| Abd paracentesis w/imaging (49083) |
— |
$3,338 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$553 |
— |
| Acne Surgery (10040) |
— |
$287 |
— |
| Anoscopy diagnostic (46600) |
— |
$312 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$847 |
— |
| Appendectomy (44950) |
— |
$2,427 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$158 |
— |
| Application cast elbow finger short arm (29075) |
— |
$265 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$270 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$118 |
— |
| Application finger splint static (29130) |
— |
$128 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$201.50 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$218 |
— |
| Application of long leg cast (29345) |
— |
$381 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$181 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$170 |
— |
| Application short leg splint calf foot (29515) |
— |
$181.50 |
— |
| Apply short leg cast (29405) |
— |
$223 |
— |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft Other Surgical Services (66179) |
— |
$18,000 |
— |
| Aqueous shunt to extraocular reservoir (66180) |
— |
$20,500 |
— |
| Arterial puncture (36600) |
— |
$68 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
— |
$1,939 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$171 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$251.50 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$204 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$285 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$165 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$626 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$363 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$675 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$417 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$470 |
— |
| Bladder Irrigation Simple (51700) |
— |
$268 |
— |
| Bladder Scan (51798) |
— |
$38 |
— |
| Blood transfusion service (36430) |
— |
$1,162 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$1,027 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$611 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,497 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$104.50 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$931 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$839.50 |
— |
| Chemical Cautery Tissue (17250) |
— |
$144 |
— |
| Chest tube placement (32551) |
— |
$1,796 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$284 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$1,098.50 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$955.50 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$1,395 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$1,453.50 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$1,503.50 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$816.50 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$892 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$998.50 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$2,199 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$950 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$621.50 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,431.50 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$1,291.50 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$838 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$624 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,109 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,364 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$961.50 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$850 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$462 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,508.50 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$1,670 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,490.50 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$621.50 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$1,431.50 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,066.50 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$770 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,289.50 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$755 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,457.50 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$1,340 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$841 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$753.50 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$1,039.50 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$639.50 |
— |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
— |
$243 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$3,746.50 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,092 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$1,440 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,227.50 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$904 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$923 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$537.50 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$967 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,949.50 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$1,976 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,520 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,819 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$506.50 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$399 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$463 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$339.50 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,572.50 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$915.50 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$537 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$431.50 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$351 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,017 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,203 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$862 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$1,527 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$1,243 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$495.50 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$285 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$987.50 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$573 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$1,696.50 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,191 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$1,257 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$889.50 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$1,356.50 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$386.50 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,787.50 |
— |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
— |
$2,320.50 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$1,470.50 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$1,549 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,867.50 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$1,624 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$1,850 |
— |
| Colonoscopy w/ablation (45388) |
— |
$1,556 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$1,464 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$1,273 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$1,420 |
— |
| Complex Drainage, Wound (10180) |
— |
$647 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$98 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$700 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$448 |
— |
| Correction of astigmatism (65772) |
— |
$3,600 |
— |
| Cryotherapy of skin (17340) |
— |
$113 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$999 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$466 |
— |
| Curette/treat cornea (65435) |
— |
$230.50 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$4,043 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$218 |
— |
| Debride nail 1-5 (11720) |
— |
$101 |
— |
| Debride nail 6 or more (11721) |
— |
$137 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$359 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$543 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$905 |
— |
| Declot vascular device (36593) |
— |
$776 |
— |
| Delivery placenta separate procedure (59414) |
— |
$289 |
— |
| Destruc retinal lesn,photocoag (67210) |
— |
$1,261 |
— |
| Destruction anal lesion(s) (46924) |
— |
$2,199 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$341 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$314 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$230 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$199 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$428 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$640.50 |
— |
| Drain shoulder lesion (23030) |
— |
$945 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$233 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,508.50 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$1,231 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$984 |
— |
| Drainage of gum lesion (41800) |
— |
$550 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$366 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$673 |
— |
| Draw blood off venous device (36591) |
— |
$77.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$600.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$450.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$233 |
— |
| Dstrj lesion anus simple chemical (46900) |
— |
$663 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$1,188 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$1,078 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$1,014 |
— |
| Egd flexible foreign body removal (43247) |
— |
$1,014 |
— |
| Egd guide wire insertion (43248) |
— |
$1,933.50 |
— |
| Egd place gastrostomy tube (43246) |
— |
$1,703 |
— |
| Egd remove lesion snare (43251) |
— |
$1,226 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$1,301 |
— |
| Egd Varices Ligation (43244) |
— |
$1,263 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$776 |
— |
| Escharotomy initial incision (16035) |
— |
$540 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$167 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$1,923 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$1,743 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$312 |
— |
| Exc rect tum transanal part (45171) |
— |
$2,642 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$1,107 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$290 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$312 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$398 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$510 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$932 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$556 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$261 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$1,617 |
— |
| Excision Breast Lesion (19125) |
— |
$1,694 |
— |
| Excision h/p/p/u simple/intermediate repair (11470) |
— |
$742 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$427 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$462 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$466 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$698 |
— |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
— |
$975 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$423 |
— |
| Excision of nail fold toe (11765) |
— |
$447 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$2,211 |
— |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
— |
$1,385 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,525 |
— |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
— |
$18,750 |
— |
| Fetal non-stress test (59025) |
— |
$454.50 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$273 |
— |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
— |
$2,172 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$548 |
— |
| I&d abscess simple (10060) |
— |
$512 |
— |
| I&d perianal abscess superficial (46050) |
— |
$856 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$409 |
— |
| I&d submucosal abscess rectum (45005) |
— |
$580 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$329 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$675 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$639 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$861.50 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$442 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$559.50 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$403 |
— |
| Incision of rectal abscess (46040) |
— |
$1,822 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$466 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$158 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$544 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$178 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$181 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$709 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$363 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$305 |
— |
| Injection for identification of sentinel node (38792) |
— |
$218 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$190.50 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$197 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$240 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$207 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$2,909 |
— |
| Insert anter drainage dev w/o extraoc reservoir (66183) |
— |
$12,500 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$430 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$3,877 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$720 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$500 |
— |
| Insert picc cath (36569) |
— |
$1,454 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$411 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$215.50 |
— |
| Insert tunneled cv cath (36561) |
— |
$2,253 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$123.50 |
— |
| Insertion of cannula (36800) |
— |
$3,490 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$865 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$862 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$1,939 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$2,693.50 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$4,738 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$45,022 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$2,909 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$596.50 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$401 |
— |
| Laparoscopy appendectomy (44970) |
— |
$2,974 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$1,761 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$3,640 |
— |
| Laser repair to improve eye fluid flow (65855) |
— |
$680 |
— |
| Ligation of a-v fistula (37607) |
— |
$2,909 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$783 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$559 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$417 |
— |
| Mast mod rad (19307) |
— |
$3,956 |
— |
| Mastectomy partial (19301) |
— |
$1,514 |
— |
| Mech remov pericath obstr cv dev via ven access (36595) |
— |
$776 |
— |
| Muscle-skin graft trunk (15734) |
— |
$6,841 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$811.50 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$244 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$497 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$1,202 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$19,062 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$3,877 |
— |
| Ovarian cystectomy (58925) |
— |
$2,017 |
— |
| Partial removal of thyroid (60220) |
— |
$1,902 |
— |
| Peritoneal Lavage (49084) |
— |
$315 |
— |
| Perq device breast 1st imag (19281) |
— |
$611 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$574 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$301.50 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$80,763 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$53,284 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$15,120 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$263 |
— |
| Preputial Stretching (54450) |
— |
$173 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$220 |
— |
| Prophylaxis Retina Detach,Photocoag (67145) |
— |
$873 |
— |
| Puncture Aspiration (10160) |
— |
$805.50 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$247 |
— |
| Reinforce/graft eye wall (67255) |
— |
$12,500 |
— |
| Relieve inner eye pressure (65820) |
— |
$12,500 |
— |
| Removal fb intranasal (30300) |
— |
$593 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$1,484 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,304 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$686.50 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$388 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$1,789 |
— |
| Removal foreign body pharynx (42809) |
— |
$990 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$1,114.50 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$151 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$144 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$1,127 |
— |
| Removal of anal fissure (46200) |
— |
$1,393 |
— |
| Removal of arm foreign body (24200) |
— |
$569 |
— |
| Removal of nail bed (11750) |
— |
$754 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$176 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$1,365.50 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$161 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$179 |
— |
| Remove anal fist subq (46270) |
— |
$1,641 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$766.50 |
— |
| Remove foreign body from eye (65210) |
— |
$113 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$2,487 |
— |
| Remove intrvas foreign body (37197) |
— |
$1,891 |
— |
| Remove shoulder foreign body (23330) |
— |
$853.50 |
— |
| Remove wrist tendon lesion (25111) |
— |
$1,559 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$333 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$84.50 |
— |
| Repair blood vessel with graft other than vein; upper extremity (35266) |
— |
$2,327 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,209 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,828 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,224 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,521 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,103.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,244 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$970 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,132 |
— |
| Repair defect of artery (35011) |
— |
$2,909 |
— |
| Repair detached retina (67105) |
— |
$1,067 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$1,791 |
— |
| Repair hand tendon (26410) |
— |
$1,734 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$1,556 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,438.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$806.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$910 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$1,655.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,036 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,101 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,753.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,163 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$754 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$916 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,059 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$1,574.50 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,074 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$751.50 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$887.50 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,242 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$970.50 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,390 |
— |
| Repair of nail bed (11760) |
— |
$536.50 |
— |
| Repair Tongue Laceration (41250) |
— |
$607 |
— |
| Replace g/c tube perc (49450) |
— |
$2,687 |
— |
| Revision of iris (66761) |
— |
$776 |
— |
| Revj Lxtr Artl Byp Opn W/Sgmtl Vein Interpos (35881) |
— |
$1,939 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$810 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$593 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$186 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$192 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$1,437 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$881.50 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,279 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$771 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$1,454 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$1,454 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$3,131.50 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$1,436.50 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$888.50 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$939.50 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$193 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$1,136 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$171 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$210 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$747 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$634 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$491.50 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$499 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$603 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$522.50 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$739 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$662 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$492 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$732.50 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$531.50 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$594 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$890.50 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$938.50 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$371 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$574 |
— |
| Strapping ankle (29540) |
— |
$87 |
— |
| Strapping elbow/wrist (29260) |
— |
$106 |
— |
| Strapping hand/finger (29280) |
— |
$105 |
— |
| Strapping Hip (29520) |
— |
$116 |
— |
| Strapping knee (29530) |
— |
$94 |
— |
| Strapping shoulder (29240) |
— |
$94 |
— |
| Strapping thorax (29200) |
— |
$103 |
— |
| Strapping toes (29550) |
— |
$54 |
— |
| Strapping unna boot (29580) |
— |
$145 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$190 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$928 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,648.50 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$1,357 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$1,232 |
— |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
— |
$2,946 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
— |
$1,463 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$982.50 |
— |
| Tracheostomy planned (31600) |
— |
$1,698 |
— |
| Treat finger dislocation (26775) |
— |
$1,260.50 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$832.50 |
— |
| Treat humerus fracture (24500) |
— |
$1,039.50 |
— |
| Treat humerus fracture (23600) |
— |
$957 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$733 |
— |
| Treat wrist bone fracture (25622) |
— |
$967 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$1,945 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,514 |
— |
| Treatment extensive retinopathy photocoagulation (67228) |
— |
$1,649 |
— |
| Trim skin lesion (11055) |
— |
$110 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$138 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$3,506 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$1,047.50 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,477.50 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$126 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$584 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$98 |
— |
| Vaginal delivery only (59409) |
— |
$6,782.50 |
— |
| Venipuncture (36415) |
— |
$26 |
— |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
— |
$128 |
— |
| Venipuncture, cutdown; age 1 or over (36425) |
— |
$107 |
— |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
— |
$18,750 |
— |