|
Incise inner ear
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,133.48
|
|
Incise inner ear nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,289.89
|
|
Incise inner eye adhesions
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,202.90
|
|
Incise inner eye adhesions
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,526.64
|
|
Incise inner eye adhesions
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,698.92
|
|
Incise inner eye adhesions
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,698.92
|
|
Incise inner eye adhesions
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,452.74
|
|
Incise inner eye strands
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,698.92
|
|
Incise nerve back of head
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,344.00
|
|
Incise perq finger tendon 26060
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,893.86
|
|
Incise skull/brain surgery
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,839.00
|
|
Incise skull for treatment
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,741.00
|
|
Incise sperm duct pouch
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,424.12
|
|
Incise tear duct opening 68440
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$507.20
|
|
Incise tendon(s) & muscle(s)
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$7,855.87
|
|
Incise thigh tendon & fascia
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,591.33
|
|
Incise wrist/forearm tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,591.33
|
|
Incision anal septum infant
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,245.23
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,261.20
|
|
Incision of achilles tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,306.48
|
|
Incision of achilles tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,591.33
|
|
Incision of anal sphincter
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,061.53
|
|
Incision of ankle bone
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,886.74
|
|
Incision of breast lesion
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,029.60
|
|
Incision of brow nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,310.83
|
|
Incision of burn scab initi
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$501.00
|
|
Incision of cheek nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,369.60
|
|
Incision of chin nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,310.83
|
|
Incision of eardrum
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$470.73
|
|
Incision of eardrum
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,589.62
|
|
Incision of esophagus
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,744.44
|
|
Incision of eye
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,320.43
|
|
Incision of eye
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,915.32
|
|
Incision of eyelid
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,150.40
|
|
Incision of facial nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,470.40
|
|
Incision of fibula
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Incision of finger tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,893.86
|
|
Incision of foot fascia
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,499.12
|
|
Incision of foot tendon 28234
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,116.27
|
|
Incision of heel bone
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,004.47
|
|
Incision of hip tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,885.29
|
|
Incision of hip tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Incision of hip tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,886.74
|
|
Incision of hip tendons
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Incision of iris
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,685.92
|
|
Incision of iris
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,698.92
|
|
Incision of jaw joint
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,837.72
|
|
Incision of jaw nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,310.83
|
|
Incision of knee joint
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,976.00
|
|
Incision of lymph channels
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,531.42
|
|
Incision of metatarsal
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,110.00
|
|
Incision of metatarsal
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,339.00
|
|
Incision of metatarsal
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,594.44
|
|
Incision of metatarsals
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Incision of midfoot bones
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$6,004.47
|
|
Incision of palm tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,591.33
|
|
Incision of prostate
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,820.84
|
|
Incision of rectal abscess
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,245.23
|
|
Incision of sperm duct
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,820.84
|
|
Incision of spinal nerve 64772
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,310.83
|
|
Incision of tendon & muscle
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$8,293.50
|
|
Incision of tendon sheath
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,263.68
|
|
Incision of thigh tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,499.12
|
|
Incision of thigh tendon
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Incision of thigh tendons
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$4,627.00
|
|
Incision of thigh tendons
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,594.44
|
|
Incision of thigh tendons
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,839.54
|
|
Incision of tibia
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,886.74
|
|
Incision of tibia & fibula
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,855.00
|
|
Incision of toe tendons 28011
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,068.30
|
|
Incision of tongue fold
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$1,865.58
|
|
Incision of tongue nerve
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,360.00
|
|
Incision of urethra
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,424.12
|
|
Incision of urethra
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,283.79
|
|
Incision of urethra
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,549.60
|
|
Incision of urethra
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,424.12
|
|
Incision of windpipe
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,564.16
|
|
Incision of windpipe
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$5,293.68
|
|
Incision of wrist capsule
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,594.44
|
|
Incision secondary cataract
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,685.92
|
|
Incision tendon sheath
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,309.40
|
|
Incisn of toe tndn
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$2,298.99
|
|
Incisn windpipe
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,837.72
|
|
Induced abortion d&c
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,649.80
|
|
Induced abortion dilat&evac
|
$5,110.00 |
$5,110.00 |
$5,110.00 |
$3,762.53
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$53.26 |
$53.26 |
$53.26 |
$137.15
|
|
Infect ag drug suscept pheno predict
|
$143.39 |
$143.39 |
$143.39 |
$325.00
|
|
Infect ag eia chlamydia trachomatis
|
$16.50 |
$16.50 |
$16.50 |
$16.50
|
|
Infect ag eia influenza a or b ea
|
$15.54 |
$15.54 |
$15.54 |
$69.03
|
|
Infect ag genotype na cytomegalovirus
|
$283.20 |
$283.20 |
$283.20 |
$603.41
|
|
Infect ag genotype na dna hepatitis b
|
$283.20 |
$283.20 |
$283.20 |
$500.40
|
|
Infect ag genotype na hiv-1 other region
|
$141.60 |
$141.60 |
$141.60 |
$301.50
|
|
Infect ag genotype na hiv-1 revr trn/prt
|
$283.20 |
$283.20 |
$283.20 |
$574.60
|
|
Infect ag ia direct hiv-1 antgn
|
$36.05 |
$36.05 |
$36.05 |
$95.55
|
|
Infect ag ia optc obs chlamydia trach
|
$38.82 |
$38.82 |
$38.82 |
$48.70
|
|
Infect ag ia optc obs influenza
|
$18.21 |
$18.21 |
$18.21 |
$66.72
|
|
Infect ag if ea plyvlnt antsrm
|
$13.18 |
$13.18 |
$13.18 |
$37.74
|
|
Infect ag if hep delta agent
|
$20.20 |
$20.20 |
$20.20 |
$125.97
|
|
Infect ag if influenza a
|
$17.68 |
$17.68 |
$17.68 |
$40.61
|
|
Infect ag if influenza b
|
$13.48 |
$13.48 |
$13.48 |
$34.67
|
