise perq finger tendon 26060
|
$156.40 |
$156.40 |
$156.40 |
$1,893.86
|
|
Incise tear duct opening 68440
|
$60.69 |
$60.69 |
$60.69 |
$507.20
|
|
Incise thigh tendon & fascia
|
$291.89 |
$291.89 |
$291.89 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$266.39 |
$266.39 |
$266.39 |
$3,786.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$763.98 |
$763.98 |
$763.98 |
$2,056.93
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$567.63 |
$567.63 |
$567.63 |
$2,312.00
|
|
Incision/fixation of femur
|
$801.38 |
$801.38 |
$801.38 |
$5,275.40
|
|
Incision of achilles tendon
|
$397.63 |
$397.63 |
$397.63 |
$3,172.80
|
|
Incision of achilles tendon
|
$130.73 |
$130.73 |
$130.73 |
$3,561.39
|
|
Incision of anal sphincter
|
$91.97 |
$91.97 |
$91.97 |
$3,245.23
|
|
Incision of breast lesion
|
$876.52 |
$876.52 |
$876.52 |
$2,560.80
|
|
Incision of burn scab initi
|
$111.35 |
$111.35 |
$111.35 |
$494.40
|
|
Incision of eardrum
|
$145.18 |
$145.18 |
$145.18 |
$552.75
|
|
Incision of eardrum
|
$91.29 |
$91.29 |
$91.29 |
$3,827.50
|
|
Incision of facial nerve
|
$297.33 |
$297.33 |
$297.33 |
$2,685.07
|
|
Incision of finger tendon
|
$282.20 |
$282.20 |
$282.20 |
$1,893.86
|
|
Incision of foot fascia
|
$1,068.45 |
$1,068.45 |
$1,068.45 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$249.39 |
$249.39 |
$249.39 |
$2,116.27
|
|
Incision of gallbladder 47480
|
$506.77 |
$506.77 |
$506.77 |
$1,650.00
|
|
Incision of heel bone
|
$387.43 |
$387.43 |
$387.43 |
$5,339.00
|
|
Incision of hip tendon
|
$813.96 |
$813.96 |
$813.96 |
$3,460.88
|
|
Incision of hip tendon
|
$322.66 |
$322.66 |
$322.66 |
$3,839.54
|
|
Incision of hip tendons
|
$1,076.10 |
$1,076.10 |
$1,076.10 |
$3,839.54
|
|
Incision of knee joint
|
$481.78 |
$481.78 |
$481.78 |
$3,976.00
|
|
Incision of metatarsal
|
$244.12 |
$244.12 |
$244.12 |
$4,176.43
|
|
Incision of metatarsal
|
$344.76 |
$344.76 |
$344.76 |
$3,591.33
|
|
Incision of metatarsals
|
$1,637.95 |
$1,637.95 |
$1,637.95 |
$7,907.11
|
|
Incision of midfoot bones
|
$366.52 |
$366.52 |
$366.52 |
$6,839.00
|
|
Incision of neck of femur
|
$715.53 |
$715.53 |
$715.53 |
$4,651.40
|
|
Incision of palm tendon
|
$284.24 |
$284.24 |
$284.24 |
$3,821.05
|
|
Incision of prostate
|
$281.18 |
$281.18 |
$281.18 |
$4,081.37
|
|
Incision of rectal abscess
|
$291.38 |
$291.38 |
$291.38 |
$3,245.23
|
|
Incision of small bowel 44010
|
$489.09 |
$489.09 |
$489.09 |
$1,362.00
|
|
Incision of spinal nerve 64772
|
$330.99 |
$330.99 |
$330.99 |
$2,310.83
|
|
Incision of tendon & muscle
|
$367.03 |
$367.03 |
$367.03 |
$5,624.45
|
|
Incision of tendon sheath
|
$606.73 |
$606.73 |
$606.73 |
$2,211.05
|
|
Incision of thigh
|
$491.13 |
$491.13 |
$491.13 |
$3,016.00
|
|
Incision of thigh
|
$592.96 |
$592.96 |
$592.96 |
$3,798.60
|
|
Incision of thigh tendon
|
$426.02 |
$426.02 |
$426.02 |
$4,491.50
|
|
Incision of thigh tendon
|
$273.87 |
$273.87 |
$273.87 |
$3,839.54
|
|
Incision of thigh tendons
|
$249.73 |
$249.73 |
$249.73 |
$4,844.84
|
|
Incision of tibia
|
$441.15 |
$441.15 |
$441.15 |
$7,907.11
|
|
Incision of toe tendons 28011
|
$432.14 |
$432.14 |
$432.14 |
$2,119.12
|
|
Incision of tongue fold
|
$383.69 |
$383.69 |
$383.69 |
$1,792.50
|
|
Incision of urethra
|
$1,023.40 |
$1,023.40 |
$1,023.40 |
$2,899.60
|
|
Incision tendon sheath
|
$732.36 |
$732.36 |
$732.36 |
$3,073.20
|
|
Incisn of toe tndn
|
$426.70 |
$426.70 |
$426.70 |
$2,627.96
|
|
Incisn windpipe
|
$171.87 |
$171.87 |
$171.87 |
$3,810.50
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$795.60 |
$795.60 |
$795.60 |
$766.66
|
|
Induced ab 1+vag supp d&c
|
$281.01 |
$281.01 |
$281.01 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$240.89 |
$240.89 |
$240.89 |
$1,881.75
|
|
Induced abortion d&c
|
$127.16 |
$127.16 |
$127.16 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$211.48 |
$211.48 |
$211.48 |
$4,446.00
|
|
Infect ag drug suscept pheno predict
|
$68.88 |
$68.88 |
$68.88 |
$323.20
|
|
Infect ag eia influenza a or b ea
|
$64.60 |
$64.60 |
$64.60 |
$71.50
|