|
Implant neuroelectrodes
|
$17,924.00 |
$17,924.00 |
$17,924.00 |
$8,836.80
|
|
Implant neuroelectrodes
|
$6,588.00 |
$6,588.00 |
$6,588.00 |
$7,728.86
|
|
Implant power module patient cable cable 14 volt
|
$8,232.40 |
$8,232.40 |
$8,232.40 |
$3,695.42
|
|
Implant pulse generator remede el
|
$39,270.00 |
$39,270.00 |
$39,270.00 |
$43,752.80
|
|
Implant spine infusion pump
|
$54,301.00 |
$54,301.00 |
$54,301.00 |
$17,270.40
|
|
Implant tcat pulm vlv perq
|
$31,476.00 |
$31,476.00 |
$31,476.00 |
$12,623.60
|
|
Implant ureth bulk agent
|
$1,617.00 |
$1,617.00 |
$1,617.00 |
$2,168.00
|
|
Impl neurostim electr perc
|
$16,385.00 |
$16,385.00 |
$16,385.00 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$7,906.00 |
$7,906.00 |
$7,906.00 |
$1,072.00
|
|
Implt neurostim elctr each
|
$1,291.57 |
$1,291.57 |
$1,291.57 |
$4,320.00
|
|
Imuglucerase injection
|
$106.11 |
$106.11 |
$106.11 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$342.82 |
$342.82 |
$342.82 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$7,412.34 |
$7,412.34 |
$7,412.34 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,963.03 |
$2,963.03 |
$2,963.03 |
$2,598.17
|
|
In-111 pentetreotide
|
$12,977.00 |
$12,977.00 |
$12,977.00 |
$5,294.90
|
|
Inc dp bone crtx f/arm&/wrst
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$6,650.80
|
|
Inc dp opn b1 crtx hum/elbw
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,839.54
|
|
Incise/drain eyelid lining
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$1,271.00
|
|
Incise hand/finger tendon
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$2,007.15
|
|
Incise inner eye adhesions
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$2,698.92
|
|
Incise inner eye adhesions
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,940.80
|
|
Incise inner eye adhesions
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$2,685.92
|
|
Incise perq finger tendon 26060
|
$6,975.00 |
$6,975.00 |
$6,975.00 |
$2,211.05
|
|
Incise skull/brain surgery
|
$7,752.00 |
$7,752.00 |
$7,752.00 |
$7,752.00
|
|
Incise tear duct opening 68440
|
$5,015.00 |
$5,015.00 |
$5,015.00 |
$841.43
|
|
Incise tendon(s) & muscle(s)
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$7,968.80
|
|
Incise thigh tendon & fascia
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,086.70
|
|
Incision of achilles tendon
|
$8,340.00 |
$8,340.00 |
$8,340.00 |
$3,318.90
|
|
Incision of achilles tendon
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$3,591.33
|
|
Incision of anal sphincter
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,245.23
|
|
Incision of ankle bone
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$7,807.24
|
|
Incision of breast lesion
|
$8,104.00 |
$8,104.00 |
$8,104.00 |
$2,577.85
|
|
Incision of chin nerve
|
$5,507.00 |
$5,507.00 |
$5,507.00 |
$2,685.07
|
|
Incision of eardrum
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,837.72
|
|
Incision of eye
|
$6,644.00 |
$6,644.00 |
$6,644.00 |
$4,306.85
|
|
Incision of eyelid
|
$4,862.00 |
$4,862.00 |
$4,862.00 |
$1,835.60
|
|
Incision of facial nerve
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,230.76
|
|
Incision of finger tendon
|
$6,307.00 |
$6,307.00 |
$6,307.00 |
$1,893.86
|
|
Incision of foot fascia
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,599.40
|
|
Incision of foot tendon 28234
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,211.05
|
|
Incision of heel bone
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$6,004.47
|
|
Incision of hip tendon
|
$9,074.00 |
$9,074.00 |
$9,074.00 |
$3,885.29
|
|
Incision of hip tendons
|
$9,791.00 |
$9,791.00 |
$9,791.00 |
$3,865.95
|
|
Incision of knee joint
|
$8,901.00 |
$8,901.00 |
$8,901.00 |
$4,350.00
|
|
Incision of metatarsal
|
$8,241.00 |
$8,241.00 |
$8,241.00 |
$4,881.00
|
|
Incision of metatarsal
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,786.00
|
|
Incision of metatarsals
|
$7,811.00 |
$7,811.00 |
$7,811.00 |
$7,811.00
|
|
Incision of midfoot bones
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
$6,004.47
|
|
Incision of palm tendon
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$3,839.54
|
|
Incision of rectal abscess
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$3,245.23
|
|
Incision of spinal nerve 64772
|
$5,810.00 |
$5,810.00 |
$5,810.00 |
$2,685.07
|
|
Incision of tendon & muscle
|
$6,905.00 |
$6,905.00 |
$6,905.00 |
$5,855.00
|
|
Incision of tendon sheath
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$2,263.68
|
|
Incision of thigh
|
$10,290.00 |
$10,290.00 |
$10,290.00 |
$4,998.40
|
|
Incision of thigh tendon
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$4,491.50
|
|
Incision of thigh tendons
|
$6,653.00 |
$6,653.00 |
$6,653.00 |
$5,339.00
|
|
Incision of thigh tendons
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
$3,839.54
|
|
Incision of tibia
|
$5,753.00 |
$5,753.00 |
$5,753.00 |
$6,311.00
|
|
Incision of tongue fold
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$1,792.50
|
|
Incision of urethra
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$3,344.14
|
|
Incision of urethra
|
$4,609.00 |
$4,609.00 |
$4,609.00 |
$3,198.58
|
|
Incision of wrist capsule
|
$8,868.00 |
$8,868.00 |
$8,868.00 |
$3,839.54
|
|
Incision secondary cataract
|
$3,920.00 |
$3,920.00 |
$3,920.00 |
$2,524.45
|
|
Incision tendon sheath
|
$9,074.00 |
$9,074.00 |
$9,074.00 |
$3,073.20
|
|
Incisn of toe tndn
|
$6,975.00 |
$6,975.00 |
$6,975.00 |
$2,667.00
|
|
Incisn windpipe
|
$4,687.00 |
$4,687.00 |
$4,687.00 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$22.09 |
$22.09 |
$22.09 |
$1,339.57
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$11,483.00 |
$11,483.00 |
$11,483.00 |
$1,997.99
|
|
Induced abortion d&c
|
$10,666.00 |
$10,666.00 |
$10,666.00 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$10,666.00 |
$10,666.00 |
$10,666.00 |
$4,451.18
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$211.00 |
$211.00 |
$211.00 |
$140.80
|
|
Infec agen detec ampli probe
|
$89.00 |
$89.00 |
$89.00 |
$32.40
|
|
Infect ag drug suscept pheno predict
|
$1,129.00 |
$1,129.00 |
$1,129.00 |
$325.00
|
|
Infect ag genotype na cytomegalovirus
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$665.40
|
|
Infect ag genotype na dna hepatitis b
|
$1,696.00 |
$1,696.00 |
$1,696.00 |
$409.27
|
|
Infect ag genotype na hiv-1 other region
|
$288.00 |
$288.00 |
$288.00 |
$361.65
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$1,462.00 |
$1,462.00 |
$1,462.00 |
$603.83
|
|
Infect ag ia direct hiv-1 antgn
|
$156.00 |
$156.00 |
$156.00 |
$95.55
|
|
Infect ag ia optc obs influenza
|
$206.00 |
$206.00 |
$206.00 |
$72.93
|
|
Infect ag if ea plyvlnt antsrm
|
$95.00 |
$95.00 |
$95.00 |
$68.40
|
|
Infect ag if nos ea
|
$175.00 |
$175.00 |
$175.00 |
$74.88
|
|
Infect ag if pneumocystis carinii
|
$220.00 |
$220.00 |
$220.00 |
$66.06
|
|
Infect ag if varicella zoster
|
$220.00 |
$220.00 |
$220.00 |
$72.00
|
|
Infect ag na hep b amp
|
$167.00 |
$167.00 |
$167.00 |
$120.50
|
|
Infect ag na herpes simplex quant
|
$332.00 |
$332.00 |
$332.00 |
$178.86
|
|
Infect ag na hpv high-risk types
|
$125.00 |
$125.00 |
$125.00 |
$139.20
|
|
Infect ag na orthopoxvirus amp prb each
|
$331.00 |
$331.00 |
$331.00 |
$100.00
|
|
Infect ag na resp virus 12-25 targets
|
$1,214.00 |
$1,214.00 |
$1,214.00 |
$854.70
|
|
Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin
|
$314.00 |
$314.00 |
$314.00 |
$83.60
|
|
Infectious agent antigen immunoassay ql/sq multi step cryptosporidium
|
$54.00 |
$54.00 |
$54.00 |
$76.00
|
|
Infectious agent antigen immunoassay ql/sq multi step giardia
|
$159.00 |
$159.00 |
$159.00 |
$74.88
|
|
Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool
|
$172.00 |
$172.00 |
$172.00 |
$103.40
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn
|
$205.00 |
$205.00 |
$205.00 |
$81.20
|
|
Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization
|
$145.00 |
$145.00 |
$145.00 |
$60.00
|
|
Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies
|
$208.00 |
$208.00 |
$208.00 |
$100.00
|
|
Infectious agent antigen immunoassay ql/sq multi step legionella urine
|
$175.00 |
$175.00 |
$175.00 |
$129.00
|
|
Infectious agent antigen immunoassay ql/sq multi step rotavirus
|
$231.00 |
$231.00 |
$231.00 |
$98.58
|
|
Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin
|
$36.00 |
$36.00 |
$36.00 |
$55.31
|
