|
Impl oi implt sk tc esp>=100
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$14,241.77
|
|
Impl oi implt skull perq esp
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$9,396.80
|
|
Impltj ntrstrml crnl rng seg
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,881.00
|
|
Impres&prep auricular prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Impres&prep def obt prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,369.60
|
|
Impres&prep facial prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,837.72
|
|
Impres&prep intrm obt prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,837.72
|
|
Impres&prep mndbl res prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,465.11
|
|
Impres&prep nasal prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,468.80
|
|
Impres&prep oral surg splint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,751.20
|
|
Impres&prep orbital prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,000.36
|
|
Impres&prep paltl aug prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,716.80
|
|
Impres&prep paltl lft prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,592.74
|
|
Impres&prep sp aid prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,054.40
|
|
Impres&prep surg obt prosth
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,271.20
|
|
Inc dp bone crtx f/arm&/wrst
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Inc dp opn b1 crtx hum/elbw
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Incise diaphragm nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Incise/drain eyelid lining
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,215.48
|
|
Incise flexor carpi radialis
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Incise hand/finger tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,007.15
|
|
Incise hip/thigh nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Incise hip/thigh nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,685.07
|
|
Incise inner ear
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,133.48
|
|
Incise inner ear nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,289.89
|
|
Incise inner eye adhesions
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,202.90
|
|
Incise inner eye adhesions
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,526.64
|
|
Incise inner eye adhesions
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,698.92
|
|
Incise inner eye adhesions
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,698.92
|
|
Incise inner eye adhesions
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,452.74
|
|
Incise inner eye strands
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,698.92
|
|
Incise nerve back of head
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,344.00
|
|
Incise perq finger tendon 26060
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,893.86
|
|
Incise skull/brain surgery
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,839.00
|
|
Incise skull for treatment
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,741.00
|
|
Incise sperm duct pouch
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,424.12
|
|
Incise tear duct opening 68440
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$507.20
|
|
Incise tendon(s) & muscle(s)
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$7,855.87
|
|
Incise thigh tendon & fascia
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,591.33
|
|
Incise wrist/forearm tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,591.33
|
|
Incision anal septum infant
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,245.23
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,261.20
|
|
Incision of achilles tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,306.48
|
|
Incision of achilles tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,591.33
|
|
Incision of anal sphincter
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,061.53
|
|
Incision of ankle bone
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Incision of breast lesion
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,029.60
|
|
Incision of brow nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Incision of burn scab initi
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$501.00
|
|
Incision of cheek nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,369.60
|
|
Incision of chin nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Incision of eardrum
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$470.73
|
|
Incision of eardrum
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,589.62
|
|
Incision of esophagus
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,744.44
|
|
Incision of eye
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,320.43
|
|
Incision of eye
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,915.32
|
|
Incision of eyelid
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,150.40
|
|
Incision of facial nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,470.40
|
|
Incision of fibula
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Incision of finger tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,893.86
|
|
Incision of foot fascia
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,499.12
|
|
Incision of foot tendon 28234
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,116.27
|
|
Incision of heel bone
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,004.47
|
|
Incision of hip tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,885.29
|
|
Incision of hip tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Incision of hip tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Incision of hip tendons
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Incision of iris
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,685.92
|
|
Incision of iris
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,698.92
|
|
Incision of jaw joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,837.72
|
|
Incision of jaw nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Incision of knee joint
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,976.00
|
|
Incision of lymph channels
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,531.42
|
|
Incision of metatarsal
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,110.00
|
|
Incision of metatarsal
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,339.00
|
|
Incision of metatarsal
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Incision of metatarsals
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Incision of midfoot bones
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$6,004.47
|
|
Incision of palm tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,591.33
|
|
Incision of prostate
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,820.84
|
|
Incision of rectal abscess
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,245.23
|
|
Incision of sperm duct
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,820.84
|
|
Incision of spinal nerve 64772
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,310.83
|
|
Incision of tendon & muscle
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$8,293.50
|
|
Incision of tendon sheath
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,263.68
|
|
Incision of thigh tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,499.12
|
|
Incision of thigh tendon
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Incision of thigh tendons
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$4,627.00
|
|
Incision of thigh tendons
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,594.44
|
|
Incision of thigh tendons
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,839.54
|
|
Incision of tibia
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,886.74
|
|
Incision of tibia & fibula
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,855.00
|
|
Incision of toe tendons 28011
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,068.30
|
|
Incision of tongue fold
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$1,865.58
|
|
Incision of tongue nerve
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,360.00
|
|
Incision of urethra
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,424.12
|
|
Incision of urethra
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,283.79
|
|
Incision of urethra
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$3,549.60
|
|
Incision of urethra
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$2,424.12
|
|
Incision of windpipe
|
$5,855.00 |
$5,855.00 |
$5,855.00 |
$5,564.16
|
