| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$3,744.43 |
— |
2.0× |
| Amputation Finger/Thumb (26951) |
$5,938.01 |
— |
2.0× |
| Amputation metatarsal with toe single (28810) |
$5,938.01 |
— |
2.0× |
| Amputation toe interphalangeal joint (28825) |
$5,938.01 |
— |
2.0× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$5,938.01 |
— |
2.0× |
| Amputation, foot; transmetatarsal (28805) |
$5,938.01 |
— |
2.0× |
| Ankle scope,part synovectomy (29895) |
$5,938.01 |
— |
2.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$9,078.42 |
— |
2.0× |
| Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) |
$23,299.56 |
— |
2.0× |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
$13,168.54 |
— |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$557.05 |
— |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$557.05 |
— |
2.0× |
| Arthrodesis ankle open (27870) |
$23,299.56 |
— |
2.0× |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
$23,299.56 |
— |
2.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$13,168.54 |
— |
2.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$31,820.27 |
— |
2.0× |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
$23,299.56 |
— |
2.0× |
| Arthrodesis, anterior interbody technique, including minimal deskectomy to prepare interspace (other than for… (22558) |
$49,242.66 |
— |
2.0× |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
$49,242.66 |
— |
2.0× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$13,168.54 |
— |
2.0× |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
$49,242.66 |
— |
2.0× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$31,820.27 |
— |
2.0× |
| Arthrodesis, posterior or posterotlateral technique, single level; cervical below c2 segment (22600) |
$31,820.27 |
— |
2.0× |
| Arthrodesis; subtalar (28725) |
$23,299.56 |
— |
2.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$31,820.27 |
— |
2.0× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$23,299.56 |
— |
2.0× |
| Arthroplasty, patella; with prosthesis (27438) |
$23,299.56 |
— |
2.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$13,168.54 |
— |
2.0× |
| Arthroscopy Hip Surgical W/Synovectomy (29863) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$13,168.54 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$13,168.54 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$13,168.54 |
— |
2.0× |
| Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) |
$5,938.01 |
— |
2.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body (23040) |
$5,938.01 |
— |
2.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$5,938.01 |
— |
2.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$3,793.62 |
— |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$364.11 |
— |
2.0× |
| Biopsy finger joint lining (26110) |
$2,918.17 |
— |
2.0× |
| Biopsy Oropharynx (42800) |
$2,815.80 |
— |
2.0× |
| Biopsy/removal lymph nodes (38510) |
$7,105.71 |
— |
2.0× |
| Biopsy; nasopharynx, survey for unknown primary lesion (42806) |
$6,016.88 |
— |
2.0× |
| Blood transfusion service (36430) |
$800.64 |
$1,046.50 |
2.0× |
| Bone graft, any donor area; major or large (20902) |
$13,168.54 |
— |
2.0× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$13,168.54 |
— |
2.0× |
| Brain Shunt Tube/Reserv Injectn (61070) |
$1,281.03 |
— |
2.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$5,938.01 |
— |
2.0× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$2,918.17 |
— |
2.0× |
| Cartilage graft; costochondral (20910) |
$1,341.26 |
— |
2.0× |
| Cataract surgery complex (66982) |
$4,188.23 |
— |
2.0× |
| Cerv artific diskectomy (22856) |
$31,820.27 |
— |
2.0× |
| Change Cystostomy Tube Complicated (51710) |
$1,265.45 |
— |
2.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,281.03 |
— |
2.0× |
| Circum 28 days or older (54161) |
$3,793.62 |
— |
2.0× |
| Closed treatment nasal fracture w/stabilization (21320) |
$6,016.88 |
— |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,918.17 |
— |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,918.17 |
— |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,918.17 |
— |
2.0× |
| Colonoscopy flex w/rem forcep (45384) |
$2,171.66 |
— |
2.0× |
| Colonoscopy w/ablation (45388) |
$2,171.66 |
— |
2.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$2,171.66 |
— |
2.0× |
| Complex Drainage, Wound (10180) |
$5,271.46 |
— |
2.0× |
| Correction hammertoe (28285) |
$5,938.01 |
— |
2.0× |
| Correction of bunion (28298) |
$13,168.54 |
— |
2.0× |
| Correction of bunion (28292) |
$5,938.01 |
— |
2.0× |
| Correction of bunion (28299) |
$13,168.54 |
— |
2.0× |
| Correction of bunion (28297) |
$23,299.56 |
— |
2.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$5,938.01 |
— |
2.0× |
| Create eardrum opening (69436) |
$2,815.80 |
— |
2.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,793.62 |
— |
2.0× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$6,397.11 |
— |
2.0× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$9,730.56 |
— |
2.0× |
| Cysto w/destruction of lesions (52214) |
$6,397.11 |
— |
2.0× |
| Cysto w/removal of tumors small (52234) |
$6,397.11 |
— |
2.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,793.62 |
— |
2.0× |
| Cysto w/tx ureteropelvic junction stricture (52342) |
$6,397.11 |
— |
2.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$6,397.11 |
— |
2.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,397.11 |
— |
2.0× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$6,397.11 |
— |
2.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$9,730.56 |
— |
2.0× |
| Cysto/uretero w/lithotripsy (52356) |
$9,730.56 |
— |
2.0× |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
$9,730.56 |
— |
2.0× |
| Cystoscopy and treatment (52330) |
$6,397.11 |
— |
2.0× |
| Cystoscopy w/biopsy (52204) |
$3,793.62 |
— |
2.0× |
| Cystoscopy w/complex removal stone & stent (52315) |
$3,793.62 |
— |
2.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$3,793.62 |
— |
2.0× |
| Cystoscopy,insert ureteral stent (52332) |
$6,397.11 |
— |
2.0× |
| Cystourethroscopy (52000) |
$1,265.45 |
— |
2.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$3,793.62 |
— |
2.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,793.62 |
— |
2.0× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$6,397.11 |
— |
2.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$3,793.62 |
— |
2.0× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$6,397.11 |
— |
2.0× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$6,397.11 |
— |
2.0× |
| Dcmprn fasct leg ant&/lat compartments only (27600) |
$5,938.01 |
— |
2.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$1,285.11 |
— |
2.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$1,341.26 |
— |
2.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$2,997.31 |
— |
2.0× |
| Decompression of tibia nerve (28035) |
$3,543.79 |
— |
2.0× |
| Decompression; unspecified nerve(s) (specify) (64722) |
$3,543.79 |
— |
2.0× |
| Derma-fat-fascia graft (15770) |
$6,431.13 |
— |
2.0× |
| Destroy cerv/thor facet jnt (64633) |
$3,543.79 |
— |
2.0× |
| Destroy lumb/sac facet jnt (64635) |
$3,543.79 |
— |
2.0× |
| Destruction benign lesions 15 or more (17111) |
$364.11 |
— |
2.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$364.11 |
— |
2.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,605.14 |
— |
2.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$1,605.14 |
— |
2.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,543.79 |
— |
2.0× |
| Destruction of multiple growths of penis (54065) |
$3,744.43 |
— |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,687.68 |
— |
2.0× |
| Drainage abscess/hematoma nasal int approach (30000) |
$429.83 |
— |
2.0× |
| Drainage of hematoma/fluid (10140) |
$2,997.31 |
— |
2.0× |
| Dstrj lesion penis simple surg excision (54060) |
$3,744.43 |
— |
2.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$3,482.42 |
— |
2.0× |
| Egd guide wire insertion (43248) |
$1,645.99 |
— |
2.0× |
| Egd rem tumr/polyp forcep (43250) |
$3,482.42 |
— |
2.0× |
| Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy,… (62380) |
$13,168.54 |
— |
2.0× |
| Endoscopic Injection/Implant (51715) |
$6,397.11 |
— |
2.0× |
| Epididymectomy unilateral (54860) |
$6,397.11 |
— |
2.0× |
| Esophagoscopy lesion ablate (43229) |
$6,996.89 |
— |
2.0× |
| Esophagoscopy rigid trnso dx (43191) |
$3,482.42 |
— |
2.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,997.31 |
— |
2.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$2,997.31 |
— |
2.0× |
| Exc back les sc < 3 cm (21930) |
$2,997.31 |
— |
2.0× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$10,743.27 |
— |
2.0× |
| Exc face les sbq 2 cm/> (21012) |
$2,997.31 |
— |
2.0× |
| Exc hand les sc < 1.5 cm (26115) |
$2,997.31 |
— |
2.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,918.17 |
— |
2.0× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$10,743.27 |
— |
2.0× |
| Exc shoulder les sc 3 cm/> (23071) |
$2,997.31 |
— |
2.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$737.74 |
— |
2.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,285.11 |
— |
2.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,997.31 |
— |
2.0× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$2,997.31 |
— |
2.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$5,271.46 |
— |
2.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$5,271.46 |
— |
2.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,997.31 |
— |
2.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$5,271.46 |
— |
2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,997.31 |
— |
2.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$5,271.46 |
— |
2.0× |
| Exc urethral diverticulum spx female (53230) |
$9,730.56 |
— |
2.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$5,938.01 |
— |
2.0× |
| Excis lesn,palete/uvula-flap clos (42107) |
$10,743.27 |
— |
2.0× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$2,918.17 |
— |
2.0× |
| Excise Inferior Turbinate (30130) |
$6,016.88 |
— |
2.0× |
| Excision Chalazion Single (67800) |
$576.03 |
— |
2.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,815.80 |
— |
2.0× |
| Excision of chalazion; multiple, different lids (67805) |
$576.03 |
— |
2.0× |
| Excision of hydrocele; unilateral (55040) |
$6,497.69 |
— |
2.0× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$5,938.01 |
— |
2.0× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$2,918.17 |
— |
2.0× |
| Excision of mouth lesion (40816) |
$6,016.88 |
— |
2.0× |
| Excision of neuroma; hand or foot, except digital nerve (64782) |
$3,543.79 |
— |
2.0× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$3,793.62 |
— |
2.0× |
| Excision olecranon bursa (24105) |
$5,938.01 |
— |
2.0× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$5,938.01 |
— |
2.0× |
| Excision Synovial Cyst Popliteal Space (27345) |
$5,938.01 |
— |
2.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,997.31 |
— |
2.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$2,997.31 |
— |
2.0× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$2,918.17 |
— |
2.0× |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
$6,016.88 |
— |
2.0× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$5,271.46 |
— |
2.0× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$5,271.46 |
— |
2.0× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$5,271.46 |
— |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,271.46 |
— |
2.0× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$5,271.46 |
— |
2.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$6,016.88 |
— |
2.0× |
| Explor ankle jt+tenosynovectomy (27626) |
$5,938.01 |
— |
2.0× |
| Exploration of ankle joint (27612) |
$5,938.01 |
— |
2.0× |
| Exploration of knee joint (27310) |
$5,938.01 |
— |
2.0× |
| Exploration of spinal fusion (22830) |
$13,168.54 |
— |
2.0× |
| Explore/treat hand joint (26070) |
$2,918.17 |
— |
2.0× |
| Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical… (66991) |
$9,657.07 |
— |
2.0× |
| Extraction of lens (66940) |
$4,188.23 |
— |
2.0× |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
$5,938.01 |
— |
2.0× |
| Fasciotomy foot and/or toe (28008) |
$5,938.01 |
— |
2.0× |
| Fixation of knee joint (27570) |
$2,918.17 |
— |
2.0× |
| Fixation of shoulder (23700) |
$2,918.17 |
— |
2.0× |
| Fracture nasal inferior turbinate(s), therapeutic (30930) |
$6,016.88 |
— |
2.0× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$3,744.43 |
— |
2.0× |
| Fuse hand bones with graft (25825) |
$13,168.54 |
— |
2.0× |
| Fusion Finger Joint (26860) |
$5,938.01 |
— |
2.0× |
| Fusion of foot bones (28715) |
$23,299.56 |
— |
2.0× |
| Fusion of foot bones (28730) |
$23,299.56 |
— |
2.0× |
| Fusion of foot bones (28735) |
$23,299.56 |
— |
2.0× |
| Fusion of foot bones (28740) |
$13,168.54 |
— |
2.0× |
| Gastrocnemius Recession (27687) |
$5,938.01 |
— |
2.0× |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
$6,431.13 |
— |
2.0× |
| Hemorrhoidectomy (46255) |
$5,037.25 |
— |
2.0× |
| Hysteroscopy biopsy (58558) |
$5,874.72 |
— |
2.0× |
| I&d epididymis tstis&/scrotal space (54700) |
$3,793.62 |
— |
2.0× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$5,938.01 |
— |
2.0× |
| Implant neuroelectrodes (63650) |
$11,565.67 |
— |
2.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$15,926.36 |
— |
2.0× |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
$32,709.58 |
— |
2.0× |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
$32,709.58 |
— |
2.0× |
| Inc impltj periph nerve neurostimulator eltrd (64575) |
$20,221.70 |
— |
2.0× |
| Incise finger tendon sheath (26055) |
$2,918.17 |
— |
2.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$737.74 |
— |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$737.74 |
— |
2.0× |
| Incision bone cortex hand/finger (26034) |
$2,918.17 |
— |
2.0× |
| Incision extensor tendon sheath wrist (25000) |
$2,918.17 |
— |
2.0× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$11,565.67 |
— |
2.0× |
| Incision of achilles tendon (27605) |
$2,918.17 |
— |
2.0× |
| Incision of heel bone (28300) |
$13,168.54 |
— |
2.0× |
| Incision of metatarsal (28308) |
$5,938.01 |
— |
2.0× |
| Incision of tibia (27705) |
$13,168.54 |
— |
2.0× |
| Incision of tibia & fibula (27709) |
$23,299.56 |
— |
2.0× |
| Incision of urethra (53020) |
$3,793.62 |
— |
2.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$1,605.14 |
— |
2.0× |
| Inj tendon sheath/ligament (20550) |
$557.05 |
— |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,605.14 |
— |
2.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$1,605.14 |
— |
2.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$1,605.14 |
— |
2.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$1,281.03 |
— |
2.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$1,605.14 |
— |
2.0× |
| Inject Nerv Blck,Pudendal (64430) |
$1,605.14 |
— |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,281.03 |
— |
2.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,281.03 |
— |
2.0× |
| Injection anes other peripheral nerve/branch (64450) |
$1,281.03 |
— |
2.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,605.14 |
— |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$557.05 |
— |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$557.05 |
— |
2.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$557.05 |
— |
2.0× |
| Insert nasal septal button (30220) |
$2,815.80 |
— |
2.0× |
| Insert picc cath (36569) |
$2,856.77 |
$5,484.70 |
2.0× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$35,207.21 |
— |
2.0× |
| Insj rx eluting implt punctal dilat lac canal ea (68841) |
$4,314.65 |
— |
2.0× |
| Insrt/redo spine n generator (63685) |
$56,000.37 |
— |
2.0× |
| Knee arthroscopy/surgery (29876) |
$5,938.01 |
— |
2.0× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar (63267) |
$13,168.54 |
— |
2.0× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural (63655) |
$35,207.21 |
— |
2.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$13,168.54 |
— |
2.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$13,168.54 |
— |
2.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
$13,168.54 |
— |
2.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$13,168.54 |
— |
2.0× |
| Lamot Prtl Ffd Hrna8 Reexpl 1 Ntrspc Lmb (63042) |
$13,168.54 |
— |
2.0× |
| Laparo sling operation (51992) |
$10,971.39 |
— |
2.0× |
| Laparoscopy Remove Adnexa (58661) |
$10,971.39 |
— |
2.0× |
| Laryngoscopy w/biopsy (31535) |
$6,766.18 |
— |
2.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$3,230.15 |
— |
2.0× |
| Laser vaporization surgery prostate, complete (52648) |
$9,730.56 |
— |
2.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$13,168.54 |
— |
2.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$6,397.11 |
— |
2.0× |
| Lithotripsy (50590) |
$6,397.11 |
— |
2.0× |
| Lysis of labial adhesions (56441) |
$5,874.72 |
— |
2.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,793.62 |
— |
2.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$10,971.39 |
— |
2.0× |
| Myelography Lumbar Injection (62305) |
$1,422.65 |
— |
2.0× |
| Myelography Lumbar Injection (62304) |
$1,422.65 |
— |
2.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$1,422.65 |
— |
2.0× |
| Myringoplasty (69620) |
$6,016.88 |
— |
2.0× |
| Nasal sinus therapy (30210) |
$2,815.80 |
— |
2.0× |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
$12,807.84 |
— |
2.0× |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
$12,807.84 |
— |
2.0× |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
$3,230.15 |
— |
2.0× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
$12,807.84 |
— |
2.0× |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
$12,807.84 |
— |
2.0× |
| Nasal/Sinus Endoscopy,Surg Tear Duct (31239) |
$6,766.18 |
— |
2.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$12,807.84 |
— |
2.0× |
| Nerve graft arm or leg (64892) |
$15,926.36 |
— |
2.0× |
| Nerve Pedicle Xfer,First Stage (64905) |
$15,926.36 |
— |
2.0× |
| Nerve repair w/allograft (64910) |
$15,926.36 |
— |
2.0× |
| Neurectomy Intrinsic Musculature Of Foot (28055) |
$3,543.79 |
— |
2.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$3,543.79 |
— |
2.0× |
| Neuroplasty; nerve of hand or foot (64704) |
$3,543.79 |
— |
2.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,605.14 |
— |
2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,605.14 |
— |
2.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$1,281.03 |
— |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$1,281.03 |
— |
2.0× |
| Open bone biopsy (20250) |
$5,938.01 |
— |
2.0× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$13,168.54 |
— |
2.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$13,168.54 |
— |
2.0× |
| Open treatment metatarsal fracture each (28485) |
$13,168.54 |
— |
2.0× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$23,299.56 |
— |
2.0× |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
$13,168.54 |
— |
2.0× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$13,168.54 |
— |
2.0× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$13,168.54 |
— |
2.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$13,168.54 |
— |
2.0× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$13,168.54 |
— |
2.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$5,938.01 |
— |
2.0× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$13,168.54 |
— |
2.0× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$5,938.01 |
— |
2.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$5,938.01 |
— |
2.0× |
| Open tx metatarsophalangeal joint dislocation (28645) |
$5,938.01 |
— |
2.0× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$13,168.54 |
— |
2.0× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$13,168.54 |
— |
2.0× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$23,299.56 |
— |
2.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$13,168.54 |
— |
2.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,497.69 |
— |
2.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$5,938.01 |
— |
2.0× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$5,938.01 |
— |
2.0× |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
$5,938.01 |
— |
2.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$5,938.01 |
— |
2.0× |
| Osteotomy Fibula (27707) |
$5,938.01 |
— |
2.0× |
| Osteotomy midtarsal,autograft (28305) |
$13,168.54 |
— |
2.0× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$13,168.54 |
— |
2.0× |
| Partial excision bone talus/calcaneus (28120) |
$5,938.01 |
— |
2.0× |
| Partial Excision Bone Tibia (27640) |
$5,938.01 |
— |
2.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,918.17 |
— |
2.0× |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
$5,938.01 |
— |
2.0× |
| Partial Removal Foot Fascia (28060) |
$5,938.01 |
— |
2.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,938.01 |
— |
2.0× |
| Penis plastic surgery (54360) |
$6,397.11 |
— |
2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$13,168.54 |
— |
2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,168.54 |
— |
2.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$5,938.01 |
— |
2.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$5,938.01 |
— |
2.0× |
| Preputial Stretching (54450) |
$453.42 |
— |
2.0× |
| Prostatectomy (turp) (52601) |
$9,730.56 |
— |
2.0× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$11,565.67 |
— |
2.0× |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
$11,565.67 |
— |
2.0× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$13,168.54 |
— |
2.0× |
| Puncture Aspiration (10160) |
$737.74 |
— |
2.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,543.79 |
— |
2.0× |
| Realignment extensor tendon hand each tendon (26437) |
$5,938.01 |
— |
2.0× |
| Reconstr disloc patella w mscl adv (27422) |
$13,168.54 |
— |
2.0× |
| Reconstruc Ant Male Urethra (53410) |
$9,730.56 |
— |
2.0× |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
$5,938.01 |
— |
2.0× |
| Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) |
$13,168.54 |
— |
2.0× |
| Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) |
$23,299.56 |
— |
2.0× |
| Reconstruction of dislocating patella; (eg, Hauser type procedure) (27420) |
$13,168.54 |
— |
2.0× |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
$13,168.54 |
— |
2.0× |
| Relieve inner eye pressure (65820) |
$7,501.31 |
— |
2.0× |
| Removal Foreign Body Foot Complicated (28193) |
$2,997.31 |
— |
2.0× |
| Removal foreign body foot deep (28192) |
$2,997.31 |
— |
2.0× |
| Removal Implant Deep (20680) |
$5,271.46 |
— |
2.0× |
| Removal of adenoids (42831) |
$6,016.88 |
— |
2.0× |
| Removal of adenoids (42830) |
$6,016.88 |
— |
2.0× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$2,918.17 |
— |
2.0× |
| Removal of foot joint lining (28070) |
$13,168.54 |
— |
2.0× |
| Removal of heel bone (28118) |
$5,938.01 |
— |
2.0× |
| Removal of nail bed (11750) |
$737.74 |
— |
2.0× |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
$3,543.79 |
— |
2.0× |
| Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including… (63662) |
$6,344.71 |
— |
2.0× |
| Removal of testis (54520) |
$6,397.11 |
— |
2.0× |
| Removal of thyroid (60271) |
$10,743.27 |
— |
2.0× |
| Removal of tonsils (42826) |
$6,016.88 |
— |
2.0× |
| Removal of wrist bone (25210) |
$5,938.01 |
— |
2.0× |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
$5,874.72 |
— |
2.0× |
| Remove bladder stone (52318) |
$6,397.11 |
— |
2.0× |
| Remove knee cyst (27347) |
$5,938.01 |
— |
2.0× |
| Remove muti-comp penis pros (54406) |
$6,397.11 |
— |
2.0× |
| Remove prostate regrowth (52630) |
$9,730.56 |
— |
2.0× |
| Remove renal tube w/fluoro (50389) |
$1,265.45 |
— |
2.0× |
| Remove skin nerve lesion (64774) |
$3,543.79 |
— |
2.0× |
| Remove spinal canal catheter (62355) |
$3,543.79 |
— |
2.0× |
| Remove spine infusion device (62365) |
$6,199.61 |
— |
2.0× |
| Remove wrist tendon lesion (25111) |
$2,918.17 |
— |
2.0× |
| Remv cartilage for graft nasal (20912) |
$6,431.13 |
— |
2.0× |
| Remv&replc cvd gen mult lead (33264) |
$56,964.33 |
— |
2.0× |
| Repair achilles tendon (27650) |
$13,168.54 |
— |
2.0× |
| Repair arm tendon/muscle (24341) |
$13,168.54 |
— |
2.0× |
| Repair collat ankle ligmnt,secondary (27698) |
$13,168.54 |
— |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$737.74 |
— |
2.0× |
| Repair elbow deb/attch open (24359) |
$5,938.01 |
— |
2.0× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$5,938.01 |
— |
2.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,918.17 |
— |
2.0× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$5,938.01 |
— |
2.0× |
| Repair foot dislocation (28585) |
$13,168.54 |
— |
2.0× |
| Repair hallux rigidus (28289) |
$5,938.01 |
— |
2.0× |
| Repair hand tendon (26410) |
$2,918.17 |
— |
2.0× |
| Repair humerus with graft (24435) |
$23,299.56 |
— |
2.0× |
| Repair incomplete circumcision (54163) |
$3,793.62 |
— |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$737.74 |
— |
2.0× |
| Repair kneecap tendon (27380) |
$13,168.54 |
— |
2.0× |
| Repair lower leg tendons (27676) |
$13,168.54 |
— |
2.0× |
| Repair nasal septal perforations (30630) |
$6,016.88 |
— |
2.0× |
| Repair nasal vestibular stenosis (30465) |
$10,743.27 |
— |
2.0× |
| Repair nonunion hand (26546) |
$13,168.54 |
— |
2.0× |
| Repair of ankle ligament (27695) |
$13,168.54 |
— |
2.0× |
| Repair Of Foot Tendon (28208) |
$5,938.01 |
— |
2.0× |
| Repair of leg nerve (64840) |
$15,926.36 |
— |
2.0× |
| Repair of leg tendon each (27658) |
$5,938.01 |
— |
2.0× |
| Repair of nasal septum (30520) |
$6,016.88 |
— |
2.0× |
| Repair of thigh musc (27385) |
$13,168.54 |
— |
2.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$13,168.54 |
— |
2.0× |
| Repair wrist joints (25447) |
$5,938.01 |
— |
2.0× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$5,938.01 |
— |
2.0× |
| Repair/graft achilles tendon (27652) |
$13,168.54 |
— |
2.0× |
| Rerepair ing hernia reduce (49520) |
$6,497.69 |
— |
2.0× |
| Resect Inferior Turbinate (30140) |
$6,016.88 |
— |
2.0× |
| Resection, condyle(s), distal end of phalanx, each toe (28153) |
$5,938.01 |
— |
2.0× |
| Revis reconst shoulder joint (23473) |
$23,299.56 |
— |
2.0× |
| Revise arm/leg nerve (64708) |
$3,543.79 |
— |
2.0× |
| Revise median n/carpal tunnel surg (64721) |
$3,543.79 |
— |
2.0× |
| Revise ulnar nerve at elbow (64718) |
$3,543.79 |
— |
2.0× |
| Revise ulnar nerve at wrist (64719) |
$3,543.79 |
— |
2.0× |
| Revision of ankle joint (27700) |
$13,168.54 |
— |
2.0× |
| Revision of big toe (28310) |
$13,168.54 |
— |
2.0× |
| Revision of foot (28116) |
$5,938.01 |
— |
2.0× |
| Revision of lower leg tendon (27685) |
$5,938.01 |
— |
2.0× |
| Revision of nose (30450) |
$10,743.27 |
— |
2.0× |
| Revision of testis (54660) |
$9,730.56 |
— |
2.0× |
| Revision of upper eyelid (15823) |
$3,744.43 |
— |
2.0× |
| Revision or removal of implanted spinal neurostimulator pulse generator or receiver (63688) |
$6,344.71 |
— |
2.0× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$11,565.67 |
— |
2.0× |
| Revision/removal nstim eltrd array pn int nstim (64598) |
$6,344.71 |
— |
2.0× |
| Revision/Rmvl Peripheral/Gastric Npgr (64595) |
$6,344.71 |
— |
2.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$6,344.71 |
— |
2.0× |
| Rhinoplasty, Primary; Including Major Septal Repair (30420) |
$10,743.27 |
— |
2.0× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$10,743.27 |
— |
2.0× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$10,971.39 |
— |
2.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$6,497.69 |
— |
2.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$13,168.54 |
— |
2.0× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$13,168.54 |
— |
2.0× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$5,938.01 |
— |
2.0× |
| Scrotal exploration (55110) |
$6,397.11 |
— |
2.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$737.74 |
— |
2.0× |
| Skin sub graft face/nk/hf/g (15275) |
$1,341.26 |
— |
2.0× |
| Skin tissue rearrangement (14040) |
$3,744.43 |
— |
2.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$6,431.13 |
— |
2.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,078.42 |
— |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$1,281.03 |
— |
2.0× |
| Suspension of testis (54640) |
$6,497.69 |
— |
2.0× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$6,199.61 |
— |
2.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
$13,168.54 |
— |
2.0× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$5,938.01 |
— |
2.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$5,938.01 |
— |
2.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$2,918.17 |
— |
2.0× |
| Synovectomy; metatarsophalangeal joint, each (28072) |
$5,938.01 |
— |
2.0× |
| Tenolysis extensor foot single tendon (28225) |
$5,938.01 |
— |
2.0× |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) |
$5,938.01 |
— |
2.0× |
| Tenotomy elbow lateral/medial debride open (24358) |
$5,938.01 |
— |
2.0× |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
$2,918.17 |
— |
2.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,918.17 |
— |
2.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$2,918.17 |
— |
2.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$23,299.56 |
— |
2.0× |
| Thyroid biopsy (60100) |
$1,285.11 |
— |
2.0× |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid (60260) |
$10,743.27 |
— |
2.0× |
| Thyroidectomy, total or complete (60240) |
$10,971.39 |
— |
2.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$6,016.88 |
— |
2.0× |
| Total hip arthroplasty (27130) |
$23,299.56 |
— |
2.0× |
| Total knee arthroplasty (27447) |
$23,299.56 |
— |
2.0× |
| Tr/trnspl 1 tdn w/musc redirion/rerouting supfc (27690) |
$13,168.54 |
— |
2.0× |
| Transection or avulsion of other spinal nerve, extradural (64772) |
$3,543.79 |
— |
2.0× |
| Transluminal dilation of aqueous outflow canal; without retention of device or stent (66174) |
$7,501.31 |
— |
2.0× |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
$13,168.54 |
— |
2.0× |
| Transplant forearm tendon (25310) |
$5,938.01 |
— |
2.0× |
| Transplant/graft hand tendon (26483) |
$5,938.01 |
— |
2.0× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$17,179.68 |
— |
2.0× |
| Transurethral resection of bladder neck (52500) |
$6,397.11 |
— |
2.0× |
| Treat elbow fracture (24635) |
$13,168.54 |
— |
2.0× |
| Treat fracture radius/ulna (25575) |
$13,168.54 |
— |
2.0× |
| Treat fx rad extra-articul (25607) |
$13,168.54 |
— |
2.0× |
| Treat heel fracture (28415) |
$13,168.54 |
— |
2.0× |
| Treat lower leg fracture (27828) |
$23,299.56 |
— |
2.0× |
| Treat radius fracture (24665) |
$13,168.54 |
— |
2.0× |
| Treat toe fracture (28525) |
$5,938.01 |
— |
2.0× |
| Treat ulnar fracture (24685) |
$13,168.54 |
— |
2.0× |
| Treatment of ankle fracture (27822) |
$13,168.54 |
— |
2.0× |
| Treatment of ankle fracture (27792) |
$13,168.54 |
— |
2.0× |
| Treatment of fibula fracture (27784) |
$13,168.54 |
— |
2.0× |
| Treatment of foot infection (28003) |
$5,938.01 |
— |
2.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$447.65 |
— |
2.0× |
| Treatment of tibia fracture (27759) |
$23,299.56 |
— |
2.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,918.17 |
— |
2.0× |
| Unlisted procedure foot or toes (28899) |
$447.65 |
— |
2.0× |
| Unlisted Procedure Nervous System (64999) |
$557.05 |
— |
2.0× |
| Uvulectomy excision uvula (42140) |
$6,016.88 |
— |
2.0× |
| Vasectomy (55250) |
$3,793.62 |
— |
2.0× |
| Venipuncture (36415) |
— |
$15.60 |
— |
| Xfer single deep low leg tendon (27691) |
$13,168.54 |
— |
2.0× |