| Abd paracentesis w/imaging (49083) |
— |
$620 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$792 |
— |
| Acne Surgery (10040) |
$249 |
$249 |
1.2× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
— |
$1,315 |
— |
| Adding Walker Previously Applied Cast (29440) |
— |
$94 |
— |
| Amniocentesis diagnostic (59000) |
— |
$242 |
— |
| Anoscopy diagnostic (46600) |
— |
$239 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$608 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$593 |
— |
| Application cast elbow finger short arm (29075) |
— |
$187 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$195 |
— |
| Application finger splint static (29130) |
— |
$261.50 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$177 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$194 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$1,258 |
— |
| Application of long leg cast (29345) |
— |
$489 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$271.50 |
— |
| Application short leg splint calf foot (29515) |
— |
$156 |
— |
| Apply short leg cast (29405) |
— |
$149 |
— |
| Arterial puncture (36600) |
— |
$140 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$438 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$533 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$123 |
— |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
— |
$2,405 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$2,056 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$1,313 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$867 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$1,400 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$1,316 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$1,138 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$1,054 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$1,143 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$1,193 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$1,458 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$2,228 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$1,258 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$1,150 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$1,436 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$2,180 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$2,250 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$139 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$205 |
— |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
— |
$1,415 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$326 |
— |
| Biopsy external ear (69100) |
— |
$204 |
— |
| Biopsy muscle deep (20205) |
— |
$609 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$440 |
— |
| Biopsy of nail unit (11755) |
— |
$263 |
— |
| Biopsy of prostate (55705) |
— |
$1,573.50 |
— |
| Biopsy of uterus lining (58100) |
— |
$215 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$701 |
— |
| Biopsy soft tissue of back (21920) |
— |
$526 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$1,017 |
— |
| Bladder Irrigation Simple (51700) |
— |
$478 |
— |
| Bladder Scan (51798) |
— |
$159 |
— |
| Blood patch (62273) |
— |
$624 |
— |
| Blood transfusion service (36430) |
— |
$1,521 |
— |
| Bone marrow aspiration only (38220) |
— |
$480.50 |
— |
| Bone Marrow Biopsy (38221) |
— |
$349 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,333 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$311 |
— |
| Bx prst8 trct us guided (55707) |
— |
$1,823 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$2,555 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$631 |
— |
| Chemical Cautery Tissue (17250) |
— |
$185 |
— |
| Chest tube placement (32551) |
— |
$1,974.50 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$144 |
— |
| Circum 28 days or older (54161) |
— |
$422 |
— |
| Circumcision (54150) |
— |
$294.50 |
— |
| Circumcision Neonate (54160) |
— |
$473 |
— |
| Claviculectomy; partial (23120) |
— |
$1,250 |
— |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
— |
$595 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$839 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$1,012 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$1,123 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$628 |
— |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
— |
$1,244 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$748 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$761 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$676 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$727 |
— |
| Closed Treatment Coccygeal Fracture (27200) |
— |
$413 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$748 |
— |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
— |
$774 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$730 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$526 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,075 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$637 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$723 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$835 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$748 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$543 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$924.50 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$613.50 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$748 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$714 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$582 |
— |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
— |
$901.50 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$299 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$643 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$585 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$523 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$2,571 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$491 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$1,005.50 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$726 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$942.50 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$515 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$913 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$688 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$415 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$746 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,166 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$312 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$363 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$267 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$690 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$557.50 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$270 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$691 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$724 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$664 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$745 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$316 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$748 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$444 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$1,241 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$895 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$1,036.50 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$679 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$488 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$907 |
— |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
— |
$1,839 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$874 |
— |
| Colonoscopy thru stoma (44388) |
— |
$1,586 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$2,717 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$461 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$2,192 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$516 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$422 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$3,488 |
— |
| Cryotherapy of skin (17340) |
— |
$113 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$740 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$796 |
— |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$823 |
— |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
— |
$5,688 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$517 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$2,840 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$6,000 |
— |
| Cystourethroscopy (52000) |
— |
$1,505 |
— |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
— |
$3,545.50 |
— |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
— |
$607 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$128 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$1,315 |
— |
| Debride nail 1-5 (11720) |
— |
$156 |
— |
| Debride nail 6 or more (11721) |
— |
$168 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$221.50 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$657 |
— |
| Declot vascular device (36593) |
— |
$869 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,213.50 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$3,142 |
— |
| Destruc Benign/Premal,15+ Lesions (17004) |
— |
$359 |
— |
| Destruction benign lesions 15 or more (17111) |
— |
$286 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$206 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$1,589 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$387 |
— |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
— |
$762 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$303 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$146 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$1,356 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$399 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$432 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$397 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$1,010 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$731 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$363 |
— |
| Draw blood off venous device (36591) |
— |
$200 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$414 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$333 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$182 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$49 |
— |
| Dstrj les/scar vestibule mouth physical meths (40820) |
— |
$554 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$2,154 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$1,337 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$3,690 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$1,409 |
— |
| Egd flexible foreign body removal (43247) |
— |
$2,300 |
— |
| Egd place gastrostomy tube (43246) |
— |
$416 |
— |
| Egd remove lesion snare (43251) |
— |
$2,330 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$830 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$558 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$239 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$913 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$1,084 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$440 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$507 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$1,059 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$308 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$487 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$876 |
— |
| Exc skin abd (15830) |
— |
$2,442 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$343 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$334 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$368 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$423 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$605 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$476 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$697 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$673 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$672 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$1,068 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$858 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$949.50 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$875 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$1,572 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$174 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$274 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$1,088 |
— |
| Excision Breast Lesion (19125) |
— |
$1,190 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$421 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$489 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$525 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$596 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$663 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$435 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$507 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$573 |
— |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
— |
$827 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$423 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$490 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$542 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$632 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$718 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$373 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$414 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$384 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$272 |
— |
| Excision of nail fold toe (11765) |
— |
$699.50 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$745 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$514 |
— |
| Excision olecranon bursa (24105) |
— |
$774 |
— |
| Excision Prepatellar Bursa (27340) |
— |
$802 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$1,056 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$7.62 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$660 |
— |
| Fetal non-stress test (59025) |
— |
$243.50 |
— |
| Fixation of knee joint (27570) |
— |
$327 |
— |
| Fixation of shoulder (23700) |
— |
$416 |
— |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$1,983 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$440 |
— |
| Hemorrhoidectomy external complete (46250) |
— |
$1,009 |
— |
| I&d abscess simple (10060) |
$273 |
$273 |
1.3× |
| I&d perianal abscess superficial (46050) |
— |
$1,486.50 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$532 |
— |
| Incise finger tendon sheath (26055) |
— |
$1,276 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$459 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$563 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$684 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$552 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$906 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$746 |
— |
| Incision of lingual frenum (41010) |
— |
$352 |
— |
| Incision of rectal abscess (46040) |
— |
$2,207.50 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$386 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$331 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$159 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$1,295 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$123 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$2,063 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$2,117 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$250 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$287 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$677 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$1,543 |
— |
| Inject scleros soln in hemorrhoids (46500) |
— |
$663 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$205 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$168 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$2,063 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$454 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$711 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$112 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$129 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$280 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$123 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$333 |
— |
| Insert Drug Implant Device (11981) |
— |
$212 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$827 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$4,337 |
— |
| Insert pessary/other device (57160) |
— |
$158 |
— |
| Insert picc cath (36569) |
— |
$2,253 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$307 |
— |
| Insert tun ip cath perc (49418) |
— |
$2,037 |
— |
| Insert tunneled cv cath (36561) |
— |
$2,027 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$308 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$706 |
— |
| Insrt/redo spine n generator (63685) |
— |
$720 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,063 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$472 |
— |
| Knee arthroscopy/surgery (29887) |
— |
$1,592 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$1,779 |
— |
| Knee arthroscopy/surgery (29885) |
— |
$1,598 |
— |
| Knee arthroscopy/surgery (29886) |
— |
$1,347 |
— |
| Laparoscopy appendectomy (44970) |
— |
$1,238 |
— |
| Laparoscopy tubal block (58671) |
— |
$787 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$787 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$1,470 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$2,283 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$240.50 |
— |
| Late closure of wound (13160) |
— |
$1,671 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$1,378.50 |
— |
| Mastectomy simple complete (19303) |
— |
$1,963 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$153 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$84 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$49 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$638 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$1,223 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$1,264 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$1,139 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$1,757 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$1,620 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$1,292 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
— |
$1,220 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$2,502 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$1,594 |
— |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
— |
$2,087 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$1,081 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$1,555 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$1,509 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$1,866 |
— |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
— |
$2,805 |
— |
| Pelvic exam under anesthesia (57410) |
— |
$223 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$1,908 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$1,564 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$594 |
— |
| Preputial Stretching (54450) |
— |
$147 |
— |
| Prostatectomy (turp) (52601) |
— |
$1,547 |
— |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
— |
$6,066 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$269 |
— |
| Puncture Aspiration (10160) |
— |
$403.50 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$592 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$2,262 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$1,571 |
— |
| Removal fb intranasal (30300) |
— |
$401 |
— |
| Removal foreign body pharynx (42809) |
— |
$1,155 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$34 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$168 |
— |
| Removal Implant Deep (20680) |
— |
$889 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$234 |
— |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
— |
$2,517 |
— |
| Removal of nail bed (11750) |
— |
$310 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$199 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$439 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$137 |
— |
| Remove anal fist subq (46270) |
— |
$1,126 |
— |
| Remove drug implant device (11982) |
— |
$234 |
— |
| Remove foreign body from eye (65210) |
— |
$1,155 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$1,011 |
— |
| Remove wrist tendon lesion (25111) |
— |
$699 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$171 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$208 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,602 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,058 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,042 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,005 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$757 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,254.50 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,602 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,602 |
— |
| Repair elbow deb/attch open (24359) |
— |
$1,410 |
— |
| Repair elbow perc (24357) |
— |
$908 |
— |
| Repair incomplete circumcision (54163) |
— |
$471 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$1,299 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$1,209 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,062 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$604 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$858 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$1,221 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$776 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$813 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,042 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,602 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$802.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$663 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,208 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$5,139 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$831 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$561 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$846 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,256 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$592 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,020 |
— |
| Repair kneecap tendon (27380) |
— |
$1,321 |
— |
| Repair of leg tendon each (27664) |
— |
$779 |
— |
| Repair of nail bed (11760) |
— |
$395 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$1,800 |
— |
| Repair of shoulder (23420) |
— |
$2,054 |
— |
| Repair of thigh musc (27385) |
— |
$1,298 |
— |
| Repair of vagina (57260) |
— |
$1,646 |
— |
| Repair rotator cuff acute (23410) |
— |
$1,734 |
— |
| Repair Tongue Laceration (41250) |
— |
$354 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$1,300 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$947 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$1,281 |
— |
| Revision of penis (54420) |
— |
$472 |
— |
| Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft (27137) |
— |
$3,058 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$3,058 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$3,175 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$3,657 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$2,937 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,155 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$354 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$2,615.50 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$346 |
— |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$299 |
— |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
— |
$861 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$1,507 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$1,159 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$962 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$694 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$1,157 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$1,602 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,617 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$4,245 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$3,173 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$247 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$387 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$226 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$263 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$297 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$313 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$214 |
— |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$1,245 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$292 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$333 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$260 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$324 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$293 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$1,870.50 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$676 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$750 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$398.50 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$422.50 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$678 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$442.50 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$473.50 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$354 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$199 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$536 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$405 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$1,751 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$376 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$467.50 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$429 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,601 |
— |
| Strapping ankle (29540) |
— |
$223 |
— |
| Strapping elbow/wrist (29260) |
— |
$84.50 |
— |
| Strapping knee (29530) |
— |
$236 |
— |
| Strapping shoulder (29240) |
— |
$471 |
— |
| Strapping toes (29550) |
— |
$186 |
— |
| Strapping unna boot (29580) |
— |
$136 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$334 |
— |
| Suspension of testis (54640) |
— |
$916 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$751 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$1,577 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
— |
$1,131 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$1,467.50 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,409 |
— |
| Total hip arthroplasty (27130) |
— |
$2,685 |
— |
| Total knee arthroplasty (27447) |
— |
$2,683 |
— |
| Trach Tube Change (31502) |
— |
$685 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$685 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$4,245 |
— |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$810 |
— |
| Treat ankle dislocation (27846) |
— |
$1,536 |
— |
| Treat finger dislocation (26775) |
— |
$865 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$639 |
— |
| Treat fx distal radial (25606) |
— |
$1,424 |
— |
| Treat fx rad extra-articul (25607) |
— |
$1,575 |
— |
| Treat humerus fracture (24500) |
— |
$795 |
— |
| Treat humerus fracture (23600) |
— |
$731 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$571 |
— |
| Treat wrist bone fracture (25622) |
— |
$678 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$671 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$783.50 |
— |
| Treatment of ankle fracture (27822) |
— |
$1,859 |
— |
| Treatment of ankle fracture (27792) |
— |
$1,339.50 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$2,570 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$2,573 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$465 |
— |
| Treatment of tibia fracture (27759) |
— |
$2,097 |
— |
| Trim skin lesion (11055) |
— |
$160 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$172.50 |
— |
| Trim skin lesions over 4 (11057) |
— |
$181 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$99.50 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,119.50 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$1,042 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$1,298 |
— |
| Vag hyst complex (58290) |
— |
$2,421 |
— |
| Vaginal delivery only (59409) |
— |
$4,721 |
— |
| Vaginal hysterectomy (58260) |
— |
$1,771 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$1,957 |
— |
| Vasectomy (55250) |
— |
$742 |
— |
| Vasotomy cannulization w/wo vas inc uni/bi spx (55200) |
— |
$820 |
— |
| Vbac delivery only (59612) |
— |
$1,798 |
— |
| Venipuncture (36415) |
— |
$33 |
— |