| Abd paracentesis w/imaging (49083) |
— |
$2,956.50 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$10,697 |
— |
| Adding Walker Previously Applied Cast (29440) |
— |
$382 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,798 |
— |
| Amputation Finger/Thumb (26951) |
— |
$6,612 |
— |
| Anoscopy diagnostic (46600) |
— |
$223 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$3,199 |
— |
| Application cast elbow finger short arm (29075) |
— |
$776 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$414 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$815 |
— |
| Application finger splint static (29130) |
— |
$368 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$481 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$488 |
— |
| Application of long leg cast (29345) |
— |
$853 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$467 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$461 |
— |
| Application short leg splint calf foot (29515) |
— |
$479 |
— |
| Apply short leg cast (29405) |
— |
$853 |
— |
| Arterial puncture (36600) |
— |
$109 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$792 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,011 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,103 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,289 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$763 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$1,191 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$835 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$446 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,467 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,418 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,185 |
— |
| Biopsy of floor of mouth (41108) |
— |
$1,805 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$2,621 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$2,215 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$1,965 |
— |
| Biopsy Testis Needle Separate Procedure (54500) |
— |
$8,256 |
— |
| Bladder Irrigation Simple (51700) |
— |
$655 |
— |
| Bladder Scan (51798) |
— |
$232.50 |
— |
| Blood patch (62273) |
— |
$1,282 |
— |
| Blood transfusion service (36430) |
— |
$1,564.50 |
— |
| Bone marrow aspiration only (38220) |
— |
$1,833 |
— |
| Bone Marrow Biopsy (38221) |
— |
$1,745.50 |
— |
| Brain Shunt Tube/Reserv Injectn (61070) |
— |
$2,271 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$2,410 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$2,220 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$9,233 |
— |
| Change g-tube to g-j perc (49446) |
— |
$3,014 |
— |
| Chemical Cautery Tissue (17250) |
— |
$511 |
— |
| Chest tube placement (32551) |
— |
$2,140 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$179.50 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$685 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$1,600 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$734 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$626 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$6,619 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$1,619 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$2,375 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$466 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$617 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$600 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$2,578 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$813 |
— |
| Closed treat wrist dislocation (25660) |
— |
$563 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$5,741 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$603 |
— |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
— |
$485 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$571 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$544 |
— |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
— |
$563 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$836 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$829 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$2,174 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,172 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$593 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$538 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,194 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$563 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$589 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$6,193 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$5,741 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$5,230 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$813 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$610 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,802 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$563 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$2,012 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$2,154 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$2,154 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$513 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$1,296 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$604 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$521 |
— |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
— |
$1,278 |
— |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
— |
$2,636 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$6,619 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$603 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$2,433 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$734 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$608 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$568 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$721 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$658 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$638 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$586 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$717 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$2,398 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$2,154 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$572 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$603 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$563 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$734 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$563 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,272 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$641 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$727 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$682 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$848 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$754 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$544 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$950 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$728.50 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$647 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$876 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$603 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$563 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$3,080 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$523 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$6,619 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$780 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,236 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$563 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$6,364 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,254 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$3,822 |
— |
| Complete replacement picc rs&i (36584) |
— |
$3,695.50 |
— |
| Complex Cystometrogram (51726) |
— |
$1,536 |
— |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
— |
$1,062 |
— |
| Complex Uroflowmetry (51741) |
— |
$352 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$1,061 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$411 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$473 |
— |
| Control oropharyngeal hemorrhage, primary or secondary; with secondary surgical intervention (42962) |
— |
$8,240 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$2,520 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$393 |
— |
| Cystometrogram w/vp (51728) |
— |
$1,295 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$1,268 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$570 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$1,685 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$1,685 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,075 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$1,027 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$2,727 |
— |
| Declot vascular device (36593) |
— |
$197 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$320 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$3,631 |
— |
| Drain Ext Ear Absc/Blood,Complic (69005) |
— |
$7,118 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$499 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$918 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$653 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$4,450 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$734 |
— |
| Drainage of eyelid abscess (67700) |
— |
$880 |
— |
| Drainage of gum lesion (41800) |
— |
$647 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$4,450 |
— |
| Drainage of lymph node abscess or lymphadenitis; simple (38300) |
— |
$4,198 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$4,198 |
— |
| Draw blood off venous device (36591) |
— |
$188.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$663 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$603 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$657 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$4,788 |
— |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
— |
$569 |
— |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
— |
$7,741 |
— |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
— |
$10,699 |
— |
| Esophagoscopy flexible transnasal with biopsy (43198) |
— |
$2,275 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$233 |
— |
| Exchange nephrostomy cath (50435) |
— |
$3,827.50 |
— |
| Exchng absc/cst drg cath rad gid spx (49423) |
— |
$3,404 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$1,087 |
— |
| Excision of nail fold toe (11765) |
— |
$326 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$7,255 |
— |
| Fetal non-stress test (59025) |
— |
$677 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,358 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$2,010 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$761 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$531 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$1,256 |
— |
| I&d abscess simple (10060) |
— |
$571 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$6,779 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,347 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$653 |
— |
| I&d submucosal abscess rectum (45005) |
— |
$4,269 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,544 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$638 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$6,779 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$4,117 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$5,297 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,049 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$499 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,163 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$656 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$446 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$1,369 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$827 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,615 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$2,741 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$1,628 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$2,511 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$1,668 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$2,750 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$801 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$801 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$867 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$1,352 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$827 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$1,112 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$16,672 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$12,322 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$12,542 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$14,188 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$29,098 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$28,809 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$32,438 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$23,177 |
— |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
— |
$18,219 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$95,612 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$17,294 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$2,766 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,120 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$3,923 |
— |
| Insert pacing lead & connect (33224) |
— |
$35,366 |
— |
| Insert picc cath (36569) |
— |
$3,046 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$3,706 |
— |
| Insert picvad cath (36570) |
— |
$11,596 |
— |
| Insert pulse gen mult leads (33221) |
— |
$36,307 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$440 |
— |
| Insert tun ip cath perc (49418) |
— |
$8,234 |
— |
| Insert tunneled cv cath (36561) |
— |
$10,067 |
— |
| Insert Tunneled Cv Cath With Pump (36563) |
— |
$22,775 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$10,472 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$385 |
— |
| Insertion of defibrillator electrode (33271) |
— |
$21,154 |
— |
| Insertion of tube into middle small bowel using an endoscope (44372) |
— |
$3,806 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$7,903.50 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$7,462.50 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$27,754 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$13,889 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$61,123 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$20,832 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$10,307 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$16,852 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$8,804 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$7,897 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$82,461 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$16,873 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$9,909 |
— |
| Insrt pulse gen w/dual leads (33230) |
— |
$55,352 |
— |
| Insrt pulse gen w/mult leads (33231) |
— |
$95,070 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$4,407 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$31,093 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$21,423 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,149 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,215 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$692.50 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$1,472 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$323 |
— |
| Laryngoscopy indirect w/removal foreign body (31511) |
— |
$635 |
— |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
— |
$5,032 |
— |
| Laryngoscopy,Direct,Diagnostic (31525) |
— |
$3,993 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$2,044 |
— |
| Liver Biopsy (47000) |
— |
$2,689 |
— |
| Measure Kidney Pressure Thru Tube (50396) |
— |
$2,093 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$3,215 |
— |
| Mech remov pericath obstr cv dev via ven access (36595) |
— |
$5,623.50 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$640 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$911 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
— |
$897 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$762 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$830 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$4,486 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,639 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$2,215 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$2,461 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$4,714 |
— |
| Open tx fracture great toe/phalanx/phalanges (28505) |
— |
$8,216 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$9,069 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$43,542 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$40,547 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,666 |
— |
| Perq av fistula creation uxtr sep access sites (36837) |
— |
$47,347 |
— |
| Perq av fistula creation uxtr single access (36836) |
— |
$47,347 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$1,921 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$1,865 |
— |
| Perq p-art revsc 1 nm nt uni (33900) |
— |
$28,703 |
— |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
— |
$48,767 |
— |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
— |
$30,723 |
— |
| Perq p-art revsc st 1st nml native connj bi (33901) |
— |
$29,260 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$972 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$53,549 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$39,563 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$17,459 |
— |
| Place Cath Subclavian Art (36225) |
— |
$14,878.50 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$11,746 |
— |
| Place Cath Vertebral Art (36226) |
— |
$19,721 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$607 |
— |
| Plmt bile duct stent prq new access w/sep cath (47540) |
— |
$13,988 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$6,058 |
— |
| Preputial Stretching (54450) |
— |
$1,014 |
— |
| Prim art mech thrombectomy (37184) |
— |
$11,681 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$8,286 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$6,959 |
— |
| Puncture Aspiration (10160) |
— |
$777 |
— |
| Reduction of rectal prolapse (45900) |
— |
$2,177 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$6,406 |
— |
| Removal fb intranasal (30300) |
— |
$294 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$7,273 |
— |
| Removal foreign body foot deep (28192) |
— |
$5,564 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$2,775 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$1,493 |
— |
| Removal foreign body pharynx (42809) |
— |
$251 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$5,389 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$8,163 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$290 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$229.50 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$8,196 |
— |
| Removal of arm foreign body (24200) |
— |
$1,526 |
— |
| Removal of nail bed (11750) |
— |
$1,733 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$336 |
— |
| Removal ppm generator only (33233) |
— |
$13,153 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$4,255 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$382 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$382 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$693 |
— |
| Remove foreign body from eye (65210) |
— |
$329 |
— |
| Remove intrvas foreign body (37197) |
— |
$12,277 |
— |
| Remove&replace pm gen singl (33227) |
— |
$30,622 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$301 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$497 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$83,302 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$83,682 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$74,251 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$33,045 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$45,511 |
— |
| Renal biopsy (50200) |
— |
$2,818 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,841 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,896 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,388 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,651 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,208 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,212 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,600 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,666 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,400 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$712 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$712 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$1,152 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$712 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$619 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,152 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,152 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$712 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$712 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$494 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$1,300 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$489 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$712 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,278 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,388 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$712 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,300 |
— |
| Repair lead pace-defib dual (33220) |
— |
$10,405 |
— |
| Repair lead pace-defib one (33218) |
— |
$10,322 |
— |
| Repair of nail bed (11760) |
— |
$1,487 |
— |
| Repair Tongue Laceration (41250) |
— |
$538 |
— |
| Replace duod/jej tube perc (49451) |
— |
$1,754 |
— |
| Replace g/c tube perc (49450) |
— |
$1,749.50 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$1,839 |
— |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
— |
$14,918 |
— |
| Reposition gastrostomy tube (43761) |
— |
$3,032 |
— |
| Reposition pacing-defib lead (33215) |
— |
$9,138 |
— |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
— |
$561 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$223 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$400 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$332 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$7,273 |
— |
| Rmvl of subq defibrillator (33272) |
— |
$9,936 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$10,763 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$9,388 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$4,130 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,805 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$972 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$19,902 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$5,052 |
— |
| Rplcmt compl prph ctr vad w/subq port (36585) |
— |
$12,000 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$10,378 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$8,932 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$7,720 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$10,002 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$1,226 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$2,779 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$3,059 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$2,817 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$2,637 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,473 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$9,494 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$3,171 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$3,525 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$1,960 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$489 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$681 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$681 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$489 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$596 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$512 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$489 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$681 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$489 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$712 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$15,394 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$13,318.50 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$19,285 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$681 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$706 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$489 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,534 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$1,657 |
— |
| Strapping ankle (29540) |
— |
$356 |
— |
| Strapping elbow/wrist (29260) |
— |
$338.50 |
— |
| Strapping hand/finger (29280) |
— |
$299 |
— |
| Strapping Hip (29520) |
— |
$254.50 |
— |
| Strapping knee (29530) |
— |
$390.50 |
— |
| Strapping shoulder (29240) |
— |
$393 |
— |
| Strapping toes (29550) |
— |
$279 |
— |
| Suture Eyelid Wound,Full Thick (67935) |
— |
$5,516 |
— |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
— |
$74,901 |
— |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
— |
$48,448 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$11,813 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$5,071 |
— |
| Ther Apheresis,White Blood Cells (36511) |
— |
$4,224 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$3,690 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$1,977 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,865 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$9,747 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$13,163 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$8,494 |
— |
| Thyroid biopsy (60100) |
— |
$1,450 |
— |
| Trach Tube Change (31502) |
— |
$636 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$2,375 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$2,636 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$3,205 |
— |
| Transcatheter biopsy (37200) |
— |
$9,579 |
— |
| Treat finger dislocation (26775) |
— |
$1,238 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$707 |
— |
| Treat humerus fracture (24500) |
— |
$730 |
— |
| Treat humerus fracture (23600) |
— |
$616 |
— |
| Treat knee fracture (27532) |
— |
$4,584 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$563 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
— |
$2,050 |
— |
| Treat wrist bone fracture (25622) |
— |
$659 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$3,570 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$876 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$561 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$21,729 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$21,417 |
— |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
— |
$5,883 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,710 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$1,152 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$2,831 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$30,646 |
— |
| Vaginal delivery only (59409) |
— |
$6,591 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$40,206 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$23,131 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$39,186 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$21,464 |
— |
| Venipuncture (36415) |
— |
$53 |
— |
| Wedging of cast (29740) |
— |
$382 |
— |
| Windowing of cast (29730) |
— |
$382 |
— |