|
Iliac/fem angio cath insert
|
$2,459.00 |
$2,459.00 |
$2,459.00 |
$1,856.01
|
|
Iliac revasc add-on 37222
|
$6,469.33 |
$6,469.33 |
$6,469.33 |
$6,082.65
|
|
Img rta detcj/mntr ds staff
|
$29.50 |
$29.50 |
$29.50 |
$70.29
|
|
Img rta detc/mntr ds phy/qhp
|
$19.50 |
$19.50 |
$19.50 |
$51.36
|
|
Img rta detc/mntr ds poc aly
|
$75.50 |
$75.50 |
$75.50 |
$71.25
|
|
Immntx 4 sting insects
|
$860.00 |
$860.00 |
$860.00 |
$71.50
|
|
Immntx 5 sting insects
|
$160.50 |
$160.50 |
$160.50 |
$123.50
|
|
Immob elbow child sm
|
$42.50 |
$42.50 |
$42.50 |
$85.39
|
|
Immobilizer shldr cntor adlt
|
$115.50 |
$115.50 |
$115.50 |
$175.60
|
|
Immobilizer shldr dlx str 24-36in med
|
$78.00 |
$78.00 |
$78.00 |
$114.60
|
|
Immt breast prosthesis 19340
|
$40,570.00 |
$40,570.00 |
$40,570.00 |
$4,883.20
|
|
Immune complex assay
|
$1,078.00 |
$1,078.00 |
$1,078.00 |
$100.80
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$4,905.45 |
$4,905.45 |
$4,905.45 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$7,380.00 |
$7,380.00 |
$7,380.00 |
$2,900.11
|
|
Immune globulin ig human im use 90281
|
$214.00 |
$214.00 |
$214.00 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$130.00 |
$130.00 |
$130.00 |
$131.95
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$131.00 |
$131.00 |
$131.00 |
$116.40
|
|
Immunodiff gel qual ea antigen/ab
|
$72.50 |
$72.50 |
$72.50 |
$48.38
|
|
Immunodiffusion nes
|
$172.50 |
$172.50 |
$172.50 |
$48.57
|
|
Immunofixation electrophoresis serum
|
$309.00 |
$309.00 |
$309.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$859.00 |
$859.00 |
$859.00 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$256.00 |
$256.00 |
$256.00 |
$231.40
|
|
Immunoglobulin assay
|
$169.00 |
$169.00 |
$169.00 |
$75.88
|
|
Immunology procedure
|
$136.00 |
$136.00 |
$136.00 |
$142.56
|
|
Impedence cardiogram
|
$585.50 |
$585.50 |
$585.50 |
$152.54
|
|
Impl ahmed 6x25x9.6mm glaucoma vlv w/sil ped ster
|
$2,135.00 |
$2,135.00 |
$2,135.00 |
$3,036.25
|
|
Implant biventricular device 33976
|
$16,952.00 |
$16,952.00 |
$16,952.00 |
$5,053.23
|
|
Implant cartilage 10mm synthetic
|
$1,328.00 |
$1,328.00 |
$1,328.00 |
$8,184.00
|
|
Implant cochlear device
|
$27,962.00 |
$27,962.00 |
$27,962.00 |
$34,229.98
|
|
Implant cochlear osia osi300
|
$3,583.96 |
$3,583.96 |
$3,583.96 |
$16,200.89
|
|
Implant eye drug system
|
$8,892.00 |
$8,892.00 |
$8,892.00 |
$13,647.20
|
|
Implant hormone pellet(s) 11980
|
$613.50 |
$613.50 |
$613.50 |
$315.75
|
|
Implant nerve end
|
$2,349.50 |
$2,349.50 |
$2,349.50 |
$2,152.40
|
|
Implant neuroelectrode
|
$7,056.67 |
$7,056.67 |
$7,056.67 |
$5,384.60
|
|
Implant neuroelectrode
|
$24,703.00 |
$24,703.00 |
$24,703.00 |
$9,446.45
|
|
Implant neuroelectrodes
|
$17,995.00 |
$17,995.00 |
$17,995.00 |
$18,334.40
|
|
Implant neuroelectrodes
|
$9,976.00 |
$9,976.00 |
$9,976.00 |
$8,763.11
|
|
Implant neuroelectrodes
|
$18,821.00 |
$18,821.00 |
$18,821.00 |
$7,766.27
|
|
Implant neuroelectrodes
|
$7,255.34 |
$7,255.34 |
$7,255.34 |
$1,521.49
|
|
Implant neuroelectrodes
|
$19,409.00 |
$19,409.00 |
$19,409.00 |
$2,378.72
|
|
Implant neurostim arrays
|
$4,921.50 |
$4,921.50 |
$4,921.50 |
$23,262.40
|
|
Implant pulse generator remede el
|
$21,885.00 |
$21,885.00 |
$21,885.00 |
$46,034.74
|
|
Implant single ventricular device 33975
|
$13,820.00 |
$13,820.00 |
$13,820.00 |
$5,053.23
|
|
Implant spine infusion pump
|
$15,552.50 |
$15,552.50 |
$15,552.50 |
$17,270.40
|
|
Implant tcat pulm vlv perq
|
$7,524.50 |
$7,524.50 |
$7,524.50 |
$9,812.40
|
|
Implant ureth bulk agent
|
$1,718.75 |
$1,718.75 |
$1,718.75 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$2,241.00 |
$2,241.00 |
$2,241.00 |
$3,974.88
|
|
Impl neurostim electr perc
|
$12,641.00 |
$12,641.00 |
$12,641.00 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$9,329.38 |
$9,329.38 |
$9,329.38 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$9,951.50 |
$9,951.50 |
$9,951.50 |
$5,095.20
|
|
Impl oi implt sk tc esp<100
|
$24,178.50 |
$24,178.50 |
$24,178.50 |
$22,958.00
|
|
Impl oi implt skull perq esp
|
$18,914.50 |
$18,914.50 |
$18,914.50 |
$13,525.50
|
|
Impltj ntrstrml crnl rng seg
|
$4,521.50 |
$4,521.50 |
$4,521.50 |
$5,683.61
|
|
Impres&prep auricular prosth
|
$4,743.00 |
$4,743.00 |
$4,743.00 |
$6,557.24
|
|
Impres&prep oral surg splint
|
$404.00 |
$404.00 |
$404.00 |
$1,751.20
|
|
In-111 autol wbc diag per dose
|
$3,648.00 |
$3,648.00 |
$3,648.00 |
$3,523.65
|
|
In-111 capromab pendet
|
$3,112.00 |
$3,112.00 |
$3,112.00 |
$3,141.45
|
|
In-111 ibritumomab tiux dx
|
$5,699.00 |
$5,699.00 |
$5,699.00 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$2,183.00 |
$2,183.00 |
$2,183.00 |
$2,581.82
|
|
In-111 pentetate dtpa / 0.5 mci
|
$2,635.00 |
$2,635.00 |
$2,635.00 |
$2,598.17
|
|
In-111 pentetreotide
|
$5,201.00 |
$5,201.00 |
$5,201.00 |
$5,201.00
|
|
Inactivated je vacc im
|
$354.50 |
$354.50 |
$354.50 |
$481.34
|
|
Incise/drain eyelid lining
|
$1,301.50 |
$1,301.50 |
$1,301.50 |
$1,271.00
|
|
Incise flexor carpi radialis
|
$4,690.50 |
$4,690.50 |
$4,690.50 |
$3,839.54
|
|
Incise inner ear
|
$2,693.00 |
$2,693.00 |
$2,693.00 |
$2,186.08
|
|
Incise inner eye adhesions
|
$702.50 |
$702.50 |
$702.50 |
$1,202.90
|
|
Incise inner eye adhesions
|
$1,899.33 |
$1,899.33 |
$1,899.33 |
$2,698.92
|
|
Incise inner eye adhesions
|
$8,413.00 |
$8,413.00 |
$8,413.00 |
$2,940.80
|
|
Incise inner eye adhesions
|
$1,945.17 |
$1,945.17 |
$1,945.17 |
$2,524.45
|
|
Incise perq finger tendon 26060
|
$2,330.50 |
$2,330.50 |
$2,330.50 |
$1,893.86
|
|
Incise spine nrv half segmnt
|
$6,091.34 |
$6,091.34 |
$6,091.34 |
$8,787.48
|
|
Incise tear duct opening 68440
|
$1,106.00 |
$1,106.00 |
$1,106.00 |
$507.20
|
|
Incise thigh tendon & fascia
|
$4,811.00 |
$4,811.00 |
$4,811.00 |
$3,839.54
|
|
Incise wrist/forearm tendon
|
$2,921.67 |
$2,921.67 |
$2,921.67 |
$3,786.00
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$4,141.00 |
$4,141.00 |
$4,141.00 |
$2,056.93
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$12,214.00 |
$12,214.00 |
$12,214.00 |
$2,312.00
|
|
Incision of achilles tendon
|
$4,661.00 |
$4,661.00 |
$4,661.00 |
$3,172.80
|
|
Incision of achilles tendon
|
$9,541.50 |
$9,541.50 |
$9,541.50 |
$3,561.39
|
|
Incision of anal sphincter
|
$4,390.00 |
$4,390.00 |
$4,390.00 |
$3,245.23
|
|
Incision of bile duct 47420
|
$11,395.75 |
$11,395.75 |
$11,395.75 |
$2,788.80
|
|
Incision of breast lesion
|
$8,980.50 |
$8,980.50 |
$8,980.50 |
$2,560.80
|
|
Incision of burn scab initi
|
$467.00 |
$467.00 |
$467.00 |
$494.40
|
|
Incision of eardrum
|
$1,666.17 |
$1,666.17 |
$1,666.17 |
$552.75
|
|
Incision of eardrum
|
$4,234.00 |
$4,234.00 |
$4,234.00 |
$3,827.50
|
|
Incision of eye
|
$3,738.34 |
$3,738.34 |
$3,738.34 |
$4,190.40
|
|
Incision of eye
|
$3,458.50 |
$3,458.50 |
$3,458.50 |
$3,986.00
|
|
Incision of eyelid
|
$2,621.00 |
$2,621.00 |
$2,621.00 |
$1,488.50
|
|
Incision of facial nerve
|
$3,230.76 |
$3,230.76 |
$3,230.76 |
$2,685.07
|
|
Incision of finger tendon
|
$3,290.13 |
$3,290.13 |
$3,290.13 |
$1,893.86
|
|
Incision of foot fascia
|
$5,283.34 |
$5,283.34 |
$5,283.34 |
$4,570.33
|
|
Incision of foot tendon 28234
|
$2,316.45 |
$2,316.45 |
$2,316.45 |
$2,116.27
|
|
Incision of heel bone
|
$17,494.34 |
$17,494.34 |
$17,494.34 |
$5,339.00
|
|
Incision of hip bone
|
$13,874.34 |
$13,874.34 |
$13,874.34 |
$7,413.38
|
|
Incision of hip tendon
|
$2,053.50 |
$2,053.50 |
$2,053.50 |
$3,460.88
|
|
Incision of hip tendon
|
$9,079.50 |
$9,079.50 |
$9,079.50 |
$3,839.54
|
|
Incision of iris
|
$2,564.50 |
$2,564.50 |
$2,564.50 |
$2,698.92
|
|
Incision of metatarsal
|
$10,759.83 |
$10,759.83 |
$10,759.83 |
$4,176.43
|
|
Incision of metatarsal
|
$14,447.00 |
$14,447.00 |
$14,447.00 |
$3,591.33
|
|
Incision of midfoot bones
|
$15,078.00 |
$15,078.00 |
$15,078.00 |
$6,839.00
|
|
Incision of rectal abscess
|
$5,922.50 |
$5,922.50 |
$5,922.50 |
$3,245.23
|
