| Abd paracentesis w/imaging (49083) |
— |
$6,361.33 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$9,996.62 |
— |
| Abrasion single lesion (15786) |
— |
$55,282.41 |
— |
| Acne Surgery (10040) |
— |
$78,993.36 |
— |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
— |
$475,702.86 |
— |
| Amputate metacarpal bone (26910) |
— |
$36,166.32 |
— |
| Amputation Of Foot At Ankle (27889) |
— |
$346,741.83 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$35,345.81 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$27,724.91 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$346,741.83 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$475,702.86 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$475,702.86 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other… (27881) |
— |
$475,702.86 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$31,749.05 |
— |
| Anoscopy diagnostic (46600) |
— |
$57,993.11 |
— |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
— |
$57,993.11 |
— |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
— |
$27,706.02 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$57,993.11 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$76,479.69 |
— |
| Appendectomy (44950) |
— |
$125,855.34 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$1,237.85 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$1,237.84 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$92,629.83 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$4,261.55 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$960.15 |
— |
| Arterial puncture (36600) |
— |
$278.65 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$2,262.15 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$5,303.81 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$2,262.15 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,328.25 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,255.14 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$114,296.36 |
— |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
— |
$69,045.74 |
— |
| Arthroscopy of joint (29999) |
— |
$52,470.31 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$33,238.76 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$69,045.74 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$69,045.74 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$48,080.49 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$84,261.54 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$107,196.60 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$96,868.96 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$73,704.45 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$83,349.13 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$110,011.50 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$70,650.24 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$111,973.81 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$1,212.07 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$22,215.95 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$69,046.79 |
— |
| Biopsy bone open superficial (20240) |
— |
$25,008.44 |
— |
| Biopsy finger joint lining (26110) |
— |
$73,792.75 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$6,601.50 |
— |
| Biopsy of bowel (44100) |
— |
$63,564.48 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$5,172.73 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$13,225.93 |
— |
| Bl push transfuse 2 yr/< (36440) |
— |
$74,414.50 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$40,564.93 |
— |
| Bladder Irrigation Simple (51700) |
— |
$46,466.63 |
— |
| Blood patch (62273) |
— |
$8,475.52 |
— |
| Blood transfusion service (36430) |
— |
$3,265.02 |
— |
| Bone graft with microvascular anastomosis; metatarsal Other Surgical Services (20957) |
— |
$193,346.48 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) |
— |
$167,537.87 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$186,894.33 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$186,894.33 |
— |
| Bone Marrow Biopsy (38221) |
— |
$12,573.14 |
— |
| Bone/skin graft metatarsal (20972) |
— |
$193,346.48 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$100,259.22 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
— |
$14,082.66 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$4,255.88 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$6,773.50 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$37,818.02 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$8,927.61 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$30,618.96 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$11,883.15 |
— |
| Cataract surgery complex (66982) |
— |
$19,294 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$74,635.78 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$68,650.58 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$2,115.38 |
— |
| Chemical Cautery Tissue (17250) |
— |
$3,529.40 |
— |
| Chest tube placement (32551) |
— |
$9,996.62 |
— |
| Chromotubation of oviduct, including materials (58350) |
— |
$46,641.72 |
— |
| Circum 28 days or older (54161) |
— |
$27,644.22 |
— |
| Circumcision (54150) |
— |
$11,982.35 |
— |
| Circumcision Neonate (54160) |
— |
$11,982.35 |
— |
| Claviculectomy; partial (23120) |
— |
$73,949.89 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$12,004.93 |
— |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
— |
$2,057.49 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$12,004.93 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$12,004.93 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$12,004.93 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$12,004.93 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$110,299.34 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$696.44 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$1,958.92 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$2,057.49 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$92,629.83 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$2,057.49 |
— |
| Closed tx femoral fracture prox head w manip (27268) |
— |
$4,407.59 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$2,057.49 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$4,452.75 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$13,195.86 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$12,004.93 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$12,004.93 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$1,827.76 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$12,004.93 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$2,057.49 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$12,004.93 |
— |
| Closure of gastrostomy surgical (43870) |
— |
$249,732.65 |
— |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
— |
$1,631.62 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$2,057.49 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$12,004.93 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$2,057.49 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$4,452.75 |
— |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
— |
$2,057.49 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$110,299.34 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$110,299.34 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$2,057.49 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$2,057.49 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$2,057.49 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$2,057.49 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$17,097.34 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$2,057.49 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$2,057.49 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$2,057.49 |
— |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
— |
$12,004.93 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$2,057.49 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$1,964.33 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$2,057.49 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$68,827.09 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$2,057.49 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$1,958.92 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$12,004.93 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$2,057.49 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$11,979.47 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$2,057.49 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$12,004.93 |
— |
| Colonoscopy for bleeding (44391) |
— |
$51,564.48 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$84,307.78 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$84,307.78 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$114,939.89 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$84,307.78 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$13,550.87 |
— |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
— |
$63,631.97 |
— |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
— |
$84,307.78 |
— |
| Colonoscopy thru stoma (44388) |
— |
$11,013.30 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$19,426.71 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$57,993.11 |
— |
| Colonoscopy w/ndl aspir/bx (44407) |
— |
$84,307.78 |
— |
| Colonoscopy w/stent plcmt (44402) |
— |
$84,307.78 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$20,079.02 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$21,664.88 |
— |
| Complex Drainage, Wound (10180) |
— |
$21,251.09 |
— |
| Conization of cervix (57520) |
— |
$36,789.31 |
— |
| Conization of cervix (57522) |
— |
$29,231.68 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$1,673.39 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$973.33 |
— |
| Control Oropharyngeal Hemorrhage Simple (42960) |
— |
$4,203.57 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$153,538.34 |
— |
| Correction hammertoe (28285) |
— |
$43,118.69 |
— |
| Correction of bunion (28298) |
— |
$193,346.48 |
— |
| Correction of bunion (28292) |
— |
$29,518.21 |
— |
| Correction of bunion (28299) |
— |
$193,346.48 |
— |
| Correction of bunion (28297) |
— |
$193,346.48 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$77,348.65 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$193,346.48 |
— |
| Curettage postpartum (59160) |
— |
$31,979.01 |
— |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
— |
$64,554.59 |
— |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$49,428.91 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$16,969.32 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$56,003.55 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$27,891.30 |
— |
| Cysto w/tx ureteropelvic junction stricture (52342) |
— |
$64,554.59 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$64,554.59 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$29,524.93 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$64,554.59 |
— |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
— |
$64,554.59 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$42,415.08 |
— |
| Cystorrhaphy, suture of bladder wound, injury or rupture; simple (51860) |
— |
$105,489.14 |
— |
| Cystoscopy and treatment (52330) |
— |
$64,554.59 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$27,454.93 |
— |
| Cystoscopy,insert ureteral stent (52332) |
— |
$68,376.66 |
— |
| Cystourethroscopy (52000) |
— |
$20,867.88 |
— |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
— |
$22,313.72 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
— |
$29,503.27 |
— |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
— |
$38,619.77 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$55,282.41 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$167,537.87 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$99,490.99 |
— |
| Debride nail 1-5 (11720) |
— |
$511.52 |
— |
| Debride nail 6 or more (11721) |
— |
$511.52 |
— |
| Debride skin musc at fx site (11011) |
— |
$5,236.27 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$3,829.10 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$7,337.64 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$11,118.29 |
— |
| Declot vascular device (36593) |
— |
$74,635.78 |
— |
| Delivery placenta separate procedure (59414) |
— |
$52,318.38 |
— |
| Dermabrasion regional other than face (15782) |
— |
$55,282.41 |
— |
| Dermabrasion superficial any site (15783) |
— |
$55,282.41 |
— |
| Destruction anal lesion(s) (46924) |
— |
$41,278 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$1,544.34 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$11,715.84 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$11,013.30 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$31,118.67 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$118,827.75 |
— |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
— |
$77,296.16 |
— |
| Drain hand tendon sheath (26020) |
— |
$77,429.77 |
— |
| Drain outer ear canal lesion (69020) |
— |
$5,295.60 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$5,236.27 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$1,544.34 |
— |
| Drainage mouth roof lesion (42000) |
— |
$1,884.29 |
— |
| Drainage of eyelid abscess (67700) |
— |
$2,446.62 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$12,573.12 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$12,573.12 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$2,840.94 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$1,544.34 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$3,634.49 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$29,129.82 |
— |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
— |
$31,991.99 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$72,952.73 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$41,334.06 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$104,249.11 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$17,151.99 |
— |
| Egd endoscopic stent place (43266) |
— |
$118,827.75 |
— |
| Egd flexible foreign body removal (43247) |
— |
$21,120.50 |
— |
| Egd guide wire insertion (43248) |
— |
$15,693.02 |
— |
| Egd injection varices (43243) |
— |
$41,334.06 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$71,220.13 |
— |
| Egd place gastrostomy tube (43246) |
— |
$53,656 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$41,334.06 |
— |
| Egd remove lesion snare (43251) |
— |
$18,301.58 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$17,466.83 |
— |
| Egd tube/cath insertion (43241) |
— |
$69,260.39 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$71,220.13 |
— |
| Egd us fine needle bx/aspir (43242) |
— |
$71,220.13 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$73,179.86 |
— |
| Egd Varices Ligation (43244) |
— |
$14,282.03 |
— |
| Embedded ip cath exit-site (49436) |
— |
$86,555.36 |
— |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
— |
$28,870.80 |
— |
| Endoscopic Injection/Implant (51715) |
— |
$32,695.05 |
— |
| Endoscopic Plantar Fasciotomy (29893) |
— |
$24,144.99 |
— |
| Endoscopic us exam esoph (43237) |
— |
$73,179.86 |
— |
| Endoscopy of bowel pouch (44385) |
— |
$69,260.39 |
— |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
— |
$11,560.77 |
— |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$13,456.87 |
— |
| Endovenous rf 1st vein (36475) |
— |
$13,456.87 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$195,003.49 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$90,443.55 |
— |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
— |
$9,963.81 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
— |
$14,336.64 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$14,336.64 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$46,124.65 |
— |
| Esoph endoscopy dilation (43226) |
— |
$118,827.75 |
— |
| Esoph optical endomicroscopy (43206) |
— |
$69,260.39 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$61,281.44 |
— |
| Esophagosc dilate balloon 30 (43214) |
— |
$118,827.75 |
— |
| Esophagoscop mucosal resect (43211) |
— |
$69,260.39 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$16,662.36 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$42,857.38 |
— |
| Esophagoscopy flexible transnasal diagnostic (43197) |
— |
$69,260.39 |
— |
| Esophagoscopy flexible transnasal with biopsy (43198) |
— |
$67,414.25 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$69,260.39 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$69,260.39 |
— |
| Esophagoscopy lesion ablate (43229) |
— |
$77,522.94 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$118,827.75 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$69,260.39 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$69,260.39 |
— |
| Esophagoscopy Transoral Stent Placement (43212) |
— |
$69,260.39 |
— |
| Esophagoscopy w/us needle bx (43232) |
— |
$67,414.25 |
— |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
— |
$42,857.38 |
— |
| Esophagoscp rig trnso biopsy (43193) |
— |
$67,414.25 |
— |
| Esophagus Surg Procedure Unlisted (43499) |
— |
$82,846.84 |
— |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
— |
$118,827.75 |
— |
| Evacuate mole of uterus (59870) |
— |
$62,488.07 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$973.33 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$28,086.50 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$32,024.59 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$101,398.72 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$101,398.72 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$39,655.43 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$29,538.81 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$36,450.03 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$104,047.63 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$32,616.07 |
— |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) |
— |
$140,181.81 |
— |
| Exc ischial pressure ulcer w/primary suture (15940) |
— |
$140,181.81 |
— |
| Exc ischial pressure ulcer w/skin flap closure (15944) |
— |
$140,181.81 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$23,343.58 |
— |
| Exc sac pr ulc prepj musc/myoq flap/skn grf clsr (15936) |
— |
$140,181.81 |
— |
| Exc Sacr Press Ulc Bone & Suture (15933) |
— |
$149,300.50 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$29,664.01 |
— |
| Exc skin abd (15830) |
— |
$86,555.36 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$30,848.15 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$30,184.24 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$46,820.53 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$48,946.11 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$33,540.26 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$38,373.15 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$30,713.96 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$33,731.08 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$32,506.75 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$37,561.69 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$9,628.72 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$38,789.11 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$25,566.31 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$40,774.66 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$95,539.15 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$95,539.15 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$175,568.35 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$175,568.35 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
— |
$30,851.97 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$25,262.82 |
— |
| Exc varicocele/ligation spermatic veins spx (55530) |
— |
$32,988.73 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$193,346.48 |
— |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
— |
$193,346.48 |
— |
| Exchange nephrostomy cath (50435) |
— |
$608.56 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$29,299.80 |
— |
| Excise cutaneous neurofibroma (64788) |
— |
$69,093.61 |
— |
| Excision Breast Lesion (19125) |
— |
$42,398.06 |
— |
| Excision external ear partial simple repair (69110) |
— |
$43,637.24 |
— |
| Excision h/p/p/u simple/intermediate repair (11470) |
— |
$28,004.73 |
— |
| Excision hidradenitis axillary complex repair (11451) |
— |
$55,620.75 |
— |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
— |
$32,478.03 |
— |
| Excision Lactiferous Duct Fistula (19112) |
— |
$67,454.73 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$115,939.45 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$67,454.73 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$67,454.73 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$47,322.05 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$67,454.73 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$38,377.50 |
— |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
— |
$30,886.57 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$31,437.48 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$27,388.93 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$30,556.33 |
— |
| Excision of Epiphyseal Bar (20150) |
— |
$193,346.48 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$31,221.37 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$45,441.74 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$12,563.21 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$44,428.35 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$31,579.04 |
— |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
— |
$95,539.15 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$27,703.09 |
— |
| Excision of Umbilicus (49250) |
— |
$95,539.15 |
— |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
— |
$86,555.36 |
— |
| Excision olecranon bursa (24105) |
— |
$22,811.35 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$53,745.22 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$38,736.66 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$23,823.73 |
— |
| Excision, sacral pressure ulcer, with primary suture; (15931) |
— |
$140,181.81 |
— |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
— |
$95,539.15 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$25,359.87 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$86,555.36 |
— |
| Expl retroperitoneum w/wo bx spx (49010) |
— |
$79,601.98 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$64,830.86 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$5,477.30 |
— |
| Explore/treat ankle joint (27610) |
— |
$219,466.44 |
— |
| External Cephalic Version (59412) |
— |
$19,225.58 |
— |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
— |
$20,054.42 |
— |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
— |
$101,398.72 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$5,295.62 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$866.93 |
— |
| Fluid pressure muscle (20950) |
— |
$28,870.80 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$2,107.50 |
— |
| Fna bx w/fluor gdn 1st les (10007) |
— |
$5,295.62 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Other… (20969) |
— |
$167,537.87 |
— |
| Fusion of foot bones (28735) |
— |
$193,346.48 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$2,491.67 |
— |
| Gastric restrictive procedure, open; revision of subcutaneous port component only (43886) |
— |
$249,732.65 |
— |
| Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) |
— |
$249,732.65 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$2,030.26 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$60,108.94 |
— |
| Hemiarthroplasty Hip Partial (27125) |
— |
$152,539.50 |
— |
| Hemiphalangectomy/interphalangeal joint exc toe (28160) |
— |
$20,975.07 |
— |
| Hemorrhoidectomy (46255) |
— |
$37,614.21 |
— |
| Hemorrhoidectomy external complete (46250) |
— |
$54,188.20 |
— |
| Hysteroscopy ablation (58563) |
— |
$42,725.74 |
— |
| Hysteroscopy biopsy (58558) |
— |
$31,532.88 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$28,092.92 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$1,884.29 |
— |
| I&d abscess simple (10060) |
— |
$30,343.71 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$21,251.09 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$55,878.32 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$5,295.60 |
— |
| I&D Rectal Abscess + Fistulectomy (46060) |
— |
$66,875.16 |
— |
| I&d submucosal abscess rectum (45005) |
— |
$8,956.02 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$5,946.84 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$12,322.02 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
— |
$69,260.39 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,051.94 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$6,221.94 |
— |
| Incise finger tendon sheath (26055) |
— |
$31,180.88 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$47,249.74 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$21,251.09 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$5,295.60 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$26,758.74 |
— |
| Incision bone cortex hand/finger (26034) |
— |
$69,071.42 |
— |
| Incision of metatarsal (28308) |
— |
$28,595.59 |
— |
| Incision of metatarsal (28307) |
— |
$193,346.48 |
— |
| Incision of metatarsals (28309) |
— |
$193,346.48 |
— |
| Incision of rectal abscess (46040) |
— |
$37,786.18 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$2,115.38 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$56,390.13 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$23,720.51 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$90,501.67 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$97,338.22 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$119,163.35 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$89,194.97 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$87,449.41 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$2,204.49 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$62,142.06 |
— |
| Injection peyronie disease (54200) |
— |
$64,946.10 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$2,158.93 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$2,262.15 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$26,036.45 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$2,147.69 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$142,260.88 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$13,207.60 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$33,653.03 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$26,299.73 |
— |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
— |
$23,908.17 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$1,242.68 |
— |
| Insert cervical dilator (59200) |
— |
$2,403.24 |
— |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
— |
$6,962.64 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$6,560.85 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$45,439.47 |
— |
| Insert picc cath (36569) |
— |
$9,602.20 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$73,620.56 |
— |
| Insert picvad cath (36570) |
— |
$73,620.56 |
— |
| Insert pulse gen mult leads (33221) |
— |
$64,102.46 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$51,979.89 |
— |
| Insert tun ip cath perc (49418) |
— |
$27,481.57 |
— |
| Insert tunneled cv cath (36561) |
— |
$32,504.99 |
— |
| Insert Tunneled Cv Cath With Pump (36563) |
— |
$104,641.29 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$104,641.29 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$973.33 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$37,729.72 |
— |
| Insertion of tube into middle small bowel using an endoscope (44372) |
— |
$90,443.55 |
— |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
— |
$99,671.68 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$25,261.45 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$4,761.85 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$92,292.16 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$73,620.56 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$104,641.29 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$126,550.06 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$126,550.06 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$22,863.56 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$14,416.57 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$78,725.74 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$43,784.59 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$40,876.66 |
— |
| Kidney endoscopy (50572) |
— |
$64,554.59 |
— |
| Kidney endoscopy (50553) |
— |
$64,554.59 |
— |
| Kidney endoscopy (50551) |
— |
$64,554.59 |
— |
| Knee arthroscopy/surgery (29876) |
— |
$109,309.10 |
— |
| Knee arthroscopy/surgery (29851) |
— |
$69,045.74 |
— |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
— |
$167,537.87 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
— |
$167,537.87 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
— |
$102,818.29 |
— |
| Laparoscopy appendectomy (44970) |
— |
$60,336.64 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$195,161.35 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$51,845.99 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$88,582.89 |
— |
| Laparoscopy tubal block (58671) |
— |
$47,535.55 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$59,455.36 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$47,397.28 |
— |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
— |
$118,918.48 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$118,918.48 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$118,918.48 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$64,336.63 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$103,686.05 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$130,952.69 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$57,325.18 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$100,634.21 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$60,099.63 |
— |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
— |
$81,018.80 |
— |
| Laps W/Revision Intraperitoneal Catheter (49325) |
— |
$86,555.36 |
— |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
— |
$87,177.90 |
— |
| Laser vaporization surgery prostate, complete (52648) |
— |
$42,577.09 |
— |
| Late closure of wound (13160) |
— |
$86,555.36 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$19,860.40 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$39,108.06 |
— |
| Lithotripsy (50590) |
— |
$29,593.15 |
— |
| Liver Biopsy (47000) |
— |
$39,535.30 |
— |
| Mast mod rad (19307) |
— |
$50,298.36 |
— |
| Mastectomy gynecomastia (19300) |
— |
$67,454.73 |
— |
| Mastectomy partial (19301) |
— |
$42,343.45 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$70,912.95 |
— |
| Metatarsectomy (28140) |
— |
$193,346.48 |
— |
| Musculoskeletal surgery (20999) |
— |
$133,490.70 |
— |
| Myelography Lumbar Injection (62304) |
— |
$7,625.68 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$6,323.13 |
— |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
— |
$204,098.81 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$3,016.55 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$28,870.80 |
— |
| Ndsc ureterotomy urtrl cathj w/wo dilat ureter (50972) |
— |
$64,554.59 |
— |
| Nipple exploration (19110) |
— |
$67,454.73 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$48,977.61 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$48,977.61 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$1,080.17 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$2,095.53 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$56,390.13 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$103,776.16 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$80,101.49 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$89,062.66 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
— |
$115,793.13 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$95,596.34 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) |
— |
$158,830.06 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$158,830.06 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$159,695.94 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) |
— |
$158,830.06 |
— |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
— |
$159,695.94 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$159,695.94 |
— |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
— |
$176,984.50 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$69,545.31 |
— |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
— |
$183,039.71 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
— |
$180,554.64 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) |
— |
$180,554.64 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$183,039.71 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$90,030.50 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$103,776.16 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$119,163.35 |
— |
| Open Tx Femoral Fracture Proximal End He (27269) |
— |
$180,554.64 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$176,984.50 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$62,834.42 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$89,177.58 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$80,491.02 |
— |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
— |
$103,776.16 |
— |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
— |
$103,776.16 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$88,382.40 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$142,260.88 |
— |
| Optx hum fx w/ntrcndylr xtn (24546) |
— |
$176,984.50 |
— |
| Optx hum fx wo ntrcndylr xtn (24545) |
— |
$176,984.50 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$193,346.48 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$193,346.48 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$44,808.80 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$29,623.38 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$193,346.48 |
— |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
— |
$193,346.48 |
— |
| Osteoplasty, femur; shortening (excluding 64876) (27465) |
— |
$159,634.09 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$193,346.48 |
— |
| Osteotomy, femoral neck (separate procedure) Other Surgical Services (27161) |
— |
$180,554.64 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
— |
$158,830.06 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$12,758.50 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$193,346.48 |
— |
| Partial Removal Foot Fascia (28060) |
— |
$23,343.58 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$25,822.65 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$5,295.62 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$74,635.78 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$74,635.78 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$125,763.29 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$36,800.02 |
— |
| Peritoneal Lavage (49084) |
— |
$6,961.15 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$1,050.51 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,050.51 |
— |
| Perq device breast 1st imag (19281) |
— |
$38,436.99 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$64,554.59 |
— |
| Perq dilation xst trc new access renal coltj sys (50437) |
— |
$64,554.59 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$12,247.09 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$37,729.72 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$7,480.45 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$125,017.02 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$89,108.05 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$38,092.79 |
— |
| Pin radioulnar dislocation (25671) |
— |
$26,305.56 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$6,817.39 |
— |
| Place gastrostomy tube (43831) |
— |
$112,324.71 |
— |
| Placement of seton (46020) |
— |
$35,522.01 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$7,408.47 |
— |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
— |
$475,702.86 |
— |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
— |
$64,554.59 |
— |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$90,443.55 |
— |
| Pr rmvl lens material phacofragmentation aspir (66850) |
— |
$21,771.29 |
— |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
— |
$97,775.80 |
— |
| Preputial Stretching (54450) |
— |
$1,794.55 |
— |
| Prim art mech thrombectomy (37184) |
— |
$137,160.32 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$57,993.11 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$64,560.24 |
— |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$176,984.50 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$125,763.29 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,612.89 |
— |
| Puncture Aspiration (10160) |
— |
$7,022.75 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$2,830.80 |
— |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
— |
$104,047.63 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) |
— |
$95,539.15 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm (22904) |
— |
$95,539.15 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
— |
$104,047.63 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$193,346.48 |
— |
| Realignment of knee (27455) |
— |
$183,039.71 |
— |
| Reconstr disloc patella w mscl adv (27422) |
— |
$124,744.11 |
— |
| Reduction of Large Breast (19318) |
— |
$67,454.73 |
— |
| Release forearm/hand exten tendon (26449) |
— |
$102,445.70 |
— |
| Relieve inner eye pressure (65820) |
— |
$15,292.79 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$9,937.19 |
— |
| Rem endovas vena cava filter (37193) |
— |
$17,003.97 |
— |
| Removal fb intranasal (30300) |
— |
$973.33 |
— |
| Removal foreign body pharynx (42809) |
— |
$3,162.93 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$22,345.64 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$22,345.64 |
— |
| Removal Implant Deep (20680) |
— |
$32,567.85 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$10,039.26 |
— |
| Removal of cervix (57530) |
— |
$43,118.52 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$22,947.07 |
— |
| Removal of nail bed (11750) |
— |
$5,279.81 |
— |
| Removal Of Peritoneal-Venous Shunt (49429) |
— |
$86,555.36 |
— |
| Removal of pressure sore (15999) |
— |
$104,073.41 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$104,073.41 |
— |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
— |
$90,443.55 |
— |
| Removal of testis (54520) |
— |
$38,544.56 |
— |
| Removal ppm generator only (33233) |
— |
$8,029.10 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$6,247.29 |
— |
| Remove anal fist subq (46270) |
— |
$29,930.06 |
— |
| Remove by ligat int hem grp (46945) |
— |
$30,906.07 |
— |
| Remove drug implant device (11982) |
— |
$46,276.53 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$2,178.90 |
— |
| Remove hip pressure sore (15941) |
— |
$140,181.81 |
— |
| Remove hip pressure sore (15945) |
— |
$140,181.81 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$36,564.34 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$44,126.15 |
— |
| Remove sacrum pressure sore (15937) |
— |
$149,300.50 |
— |
| Remove sacrum pressure sore (15935) |
— |
$167,537.87 |
— |
| Remove wrist tendon lesion (25111) |
— |
$31,808.30 |
— |
| Remove/graft foot lesion (28107) |
— |
$193,346.48 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$145,969.94 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$145,969.94 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$50,022.80 |
— |
| Renal biopsy (50200) |
— |
$3,466.11 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$24,176.76 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$4,462.53 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$2,840.94 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$4,462.53 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$34,943.50 |
— |
| Repair incomplete circumcision (54163) |
— |
$11,982.35 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$128,476.66 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$54,541.15 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$2,870.95 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$31,661.05 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$2,870.95 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$2,840.94 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$4,413.98 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$32,917.73 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$2,840.94 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$45,231.04 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$45,231.04 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$60,432.41 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$40,774.66 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$30,931.43 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$4,462.53 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$34,651.41 |
— |
| Repair kneecap tendon (27380) |
— |
$69,545.31 |
— |
| Repair lead pace-defib one (33218) |
— |
$10,913.51 |
— |
| Repair of anal sphincter (46750) |
— |
$59,438.53 |
— |
| Repair of anal sphincter (46760) |
— |
$59,438.53 |
— |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
— |
$84,908.55 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$183,039.71 |
— |
| Repair Of Foot Tendon (28208) |
— |
$17,612.32 |
— |
| Repair of leg tendon each (27664) |
— |
$124,875.67 |
— |
| Repair of leg tendon each (27665) |
— |
$124,875.67 |
— |
| Repair of leg tendon each (27658) |
— |
$124,875.67 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$79,967.42 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
— |
$97,499.56 |
— |
| Repair of shoulder (23420) |
— |
$101,342.26 |
— |
| Repair of vagina (57260) |
— |
$63,589.75 |
— |
| Repair of vagina (56800) |
— |
$46,124.65 |
— |
| Repair radius & ulna (25415) |
— |
$103,776.16 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$124,875.67 |
— |
| Repair Tongue Laceration (41250) |
— |
$960.15 |
— |
| Repair umbilical lesion (49600) |
— |
$86,555.36 |
— |
| Repair webbed toe(s) (28345) |
— |
$101,398.72 |
— |
| Repair/graft achilles tendon (27652) |
— |
$124,875.67 |
— |
| Repair/graft radius & ulna (25420) |
— |
$103,776.16 |
— |
| Replace duod/jej tube perc (49451) |
— |
$55,658.65 |
— |
| Replace g/c tube perc (49450) |
— |
$55,658.65 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$55,658.65 |
— |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
— |
$83,243.77 |
— |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
— |
$12,828.84 |
— |
| Rerepair ing hernia blocked (49521) |
— |
$128,476.66 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$41,936.13 |
— |
| Revise head/neck of femur (27179) |
— |
$180,554.64 |
— |
| Revise hernia & sperm veins (55540) |
— |
$130,952.69 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$31,894.11 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) |
— |
$145,027.55 |
— |
| Revision of reconstructed breast (19380) |
— |
$67,454.73 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$171,499.90 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$161,373.67 |
— |
| Revision of upper eyelid (15823) |
— |
$22,223.90 |
— |
| Revj clst comp rcnstj in-depth spx (44345) |
— |
$145,027.55 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$12,106.34 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$6,796.06 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$3,182.43 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$973.33 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$75,500.99 |
— |
| Rmvl of subq defibrillator (33272) |
— |
$33,653.03 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$10,950.34 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$5,056.90 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$11,562.87 |
— |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
— |
$128,476.66 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$62,315.35 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$47,622.27 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$49,062.75 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$53,267.33 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$124,875.67 |
— |
| Rpr hern preemie reduc (49491) |
— |
$128,476.66 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$128,476.66 |
— |
| Rpr ing hernia baby blocked (49496) |
— |
$128,476.66 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$128,476.66 |
— |
| Rpr ing hernia init blocked (49501) |
— |
$128,476.66 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$45,231.04 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$4,452.75 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$11,691.94 |
— |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
— |
$85,332.15 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$4,453.81 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$11,562.87 |
— |
| S bowel endoscope w/stent (44379) |
— |
$90,443.55 |
— |
| Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370) |
— |
$90,443.55 |
— |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
— |
$90,443.55 |
— |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
— |
$57,993.11 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$126,289.64 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$88,090.21 |
— |
| Sigmoidoscopy w/us guide bx (45342) |
— |
$73,823.10 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$65,287.72 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$1,544.34 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$65,287.72 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$1,544.34 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$65,287.72 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$39,482.39 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,544.34 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,544.34 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$14,336.64 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$18,618.98 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$17,136.22 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$35,059.14 |
— |
| Skin Tissue Procedure (17999) |
— |
$29,623.38 |
— |
| Skin tissue rearrangement (14040) |
— |
$55,620.75 |
— |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$24,775.85 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$14,336.64 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$18,838.10 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$38,973.77 |
— |
| Small Bowel Endoscopy (44373) |
— |
$90,443.55 |
— |
| Small bowel endoscopy (44366) |
— |
$16,702.21 |
— |
| Small bowel endoscopy (44364) |
— |
$15,231.81 |
— |
| Small bowel endoscopy (44376) |
— |
$63,215.87 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$90,443.55 |
— |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
— |
$14,901.62 |
— |
| Small bowel endoscopy/biopsy (44377) |
— |
$90,443.55 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$42,153.64 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$2,840.94 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$42,153.64 |
— |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
— |
$59,438.53 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$13,039.53 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$4,966.90 |
— |
| Strapping elbow/wrist (29260) |
— |
$293.61 |
— |
| Strapping hand/finger (29280) |
— |
$293.61 |
— |
| Strapping shoulder (29240) |
— |
$973.33 |
— |
| Strapping unna boot (29580) |
— |
$1,237.85 |
— |
| Suspension of testis (54620) |
— |
$38,544.56 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$77,288.01 |
— |
| Tenolysis ext tendon,hand/finger,ea (26445) |
— |
$102,445.70 |
— |
| Tenolysis Flexor Tendon Palm&Finger Each Tendo (26442) |
— |
$102,445.70 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$102,445.70 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$77,429.77 |
— |
| Tenotomy, extensor, hand or finger, open, each tendon (26460) |
— |
$77,429.77 |
— |
| Tenotomy, flexor, finger, open, each tendon (26455) |
— |
$77,429.77 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$7,843.24 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$7,930.80 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$5,667.34 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$74,635.78 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$2,555.30 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$74,635.78 |
— |
| Total hip arthroplasty (27130) |
— |
$153,538.34 |
— |
| Total knee arthroplasty (27447) |
— |
$146,783.13 |
— |
| Trach Tube Change (31502) |
— |
$1,631.62 |
— |
| Treat clavicle dislocation (23532) |
— |
$104,073.41 |
— |
| Treat clavicle dislocation (23552) |
— |
$104,073.41 |
— |
| Treat dislocation/fracture (23670) |
— |
$103,573.30 |
— |
| Treat dislocation/fracture (23680) |
— |
$176,984.50 |
— |
| Treat ectopic pregnancy (59151) |
— |
$61,742.27 |
— |
| Treat elbow fracture (24635) |
— |
$103,776.16 |
— |
| Treat elbow fracture (24587) |
— |
$103,776.16 |
— |
| Treat fracture of radius (25526) |
— |
$103,776.16 |
— |
| Treat fracture radius/ulna (25575) |
— |
$108,099.70 |
— |
| Treat fx rad extra-articul (25607) |
— |
$82,321.49 |
— |
| Treat hand dislocation (26685) |
— |
$41,201.17 |
— |
| Treat humerus fracture (23630) |
— |
$111,016.71 |
— |
| Treat humerus fracture (24577) |
— |
$12,004.93 |
— |
| Treat lower leg fracture (27826) |
— |
$183,039.71 |
— |
| Treat lower leg fracture (27828) |
— |
$183,039.71 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$2,057.49 |
— |
| Treat radius fracture (24665) |
— |
$103,776.16 |
— |
| Treat slipped epiphysis (27181) |
— |
$180,554.64 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
— |
$13,069.48 |
— |
| Treat ulnar fracture (24685) |
— |
$64,388.46 |
— |
| Treatment of ankle fracture (27822) |
— |
$92,170.86 |
— |
| Treatment of ankle fracture (27792) |
— |
$81,812.50 |
— |
| Treatment of fibula fracture (27784) |
— |
$183,039.71 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$159,695.94 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$159,695.94 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$62,488.07 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$1,964.33 |
— |
| Treatment of thigh fracture (27513) |
— |
$158,830.06 |
— |
| Trim skin lesion (11055) |
— |
$2,371.03 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$3,556.26 |
— |
| Trim skin lesions over 4 (11057) |
— |
$1,544.34 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$511.52 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$45,844.23 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$46,480.77 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$176,984.50 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$41,945.27 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$33,942.20 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$12,004.93 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$41,424.78 |
— |
| Unlisted fetal invasive procedure, including ultrasound guidance (59897) |
— |
$39,405.88 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$26,911.58 |
— |
| Unlisted laparoscopy procedure, appendix (44979) |
— |
$63,523.33 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$56,056.55 |
— |
| Unlisted laparoscopy procedure, esophagus (43289) |
— |
$82,846.84 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$120,792.40 |
— |
| Unlisted laparoscopy procedure, stomach (43659) |
— |
$68,863.94 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$73,828.08 |
— |
| Unlisted procedure anus (46999) |
— |
$32,009.92 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$195,003.49 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$59,706.17 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$129,360.34 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$175,568.35 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$176,984.50 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$475,702.86 |
— |
| Unlisted procedure liver (47399) |
— |
$39,405.88 |
— |
| Unlisted Procedure Lungs & Pleura (32999) |
— |
$4,805.66 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$74,204.78 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$7,014.62 |
— |
| Unlisted procedure shoulder (23929) |
— |
$92,343.63 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$6,833.77 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$13,516.64 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$161,054.47 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$14,154.39 |
— |
| Unlisted procedure, hands or fingers (26989) |
— |
$38,874.66 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$2,360.99 |
— |
| Unlisted procedure, stomach (43999) |
— |
$64,375.21 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$48,538.73 |
— |
| Unlisted Vascular Endoscopy Proc (37501) |
— |
$104,906.95 |
— |
| Uppr gi opticl endomicrscopy (43252) |
— |
$69,260.39 |
— |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
— |
$64,554.59 |
— |
| Urology Surgery Procedure (53899) |
— |
$46,466.63 |
— |
| Vaginal delivery only (59409) |
— |
$39,343.62 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$49,056.84 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
— |
$36,481.44 |
— |
| Vbac delivery only (59612) |
— |
$39,374.43 |
— |
| Venipuncture (36415) |
— |
$71.71 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$51,218.69 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$14,336.64 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$4,811.27 |
— |