|
Implant spine infusion pump
|
$1,300.00 |
$1,300.00 |
$1,300.00 |
$17,262.84
|
|
Implant spine infusion pump
|
$1,601.60 |
$1,601.60 |
$1,601.60 |
$17,270.40
|
|
Implant ureter in bowel
|
$4,693.00 |
$4,693.00 |
$4,693.00 |
$2,898.56
|
|
Implant ureth bulk agent
|
$1,147.25 |
$1,147.25 |
$1,147.25 |
$2,168.00
|
|
Impl neurostim electr perc
|
$16,515.85 |
$16,515.85 |
$16,515.85 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$949.00 |
$949.00 |
$949.00 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$1,730.30 |
$1,730.30 |
$1,730.30 |
$5,095.20
|
|
Impl oi implt sk tc esp<100
|
$2,347.80 |
$2,347.80 |
$2,347.80 |
$22,958.00
|
|
Impl oi implt sk tc esp>=100
|
$2,592.20 |
$2,592.20 |
$2,592.20 |
$15,226.08
|
|
Impltj tot rplcmt hrt sys
|
$12,740.00 |
$12,740.00 |
$12,740.00 |
$4,580.80
|
|
Implt neurostim elctr each
|
$9,727.25 |
$9,727.25 |
$9,727.25 |
$4,320.00
|
|
Impres&prep auricular prosth
|
$6,468.80 |
$6,468.80 |
$6,468.80 |
$6,557.24
|
|
Impres&prep def obt prosth
|
$6,515.60 |
$6,515.60 |
$6,515.60 |
$4,881.00
|
|
Impres&prep facial prosth
|
$5,028.40 |
$5,028.40 |
$5,028.40 |
$5,028.40
|
|
Impres&prep intrm obt prosth
|
$5,800.60 |
$5,800.60 |
$5,800.60 |
$3,986.00
|
|
Impres&prep mndbl res prosth
|
$5,941.00 |
$5,941.00 |
$5,941.00 |
$7,000.36
|
|
Impres&prep nasal prosth
|
$6,468.80 |
$6,468.80 |
$6,468.80 |
$7,000.36
|
|
Impres&prep oral surg splint
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$1,751.20
|
|
Impres&prep orbital prosth
|
$8,762.00 |
$8,762.00 |
$8,762.00 |
$7,000.36
|
|
Impres&prep paltl aug prosth
|
$5,418.40 |
$5,418.40 |
$5,418.40 |
$3,837.72
|
|
Impres&prep paltl lft prosth
|
$5,010.20 |
$5,010.20 |
$5,010.20 |
$3,837.72
|
|
Impres&prep sp aid prosth
|
$5,844.80 |
$5,844.80 |
$5,844.80 |
$4,054.40
|
|
Impres&prep surg obt prosth
|
$3,484.00 |
$3,484.00 |
$3,484.00 |
$2,945.12
|
|
Imuglucerase injection
|
$4,098.43 |
$4,098.43 |
$4,098.43 |
$3,399.59
|
|
In-111 autol wbc diag per dose
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$3,493.75
|
|
In-111 oxyquinolin per 0.5 mci
|
$3,269.50 |
$3,269.50 |
$3,269.50 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,936.70 |
$2,936.70 |
$2,936.70 |
$2,598.17
|
|
In-111 pentetreotide
|
$6,862.70 |
$6,862.70 |
$6,862.70 |
$5,294.90
|
|
Inactivated je vacc im
|
$1,380.97 |
$1,380.97 |
$1,380.97 |
$481.34
|
|
Inc deep opng b1 crtx thorax
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$1,612.00
|
|
Inc dp bone crtx f/arm&/wrst
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$6,650.80
|
|
Inc dp opn b1 crtx hum/elbw
|
$1,658.80 |
$1,658.80 |
$1,658.80 |
$3,839.54
|
|
Incis 1 vertebral seg cerv
|
$6,598.80 |
$6,598.80 |
$6,598.80 |
$4,297.60
|
|
Incis 1 vertebral seg lumbar
|
$5,465.20 |
$5,465.20 |
$5,465.20 |
$3,628.80
|
|
Incis 1 vertebral seg thorac
|
$5,457.40 |
$5,457.40 |
$5,457.40 |
$3,619.20
|
|
Incis addl spine segment
|
$1,724.45 |
$1,724.45 |
$1,724.45 |
$880.00
|
|
Incise bile duct sphincter
|
$5,335.20 |
$5,335.20 |
$5,335.20 |
$1,802.57
|
|
Incise flexor carpi radialis
|
$985.40 |
$985.40 |
$985.40 |
$3,839.54
|
|
Incise hand/finger tendon
|
$930.80 |
$930.80 |
$930.80 |
$2,007.15
|
|
Incise inner ear
|
$588.90 |
$588.90 |
$588.90 |
$2,186.08
|
|
Incise perq finger tendon 26060
|
$756.60 |
$756.60 |
$756.60 |
$2,211.05
|
|
Incise tendon(s) & muscle(s)
|
$2,862.60 |
$2,862.60 |
$2,862.60 |
$7,968.80
|
|
Incise thigh tendon & fascia
|
$1,606.80 |
$1,606.80 |
$1,606.80 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$1,411.80 |
$1,411.80 |
$1,411.80 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,086.70
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$3,315.00 |
$3,315.00 |
$3,315.00 |
$2,312.00
|
|
Incision/fixation of femur
|
$5,275.40 |
$5,275.40 |
$5,275.40 |
$5,275.40
|
|
Incision of achilles tendon
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$3,318.90
|
|
Incision of achilles tendon
|
$1,086.80 |
$1,086.80 |
$1,086.80 |
$3,591.33
|
|
Incision of anal sphincter
|
$655.20 |
$655.20 |
$655.20 |
$3,245.23
|
|
Incision of ankle bone
|
$2,532.40 |
$2,532.40 |
$2,532.40 |
$7,807.24
|
|
Incision of bile duct 47420
|
$6,300.45 |
$6,300.45 |
$6,300.45 |
$2,788.80
|
|
Incision of breast lesion
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,577.85
|
|
Incision of burn scab initi
|
$972.40 |
$972.40 |
$972.40 |
$494.40
|
|
Incision of eardrum
|
$358.80 |
$358.80 |
$358.80 |
$552.75
|
|
Incision of eardrum
|
$508.95 |
$508.95 |
$508.95 |
$3,837.72
|
|
Incision of fibula
|
$1,242.80 |
$1,242.80 |
$1,242.80 |
$3,839.54
|
|
Incision of finger tendon
|
$977.60 |
$977.60 |
$977.60 |
$1,893.86
|
|
Incision of foot fascia
|
$1,193.40 |
$1,193.40 |
$1,193.40 |
$4,599.40
|
|
Incision of foot tendon 28234
|
$920.40 |
$920.40 |
$920.40 |
$2,211.05
|
|
Incision of gallbladder 47480
|
$3,445.00 |
$3,445.00 |
$3,445.00 |
$1,650.00
|
|
Incision of heel bone
|
$2,529.80 |
$2,529.80 |
$2,529.80 |
$6,004.47
|
|
Incision of hip tendon
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$3,885.29
|
|
Incision of hip tendon
|
$1,856.40 |
$1,856.40 |
$1,856.40 |
$3,839.54
|
|
Incision of hip tendons
|
$2,628.60 |
$2,628.60 |
$2,628.60 |
$3,865.95
|
|
Incision of liver duct
|
$9,453.60 |
$9,453.60 |
$9,453.60 |
$3,027.14
|
|
Incision of metatarsal
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$4,881.00
|
|
Incision of metatarsal
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$3,786.00
|
|
Incision of metatarsals
|
$3,681.60 |
$3,681.60 |
$3,681.60 |
$7,811.00
|
|
Incision of midfoot bones
|
$2,691.00 |
$2,691.00 |
$2,691.00 |
$6,004.47
|
|
Incision of neck of femur
|
$4,651.40 |
$4,651.40 |
$4,651.40 |
$4,651.40
|
|
Incision of palm tendon
|
$985.40 |
$985.40 |
$985.40 |
$3,839.54
|
|
Incision of prostate
|
$2,022.80 |
$2,022.80 |
$2,022.80 |
$4,081.37
|
|
Incision of pyloric muscle 43520
|
$2,935.40 |
$2,935.40 |
$2,935.40 |
$1,685.60
|
|
Incision of rectal abscess
|
$1,656.20 |
$1,656.20 |
$1,656.20 |
$3,245.23
|
|
Incision of small bowel 44010
|
$1,030.90 |
$1,030.90 |
$1,030.90 |
$1,362.00
|
|
Incision of spinal nerve 64772
|
$2,038.40 |
$2,038.40 |
$2,038.40 |
$2,685.07
|
|
Incision of tendon & muscle
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$5,855.00
|
|
Incision of tendon sheath
|
$923.00 |
$923.00 |
$923.00 |
$2,263.68
|
|
Incision of thigh
|
$3,016.00 |
$3,016.00 |
$3,016.00 |
$3,016.00
|
|
Incision of thigh
|
$3,798.60 |
$3,798.60 |
$3,798.60 |
$4,998.40
|
|
Incision of thigh tendon
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,491.50
|
|
Incision of thigh tendons
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$5,339.00
|
|
Incision of tibia
|
$2,823.60 |
$2,823.60 |
$2,823.60 |
$6,311.00
|
|
Incision of tibia & fibula
|
$4,544.80 |
$4,544.80 |
$4,544.80 |
$13,148.80
|
|
Incision of tongue fold
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$1,792.50
|
|
Incision of urethra
|
$605.80 |
$605.80 |
$605.80 |
$3,344.14
|
|
Incision of urethra
|
$1,157.00 |
$1,157.00 |
$1,157.00 |
$5,626.86
|
|
Incision of urethra
|
$460.20 |
$460.20 |
$460.20 |
$3,198.58
|
|
Incision of urethra
|
$293.80 |
$293.80 |
$293.80 |
$2,874.36
|
|
Incision of windpipe
|
$3,120.00 |
$3,120.00 |
$3,120.00 |
$5,855.00
|
|
Incision of wrist capsule
|
$1,466.40 |
$1,466.40 |
$1,466.40 |
$3,839.54
|
|
Incision tendon sheath
|
$889.20 |
$889.20 |
$889.20 |
$3,073.20
|
|
Incisn of toe tndn
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,667.00
|
|
Incisn windpipe
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,819.23
|
|
Incis spine 3 column lumbar
|
$9,536.80 |
$9,536.80 |
$9,536.80 |
$5,801.60
|
|
Incobotulinumtoxin a
|
$1,195.74 |
$1,195.74 |
$1,195.74 |
$1,339.57
|
|
Indigotindisulfonate 8 mg/ml soln 5 ml ampule
|
$187.20 |
$187.20 |
$187.20 |
$766.66
|
|
Induced ab 1+vag supp d&c
|
$2,025.40 |
$2,025.40 |
$2,025.40 |
$1,194.40
|
|
Induced ab 1+ vag sup w/dlv fetus
|
$1,671.80 |
$1,671.80 |
$1,671.80 |
$1,997.99
|
