| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$2,065.98 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$2,885.05 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$360.73 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$360.73 |
— |
| Arterial puncture (36600) |
— |
$287.90 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$667.08 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$3,592.48 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$3,592.48 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$3,592.48 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$679.43 |
— |
| Bladder Irrigation (51700) |
— |
$679.43 |
— |
| Bladder Scan (51798) |
— |
$142.13 |
— |
| Blepharoplasty Lower Eyelid (15820) |
— |
$6,265.84 |
— |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
— |
$6,265.84 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$6,265.84 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$6,265.84 |
— |
| Blood Transfusion Service (36430) |
— |
$1,013.43 |
— |
| Bone Marrow Biopsy (38221) |
— |
$3,592.48 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$3,592.48 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,592.48 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$479.93 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,468.90 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$679.43 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$7.50 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$4,147.03 |
— |
| Create Tear Sac-Nasal Fistula (68720) |
— |
$4,453.52 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,621.30 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$151.50 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$6,053.88 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$837.48 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$2,497.91 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$4,353 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$3,529.08 |
— |
| Excision Chalazion Single (67800) |
— |
$2,335.50 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$19,500 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$19,500 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$587.50 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,588.85 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$3,347.22 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,588.85 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,592.48 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$3,592.48 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$3,592.48 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$1,095 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$522.33 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,621.30 |
— |
| Injection for identification of sentinel node (38792) |
— |
$962.48 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$2,101.83 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,621.30 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
— |
$144.18–$1,621.30 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$356.48 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$4,147.03 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$7,309.08 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$287.90 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$287.90 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$3,590.40 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$430.65 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,621.30 |
— |
| N block inj intercost sng (64420) |
— |
$1,621.30 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$692.95 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$63.08 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$63.08 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$8,123.38 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,101.83 |
— |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
— |
$8,029.09 |
— |
| Peritoneal Lavage (49084) |
— |
$2,065.98 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$1,588.85 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,588.85 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,588.85 |
— |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
— |
$2,984.30 |
— |
| Reduction Overcorrection Ptosis (67909) |
— |
$2,984.30 |
— |
| Repair Entropion Excision Tarsal Wedge (67923) |
— |
$2,984.30 |
— |
| Repair Entropion Extensive (67924) |
— |
$2,984.30 |
— |
| Repair of traumatic corporeal tear(s) (54437) |
— |
$2,185.78 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$679.43 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$679.43 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$4,946.23 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$4,946.23 |
— |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
— |
$2,984.30 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,621.30 |
— |
| Strapping Unna Boot (29580) |
— |
$360.73 |
— |
| Subconjunctival injection (68200) |
— |
$138.57 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$675.73 |
— |
| Unlisted procedure nervous system (64999) |
— |
$667.08 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,303.39 |
— |