|
Immunofixation electrophoresis serum
|
$346.24 |
$346.24 |
$346.24 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$1,007.00 |
$1,007.00 |
$1,007.00 |
$234.27
|
|
Immunoglobulin assay
|
$68.89 |
$68.89 |
$68.89 |
$78.00
|
|
Immunology procedure
|
$312.60 |
$312.60 |
$312.60 |
$150.70
|
|
Impedence cardiogram
|
$110.29 |
$110.29 |
$110.29 |
$152.54
|
|
Implant 11 volt lithium-ion backup battery for controller pocket
|
$5,000.40 |
$5,000.40 |
$5,000.40 |
$1,754.00
|
|
Implant cartilage 10mm synthetic
|
$11,811.60 |
$11,811.60 |
$11,811.60 |
$8,332.51
|
|
Implant cochlear device
|
$34,229.98 |
$34,229.98 |
$34,229.98 |
$34,229.98
|
|
Implant cochlear osia osi300
|
$21,892.96 |
$21,892.96 |
$21,892.96 |
$16,195.55
|
|
Implant eye drug system
|
$10,009.03 |
$10,009.03 |
$10,009.03 |
$13,647.20
|
|
Implant hormone pellet(s) 11980
|
$393.91 |
$393.91 |
$393.91 |
$315.75
|
|
Implant nerve end
|
$2,152.40 |
$2,152.40 |
$2,152.40 |
$4,760.00
|
|
Implant neuroelectrodes
|
$19,287.34 |
$19,287.34 |
$19,287.34 |
$18,334.40
|
|
Implant neuroelectrodes
|
$4,844.48 |
$4,844.48 |
$4,844.48 |
$8,836.80
|
|
Implant neuroelectrodes
|
$7,266.73 |
$7,266.73 |
$7,266.73 |
$7,728.86
|
|
Implant neurostim arrays
|
$22,759.70 |
$22,759.70 |
$22,759.70 |
$23,262.40
|
|
Implant open hernia repair w/mesh 49568
|
$4,099.01 |
$4,099.01 |
$4,099.01 |
$632.40
|
|
Implant power module patient cable cable 14 volt
|
$10,095.03 |
$10,095.03 |
$10,095.03 |
$3,695.42
|
|
Implant pulse generator remede el
|
$50,985.00 |
$50,985.00 |
$50,985.00 |
$43,752.80
|
|
Implant single ventricular device 33975
|
$2,684.54 |
$2,684.54 |
$2,684.54 |
$5,053.23
|
|
Implant spinal canal cath
|
$6,060.97 |
$6,060.97 |
$6,060.97 |
$8,184.80
|
|
Implant spine infusion pump
|
$17,262.84 |
$17,262.84 |
$17,262.84 |
$17,262.84
|
|
Implant spine infusion pump
|
$17,262.84 |
$17,262.84 |
$17,262.84 |
$17,270.40
|
|
Implant tcat pulm vlv perq
|
$3,255.77 |
$3,255.77 |
$3,255.77 |
$12,623.60
|
|
Implant ureth bulk agent
|
$4,507.67 |
$4,507.67 |
$4,507.67 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$3,632.51 |
$3,632.51 |
$3,632.51 |
$3,974.88
|
|
Impl neurostim electr perc
|
$10,489.79 |
$10,489.79 |
$10,489.79 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$3,895.13 |
$3,895.13 |
$3,895.13 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$3,702.07 |
$3,702.07 |
$3,702.07 |
$5,095.20
|
|
Impl oi implt skull perq esp
|
$10,629.07 |
$10,629.07 |
$10,629.07 |
$13,525.50
|
|
Implt neurostim elctr each
|
$7,137.90 |
$7,137.90 |
$7,137.90 |
$4,320.00
|
|
Impreg gauze no h20/sal/yard
|
$34.14 |
$34.14 |
$34.14 |
$11.90
|
|
Impres&prep auricular prosth
|
$6,557.24 |
$6,557.24 |
$6,557.24 |
$6,557.24
|
|
Impres&prep def obt prosth
|
$6,960.85 |
$6,960.85 |
$6,960.85 |
$4,881.00
|
|
Impres&prep intrm obt prosth
|
$6,174.37 |
$6,174.37 |
$6,174.37 |
$3,986.00
|
|
Impres&prep mndbl res prosth
|
$6,174.37 |
$6,174.37 |
$6,174.37 |
$7,000.36
|
|
Impres&prep nasal prosth
|
$6,401.96 |
$6,401.96 |
$6,401.96 |
$7,000.36
|
|
Impres&prep oral surg splint
|
$1,432.65 |
$1,432.65 |
$1,432.65 |
$1,751.20
|
|
Impres&prep orbital prosth
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$7,000.36
|
|
Impres&prep sp aid prosth
|
$6,759.31 |
$6,759.31 |
$6,759.31 |
$4,054.40
|
|
Impres&prep surg obt prosth
|
$2,945.12 |
$2,945.12 |
$2,945.12 |
$2,945.12
|
|
Inc dp bone crtx f/arm&/wrst
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$6,650.80
|
|
Inc dp opn b1 crtx hum/elbw
|
$3,206.33 |
$3,206.33 |
$3,206.33 |
$3,839.54
|
|
Incise/drain eyelid lining
|
$848.78 |
$848.78 |
$848.78 |
$1,271.00
|
|
Incise flexor carpi radialis
|
$3,041.84 |
$3,041.84 |
$3,041.84 |
$3,839.54
|
|
Incise hand/finger tendon
|
$2,007.15 |
$2,007.15 |
$2,007.15 |
$2,007.15
|
|
Incise hip/thigh nerve
|
$2,169.70 |
$2,169.70 |
$2,169.70 |
$2,500.80
|
|
Incise inner ear
|
$2,574.08 |
$2,574.08 |
$2,574.08 |
$2,186.08
|
|
Incise inner ear nerve
|
$5,289.89 |
$5,289.89 |
$5,289.89 |
$5,339.00
|
|
Incise inner eye adhesions
|
$1,202.90 |
$1,202.90 |
$1,202.90 |
$1,202.90
|
|
Incise inner eye adhesions
|
$2,447.31 |
$2,447.31 |
$2,447.31 |
$2,698.92
|
|
Incise inner eye adhesions
|
$2,372.48 |
$2,372.48 |
$2,372.48 |
$2,940.80
|
|
Incise inner eye adhesions
|
$2,175.79 |
$2,175.79 |
$2,175.79 |
$2,685.92
|
|
Incise inner eye adhesions
|
$3,791.29 |
$3,791.29 |
$3,791.29 |
$4,760.49
|
|
Incise nerve back of head
|
$4,613.80 |
$4,613.80 |
$4,613.80 |
$2,685.07
|
|
Incise perq finger tendon 26060
|
$2,455.97 |
$2,455.97 |
$2,455.97 |
$2,211.05
|
|
Incise tear duct opening 68440
|
$841.43 |
$841.43 |
$841.43 |
$841.43
|
|
Incise tendon(s) & muscle(s)
|
$7,855.87 |
$7,855.87 |
$7,855.87 |
$7,968.80
|
|
Incise thigh tendon & fascia
|
$3,585.11 |
$3,585.11 |
$3,585.11 |
$3,839.54
|
|
Incise & treat bladder
|
$2,954.92 |
$2,954.92 |
$2,954.92 |
$2,954.92
|
|
Incise wrist/forearm tendon
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,096.10 |
$4,096.10 |
$4,096.10 |
$2,086.70
|
|
Incision of achilles tendon
|
$2,768.01 |
$2,768.01 |
$2,768.01 |
$3,318.90
|
|
Incision of achilles tendon
|
$3,561.39 |
$3,561.39 |
$3,561.39 |
$3,591.33
|
|
Incision of anal sphincter
|
$3,061.53 |
$3,061.53 |
$3,061.53 |
$3,245.23
|
|
Incision of ankle bone
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,807.24
|
|
Incision of breast lesion
|
$3,207.17 |
$3,207.17 |
$3,207.17 |
$2,577.85
|
|
Incision of brow nerve
|
$3,591.55 |
$3,591.55 |
$3,591.55 |
$2,685.07
|
|
Incision of burn scab initi
|
$428.33 |
$428.33 |
$428.33 |
$494.40
|
|
Incision of cheek nerve
|
$2,772.37 |
$2,772.37 |
$2,772.37 |
$2,772.37
|
|
Incision of eardrum
|
$469.15 |
$469.15 |
$469.15 |
$552.75
|
|
Incision of eardrum
|
$2,872.80 |
$2,872.80 |
$2,872.80 |
$3,837.72
|
|
Incision of esophagus
|
$1,195.09 |
$1,195.09 |
$1,195.09 |
$1,851.20
|
|
Incision of eye
|
$3,320.43 |
$3,320.43 |
$3,320.43 |
$4,190.40
|
|
Incision of eye
|
$3,915.32 |
$3,915.32 |
$3,915.32 |
$4,306.85
|
|
Incision of eyelid
|
$1,434.11 |
$1,434.11 |
$1,434.11 |
$1,835.60
|
|
Incision of facial nerve
|
$3,645.20 |
$3,645.20 |
$3,645.20 |
$3,230.76
|
|
Incision of fibula
|
$4,287.89 |
$4,287.89 |
$4,287.89 |
$3,839.54
|
|
Incision of finger tendon
|
$2,206.03 |
$2,206.03 |
$2,206.03 |
$1,893.86
|
|
Incision of foot fascia
|
$3,684.35 |
$3,684.35 |
$3,684.35 |
$4,599.40
|
|
Incision of foot tendon 28234
|
$2,116.27 |
$2,116.27 |
$2,116.27 |
$2,211.05
|
|
Incision of heel bone
|
$6,004.47 |
$6,004.47 |
$6,004.47 |
$6,004.47
|
|
Incision of hip tendon
|
$3,885.29 |
$3,885.29 |
$3,885.29 |
$3,885.29
|
|
Incision of hip tendon
|
$3,990.76 |
$3,990.76 |
$3,990.76 |
$3,839.54
|
|
Incision of hip tendon
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,907.11
|
|
Incision of hip tendons
|
$4,656.11 |
$4,656.11 |
$4,656.11 |
$3,865.95
|
|
Incision of iris
|
$2,017.15 |
$2,017.15 |
$2,017.15 |
$2,698.92
|
|
Incision of jaw joint
|
$6,759.31 |
$6,759.31 |
$6,759.31 |
$4,558.89
|
|
Incision of knee joint
|
$4,735.61 |
$4,735.61 |
$4,735.61 |
$4,350.00
|
|
Incision of lymph channels
|
$4,570.46 |
$4,570.46 |
$4,570.46 |
$4,570.46
|
|
Incision of metatarsal
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$4,881.00
|
|
Incision of metatarsal
|
$2,945.02 |
$2,945.02 |
$2,945.02 |
$6,839.00
|
|
Incision of metatarsal
|
$3,237.76 |
$3,237.76 |
$3,237.76 |
$3,786.00
|
|
Incision of metatarsals
|
$5,886.74 |
$5,886.74 |
$5,886.74 |
$7,811.00
|
|
Incision of midfoot bones
|
$6,004.47 |
$6,004.47 |
$6,004.47 |
$6,004.47
|
|
Incision of palm tendon
|
$2,777.50 |
$2,777.50 |
$2,777.50 |
$3,839.54
|
|
Incision of prostate
|
$4,042.58 |
$4,042.58 |
$4,042.58 |
$4,081.37
|
|
Incision of rectal abscess
|
$3,202.91 |
$3,202.91 |
$3,202.91 |
$3,245.23
|
|
Incision of sperm duct
|
$2,738.14 |
$2,738.14 |
$2,738.14 |
$4,081.37
|
