| Abd paracentesis w/imaging (49083) |
— |
$2,914.47 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$2,775.69 |
— |
| Anoscopy diagnostic (46600) |
— |
$515.53 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$9,098.22 |
— |
| Application cast elbow finger short arm (29075) |
— |
$924.90 |
— |
| Application finger splint static (29130) |
— |
$386.05 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$500.31 |
— |
| Application Long Leg Splint (29505) |
— |
$250 |
— |
| Application of long leg cast (29345) |
— |
$924.90 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$462.29 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$515.53 |
— |
| Application short leg splint calf foot (29515) |
— |
$500.31 |
— |
| Apply hand/wrist cast (29085) |
— |
$873.71 |
— |
| Apply long arm cast (29065) |
— |
$924.90 |
— |
| Apply Short Leg Cast (29405) |
— |
$924.90 |
— |
| Apply short leg cast (29425) |
— |
$924.90 |
— |
| Arterial puncture (36600) |
— |
$257.75 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,297.66 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,940.21 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,297.66 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$922.41 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$894.34 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$2,572.45 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,259.82 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$894.34 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$2,056.18 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$5,948.30 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$285.93 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$5,013.41 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$4,865.96 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$5,013.41 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$4,651.46 |
— |
| Bladder Irrigation (51700) |
— |
$836.50 |
— |
| Bladder Scan (51798) |
— |
$242.77 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$1,167.42 |
— |
| Blood Transfusion Service (36430) |
— |
$1,346.98 |
— |
| Bone Marrow Biopsy (38221) |
— |
$1,322.23 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$1,322.23 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,793.90 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
— |
$10,904.97 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$836.50 |
— |
| Chemical Cautery Tissue (17250) |
— |
$571.84 |
— |
| Chest tube placement (32551) |
— |
$2,016.56 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$4,833.16 |
— |
| Clear outer ear canal (69200) |
— |
$515.53 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$937.81 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$2,790.87 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$1,198.03 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$836.71 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$836.71 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$4,443.84 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$8,539.14 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$5,292.82 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$680.46 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,036.67 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,786.86 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$681.65 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$4,329.49 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$1,072.54 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$916.05 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$751.55 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$6,560.09 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$661.65 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$5,292.82 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,233.92 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$5,292.82 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$836.71 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$1,313.75 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$785.98 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$836.71 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$793.80 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$887.87 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$2,790.87 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$748.55 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$371.34 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$552.15 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$661.65 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$5,134.44 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$5,134.44 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$661.65 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$2,949.60 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$5,292.82 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,101.86 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$5,000 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$1,326.80 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$751.42 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$836.71 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$1,560.11 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$917.09 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$795.44 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$716.64 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$1,206.18 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$6,498.62 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$1,396.11 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$500 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$2,182.53 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,950.40 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$836.71 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$956.56 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$4,704.87 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$33.43 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$507.58 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$515.53 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$1,255.04 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$411.24 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$603.10 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$6,350.67 |
— |
| Cystourethroscopy (52000) |
— |
$2,039.74 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$3,234.33 |
— |
| Debride nail 1-5 (11720) |
— |
$204.89 |
— |
| Debride nail 6 or more (11721) |
— |
$297.32 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,107.89 |
— |
| Declot vascular device (36593) |
— |
$1,130.91 |
— |
| Delivery of placenta (59414) |
— |
$4,500 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$5,752.04 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$5,752.04 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$385.36 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$571.84 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$6,089.90 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$571.84 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$450.78 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$885.57 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,223.36 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$696.66 |
— |
| Drainage of finger abscess simple (26010) |
— |
$633.74 |
— |
| Drainage of gum lesion (41800) |
— |
$384.04 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$4,493.64 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$308.42 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,107.89 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$571.84 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$571.84 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,402.48 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$1,991.54 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$5,645.64 |
— |
| Epidural Blood Patch (62273) |
— |
$2,629.68 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$7,223.98 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$167.74 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,644.89 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,644.89 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$3,234.33 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$3,234.33 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$3,234.33 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$4,500 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$5,817.39 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$7,957.88 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,644.89 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$1,644.89 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$1,180.62 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$3,234.33 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$1,644.93 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$1,481.27 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$3,234.33 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$3,234.33 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
— |
$9,696.98 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$4,493.64 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$4,359.69 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$1,107.89 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$2,217.14 |
— |
| Foreskin manipulation (54450) |
— |
$1,136.05 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$2,111.63 |
— |
| I&d abscess peritonsillar (42700) |
— |
$750.38 |
— |
| I&d abscess simple (10060) |
— |
$633.74 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$633.74 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,865.96 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$4,865.96 |
— |
| Implant Neuroelectrodes (64561) |
— |
$22,934.35 |
— |
| Incise external hemorrhoid (46083) |
— |
$836.50 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$633.74 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$5,822.29 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,107.89 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$579.75 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$884.94 |
— |
| Incision of rectal abscess (46040) |
— |
$6,253.47 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$744.85 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$385.36 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$2,766.47 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$894.34 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$2,202.81 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$2,402.48 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$2,766.47 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$988.80 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$2,077.56 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$892.95 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$894.34 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$950.76 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$868.63 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$1,458.57 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,230.11 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$1,458.57 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$465.28 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$443.04 |
— |
| Insert Drug Implant Device (11981) |
— |
$388.08 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,843.87 |
— |
| Insert pessary/other device (57160) |
— |
$579.75 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$3,300.53 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$515.53 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$515.53 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$5,662.03 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$3,843.87 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,320.29 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$786.46 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$812.36 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$941.76 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$589.61 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$543.41 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,664.42 |
— |
| N block inj intercost sng (64420) |
— |
$1,907.13 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$894.34 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$2,402.48 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$1,248.82 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$5,013.41 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$36.65 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,402.48 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$883.55 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$4,014.13 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$2,001.90 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$2,001.90 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$2,521.84 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,001.90 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,521.84 |
— |
| Occipital Nerve Block (64405) |
— |
$1,458.57 |
— |
| Open Implantation Nea Sacral Nerve (64581) |
— |
$22,934.35 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$8,500 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$1,646.49 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,969.95 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$991.17 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$744.85 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$633.74 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,906.87 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$2,252.23 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$6,227.95 |
— |
| Removal foreign body foot deep (28192) |
— |
$5,485.27 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$3,234.33 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$3,234.33 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$220.89 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$242.77 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$5,545.04 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$515.53 |
— |
| Removal of nail bed (11750) |
— |
$740.64 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$385.36 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$863.27 |
— |
| Remove foreign body from eye (65205) |
— |
$394.62 |
— |
| Remove Intrauterine Device (58301) |
— |
$579.75 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$515.53 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$5,605.58 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,760.03 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,119.37 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,923.61 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,229.73 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,683.05 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,229.73 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,229.73 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,229.73 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$860.57 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$577.83 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,229.73 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,229.73 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,683.05 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,229.73 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,229.73 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,229.73 |
— |
| Repair of nail bed (11760) |
— |
$860.56 |
— |
| Repair tongue laceration (41250) |
— |
$679.70 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$603.10 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$394.62 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$394.62 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$394.62 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$4,921.07 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$976.88 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$976.88 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$350 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$2,554.24 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,298.07 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$571.84 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$385.36 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$571.84 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$571.84 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$419.33 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$387.86 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$380 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$608.42 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$419.33 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$5,368.61 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$5,368.61 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$4,500 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$5,368.61 |
— |
| Slitting of prepuce (54001) |
— |
$496.13 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$419.33 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$571.84 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$533.51 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,458.57 |
— |
| Strapping ankle (29540) |
— |
$500.31 |
— |
| Strapping elbow or wrist (29260) |
— |
$386.05 |
— |
| Strapping knee (29530) |
— |
$386.05 |
— |
| Strapping shoulder (29240) |
— |
$386.05 |
— |
| Strapping toes (29550) |
— |
$386.05 |
— |
| Strapping Unna Boot (29580) |
— |
$500.31 |
— |
| Suction assisted lipectomy; trunk (15877) |
— |
$12,489.21 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$744.85 |
— |
| Treat Hip Socket Fracture (27222) |
— |
$4,526.34 |
— |
| Treat humerus fracture (24500) |
— |
$836.71 |
— |
| Treat humerus fracture (23600) |
— |
$836.71 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$1,308.86 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$719.64 |
— |
| Treat toe dislocation (28630) |
— |
$822.43 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$5,292.82 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$800 |
— |
| Trim skin lesion (11055) |
— |
$385.36 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$571.84 |
— |
| Trim skin lesions over 4 (11057) |
— |
$571.84 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,923.61 |
— |
| Unlisted procedure nervous system (64999) |
— |
$903.38 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$2,469.41 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$8,671.48 |
— |
| Vaginal delivery only (59409) |
— |
$6,879.98 |
— |
| Wedge excision skin nail fold (11765) |
— |
$300 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,868.37 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$6,002.44 |
— |