|
Implant neuroelectrodes
|
$1,985.60 |
$1,985.60 |
$1,985.60 |
$18,334.40
|
|
Implant neuroelectrodes
|
$6,842.40 |
$6,842.40 |
$6,842.40 |
$13,628.55
|
|
Implant neuroelectrodes
|
$14,246.16 |
$14,246.16 |
$14,246.16 |
$8,836.80
|
|
Implant neuroelectrodes
|
$3,678.40 |
$3,678.40 |
$3,678.40 |
$7,728.86
|
|
Implant neurostim arrays
|
$2,026.40 |
$2,026.40 |
$2,026.40 |
$23,262.40
|
|
Implant single ventricular device 33975
|
$3,195.20 |
$3,195.20 |
$3,195.20 |
$5,053.23
|
|
Implant spinal canal cath
|
$2,089.60 |
$2,089.60 |
$2,089.60 |
$7,913.97
|
|
Implant spine infusion pump
|
$1,010.40 |
$1,010.40 |
$1,010.40 |
$17,262.84
|
|
Implant spine infusion pump
|
$936.80 |
$936.80 |
$936.80 |
$17,270.40
|
|
Implant ureth bulk agent
|
$1,629.60 |
$1,629.60 |
$1,629.60 |
$2,168.00
|
|
Impl neurostim electr perc
|
$16,324.56 |
$16,324.56 |
$16,324.56 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$1,072.00 |
$1,072.00 |
$1,072.00 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$978.40 |
$978.40 |
$978.40 |
$5,095.20
|
|
Impl oi implt skull perq esp
|
$5,209.60 |
$5,209.60 |
$5,209.60 |
$13,525.50
|
|
Impltj ntrstrml crnl rng seg
|
$11,556.80 |
$11,556.80 |
$11,556.80 |
$5,683.61
|
|
Impltj tot rplcmt hrt sys
|
$6,232.00 |
$6,232.00 |
$6,232.00 |
$4,580.80
|
|
Impreg gauze no h20/sal/yard
|
$5.60 |
$5.60 |
$5.60 |
$11.90
|
|
Impres&prep auricular prosth
|
$8,366.40 |
$8,366.40 |
$8,366.40 |
$6,557.24
|
|
Impres&prep def obt prosth
|
$4,369.60 |
$4,369.60 |
$4,369.60 |
$4,558.89
|
|
Impres&prep intrm obt prosth
|
$3,824.80 |
$3,824.80 |
$3,824.80 |
$3,837.72
|
|
Impres&prep mndbl res prosth
|
$4,013.60 |
$4,013.60 |
$4,013.60 |
$6,966.64
|
|
Impres&prep nasal prosth
|
$4,183.20 |
$4,183.20 |
$4,183.20 |
$6,966.64
|
|
Impres&prep oral surg splint
|
$1,751.20 |
$1,751.20 |
$1,751.20 |
$1,751.20
|
|
Impres&prep orbital prosth
|
$11,244.80 |
$11,244.80 |
$11,244.80 |
$7,000.36
|
|
Impres&prep paltl aug prosth
|
$3,716.80 |
$3,716.80 |
$3,716.80 |
$3,837.72
|
|
Impres&prep paltl lft prosth
|
$3,540.00 |
$3,540.00 |
$3,540.00 |
$3,837.72
|
|
Impres&prep sp aid prosth
|
$4,054.40 |
$4,054.40 |
$4,054.40 |
$4,054.40
|
|
Impres&prep surg obt prosth
|
$2,271.20 |
$2,271.20 |
$2,271.20 |
$2,945.12
|
|
Imuglucerase injection
|
$68.85 |
$68.85 |
$68.85 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$4,054.15 |
$4,054.15 |
$4,054.15 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,935.69 |
$1,935.69 |
$1,935.69 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$3,829.97 |
$3,829.97 |
$3,829.97 |
$2,598.17
|
|
In-111 pentetreotide
|
$10,976.74 |
$10,976.74 |
$10,976.74 |
$5,294.90
|
|
Inactivated je vacc im
|
$280.80 |
$280.80 |
$280.80 |
$481.34
|
|
Inc deep opng b1 crtx thorax
|
$1,091.20 |
$1,091.20 |
$1,091.20 |
$1,091.20
|
|
Inc dp bone crtx f/arm&/wrst
|
$2,872.00 |
$2,872.00 |
$2,872.00 |
$6,311.00
|
|
Inc dp opn b1 crtx hum/elbw
|
$2,512.00 |
$2,512.00 |
$2,512.00 |
$3,839.54
|
|
Incis 1 vertebral seg cerv
|
$4,297.60 |
$4,297.60 |
$4,297.60 |
$4,297.60
|
|
Incis 1 vertebral seg lumbar
|
$3,628.80 |
$3,628.80 |
$3,628.80 |
$3,628.80
|
|
Incis 1 vertebral seg thorac
|
$3,619.20 |
$3,619.20 |
$3,619.20 |
$3,619.20
|
|
Incis addl spine segment
|
$880.00 |
$880.00 |
$880.00 |
$783.42
|
|
Incise diaphragm nerve
|
$2,102.40 |
$2,102.40 |
$2,102.40 |
$2,310.83
|
|
Incise/drain eyelid lining
|
$598.40 |
$598.40 |
$598.40 |
$1,271.00
|
|
Incise flexor carpi radialis
|
$1,691.20 |
$1,691.20 |
$1,691.20 |
$3,839.54
|
|
Incise hand/finger tendon
|
$1,013.60 |
$1,013.60 |
$1,013.60 |
$2,007.15
|
|
Incise hip/thigh nerve
|
$2,500.80 |
$2,500.80 |
$2,500.80 |
$2,500.80
|
|
Incise hip/thigh nerve
|
$3,086.40 |
$3,086.40 |
$3,086.40 |
$3,086.40
|
|
Incise inner ear
|
$1,043.20 |
$1,043.20 |
$1,043.20 |
$2,186.08
|
|
Incise inner ear nerve
|
$7,489.60 |
$7,489.60 |
$7,489.60 |
$5,289.89
|
|
Incise inner eye adhesions
|
$1,534.40 |
$1,534.40 |
$1,534.40 |
$1,202.90
|
|
Incise inner eye adhesions
|
$2,355.20 |
$2,355.20 |
$2,355.20 |
$2,698.92
|
|
Incise inner eye adhesions
|
$2,940.80 |
$2,940.80 |
$2,940.80 |
$2,940.80
|
|
Incise inner eye adhesions
|
$3,132.80 |
$3,132.80 |
$3,132.80 |
$2,526.64
|
|
Incise inner eye adhesions
|
$3,297.60 |
$3,297.60 |
$3,297.60 |
$4,760.49
|
|
Incise inner eye strands
|
$2,688.00 |
$2,688.00 |
$2,688.00 |
$3,905.20
|
|
Incise nerve back of head
|
$2,344.00 |
$2,344.00 |
$2,344.00 |
$2,685.07
|
|
Incise perq finger tendon 26060
|
$636.80 |
$636.80 |
$636.80 |
$2,211.05
|
|
Incise skull/brain surgery
|
$2,984.00 |
$2,984.00 |
$2,984.00 |
$7,181.20
|
|
Incise skull for treatment
|
$3,808.00 |
$3,808.00 |
$3,808.00 |
$7,181.20
|
|
Incise sperm duct pouch
|
$2,123.20 |
$2,123.20 |
$2,123.20 |
$2,424.12
|
|
Incise tear duct opening 68440
|
$507.20 |
$507.20 |
$507.20 |
$841.43
|
|
Incise tendon(s) & muscle(s)
|
$1,900.00 |
$1,900.00 |
$1,900.00 |
$7,913.97
|
|
Incise thigh tendon & fascia
|
$2,363.20 |
$2,363.20 |
$2,363.20 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$1,073.60 |
$1,073.60 |
$1,073.60 |
$3,839.54
|
|
Incision anal septum infant
|
$647.20 |
$647.20 |
$647.20 |
$3,245.23
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,846.96 |
$3,846.96 |
$3,846.96 |
$2,089.40
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$2,312.00 |
$2,312.00 |
$2,312.00 |
$2,312.00
|
|
Incision of achilles tendon
|
$4,844.84 |
$4,844.84 |
$4,844.84 |
$3,318.90
|
|
Incision of achilles tendon
|
$1,377.60 |
$1,377.60 |
$1,377.60 |
$3,591.33
|
|
Incision of anal sphincter
|
$659.20 |
$659.20 |
$659.20 |
$3,245.23
|
|
Incision of ankle bone
|
$3,518.40 |
$3,518.40 |
$3,518.40 |
$6,905.00
|
|
Incision of bile duct
|
$3,352.00 |
$3,352.00 |
$3,352.00 |
$2,419.20
|
|
Incision of bile duct 47420
|
$3,291.20 |
$3,291.20 |
$3,291.20 |
$2,788.80
|
|
Incision of breast lesion
|
$2,297.60 |
$2,297.60 |
$2,297.60 |
$2,577.85
|
|
Incision of brow nerve
|
$2,097.60 |
$2,097.60 |
$2,097.60 |
$2,685.07
|
|
Incision of burn scab initi
|
$494.40 |
$494.40 |
$494.40 |
$494.40
|
|
Incision of cheek nerve
|
$2,369.60 |
$2,369.60 |
$2,369.60 |
$2,685.07
|
|
Incision of chin nerve
|
$1,758.40 |
$1,758.40 |
$1,758.40 |
$2,685.07
|
|
Incision of eardrum
|
$913.60 |
$913.60 |
$913.60 |
$548.25
|
|
Incision of eardrum
|
$726.40 |
$726.40 |
$726.40 |
$3,837.72
|
|
Incision of esophagus
|
$1,369.60 |
$1,369.60 |
$1,369.60 |
$1,851.20
|
|
Incision of eye
|
$4,190.40 |
$4,190.40 |
$4,190.40 |
$3,986.00
|
|
Incision of eye
|
$5,907.20 |
$5,907.20 |
$5,907.20 |
$4,306.85
|
|
Incision of eyelid
|
$1,150.40 |
$1,150.40 |
$1,150.40 |
$1,835.60
|
|
Incision of facial nerve
|
$2,470.40 |
$2,470.40 |
$2,470.40 |
$2,685.07
|
|
Incision of fibula
|
$1,966.40 |
$1,966.40 |
$1,966.40 |
$3,839.54
|
|
Incision of finger tendon
|
$1,038.40 |
$1,038.40 |
$1,038.40 |
$1,893.86
|
|
Incision of foot fascia
|
$4,844.84 |
$4,844.84 |
$4,844.84 |
$4,599.40
|
|
Incision of foot tendon 28234
|
$1,022.40 |
$1,022.40 |
$1,022.40 |
$2,116.27
|
|
Incision of gallbladder 47480
|
$2,159.20 |
$2,159.20 |
$2,159.20 |
$1,650.00
|
|
Incision of heel bone
|
$3,236.80 |
$3,236.80 |
$3,236.80 |
$5,855.00
|
|
Incision of hip tendon
|
$2,027.20 |
$2,027.20 |
$2,027.20 |
$3,885.29
|
|
Incision of hip tendon
|
$2,659.20 |
$2,659.20 |
$2,659.20 |
$3,839.54
|
|
Incision of hip tendon
|
$2,934.40 |
$2,934.40 |
$2,934.40 |
$7,807.24
|
|
Incision of hip tendons
|
$3,558.40 |
$3,558.40 |
$3,558.40 |
$3,865.95
|
|
Incision of iris
|
$1,843.20 |
$1,843.20 |
$1,843.20 |
$2,685.92
|
|
Incision of iris
|
$2,011.20 |
$2,011.20 |
$2,011.20 |
$2,698.92
|
|
Incision of jaw joint
|
$3,764.80 |
$3,764.80 |
$3,764.80 |
$4,558.89
|
|
Incision of jaw nerve
|
$2,275.20 |
$2,275.20 |
$2,275.20 |
$2,310.83
|
|
Incision of knee joint
|
$3,976.00 |
$3,976.00 |
$3,976.00 |
$3,976.00
|
