| Abd paracentesis w/imaging (49083) |
— |
$812 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,074 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$1,725 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,038 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$710 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$270 |
— |
| Application cast elbow finger short arm (29075) |
— |
$320 |
— |
| Application finger splint static (29130) |
— |
$69 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$160 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$149 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$440 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$141 |
— |
| Application short leg splint calf foot (29515) |
— |
$142 |
— |
| Apply short leg cast (29405) |
— |
$238 |
— |
| Arterial puncture (36600) |
— |
$199.50 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$460 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$454 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$346 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$245 |
— |
| Aspiration bladder needle (51100) |
— |
$566 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$370 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$1,349 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$1,349 |
— |
| Biopsy muscle deep (20205) |
— |
$2,325 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$1,349 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$1,349 |
— |
| Bladder Scan (51798) |
— |
$277 |
— |
| Blood transfusion service (36430) |
— |
$543 |
— |
| Bone marrow aspiration only (38220) |
— |
$1,349 |
— |
| Bone Marrow Biopsy (38221) |
— |
$454 |
— |
| Brain Shunt Tube/Reserv Injectn (61070) |
— |
$1,018 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$1,349 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$205 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$510 |
— |
| Chemical Cautery Tissue (17250) |
— |
$305 |
— |
| Chest tube placement (32551) |
— |
$1,138 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$250 |
— |
| Circumcision (54150) |
— |
$2,040 |
— |
| Circumcision Neonate (54160) |
— |
$855 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
— |
$968 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$1,350 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$1,350 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$432 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$541 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$585 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$428.50 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,350 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,350 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$215 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$292 |
— |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
— |
$637.50 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$1,350 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$480 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,350 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$783 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$261 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$325 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$485.50 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$735 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$312.50 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$1,350 |
— |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
— |
$987 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$1,404 |
— |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
— |
$2,120 |
— |
| Colonoscopy for bleeding (44391) |
— |
$1,106 |
— |
| Colonoscopy Stoma Ablation Lesion (44401) |
— |
$1,038 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$1,106 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$1,440 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$1,038 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$1,106 |
— |
| Colonoscopy through stoma with decompression (44408) |
— |
$1,440 |
— |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
— |
$1,440 |
— |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
— |
$1,106 |
— |
| Colonoscopy thru stoma (44388) |
— |
$1,106 |
— |
| Colonoscopy w/ablation (45388) |
— |
$1,404 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$1,755 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$1,404 |
— |
| Colonoscopy w/resection (45390) |
— |
$5,140 |
— |
| Colonoscopy w/stent plcmt (45389) |
— |
$4,294 |
— |
| Colpocentesis (57020) |
— |
$640 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$1,404 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$1,404 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$1,404 |
— |
| Complex Drainage, Wound (10180) |
— |
$2,325 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$454 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$226 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$320 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$298.50 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$489 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$1,864.50 |
— |
| Debride nail 1-5 (11720) |
— |
$243 |
— |
| Debride skin musc at fx site (11011) |
— |
$1,039 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$448 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$905 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$2,475 |
— |
| Destruc Benign/Premal,15+ Lesions (17004) |
— |
$497.50 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$294 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$249 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$874 |
— |
| Dilat rct strix spx under anes oth/thn local (45910) |
— |
$1,106 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$2,675 |
— |
| Dilation of anal sphincter (45905) |
— |
$1,106 |
— |
| Dilation of salivary duct (42650) |
— |
$1,101 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$573 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$318 |
— |
| Drainage of eyelid abscess (67700) |
— |
$315.50 |
— |
| Drainage of gum lesion (41800) |
— |
$270 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$1,349 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$1,349 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$450 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$282.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$169 |
— |
| Dx gastr intub w/asp spec (43754) |
— |
$642 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$1,533 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$1,570.50 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$1,428 |
— |
| Egd endoscopic stent place (43266) |
— |
$1,497 |
— |
| Egd flexible foreign body removal (43247) |
— |
$1,255 |
— |
| Egd guide wire insertion (43248) |
— |
$1,404 |
— |
| Egd injection varices (43243) |
— |
$1,428 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$1,428 |
— |
| Egd place gastrostomy tube (43246) |
— |
$1,514 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$1,428 |
— |
| Egd remove lesion snare (43251) |
— |
$1,570.50 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$1,428 |
— |
| Egd tube/cath insertion (43241) |
— |
$1,428 |
— |
| Egd Varices Ligation (43244) |
— |
$1,428 |
— |
| Endoscopic us exam esoph (43237) |
— |
$1,428 |
— |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
— |
$1,428 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$1,428 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
— |
$3,135 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$3,135 |
— |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
— |
$1,333 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$1,333 |
— |
| Ercp lithotripsy calculi (43265) |
— |
$1,333 |
— |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
— |
$3,797 |
— |
| Ercp remove forgn body duct (43275) |
— |
$1,333 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$1,333 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$1,404 |
— |
| Ercp w/sphincterotomy/papillotomy (43262) |
— |
$3,797 |
— |
| Esoph scope w/submucous inj (43201) |
— |
$1,428 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$1,368.50 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$1,428 |
— |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
— |
$1,428 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$1,428 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$1,072 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$1,428 |
— |
| Esophagoscopy lesion ablate (43229) |
— |
$2,744 |
— |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
— |
$1,428 |
— |
| Esophagus endoscopy/ligation (43205) |
— |
$1,428 |
— |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
— |
$1,428 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$165 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$410 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$1,106 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$674 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$1,649 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$1,350 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$795 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$674 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$533.50 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$1,106 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$1,705 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$1,106 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$1,106 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$1,404 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$1,717.50 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$1,824.50 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$1,118.50 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$674 |
— |
| Exchange nephrostomy cath (50435) |
— |
$1,210 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$825 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$867.50 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$605 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$922.50 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$955 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$875 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$861.50 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$910 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$858.50 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$885 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$1,742.50 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$1,780 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$762.50 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$674 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$517 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$674 |
— |
| Excision of nail fold toe (11765) |
— |
$537 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$1,205 |
— |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
— |
$1,475 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$864 |
— |
| Fetal non-stress test (59025) |
— |
$235 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$455 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$253.50 |
— |
| I&d abscess simple (10060) |
— |
$337.50 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,106 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$573 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$425 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$1,349 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$454 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$221.50 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,404 |
— |
| Incision of rectal abscess (46040) |
— |
$1,569 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$416.50 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$515 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$169 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$325.50 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$1,032.50 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$325.50 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$595 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$820 |
— |
| Injection for identification of sentinel node (38792) |
— |
$550 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$245 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$325.50 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$340 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$205 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$18,825 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$374 |
— |
| Insert cannula,art-ven revisn (36815) |
— |
$1,569 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$983 |
— |
| Insert picc cath (36569) |
— |
$983 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$229 |
— |
| Insert tunneled cv cath (36561) |
— |
$2,895.50 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$150 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$2,895.50 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$7,371 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$744 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$430 |
— |
| Laryngoscopy indirect w/removal foreign body (31511) |
— |
$343 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$1,411.50 |
— |
| Liver Biopsy (47000) |
— |
$1,349 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$1,044 |
— |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
— |
$1,326 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$1,044 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$331 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$835 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$1,185 |
— |
| Osteoplasty humerus (24420) |
— |
$454 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$684 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,080 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$346 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
— |
$12,530 |
— |
| Preputial Stretching (54450) |
— |
$202.50 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$260 |
— |
| Puncture Aspiration (10160) |
— |
$674 |
— |
| Removal fb intranasal (30300) |
— |
$356.50 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,349 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$573 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$1,349 |
— |
| Removal foreign body pharynx (42809) |
— |
$372 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$2,985 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$68 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$86.50 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$2,785.50 |
— |
| Removal of nail bed (11750) |
— |
$343 |
— |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
— |
$1,428 |
— |
| Removal of salivary stone (42330) |
— |
$1,101 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$184 |
— |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
— |
$1,428 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$238 |
— |
| Remove drug implant device (11982) |
— |
$430 |
— |
| Remove foreign body from eye (65210) |
— |
$331 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$168 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$106 |
— |
| Renal biopsy (50200) |
— |
$1,349 |
— |
| Repair achilles tendon (27650) |
— |
$2,646 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$507.50 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$860 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$726 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$873 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$581.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$872.50 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$568.50 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$842 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$644 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$530 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$454 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$794.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$490 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$525.50 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$858.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$635 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$401 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$567.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$572.50 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$1,569 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$579 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$347 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$530 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$673 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$456.50 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,569 |
— |
| Repair of rectocele (45560) |
— |
$1,404 |
— |
| Repair of rectum (45505) |
— |
$2,316 |
— |
| Repair Tongue Laceration (41250) |
— |
$345 |
— |
| Repair tympanic membrane (69610) |
— |
$700 |
— |
| Replace g/c tube perc (49450) |
— |
$744 |
— |
| Reposition gastrostomy tube (43761) |
— |
$1,145.50 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$880 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$389 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$115.50 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$937 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$2,325 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$692.50 |
— |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
— |
$1,428 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$1,038 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$1,106 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$272.50 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$263.50 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$297.50 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$192.50 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$216 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$315 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$1,106 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
— |
$1,106 |
— |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
— |
$1,106 |
— |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
— |
$1,038 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$1,106 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$1,106 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$1,106 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$576.50 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$295.50 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$310 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$513.50 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$344 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$273 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$250 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$520 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$324 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$2,855 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,855 |
— |
| Small Bowel Endoscopy (44373) |
— |
$1,428 |
— |
| Small bowel endoscopy (44364) |
— |
$1,428 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$14,428 |
— |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
— |
$1,416 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$246 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$494 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$531 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$544 |
— |
| Strapping shoulder (29240) |
— |
$113 |
— |
| Strapping unna boot (29580) |
— |
$171 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$300 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$1,428 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$613 |
— |
| Thyroid biopsy (60100) |
— |
$573 |
— |
| Trach Tube Change (31502) |
— |
$179 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$798.50 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$567 |
— |
| Treat pleurodesis w/agent (32560) |
— |
$880 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$675.50 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$502.50 |
— |
| Trim skin lesion (11055) |
— |
$305 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$305 |
— |
| Trim skin lesions over 4 (11057) |
— |
$305 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$75 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$481.50 |
— |
| Unlisted procedure colon (45399) |
— |
$1,219.50 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$182.50 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$1,368.50 |
— |
| Vaginal delivery only (59409) |
— |
$2,273 |
— |
| Venipuncture (36415) |
— |
$12.50 |
— |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
— |
$130 |
— |
| Ventricular puncture previous burr hole w/inj (61026) |
— |
$1,340 |
— |