|
Impres&prep oral surg splint
|
$2,337.40 |
$2,337.40 |
$2,337.40 |
$1,751.20
|
|
Impres&prep orbital prosth
|
$17,687.80 |
$17,687.80 |
$17,687.80 |
$7,000.36
|
|
Impres&prep paltl aug prosth
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,837.72
|
|
Impres&prep paltl lft prosth
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$3,837.72
|
|
Impres&prep sp aid prosth
|
$9,696.70 |
$9,696.70 |
$9,696.70 |
$4,054.40
|
|
Impres&prep surg obt prosth
|
$4,429.10 |
$4,429.10 |
$4,429.10 |
$2,945.12
|
|
Imuglucerase injection
|
$3,711.89 |
$4,098.43 |
$4,098.43 |
$3,399.59
|
|
In-111 autologous plt stdy dx
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$6,139.64
|
|
In-111 autol wbc diag per dose
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$3,493.75
|
|
In-111 capromab pendet
|
$2,624.70 |
$2,624.70 |
$2,624.70 |
$3,141.45
|
|
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
|
|
In-111 satumomab pend
|
$1,937.00 |
$1,937.00 |
$1,937.00 |
$3,113.04
|
|
Inactivated je vacc im
|
$673.40 |
$1,380.97 |
$1,380.97 |
$481.34
|
|
Inc deep opng b1 crtx thorax
|
$1,612.00 |
$1,612.00 |
$1,612.00 |
$1,091.20
|
|
Inc dp bone crtx f/arm&/wrst
|
$1,989.00 |
$1,989.00 |
$1,989.00 |
$6,311.00
|
|
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 |
$783.42
|
|
Incise bile duct sphincter
|
$5,335.20 |
$5,335.20 |
$5,335.20 |
$1,802.57
|
|
Incise diaphragm nerve
|
$1,705.60 |
$1,705.60 |
$1,705.60 |
$2,310.83
|
|
Incise/drain eyelid lining
|
$2,895.75 |
$2,895.75 |
$2,895.75 |
$1,271.00
|
|
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
|
$3,851.25 |
$3,851.25 |
$3,851.25 |
$2,186.08
|
|
Incise inner ear nerve
|
$5,920.20 |
$5,920.20 |
$5,920.20 |
$5,289.89
|
|
Incise inner ear nerve
|
$7,183.80 |
$7,183.80 |
$7,183.80 |
$2,186.35
|
|
Incise inner eye adhesions
|
$1,640.60 |
$1,640.60 |
$1,640.60 |
$1,202.90
|
|
Incise inner eye adhesions
|
$1,500.20 |
$1,500.20 |
$1,500.20 |
$2,698.92
|
|
Incise inner eye adhesions
|
$1,921.40 |
$1,921.40 |
$1,921.40 |
$2,940.80
|
|
Incise inner eye adhesions
|
$2,030.60 |
$2,030.60 |
$2,030.60 |
$2,526.64
|
|
Incise nerve back of head
|
$1,487.20 |
$1,487.20 |
$1,487.20 |
$2,685.07
|
|
Incise perq finger tendon 26060
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,211.05
|
|
Incise skull/brain surgery
|
$6,392.10 |
$6,392.10 |
$6,392.10 |
$6,392.10
|
|
Incise skull for treatment
|
$6,029.40 |
$6,029.40 |
$6,029.40 |
$7,181.20
|
|
Incise skull repair
|
$6,586.45 |
$6,586.45 |
$6,586.45 |
$2,142.26
|
|
Incise skull/sutures
|
$6,263.40 |
$6,263.40 |
$6,263.40 |
$2,601.80
|
|
Incise skull/sutures
|
$6,060.60 |
$6,060.60 |
$6,060.60 |
$2,583.71
|
|
Incise sperm duct pouch
|
$2,004.60 |
$2,004.60 |
$2,004.60 |
$2,424.12
|
|
Incise spinal cord tract(s)
|
$5,774.60 |
$5,774.60 |
$5,774.60 |
$2,438.35
|
|
Incise spine nrv >2 segmnts
|
$4,911.40 |
$4,911.40 |
$4,911.40 |
$4,911.40
|
|
Incise tear duct opening 68440
|
$893.75 |
$893.75 |
$893.75 |
$841.43
|
|
Incise tendon(s) & muscle(s)
|
$21,359.65 |
$21,359.65 |
$21,359.65 |
$7,913.97
|
|
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 |
$2,089.40
|
|
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 |
$6,905.00
|
|
Incision of bile duct
|
$5,800.60 |
$5,800.60 |
$5,800.60 |
$2,419.20
|
|
Incision of bile duct 47420
|
$6,300.45 |
$6,300.45 |
$6,300.45 |
$2,788.80
|
|
Incision of brain tissue
|
$8,849.10 |
$8,849.10 |
$8,849.10 |
$3,253.39
|
|
Incision of breast lesion
|
$3,159.65 |
$3,159.65 |
$3,159.65 |
$2,577.85
|
|
Incision of brow nerve
|
$1,271.40 |
$1,271.40 |
$1,271.40 |
$2,685.07
|
|
Incision of burn scab initi
|
$972.40 |
$972.40 |
$972.40 |
$494.40
|
|
Incision of cheek nerve
|
$1,443.00 |
$1,443.00 |
$1,443.00 |
$2,685.07
|
|
Incision of chin nerve
|
$1,359.80 |
$1,359.80 |
$1,359.80 |
$2,685.07
|
|
Incision of eardrum
|
$603.85 |
$603.85 |
$603.85 |
$548.25
|
|
Incision of eardrum
|
$508.95 |
$508.95 |
$508.95 |
$3,837.72
|
|
Incision of eye
|
$2,961.40 |
$2,961.40 |
$2,961.40 |
$3,986.00
|
|
Incision of eye
|
$3,858.40 |
$3,858.40 |
$3,858.40 |
$4,306.85
|
|
Incision of eyelid
|
$2,895.75 |
$2,895.75 |
$2,895.75 |
$1,835.60
|
|
Incision of facial nerve
|
$1,781.00 |
$1,781.00 |
$1,781.00 |
$2,685.07
|
|
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
|
$9,701.25 |
$9,701.25 |
$9,701.25 |
$4,599.40
|
|
Incision of foot tendon 28234
|
$4,785.30 |
$4,785.30 |
$4,785.30 |
$2,116.27
|
|
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 |
$5,855.00
|
|
Incision of hip bone
|
$4,919.20 |
$4,919.20 |
$4,919.20 |
$7,413.38
|
|
Incision of hip bones
|
$6,271.20 |
$6,271.20 |
$6,271.20 |
$7,413.38
|
|
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 tendon
|
$2,030.60 |
$2,030.60 |
$2,030.60 |
$7,807.24
|
|
Incision of hip tendons
|
$2,628.60 |
$2,628.60 |
$2,628.60 |
$3,865.95
|
|
Incision of iris
|
$995.80 |
$995.80 |
$995.80 |
$2,685.92
|
|
Incision of iris
|
$1,097.20 |
$1,097.20 |
$1,097.20 |
$2,698.92
|
|
Incision of jaw joint
|
$2,870.40 |
$2,870.40 |
$2,870.40 |
$4,558.89
|
|
Incision of jaw nerve
|
$1,653.60 |
$1,653.60 |
$1,653.60 |
$2,310.83
|
|
Incision of knee joint
|
$2,828.80 |
$2,828.80 |
$2,828.80 |
$3,976.00
|
|
Incision of liver duct
|
$9,453.60 |
$9,453.60 |
$9,453.60 |
$3,027.14
|
|
Incision of lymph channels
|
$1,770.60 |
$1,770.60 |
$1,770.60 |
$4,570.46
|
|
Incision of metatarsal
|
$1,560.00 |
$1,560.00 |
$1,560.00 |
$4,561.60
|
|
Incision of metatarsal
|
$1,690.00 |
$1,690.00 |
$1,690.00 |
$6,311.00
|
|
Incision of metatarsal
|
$1,424.80 |
$1,424.80 |
$1,424.80 |
$3,594.44
|
|
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 |
$5,855.00
|
|
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
|
$8,199.75 |
$8,199.75 |
$8,199.75 |
$3,245.23
|
|
Incision of small bowel 44010
|
$3,707.60 |
$3,707.60 |
$3,707.60 |
$1,152.33
|
|
Incision of sperm duct
|
$1,183.00 |
$1,183.00 |
$1,183.00 |
$4,081.37
|