|
Immobilizer shldr sling med
|
$22.40 |
$22.40 |
$22.40 |
$126.00
|
|
Immt breast prosthesis 19340
|
$8,499.20 |
$8,499.20 |
$8,499.20 |
$4,883.20
|
|
Immune complex assay
|
$134.40 |
$134.40 |
$215.60 |
$101.60
|
|
Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution
|
$144.66 |
$144.66 |
$144.66 |
$6,106.32
|
|
Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution
|
$182.56 |
$182.56 |
$182.56 |
$2,900.11
|
|
Immune globulin ig human im use 90281
|
$133.60 |
$133.60 |
$133.60 |
$92.00
|
|
Immunoassay tumor antigen quantitative ca 125
|
$20.90 |
$20.90 |
$257.44 |
$132.00
|
|
Immunoassay tumor antigen quantitative ca 19-9
|
$26.40 |
$26.40 |
$257.44 |
$116.50
|
|
Immunodiff gel qual ea antigen/ab
|
$108.90 |
$108.90 |
$175.20 |
$48.57
|
|
Immunodiffusion nes
|
$20.90 |
$20.90 |
$20.90 |
$53.76
|
|
Immunofixation electrophoresis serum
|
$208.45 |
$208.45 |
$256.00 |
$142.50
|
|
Immunofluorescence per specimen each additional single antibody stain
|
$108.52 |
$108.52 |
$365.20 |
$154.05
|
|
Immunofluorescence per specimen initial single antibody stain
|
$396.00 |
$396.00 |
$946.00 |
$234.27
|
|
Immunoglobulin assay
|
$34.89 |
$34.89 |
$200.20 |
$78.00
|
|
Immunotherapy 2/> injections
|
$76.80 |
$76.80 |
$76.80 |
$40.00
|
|
Implant biventricular device 33976
|
$12,864.80 |
$12,864.80 |
$12,864.80 |
$5,053.23
|
|
Implant cartilage 10mm synthetic
|
$4,402.90 |
$4,402.90 |
$4,402.90 |
$8,332.51
|
|
Implant cochlear device
|
$10,783.20 |
$10,783.20 |
$10,783.20 |
$34,229.98
|
|
Implant hormone pellet(s) 11980
|
$429.60 |
$429.60 |
$429.60 |
$315.75
|
|
Implant neuroelectrodes
|
$3,796.00 |
$3,796.00 |
$3,796.00 |
$18,334.40
|
|
Implant neuroelectrodes
|
$17,089.72 |
$17,089.72 |
$17,089.72 |
$8,836.80
|
|
Implant neuroelectrodes
|
$10,328.98 |
$10,328.98 |
$10,328.98 |
$7,728.86
|
|
Implant/replace hearing aid
|
$6,264.80 |
$6,264.80 |
$6,264.80 |
$520.80
|
|
Implant single ventricular device 33975
|
$10,716.80 |
$10,716.80 |
$10,716.80 |
$5,053.23
|
|
Implant ureth bulk agent
|
$1,862.44 |
$1,862.44 |
$3,017.39 |
$2,168.00
|
|
Impl ear abutment ba300 9mm
|
$2,762.40 |
$2,762.40 |
$2,762.40 |
$3,974.88
|
|
Impl neurostim electr perc
|
$15,089.68 |
$15,089.68 |
$15,089.68 |
$7,672.50
|
|
Implnt bio implnt for soft tiss reinforcement 15777
|
$1,607.20 |
$1,607.20 |
$1,607.20 |
$1,072.00
|
|
Implnt spinl canal catheter 62350
|
$9,568.16 |
$9,568.16 |
$9,568.16 |
$5,095.20
|
|
Impl oi implt skull perq esp
|
$9,396.80 |
$9,396.80 |
$9,396.80 |
$13,525.50
|
|
Impres&prep auricular prosth
|
$10,868.00 |
$10,868.00 |
$10,868.00 |
$6,557.24
|
|
Impres&prep facial prosth
|
$4,946.40 |
$4,946.40 |
$4,946.40 |
$5,028.40
|
|
Impres&prep nasal prosth
|
$7,143.20 |
$7,143.20 |
$7,143.20 |
$6,966.64
|
|
Impres&prep oral surg splint
|
$3,021.60 |
$3,021.60 |
$3,021.60 |
$1,751.20
|
|
Impres&prep orbital prosth
|
$14,653.60 |
$14,653.60 |
$14,653.60 |
$7,000.36
|
|
In-111 autol wbc diag per dose
|
$1,833.15 |
$1,833.15 |
$4,915.04 |
$3,493.75
|
|
In-111 ibritumomab tiux dx
|
$8,702.10 |
$8,702.10 |
$8,702.10 |
$4,748.02
|
|
In-111 oxyquinolin per 0.5 mci
|
$1,858.45 |
$1,858.45 |
$1,858.45 |
$2,753.23
|
|
In-111 pentetate dtpa / 0.5 mci
|
$943.25 |
$943.25 |
$2,239.08 |
$2,598.17
|
|
In-111 pentetreotide
|
$3,892.35 |
$3,892.35 |
$7,719.64 |
$5,294.90
|
|
Inactivated je vacc im
|
$564.00 |
$564.00 |
$564.00 |
$481.34
|
|
Inc deep opng b1 crtx thorax
|
$2,091.20 |
$2,091.20 |
$2,091.20 |
$1,091.20
|
|
Inc dp bone crtx f/arm&/wrst
|
$4,564.00 |
$4,564.00 |
$4,564.00 |
$6,311.00
|
|
Inc dp opn b1 crtx hum/elbw
|
$4,618.40 |
$4,618.40 |
$4,618.40 |
$3,839.54
|
|
Incis 1 vertebral seg lumbar
|
$7,046.40 |
$7,046.40 |
$7,046.40 |
$3,628.80
|
|
Incise flexor carpi radialis
|
$3,311.20 |
$3,311.20 |
$3,311.20 |
$3,839.54
|
|
Incise inner ear
|
$3,203.20 |
$3,203.20 |
$3,203.20 |
$2,186.08
|
|
Incise inner ear nerve
|
$12,619.20 |
$12,619.20 |
$12,619.20 |
$5,289.89
|
|
Incise inner ear nerve
|
$12,976.80 |
$12,976.80 |
$12,976.80 |
$2,186.35
|
|
Incise tendon(s) & muscle(s)
|
$8,307.20 |
$8,307.20 |
$8,307.20 |
$7,913.97
|
|
Incise wrist/forearm tendon
|
$1,903.20 |
$1,903.20 |
$1,903.20 |
$3,839.54
|
|
Incision & drainage hematoma/seroma/fluid collection
|
$2,711.50 |
$2,711.50 |
$4,729.76 |
$2,089.40
|
|
Incision & drainage open of deep abscess (subfascial) pos
|
$4,497.60 |
$4,497.60 |
$4,497.60 |
$2,312.00
|
|
Incision/fixation of femur
|
$10,126.40 |
$10,126.40 |
$10,126.40 |
$5,275.40
|
|
Incision of achilles tendon
|
$4,584.80 |
$4,584.80 |
$4,584.80 |
$3,318.90
|
|
Incision of achilles tendon
|
$9,120.76 |
$9,120.76 |
$9,120.76 |
$3,591.33
|
|
Incision of anal sphincter
|
$1,602.40 |
$1,602.40 |
$1,602.40 |
$3,245.23
|
|
Incision of breast lesion
|
$3,021.70 |
$3,021.70 |
$4,204.00 |
$2,577.85
|
|
Incision of eardrum
|
$949.60 |
$949.60 |
$949.60 |
$548.25
|
|
Incision of eardrum
|
$1,358.40 |
$1,358.40 |
$1,358.40 |
$3,837.72
|
|
Incision of foot fascia
|
$4,754.18 |
$4,754.18 |
$4,754.18 |
$4,599.40
|
|
Incision of gallbladder 47480
|
$3,841.60 |
$3,841.60 |
$3,841.60 |
$1,650.00
|
|
Incision of hip bone
|
$9,447.20 |
$9,447.20 |
$9,447.20 |
$7,413.38
|
|
Incision of hip bones
|
$11,673.60 |
$11,673.60 |
$11,673.60 |
$7,413.38
|
|
Incision of hip tendon
|
$4,313.28 |
$4,313.28 |
$4,313.28 |
$3,885.29
|
|
Incision of hip tendon
|
$4,029.60 |
$4,029.60 |
$4,029.60 |
$3,839.54
|
|
Incision of hip tendon
|
$4,410.40 |
$4,410.40 |
$4,410.40 |
$7,807.24
|
|
Incision of hip tendons
|
$5,459.20 |
$5,459.20 |
$5,459.20 |
$3,865.95
|
|
Incision of metatarsal
|
$4,561.60 |
$4,561.60 |
$4,561.60 |
$4,561.60
|
|
Incision of metatarsal
|
$6,804.00 |
$6,804.00 |
$6,804.00 |
$3,594.44
|
|
Incision of midfoot bones
|
$11,399.20 |
$11,399.20 |
$11,399.20 |
$5,855.00
|
|
Incision of neck of femur
|
$8,941.60 |
$8,941.60 |
$8,941.60 |
$4,651.40
|
|
Incision of prostate
|
$2,244.00 |
$2,244.00 |
$2,244.00 |
$4,081.37
|
|
Incision of rectal abscess
|
$1,364.00 |
$1,364.00 |
$1,364.00 |
$3,245.23
|
|
Incision of spinal nerve 64772
|
$2,844.80 |
$2,844.80 |
$2,844.80 |
$2,310.83
|
|
Incision of tendon & muscle
|
$6,757.75 |
$6,757.75 |
$6,757.75 |
$5,784.00
|
|
Incision of tendon sheath
|
$3,311.20 |
$3,311.20 |
$3,311.20 |
$2,211.05
|
|
Incision of thigh
|
$6,072.00 |
$6,072.00 |
$6,072.00 |
$2,847.35
|
|
Incision of thigh
|
$7,493.60 |
$7,493.60 |
$7,493.60 |
$4,998.40
|
|
Incision of thigh tendon
|
$4,313.28 |
$4,313.28 |
$4,313.28 |
$4,491.50
|
|
Incision of thigh tendons
|
$6,757.75 |
$6,757.75 |
$6,757.75 |
$5,278.00
|
|
Incision of tibia
|
$4,023.20 |
$4,023.20 |
$4,023.20 |
$5,886.74
|
|
Incision of toe tendons 28011
|
$3,087.20 |
$3,087.20 |
$3,087.20 |
$2,068.30
|
|
Incision of tongue fold
|
$1,602.15 |
$1,602.15 |
$2,642.08 |
$1,792.50
|
|
Incision of urethra
|
$720.80 |
$720.80 |
$720.80 |
$3,344.14
|
|
Incision of urethra
|
$5,739.34 |
$5,739.34 |
$5,739.34 |
$3,198.58
|
|
Incision of windpipe
|
$1,626.40 |
$1,626.40 |
$1,626.40 |
$6,465.11
|
|
Incision of windpipe
|
$2,348.80 |
$2,348.80 |
$2,348.80 |
$5,741.00
|
|
Incision of wrist capsule
|
$4,618.40 |
$4,618.40 |
$4,618.40 |
$3,839.54
|
|
Incision tendon sheath
|
$2,155.20 |
$2,155.20 |
$2,155.20 |
$3,073.20
|
|
Incisn of toe tndn
|
$3,087.20 |
$3,087.20 |
$3,087.20 |
$2,667.00
|
|
Incisn windpipe
|
$3,020.60 |
$3,020.60 |
$9,489.54 |
$3,819.23
|
|
Incobotulinumtoxin a
|
$14.40 |
$14.40 |
$14.40 |
$1,339.57
|
|
Induced abortion d&c
|
$1,999.20 |
$1,999.20 |
$1,999.20 |
$3,762.53
|
|
Induced abortion dilat&evac
|
$5,678.20 |
$5,678.20 |
$5,678.20 |
$4,451.18
|
|
Induction of vomiting
|
$143.20 |
$143.20 |
$143.20 |
$126.72
|
|
Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s)
|
$280.80 |
$280.80 |
$280.80 |
$140.80
|
|
Infect ag drug suscept pheno predict
|
$391.08 |
$391.08 |
$462.00 |
$325.00
|
|
Infect ag eia influenza a or b ea
|
$79.20 |
$79.20 |
$79.20 |
$71.50
|
|
Infect ag genotype na dna hepatitis b
|
$502.15 |
$502.15 |
$728.08 |
$409.27
|