| Abd paracentesis w/imaging (49083) |
— |
$1,246.60 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,246.60 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$2,601.85 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$375.33 |
— |
| Application finger splint static (29130) |
— |
$274.85 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$390 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$497.50 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$528.55 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$349.80 |
— |
| Application short leg splint calf foot (29515) |
— |
$330.15 |
— |
| Apply multlay comprs arm/hand (29584) |
— |
$209.53 |
— |
| Arterial puncture (36600) |
— |
$210.10 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$456.45 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$374.80 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$580.73 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$803.05 |
— |
| Blood patch (62273) |
— |
$1,710.65 |
— |
| Blood transfusion service (36430) |
— |
$1,284.80 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,695.90 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$1,098.85 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$2,695.90 |
— |
| Chemical Cautery Tissue (17250) |
— |
$200.43 |
— |
| Chest tube placement (32551) |
— |
$1,652.45 |
— |
| Circumcision (54150) |
— |
$1,873.20 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$1,129.35 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$471.35 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$526.10 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$471.35 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$471.35 |
— |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
— |
$471.35 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$824.60 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$471.35 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$471.35 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$471.35 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$471.35 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$471.35 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$677.85 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,033.55 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$881.80 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$471.35 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$774.85 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$650.50 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$649.20 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$2,272.25 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$2,164.05 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$863.10 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$516.15 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$471.35 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,996.30 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$471.35 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$471.35 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$389.30 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$385.55 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$471.35 |
— |
| Cltx greater trochanteric fx w/o manj (27246) |
— |
$564.65 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$638.15 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$471.35 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$610.70 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$564.65 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$810.90 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$471.35 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$471.35 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$1,600 |
— |
| Colonoscopy thru stoma (44388) |
— |
$2,692.75 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$3,306.55 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$362.40 |
— |
| Debride nail 1-5 (11720) |
— |
$80.68 |
— |
| Debride nail 6 or more (11721) |
— |
$137.05 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$865 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$1,310.43 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$3,517.50 |
— |
| Declot vascular device (36593) |
— |
$595.10 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,137.45 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,145.65 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,695.90 |
— |
| Draw blood off venous device (36591) |
— |
$210.10 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$304.45 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$3,620.95 |
— |
| Egd flexible foreign body removal (43247) |
— |
$3,302.75 |
— |
| Egd place gastrostomy tube (43246) |
— |
$2,841.15 |
— |
| Egd remove lesion snare (43251) |
— |
$3,226.50 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$3,265 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$210.10 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$3,766.55 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$232.41 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$2,724.75 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$526.10 |
— |
| Fetal non-stress test (59025) |
— |
$526.10 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,136.73 |
— |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
— |
$2,601.85 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$361.95 |
— |
| I&d abscess simple (10060) |
— |
$752.40 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,145.62 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,824.35 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$984.48 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$318.57 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$2,984.95 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$516.15 |
— |
| Incision bone cortex foot (28005) |
— |
$6,057.23 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$506.20 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$658.15 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$468.90 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$2,157.55 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$204.15 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$218.80 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$1,326.20 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$9,941.10 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,085.80 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$842 |
— |
| Late closure of wound (13160) |
— |
$1,989.40 |
— |
| Lithotripsy (50590) |
— |
$19,792.05 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$188.28 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$7,035.25 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$557.20 |
— |
| Puncture Aspiration (10160) |
— |
$443.50 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$619.35 |
— |
| Removal fb intranasal (30300) |
— |
$364.40 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$851.75 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$4,649.40 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$725.50 |
— |
| Removal of nail bed (11750) |
— |
$832.84 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$488.80 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$304.10 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$352.50 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$573.40 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,412.90 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,304.55 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$2,780.85 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$2,490.50 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$551 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$364.90 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$526.10 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$551 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,006.60 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$4,288.40 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$4,287.50 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$552.20 |
— |
| Strapping ankle (29540) |
— |
$178.90 |
— |
| Strapping elbow/wrist (29260) |
— |
$253.40 |
— |
| Strapping hand/finger (29280) |
— |
$245.10 |
— |
| Strapping knee (29530) |
— |
$174.10 |
— |
| Strapping shoulder (29240) |
— |
$418.25 |
— |
| Strapping toes (29550) |
— |
$237.55 |
— |
| Strapping unna boot (29580) |
— |
$350 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$250.83 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$3,556.28 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$2,693.95 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$747.50 |
— |
| Treat humerus fracture (24500) |
— |
$924.10 |
— |
| Treat humerus fracture (23600) |
— |
$924.10 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$471.35 |
— |
| Treat wrist bone fracture (25622) |
— |
$471.35 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$471.35 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,230 |
— |
| Trim skin lesion (11055) |
— |
$44.03 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$477 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$848.20 |
— |
| Venipuncture (36415) |
— |
$19.45 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,337.23 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$4,372.50 |
— |