| Abd paracentesis w/imaging (49083) |
— |
$3,008.50 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$906 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$270 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$309 |
— |
| Application finger splint static (29130) |
— |
$309 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$326 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$321 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$486 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$350 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$408 |
— |
| Application short leg splint calf foot (29515) |
— |
$252 |
— |
| Apply multlay comprs arm/hand (29584) |
— |
$270 |
— |
| Arterial puncture (36600) |
— |
$243 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$117 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$139 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$345 |
— |
| Artificial insemination (58322) |
— |
$187 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$306 |
— |
| Biopsy intranasal (30100) |
— |
$2,440 |
— |
| Biopsy of uterus lining (58100) |
— |
$206 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$212 |
— |
| Bladder Irrigation Simple (51700) |
— |
$487 |
— |
| Bladder Scan (51798) |
— |
$315 |
— |
| Blood transfusion service (36430) |
— |
$979 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,615 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$196 |
— |
| Cautery Cervix Cryocautery Initial or Repeat (57511) |
— |
$404 |
— |
| Circum 28 days or older (54161) |
— |
$4,249 |
— |
| Circumcision Neonate (54160) |
— |
$1,433 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$347 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$734.50 |
— |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
— |
$628 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$444 |
— |
| Delivery placenta separate procedure (59414) |
— |
$4,783 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$901 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$908 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$521 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$797 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$799 |
— |
| Destruction vaginal lesions simple (57061) |
— |
$338 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$1,300 |
— |
| Draw blood off venous device (36591) |
— |
$374 |
— |
| Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial Curettage, When Performed (58356) |
— |
$3,209 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$1,481 |
— |
| Fetal non-stress test (59025) |
— |
$541 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,528 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$487 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$740 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$404 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$124 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$230 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$471 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$457 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$469 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$182 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$235 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$156 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$111 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$128 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$160 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$306 |
— |
| Insert cervical dilator (59200) |
— |
$524 |
— |
| Insert Drug Implant Device (11981) |
— |
$290 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$445 |
— |
| Insert pessary/other device (57160) |
— |
$152 |
— |
| Insert picc cath (36569) |
— |
$1,424 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$295 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$161 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,007 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$1,185 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$889 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$5,804 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$372 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$542 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$532 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$3,353 |
— |
| Perq device breast 1st imag (19281) |
— |
$3,193 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$412 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,775 |
— |
| Pr sperm washing artificial insemination (58323) |
— |
$30 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$945 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$175 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$260 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$411 |
— |
| Remove drug implant device (11982) |
— |
$598 |
— |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$444.50 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,353 |
— |
| Simple Cystometrogram (51725) |
— |
$420 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,326 |
— |
| Strapping elbow/wrist (29260) |
— |
$225 |
— |
| Strapping hand/finger (29280) |
— |
$225 |
— |
| Strapping unna boot (29580) |
— |
$270 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$362.50 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$544 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$1,184 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$837 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$1,645 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$2,900 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$3,804 |
— |
| Vasectomy (55250) |
— |
$1,465 |
— |
| Venipuncture (36415) |
— |
$14 |
— |